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	<title>Comments on: Pricey</title>
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	<link>http://www.diabetesmine.com/2006/07/pricey.html</link>
	<description>A gold mine of straight talk and encouragement for people living with diabetes</description>
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		<title>By: Rick Stockton</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35868</link>
		<dc:creator>Rick Stockton</dc:creator>
		<pubDate>Fri, 13 Oct 2006 21:01:18 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35868</guid>
		<description>MikeG and others have great advice-- just use Saran wrap, and waterproof gauze tape on at least 3 sides (top and two sides, leave the bottom open saves a few inches of tape.

And ABSOLUTELY try JaysonJ&#039;s suggestion: better adhesive! I live in low humidity (Reno NV= high desert), so my Sensor adhesive pads don&#039;t get ratty until way after a week. (Trouble, if it happens at all, happens during days 12-20.) I just use gauze tape to tape down the ratty edges. But high-quality adhesive would be much more effective, TRY IT!

When you leave the Sensors on for a long time, you might start to react to the adhesive. an &#039;IV Prep&#039; liquid might also be helpful.

Are you using good Sensor locations, or just whacking your belly (to close to insulin infusion sites)? Their instructions that you can be just an inch away from visible old infusion site scars, and even right on top of invisible ones, were BAD for me. I never got more than 5 days until I switched to my sides, and they were failing even before 3 days until I moved. Now I average 17-18, very consistently. (Personal record is 20.)
</description>
		<content:encoded><![CDATA[<p>MikeG and others have great advice&#8211; just use Saran wrap, and waterproof gauze tape on at least 3 sides (top and two sides, leave the bottom open saves a few inches of tape.</p>
<p>And ABSOLUTELY try JaysonJ&#8217;s suggestion: better adhesive! I live in low humidity (Reno NV= high desert), so my Sensor adhesive pads don&#8217;t get ratty until way after a week. (Trouble, if it happens at all, happens during days 12-20.) I just use gauze tape to tape down the ratty edges. But high-quality adhesive would be much more effective, TRY IT!</p>
<p>When you leave the Sensors on for a long time, you might start to react to the adhesive. an &#8216;IV Prep&#8217; liquid might also be helpful.</p>
<p>Are you using good Sensor locations, or just whacking your belly (to close to insulin infusion sites)? Their instructions that you can be just an inch away from visible old infusion site scars, and even right on top of invisible ones, were BAD for me. I never got more than 5 days until I switched to my sides, and they were failing even before 3 days until I moved. Now I average 17-18, very consistently. (Personal record is 20.)</p>
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	<item>
		<title>By: MikeG</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35867</link>
		<dc:creator>MikeG</dc:creator>
		<pubDate>Mon, 14 Aug 2006 20:24:55 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35867</guid>
		<description>Amy,

I think you can cut down on that bill somewhat.  I only use the shower patches for swimming.  For showers, I&#039;ve found that a sheet of Glad Press and Seal (basically, sticky saran wrap) works well enough.  The sensors can take a good bit of water, so if some gets through, you&#039;ll still be ok.  I actually had a shower patch open up when I was swimming laps once.  Despite being completely underwater for 10 minutes, the sensor came back to life after I towelled off and sat in the sun for a few minutes.

I&#039;m another one of those who&#039;s gone from needing 10 strips a day to 3-4.  If you&#039;d like, I can send you some OneTouch strips.

For me,  the cost of my Dex is going to be about $2000 a year (I&#039;m getting 7-10 days per sensor, despite running and biking in 100 degree heat, and my OneTouch strips are paid for by insurance.)  If I were paying full price for either 10 strips a day, or 3-4 per day plus Dex, I think I&#039;d break even.

