August 24, 2009

A Hyper Check

No no not the blog sugars. The 'bole.

As in Hyperbole.

I am sitting here checking my email and the news has someone in a full blown rant. I wish I had his coverage. He apparently has outstanding health coverage. He going on about “anything that comes between My Doctor and My Health is rationing. Anything the Government does that limits My Doctors options...”

Really? Is that what that is.

I didn’t know to call it that. But now that I know what to call it, I know that private insurance has been rationing continuous glucose monitoring since it was invented. Like many other people with type 1 diabetes we have been denied coverage.

I just figured that we, like a lot of other people, were applying for coverage with the hope of getting what we see as a quantum leap in treatment but with the real expectation that what we were doing was trying to storm at the castle gates. If enough of us banged on the door long enough the gates of our private insurance will open and CGMs will come tumbling. Or something like that.

Waiting is another issue with this guy on TV. Rationing is going to mean waiting for the health care we need now. Grandma may have complications or worse waiting.

We got a letter from our insurer telling us that the ‘formulary’ test strips under our plan were changing. We could get one free meter to switch.

Well we don’t like the formulary strips much. One meter doesn’t make the table ante at the T1 card game. IMHO the minimum to get in the game is four meters; a meter at home, backup at home, meter at school and a meter at the gym at school for potential PE issues. Not that it matters because we are going to use the strips and meters we think work best, not the ones our insurer is rationing

I wonder what the pundit on TV has to say. Nothing I suspect. It would be inconvenient to admit that the insurers do private deals with suppliers and negotiate special deals to make a particular brand of strips the formulary.

I doubt he would have an issue with that. There is practically spit flying in this dudes rant and the real point is he is getting his 15 minutes. If he puts on a really good show he may get picked up for another 15 in another broadcast.

Sadly people with type 1 don't live in 15 minutes of broadcast fame. But we do know our Hyper and Hypo.

At our house our turn for CGM, for at least one of the kids, is has come. We have waited long enough. I heard she was approved for a CGM. I am not sure but I think this is our third full court try for the thing. There have been countless Hypos and Hypers as in hyperglycemia not hyperbole in the intervening time. Some have been south of 40.

South of 40 is what most people who know what serious is would consider serious. There are potential long term issues with hypos, I hope we minimized them by acting fast. 100 to 1 Mr. TV guy has no idea what hyper or hypo mean and doesn't know a 38 from 102. I bet he lives red and blue.

Lows happen. (Feel free to insert an “s” word for lows there if you feel the need.) That is part of YDMV. It will be nice to have the tools to manage it (I am thinking the other the other word but mean lows.) It is nice that our time has come. I am particularly interested in using CGM to help manage basal setting.

I fully understand what the guy on TV is calling rationing. Like a lot of other people living with type 1 we have some first hand experience with it and the private sector. I don’t know what the end game in DC punditry is going to be. I suspect it will be more hyped up simplistic sound bites.

The conversion is kind of over stimulated and loosing cognitive abilities. Sound the media needs to check it collective blood sugar and take a correction bolus to get back into the sanity range.

What ever the outcome of all the 'debate' (hyper see above) is, we will still have two cases of type 1 in our house. We will still use strips and insulin. In the many homes across the world like ours, we know hyper, hypo, strips and insulin are the daily ante to be in the game.

We just are tired of playing. 24/7/365.