17 Responses

  1. Joe
    Joe May 22, 2013 at 4:26 am | | Reply

    I would like to use a CGM, but I’m positive that my insurance company would not cover the cost thank you United Health Care, as it does not pay for my glucose meter, diabetic foot checks at a Podiatrist, et. al.

    Joe, Type 2 since 1999, last A1C 6.1

  2. Use of Glucose Monitors by Type 2s Not on Insulin (I Wrote an ADA Journal Article!) | Knowledge of Medicine

    [...] post Use of Glucose Monitors by Type 2s Not on Insulin (I Wrote an ADA Journal Article!) appeared first on DiabetesMine:the all things diabetes [...]

  3. Dan
    Dan May 22, 2013 at 8:54 am | | Reply

    Hi Amy,
    You have touched a hot button. So, this is one of the best responses regarding type 2 testing. The noted management expert from Harvard Business Review, Peter Drucker has the following comment. One needs to collect the data before one can determine how to manage the item question. The better the data collection and retrieval the greater the ability to manage the item in question. Hope this helps and as always have a great day.
    Dan

  4. Amy - Diabetes x 2
    Amy - Diabetes x 2 May 22, 2013 at 9:32 am | | Reply

    Hi Amy,

    My meter (One Touch Mini) has been invaluable to me since my T2D diagnosis 14 months ago. I used it then, and continue to use it now, to figure out how many carbs my body can actually process at mealtimes without having high blood sugars two hours postprandial. Even now, when I eat something new, or go over my usual number of carbs at a meal, the meter tells me if I estimated the number of carbs in the meal correctly, or whether I need to go take a walk to burn off some extra glucose. In short, my meter has helped me go from an A1C at diagnosis of 7.8 down to my current A1C of 5.6.

    But, no one in the medical community taught me or teaches other people to do this. So, how did I know? (1) I had been diagnosed with gestation diabetes when pregnant with my younger daughter. (2) Same daughter has T1D. (3) I read a lot, including the books Think Like a Pancreas and Blood Sugar 101 (highly recommend them both).

    The end result of any type of diabetes is the body’s inability to control blood glucose levels. So, why on earth should T2Ds not test their blood glucose levels? You know this system in your body is broken, but yet you don’t do a simple test to try to understand it and try to put it back together? It baffles me!

    Sorry for the long comment and thanks for letting me vent. And, this reminds me – it’s almost lunch time – time to test!

    Amy

  5. Colleen
    Colleen May 22, 2013 at 2:29 pm | | Reply

    I wrote about my brother’s pre-d diagnosis earlier this year.
    http://dmeanderings.wordpress.com/2013/02/14/about-my-brother/

  6. Mary Dexter
    Mary Dexter May 22, 2013 at 2:42 pm | | Reply

    Bravo. You did an excellent job with this report. This information needs to be trumpeted from rooftops, spread throughout the world. You were very brave to take this on and I salute you. Well done!

    I do wish they had published your report as a report rather than as an editorial. I think their choice has more to do with the information you uncovered, which many in the medical establishment and media would rather not have known.

    Thank you so much for writing such a revolutionary paper. Congratulations!!

  7. Bob Fenton
    Bob Fenton May 22, 2013 at 4:13 pm | | Reply

    Thank you, Amy!!! Too few people on the type 2 side understand the importance of self-monitoring of blood glucose. Why, because of faulty research and even more faulty leaders in our diabetes organizations that do not want patients knowing about it. Many primary care physicians don’t know and don’t care about testing. I am surprised by the lack of people not stating they thought they tested for the benefit of their doctor. This has been reported by patients in the UK and I receive emails asking why their doctor pays no attention to the results they bring in. Since their doctor is the one that requested the testing, this is a real puzzle to them.

    This blog and your report (PDF file) should be required reading. Now I suggest that you do another blog linking many of the articles you have written about finding financial assistance for testing supplies and medications. The type 2 community as well as the type 1 community does need this in one easy source that can be linked to and spread to as many publications as possible.

    Thanks again, Bob

  8. karen bruce
    karen bruce May 22, 2013 at 11:57 pm | | Reply

    I just want a cure! Where is the cure!

  9. Jennifer Gibbons
    Jennifer Gibbons May 23, 2013 at 8:13 am | | Reply

    This is a topic that is already known for a long time but only few are willing to voice out. You are definitely one of those courageous individuals. I hope everyone who reads your report will be inspired and support this cause. A lot of people are having a tough time and this is the time to move and make a change.

  10. bonny damocles
    bonny damocles May 23, 2013 at 8:50 pm | | Reply

    Great ADA Journal Article, Amy!!!

