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9 Responses

  1. Mary Dexter
    Mary Dexter August 5, 2014 at 5:53 am | | Reply

    So when are we marching on Washington?

  2. Mike
    Mike August 5, 2014 at 10:04 am | | Reply

    Totally disagree. If you need a CGM to drive, you should pay for it. If you work for a company they can pay for it.
    And I pretty much feel the same way about the pump.
    Money should go for the “drugs” for which everyone can take advantage.
    And money could also go to better blood testing devices and linkage with the cloud – also a benefit everyone can enjoy.
    The pumpers/CGMers raise the cost of care w/o recognisable benefit to health.
    Yes there are exceptions in terms of need. And the money should go for the people who need it, not for those who want it to drive.
    Buy a bike! Go green. Get lean.

    1. Dan F
      Dan F August 5, 2014 at 11:45 am | | Reply

      Thanks, Mike. I think people who are 65-90 will appreciate the premise that if they work, their “company should pay for it.” I am sure that applies to the VAST majority of elderly PWDs. None of them are retired, of course. And I’m sure they will think it is a great idea for all of them to sell their cars and buy bikes. I’ll pass this on to my Joslin Medalists group.

    2. Dan
      Dan August 5, 2014 at 8:05 pm | | Reply

      I understand your viewpoint. However, I must disagree. The people requesting medicare to pay are those who are eligible to the insurance. As an insurance company, medical need for any type 1 diabetic and some type 2 diabetics on insulin is for a continuous glucose monitor. You cannot control the disease properly without it. Just as a normal body is analyzing glucose levels and trends constantly, a diabetic on insulin is doing the same thing.

      It is not like this movement is asking that all people will be given medicare and therefore covered for a CGM.

      You miss the point.

  3. Eileen
    Eileen August 5, 2014 at 12:45 pm | | Reply

    I can’t get excited about this, even though I’m a 67-year old type 1 of 51 years duration. Medicare only has so much money and there are a lot of diseases worse than diabetes (yes!) So many people need to share in the Medicare funds, all with their own problems and worries. CGM is critical for those with hypo unawareness, otherwise not so much.
    Now if you want to raise taxes…!

    1. Mike Ratrie
      Mike Ratrie August 5, 2014 at 2:44 pm | | Reply

      Eileen,

      I hear what you are saying. There is only so much money to go around and we need to be as judicious as possible in our spending decisions. Here is what occurs to me though:

      1 – How much could we avoid in spending for the treatment of complications by including CGMs? My first reaction is to think of the FRAM Oil Filter commercials where the mechanic says, “Pay me now (for an inexpensive item), or pay me later (for a very expensive engine)!”

      I think this is especially relevant as CGMs become more sophisticated and combine with pumps to directly allow for treatment decisions.

      2 – Not everyone is a good candidate for a CGM and for those that are, see #1 above. I know that for me, I am spending more time in between 70 – 170 mg/dl and less time “out of range” where complications and trips to the ER may lurk.

      2a – Yes, I have hypo unawareness, but my CGM helps immensely with my therapy to reduce the amount of time I spend above 170.

      3 – I am a 60-year old 40+ year T1 diabetic. I am paying into the Medicare system today, as part of a social contract that will help me with my medical issues when I turn 65. I also pay into a private healthcare plan today that helps me with my medical issues. Why is it unreasonable for me to expect a similar level of care just because I turn 65 and “age-out” of my private plan?

      4 – Don’t sell diabetes so short as being a serious condition that exacerbates all of the other “diseases worse than diabetes”. Remember that diabetes will present different challenges to different people.

  4. Janice Bohn
    Janice Bohn August 5, 2014 at 12:49 pm | | Reply

    I have been using a CGM for 2 years now and it has been transformative in my self care of T1 diabetes. I have always been considered compliant with an A1C around 7 but since starting on a CGM my Doctor and I have noticed that to achieve that number I was having night time dangerous lows and rebound highs. Since starting the CGM we have been able to adjust my basal and bolus insulin rates to help me stay in a more acceptable range ~ and I have a corresponding lower A1C with out all the Hypo’s. It frightens me that this device will not be covered once I reach 65.

  5. Joyce S
    Joyce S August 5, 2014 at 3:09 pm | | Reply

    I use a CGM and would not be without it. I wear it 24/7. I am hypo unaware and can’t tell you how many times it has prevented a low that would have put me in the hospital. It helps me make decisions on my eating and is the most important tool I have to keep my A1C’s low. I am also 60 and live in fear of losing this when I turn 65. This is discrimination against seniors and should not be tolerated!

  6. Jeff Josephson
    Jeff Josephson August 6, 2014 at 9:29 am | | Reply

    I have been a Type 1 diabetic for 54 years and am currently on Medicare. I use a Medtronic insulin pump. I’m currently testing my blood sugars up to 9 times per day. Last A1C was 5.7. A ten day average of blood sugars I discovered that I am lower then my range about 27% of the time. I suffer from hypo unawareness and usually never feel low. So I would definitely like to see Medicare cover CGM. There are other ways of funding Medicare other then raising taxes. Cutting fraud and abuse of the system is one of them.

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