how to avoid diabetes type 2

That just goes to the point — when they promise, or when it’s described as the “greatest breakthrough ever” and then a few years later it’s proven to not work. That disconnect is what those in the trenches, those actually living with T1, find the most frustrating. And it’s why we don’t hold out particular hope when we hear things like this, even if we welcome the progress and continued research and funding, Yeah!!! The medical staff, when I was first diagnosed, over 30 years ago promised a cure in my lifetime… I was almost beginning to believe, well, it Will be here for the next, Well (being the VERY pro-active T1D I am) I called my Endo’s office and asked them to send the Physician’s Order / RX to the Medicare distribution center for my insulin pump (they also handle CGM). However … I talked with the center this morning and they recognized that this approval has been made, but it will take 2-3 months (their best guess … could be less could be more) for Medicare to provide some paperwork direction and they will also have to approved each of the distribution centers to also provide CGM. I’m on Medicare and on cash pay and having Medicare cover this will help my annual budgets by thousands each year. I’ll keep pushing however.
Great feedback! Thank you so much for sharing this. Would you mind adding this as a comment to the post itself, so others reading can see that detail? Thank you, So annoying that UnitedHealthcare just released a policy on 1/1/17 that excludes T2 from CGM….I just posted on their FB page asking the question if they plan to update that policy given the December FDA press release on the G5 and this Ruling from CMS, Hi, Starleisha: that’d be great. Would love to have you write a guest blog for us. Shoot us an email at info@diabetesmine.com, and we can move forward. Thanks, And specifically from the 16-page decision: This ruling applies to the “therapeutic” CGM, which is the Dexcom G5 that the FDA recently in Dec. 2016 gave an expanded indication use. It does not apply to Medtronic at this time, and this also isn’t a national policy coverage determination; rather it means coverage is to be determined on a case-by-case basis only, It’s because of the FDA decision granting the Dosing Claim for Dexcom G5, something that Medtronic has not pursued and hasn’t been granted that status. The G5 is as good as fingersticks and can replace a fingerstick, according to regulators, whereas MM does not have that designation. And so for this current CMS decision, the Dexcom G5 is considered a “therapeutic” CGM while others are not and don’t meet the DME definition.
Timicia Swallen Short answer: No. But the answer to that is in the story, linked above. Written very specifically and clearly, anyone know if there is a PUMP-CGM- INFO ON APPLE WATCH system that work together? I have dexcom CGM and a minimed pump that Im looking to replace, any systems that can meet these three qualifications, With the Dexcom dosing claim now approved by FDA, much of this year will likely spent pushing Medicare to cover CGM. It’s expected in roughly 2018, by those in the know. So no, now for 17 other than the limited cases it’s being allowed thanks to ALJs, My current pump just went out of warranty. As much as I love my pump (and I kept my old one as a backup) once they are done, I also may go back to MDI because I certainly won’t go with Medtronic (bad business decisions steer me away from them) and I don’t want to commit to another 4 yr warranty and be stuck with that while better technology comes out. We’ll see. Im keeping my options open at this point.
This was specific Dexcom G5, so logically you can assume it would begin there.
What MedT and other CGM makers are capable of showing with data, to get this indication, is on them, Finally! This is wonderful news to back up what I have believed since the 7 plus came out. Very good news! Now if they would just approve the android version of share, Pretty clearly, it’s a pump with an integrated CGM. Doesn’t change the fact that with any CGM device, you need to wear a sensor separate from where you where in the insulin pump infusion set. Not a new concept, by any means, We’ll see how it works out. My biggest concern is that if big prescription suppliers insist on customers using these and they don’t work for that individual, it can’t be dragged out. Insulin is something we need to work properly and every hour of every single day. How long will we have to run out of control to “prove” that a particular insulin is not what’s best? I saw where it said prior auth will be expedited, but one day instead of weeks and months is still too long!! I’ve had experience with appeals and it was a horrible experience (that’s another story). Our needs are immediate, not in a few days or weeks or months. It doesn’t take long for things to go terribly wrong,  I’d say we’ll have to fight for what we want, just like we do now. Step-criteria is frustrating, but it’s a reality. What gives me some comfort (as much as I trust it, which isn’t much) is that both CVS and ESI at least say they’ll keep the other basals covered.
My insurance company loves biosimilar drugs and will adopt them into their formulary as soon as possible, removing the brand-name insulins. If you need a brand-name for any reason, you can get with a Dr letter, but you get it at the highest co-pay tier. Insulin now, except for Afrezza, is not at the highest tier,  I remember when we received this 11 years ago. The Pink Panther Book was our learning tool & it still remains on the coffee table today, can you clarify how this will affect amount applied to deductible? Let’s say I have a high deductible plan. My out of pocket cost is $1000. All of this is applied to deductible. If I use a 40% discount, I pay $600. Is only $600 applied to deductible or the entire cost of $1000?Because if it is the former, while it makes it cheaper to purchase insulin at a time, it ultimately only prolongs the inevitable and does not change the total amount of out of pocket cost for me.

Michelle Cervantes

Michelle Cervantes

Hi, I'm Michelle and I am a committed campaigner for the promotion of healthier lifestyles. I love my mom, I've tried to have a healthier lifestyle for my mom. Everyone should be happy and healthy life

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