Monday, June 22, 2020

Dexcom denial letter

Today, I received my Florida Blue denial letter for a Dexcom G6 coverage. I expected as much.

The reason is that I initiated the Dexcom G6 coverage, not my doctor. Florida Blue has very specific requirements for coverage, of which I have not completed.

Coverage guidelines, require 4 or more finger sticks per day(severe aversion to doing it) for 3 months(which I have not been doing), 3 or more insulin injections per day (which I have been doing) and poorly controlled diabetes (which I have).

So why did I get a Dexcom to begin with if I have to pay for it? To figure out what was going on, learn what I am doing wrong, and correct it.

Has it made a difference? Oh God Yeah!
Will I continue to pay for it out of pocket? YES.
What have I been doing wrong? LOTS of stuff.

So a little history, I was diagnosed about 10 years ago with Type 2. Was going to an old school doc, who gave me the basic instructions of: Inject this much before every meal, avoid these foods, test your sugar 3 times a day.

I did this for 9 years, had ups and downs with my A1C, but more or less was doing fine. Then came Hurricane Michael. To say it threw my life into a chaotic shit storm is an understatement. I stopped testing, I stopped taking insulin, my other meds like for my heart I took every day but ignored my diabetes.

Why? I have no clue. I know why this was wrong, I did it anyway, it did not instantly kill me or send me to the hospital, so I went about my day. Then the little things started, tingling in my feet here and there, an ingrown hair that turned into a cyst, that required a quite invasive surgical removal, slow healing time (3 months and counting). So I knew that if I didn't get off my ass and do something I was going to kill myself in short order.

So here I am 5 weeks since getting the Dexcom, completed 2 of 3 "new diabetics" classes, found me an Endo, stabilized my blood sugar, learned I was taking my long-lasting at the wrong time which was sending me low overnight, starting to learn how to count carbs, started using NightScout with Hue lights so my partner knows when I'm not doing what I should and finally paying attention to how I feel.

How do I feel? Better, but I could be great.
I'm making changes, I'm following the advice given and I'm going to do this.

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