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Alternative to BD syringes? Cost too high
#21
(05-28-2015, 05:22 PM)justMongo Wrote:
(05-28-2015, 03:56 PM)GrammaBear Wrote: NPH is definitely less expensive and I used this for a long time after first being diagnosed. My doctor at that time did not seem to understand the fact that it doesn't have a flat curve. He was always accusing me of cheating by eating between meals. What he didn't understand was that you indeed do have to feed the insulin when you use NPH.

I am so glad for modern analog insulins, makes my life so much easier. It isn't fair, in my opinion, that Medicare will fund insulin for people on a pump, but not for people who use a syringe or a pen. I've also helped people financially who could not afford their insulin when they fell on hard times.

Medicare recently decided I could only test 3X daily when I inject 5X daily. I wrote an appeal; and wrote to my Congress critter. Medicare is only interested in the short term -- what will they spend this year. Never mind the expense of complications that will come down the road.

I once had a doctor who described himself as a "diabetes specialist" tell me that he would 'consent' to writing me a Rx for testing 3 x a day. "Diabetes specialist" my foot !!! He didn't even know what an insulin pen was. He told me a syringe and vial was good enough for me. Never mind I was already using the insulin pump for four years.

It is insane in my opinion that Medicare will pay for an amputation of a limb, but they won't pay for adequate amount of test strips to prevent such complications.

You may already be aware of the test strips sold by WalMart, but their Relion brand is way cheaper than most name brands. I often use their brand when I've run out of what Medicare will permit me to have. Medicare says I only need to test 3 x daily, however when I provided my GP (general practitioner) with proof that I need to test more than that, she wrote the Rx for more than 3 x daily. Would your doctor consider writing your script for more?

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#22
(05-28-2015, 06:32 PM)GrammaBear Wrote:
(05-28-2015, 05:22 PM)justMongo Wrote:
(05-28-2015, 03:56 PM)GrammaBear Wrote: NPH is definitely less expensive and I used this for a long time after first being diagnosed. My doctor at that time did not seem to understand the fact that it doesn't have a flat curve. He was always accusing me of cheating by eating between meals. What he didn't understand was that you indeed do have to feed the insulin when you use NPH.

I am so glad for modern analog insulins, makes my life so much easier. It isn't fair, in my opinion, that Medicare will fund insulin for people on a pump, but not for people who use a syringe or a pen. I've also helped people financially who could not afford their insulin when they fell on hard times.

Medicare recently decided I could only test 3X daily when I inject 5X daily. I wrote an appeal; and wrote to my Congress critter. Medicare is only interested in the short term -- what will they spend this year. Never mind the expense of complications that will come down the road.

I once had a doctor who described himself as a "diabetes specialist" tell me that he would 'consent' to writing me a Rx for testing 3 x a day. "Diabetes specialist" my foot !!! He didn't even know what an insulin pen was. He told me a syringe and vial was good enough for me. Never mind I was already using the insulin pump for four years.

It is insane in my opinion that Medicare will pay for an amputation of a limb, but they won't pay for adequate amount of test strips to prevent such complications.

You may already be aware of the test strips sold by WalMart, but their Relion brand is way cheaper than most name brands. I often use their brand when I've run out of what Medicare will permit me to have. Medicare says I only need to test 3 x daily, however when I provided my GP (general practitioner) with proof that I need to test more than that, she wrote the Rx for more than 3 x daily. Would your doctor consider writing your script for more?

My doc does write for 5x daily. I included a copy of his Rx in my appeal. I've been testing 5x daily for years. Suddenly, some brain dead bureaucrat tried to apply Medicare rules.

I've only recently had Medicare rules imposed; as I was getting retiree health insurance from my last employer. They decided to dump retirees.
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#23
we have a friend who's niece was on the pump and the pump failed once and she caught it but then it failed a second time and she didn't catch it and it caused her death. You would think those things would have an alarm on it or something to notify the person that it failed or something that would notify medical personnel that it failed. A lot of medical docs today don't monitor things. We have another friend who lost his dad to a heart attack and then he had some medical issues and for him to be released to go back to work, he had to have a heart monitor implanted. He has never turned the device on so it can be monitored and 6 months later, his doc hasn't called him about the lack of data from his monitor.
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#24
I had a first cousin pass away. She used insulin vials and syringes. She would go very high at times.
When the sugar goes very high, the index of refraction of the eye changes; and one cannot see.
She drew too large a dose of rapid insulin and died from hypoglycemia.
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#25
Sorry folks, but I had to remove the two posts that were direct commercial links. Just a reminder that most commercial links are not allowed on Apnea Board. The easiest way to do this is tell someone to do a Google search for "XYZ Product" or some such method. But not direct links to commercial sellers here.