The real punch line for me is this:  my A1C has gone from 7.5 - 8.0 to 6.5, my energy&#039;s up, and I can do things I could never do before.
</description>
		<content:encoded><![CDATA[<p>Amy,</p>
<p>I think you can cut down on that bill somewhat.  I only use the shower patches for swimming.  For showers, I&#8217;ve found that a sheet of Glad Press and Seal (basically, sticky saran wrap) works well enough.  The sensors can take a good bit of water, so if some gets through, you&#8217;ll still be ok.  I actually had a shower patch open up when I was swimming laps once.  Despite being completely underwater for 10 minutes, the sensor came back to life after I towelled off and sat in the sun for a few minutes.</p>
<p>I&#8217;m another one of those who&#8217;s gone from needing 10 strips a day to 3-4.  If you&#8217;d like, I can send you some OneTouch strips.</p>
<p>For me,  the cost of my Dex is going to be about $2000 a year (I&#8217;m getting 7-10 days per sensor, despite running and biking in 100 degree heat, and my OneTouch strips are paid for by insurance.)  If I were paying full price for either 10 strips a day, or 3-4 per day plus Dex, I think I&#8217;d break even.</p>
<p>The real punch line for me is this:  my A1C has gone from 7.5 &#8211; 8.0 to 6.5, my energy&#8217;s up, and I can do things I could never do before.</p>
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		<title>By: don a</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35866</link>
		<dc:creator>don a</dc:creator>
		<pubDate>Sat, 05 Aug 2006 15:56:36 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35866</guid>
		<description>walgreen&#039;s strip only cost $.50 each
with their meter.I was looking for a new meter and person behind the counter told me it&#039;s the cheapest.
</description>
		<content:encoded><![CDATA[<p>walgreen&#8217;s strip only cost $.50 each<br />
with their meter.I was looking for a new meter and person behind the counter told me it&#8217;s the cheapest.</p>
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	<item>
		<title>By: John</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35865</link>
		<dc:creator>John</dc:creator>
		<pubDate>Wed, 02 Aug 2006 13:05:34 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35865</guid>
		<description>Personally, I&#039;m waiting for FreeStyle Navigator.  I hear the price will be somewhat lower, but Abbott may help push along the development of medical policies that will help users.  Only time will tell.
</description>
		<content:encoded><![CDATA[<p>Personally, I&#8217;m waiting for FreeStyle Navigator.  I hear the price will be somewhat lower, but Abbott may help push along the development of medical policies that will help users.  Only time will tell.</p>
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		<title>By: Becky</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35864</link>
		<dc:creator>Becky</dc:creator>
		<pubDate>Sun, 30 Jul 2006 12:54:44 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35864</guid>
		<description>Jedi,
This may be true but people are winning coverage on appeal.  See July 22 at &lt;a target=&quot;_blank&quot; href=&quot;http://www.untilacure.blogspot.com/&quot; rel=&quot;nofollow&quot;&gt;http://www.untilacure.blogspot.com/&lt;/a&gt;
I&#039;m in disagreement with, well, probably everyone on this LOL!  I think insurance is going to cover these things sooner than expected.  Continuous real time data can save them money on expensive glycemic excursions that send people to emergency rooms and hospitals, not to mention EMS calls for severe hypos.  Hasn&#039;t been clinically proven yet,I know, but I bet the number crunchers will figure it out soon.

Sorry about the test strip dilemma Amy. Hopefully they won&#039;t give you a hard time about switching brands!
</description>
		<content:encoded><![CDATA[<p>Jedi,<br />
This may be true but people are winning coverage on appeal.  See July 22 at <a target="_blank" href="http://www.untilacure.blogspot.com/" rel="nofollow">http://www.untilacure.blogspot.com/</a><br />
I&#8217;m in disagreement with, well, probably everyone on this LOL!  I think insurance is going to cover these things sooner than expected.  Continuous real time data can save them money on expensive glycemic excursions that send people to emergency rooms and hospitals, not to mention EMS calls for severe hypos.  Hasn&#8217;t been clinically proven yet,I know, but I bet the number crunchers will figure it out soon.</p>
<p>Sorry about the test strip dilemma Amy. Hopefully they won&#8217;t give you a hard time about switching brands!</p>
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	<item>
		<title>By: JediSkipdogg</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35863</link>
		<dc:creator>JediSkipdogg</dc:creator>
		<pubDate>Sun, 30 Jul 2006 11:24:11 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35863</guid>
		<description>Keep in mind that it took insurance companies many years to pay for insulin pumps.  These aren&#039;t cheap items.  You may say in the long run it will save them money, but right now most insurance companies already lose money on diabetics.  I know I do.  My work pays my insurance premiums 100%, lucky me, and that is around $7200 a year.  I calculated my supply usage once for a year and I use close to $9000 in medical visits and supplies a year.  My insurance is LOSING money on me, and most people don&#039;t have $600 a month premiums.

You also have to keep in mind, these devices are being marketted as supplements to fingersticks.  So while you think only 2 fingersticks a day is needed, you really are suppose to do more, and insurance companies see that and see they aren&#039;t saving much money.

Lastly, you have the accuracy of the devices.  Google Minimed CGMS Accuracy and Dexcom Accuracy and you&#039;ll be amazed at some of the charts you see.  The devices are good, but not ready for full blown use.