    Since my diagnosis as a type 2 in July 1991, I have always found my blood glucose meters to be very important and useful in controlling my diabetes. I don’t test anymore as often as I used to during the first 3 years of my life as a diabetic. Close to 19 years now, I have been testing only 100 times per year. Why? Because I only need to find out if my 2-hour daily exercise (4 30- minute sessions – before each meal and before bed) is still as effective as I expect it to be. So far so good. Most of my past A1c’s were between 5.2% and 6.3%. I have no diabetes complications yet, never had any hypo problems, and have been living like I have no diabetes. Thanks for all your blogs.

  11. Linda
    Linda May 24, 2013 at 6:40 am | | Reply

    My husband was just given the Type 2 diagnosis about 2 months ago. His doctor said he has it-handed the monitor box to him and said: ” You wont like this-but here.”. No direction or told to go to a nurse for help to figure the monitor out.
    He said go to the Diabetic Educator. The class was a month away. I went with him, she was very good at explaining the disease and the need to change his lifestyle. She couldn’t give instructions on how to use the monitor. We went to the office- was shown in a fast brisk manner-not good. My husband has been back to the office 2 times now for instructions how to use the monitor. Very frustrating. It is very hard to get this started.
    My husband finally accepted the diagnosis- now he has to find out how to measure his blood sugar. Where can he go for correct instructions on how to use the monitor?
    Is an Endocrinologist the correct specialist to go to for better care?
    I feel bad for my husband, as he is trying now to stay well.

  12. Bruce Miller
    Bruce Miller May 24, 2013 at 10:12 am | | Reply

    The key to all this is having an accurate meter. Most are horrible. Both not precise (repeatable) or accurate (matches true BG values). The ±20% tolerance is really bad. I just completed test of the new Aviva Plus strips that took the old decent Aviva meter to over the edge to widely off the mark. A meter is sooo important I purchased OUT of pocket, a lab quality meter for hundreds of dollars and the test micro curvets are >$1 each. Why? testing is the ONLY way we know if we are on target with our diet, if exercise is helping and how to use our insulin..

  13. bonny damocles
    bonny damocles May 24, 2013 at 11:29 am | | Reply

    Linda,

    If it is all right with you, please email me at bonnynemia@gmail.com and I will give you some tips on blood glucose meters, test strips, lancets, and lancing device. I am not saying that I am an expert on these things and this is the reason why I am hesitant to tell you anything about them on this site. Please understand that I have been testing my blood sugar since July 1991 and I have already learned how to interpret the bs readings I have been getting. Although I don’t use my bs meters much, I need them very badly.

  14. Rebecca
    Rebecca May 28, 2013 at 7:34 pm | | Reply

    I was diagnosed 2 months ago with T2 Diabetes, and had to ASK the endo. if I should begin testing. She first said if someone twice my age came into her office in my condition (I’m 15 and my numbers were off the charts) they would begin testing several times a day immediately. She told me it didn’t matter to her because I was young.
    I’m sorry, I didn’t realize you can’t be conscious of your health if your 15?!
    I told her I’d like to try, and she gave me 30 sample test strips to use. I went out and my mom and I bought the meter, and I searched on the company website, YouTube, and used the instruction packet in the box to learn how to use the meter myself.
    I test four times a day now, and my family pays for my own test strips because my doctor doesn’t want to prescribe me. It’s been a lifesaver for those times I’m unsure how my eating has been going, and I’m glad I took it upon myself to begin testing, even though it can be hard explaining my meter and testing to my friends.
    Great article, and clearly I agree: Why shouldn’t T2′s be controlling their blood sugar and monitoring their own health?

  15. Bruce Miller
    Bruce Miller May 29, 2013 at 7:20 am | | Reply

    Great going Rebecca,

    You have learned a life lesson very early. This is a DYI job of managing your own health. Kudos to your parents for supporting you in this. Far too many “mature” (age wise since you are obviously very mature) individuals sit back passively and wait to be told what to do. As if their own health was not their responsibility. I wish you could talk to the support group I lead!

  16. tools affecting
    tools affecting June 12, 2013 at 9:40 am | | Reply

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  17. rhea
    rhea July 29, 2013 at 11:29 pm | | Reply

    I love all the comments! I envy most of you, I live in 3rd world country where access to glucometers is very hard among marginalized level of the society. We don’t have insurance to cover for the treatment much less the consult. In the diabetes center (MSDC) where 99% are T2DM members; we came up with a strategy to save for a glucometer and other D-needs, we call it the “Piggy bank”, where the PWD will save an amount they can afford, usually $ 0.50/visit…It really takes a considerable time before they can own a glucometer. Owning and doing SBGM are 2 entirely different thing! But, at the end, they eventually accept that doing SBGM is a big help in empowering them.

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