Alternatively, we have an ENTIRE forum set up for commercial posting that is somewhat related to sleep, here:

http://www.apneaboard.com/forums/Forum-Commercial-Posts

Please use that to list any links to sleep-related commercial websites if you wish.

Thanks folks - we're trying to not get Apnea Board in trouble legally here since our legal status is an "educational" website and forum:


To maintain our status as an educational organization, the only commercial links allowed in this forum are to CPAP-related manufacturer websites. This is stated in the Apnea Board Rules with details given in the Commercial Links Policy section.
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From the rules:

Quote:5. Links to commercial websites are not allowed in forum posts, member signatures or user profiles. This includes redirects, scam sites, blind links, and informational sites that are essentially commercial in nature. It is not acceptable to by pass this rule by posting something like: "Please visit my-online-store.com" or "Go to my-products-online-dot-com".

Quote:Definition of a commercial website: any website that has a "shop", a link to a shop, a link to another website to purchase their product, a "how to buy" button/link, a phone number to call/fax to purchase items, or any other method of sales. Links to websites owned or operated by a DME are not allowed. (See below for information on how to mention a website using our Supplier List)

If we fail to maintain our legal educational status, we will not be able to legally distribute copyrighted Clinician Setup Manuals under the Fair Use sections of U.S. copyright law.
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#26
I get about a week (x2 daily) on an insulin syringe. If you look at the tip, you'll see the tip is slanted. I make sure the slant side is up. I glides in easier. I also grab the fat on my tummy. It make it steadier and hurt less.
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#27
I am curious about something and want to see what those with diabetes has to say about this.

How can someone's glucose be normal and their A1C be too high?

Sorry for my ignorance but this is out of my league
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#28
(06-05-2015, 08:38 PM)me50 Wrote: I am curious about something and want to see what those with diabetes has to say about this.

How can someone's glucose be normal and their A1C be too high?

Sorry for my ignorance but this is out of my league

This is what used to happen. Doctors would only do fasting glucose test. That was the 'gold' standard that was completely wrong. My relative always came out normal. He likely had diabetes for 10 years before they started doing the A1C test on a regular basis. Even after developing severe neuropathy in his feet, he still had normal fasting glucose. After my nagging, I finally tested him using my late Dad's meter 2 hours after he had eaten. His blood sugar was almost 300. He learned after getting a meter that his morning glucose was the only time it was normal.

That said, the A1C alone doesn't completely rule out diabetes. Some folks have huge spikes and have otherwise normal values and can have a normal A1C. I think they catch these ones with other tests though.
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#29
Thanks for your reply.

I still don't get normal gluose and high A1C
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#30
A1C is a measure of approximate average glucose. The life span of a red blood cell is roughly 120 days. During its life, the hemoglobin in an RBC is subject to glycosolation. A1C is the percentage of RBCs that show glycosolation. In a "normal" person, less than 5% is glycosolated. A spot measurement of blood glucose may indicate a normal range. But, A1C is a "measure" of the average blood glucose levels.

People who spike high, will have a higher average and a higher A1C even though at times there blood glucose may be "normal."
Suggested Reading: http://en.wikipedia.org/wiki/Glycated_hemoglobin

The Oral Glucose Tolerance Test (OGGT) is used to determine how a person responds to a carbohydrate load.
more reading: http://en.wikipedia.org/wiki/Glucose_tolerance_test

A diabetic will perform a similar test by using their meter after eating a known quantity of carbs.
If they use insulin, they will also follow their response to an insulin injection.
Having done both, then the person can make a good estimate of how much meal time (rapid) insulin to inject for an anticipated carb load.
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