Another key part in price that wasn&#039;t mentioned in the original article.  For Dexcom, the transmitter has to be replaced every 6-12 months because of battery life, and that&#039;s a $250 replacement.  Then the receiver has to be replaced every 12-18 months for the same reason, and that costs $500.  So now the insurance has an additional $1000 each year to replace for the basic devices just because a $2 battery can&#039;t be user replaced.
</description>
		<content:encoded><![CDATA[<p>Keep in mind that it took insurance companies many years to pay for insulin pumps.  These aren&#8217;t cheap items.  You may say in the long run it will save them money, but right now most insurance companies already lose money on diabetics.  I know I do.  My work pays my insurance premiums 100%, lucky me, and that is around $7200 a year.  I calculated my supply usage once for a year and I use close to $9000 in medical visits and supplies a year.  My insurance is LOSING money on me, and most people don&#8217;t have $600 a month premiums.</p>
<p>You also have to keep in mind, these devices are being marketted as supplements to fingersticks.  So while you think only 2 fingersticks a day is needed, you really are suppose to do more, and insurance companies see that and see they aren&#8217;t saving much money.</p>
<p>Lastly, you have the accuracy of the devices.  Google Minimed CGMS Accuracy and Dexcom Accuracy and you&#8217;ll be amazed at some of the charts you see.  The devices are good, but not ready for full blown use.</p>
<p>Another key part in price that wasn&#8217;t mentioned in the original article.  For Dexcom, the transmitter has to be replaced every 6-12 months because of battery life, and that&#8217;s a $250 replacement.  Then the receiver has to be replaced every 12-18 months for the same reason, and that costs $500.  So now the insurance has an additional $1000 each year to replace for the basic devices just because a $2 battery can&#8217;t be user replaced.</p>
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	<item>
		<title>By: been there</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35862</link>
		<dc:creator>been there</dc:creator>
		<pubDate>Sat, 29 Jul 2006 19:43:34 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35862</guid>
		<description>Amy - I don&#039;t think I&#039;d be that distressed over the insurance company. I&#039;d just take the approach that you need a larger quantity of a different kind of strip. You are concerned about qty, no? Well you already scaled that hurdle, now you&#039;re just changing brand. That happens all the time. The quantity required is the harder part. Also, when you talk to the rep at the ins co just be matter of fact that the qty is the qty, and be as frustrated as you know she/he is that you have to make yet another change :)
</description>
		<content:encoded><![CDATA[<p>Amy &#8211; I don&#8217;t think I&#8217;d be that distressed over the insurance company. I&#8217;d just take the approach that you need a larger quantity of a different kind of strip. You are concerned about qty, no? Well you already scaled that hurdle, now you&#8217;re just changing brand. That happens all the time. The quantity required is the harder part. Also, when you talk to the rep at the ins co just be matter of fact that the qty is the qty, and be as frustrated as you know she/he is that you have to make yet another change <img src='https://www.diabetesmine.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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	<item>
		<title>By: Lori</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35861</link>
		<dc:creator>Lori</dc:creator>
		<pubDate>Fri, 28 Jul 2006 13:49:24 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35861</guid>
		<description>Hi,
I just started on the Dexcom yesterday.  I am on a one week free trial before I decide if I want to buy it.  So far so good.  Thanks so much for your blog. My  husband and I were able to get an idea of what it may be like before I even got on it.

Anyway, I saw in your post that you are having trouble getting the tape to stick.  I had this trouble with my pump a while ago when I lived in AZ.  I bought a product called Mastisol Liquid Adhesive from MiniMed and it worked great.  You also need to by Detachol Adhesive Remover to get the extra adhesive off.  I don&#039;t think it cost a lot but it has lasted forever.  It may be worth a try.

</description>
		<content:encoded><![CDATA[<p>Hi,<br />
I just started on the Dexcom yesterday.  I am on a one week free trial before I decide if I want to buy it.  So far so good.  Thanks so much for your blog. My  husband and I were able to get an idea of what it may be like before I even got on it.</p>
<p>Anyway, I saw in your post that you are having trouble getting the tape to stick.  I had this trouble with my pump a while ago when I lived in AZ.  I bought a product called Mastisol Liquid Adhesive from MiniMed and it worked great.  You also need to by Detachol Adhesive Remover to get the extra adhesive off.  I don&#8217;t think it cost a lot but it has lasted forever.  It may be worth a try.</p>
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	</item>
	<item>
		<title>By: JasonJayhawk</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35860</link>
		<dc:creator>JasonJayhawk</dc:creator>
		<pubDate>Fri, 28 Jul 2006 02:13:16 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35860</guid>
		<description>Amy, if you had to choose between an insulin pump or the CGMS, which would you keep?  I wish insurance would allow us to make that decision -- personally, I&#039;d pick the CGMS.  I think the CGMS costs more than a pump, though, unless you factor in cost savings from not having to buy as many strips!

Hmmmm...  Would you pay us $119 to make you home-made shower patches out of garbage bags and duct tape?   Let us know, and I&#039;ll go get some scissors and some Quackeriffic-brand Duck Duct tape!
</description>
		<content:encoded><![CDATA[<p>Amy, if you had to choose between an insulin pump or the CGMS, which would you keep?  I wish insurance would allow us to make that decision &#8212; personally, I&#8217;d pick the CGMS.  I think the CGMS costs more than a pump, though, unless you factor in cost savings from not having to buy as many strips!</p>
<p>Hmmmm&#8230;  Would you pay us $119 to make you home-made shower patches out of garbage bags and duct tape?   Let us know, and I&#8217;ll go get some scissors and some Quackeriffic-brand Duck Duct tape!</p>
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		<title>By: AmyT</title>
		<link>http://www.diabetesmine.com/2006/07/pricey.html/comment-page-1#comment-35859</link>
		<dc:creator>AmyT</dc:creator>
		<pubDate>Thu, 27 Jul 2006 21:31:40 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/07/27/pricey/#comment-35859</guid>
		<description>It&#039;s not the mail order itself, but the fact that my insurance recently OK&#039;d large quantities of one type of test strip and now I need another. *sigh*
</description>
		<content:encoded><![CDATA[<p>It&#8217;s not the mail order itself, but the fact that my insurance recently OK&#8217;d large quantities of one type of test strip and now I need another. *sigh*</p>
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