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Re: [IP] Test Strip Restrictions and CGM Usage

I used to test between 10-15x a day. Then I got my CGM (paid for out of
pocket, my health plan does not cover CGM). I still test 10-15x a day, based
on what my CGM tells me my trends are. There are also instances, such as every
time I get behind theB  steering wheel of my car (I've ben part of the first
response teams at accidents, I know what happens with stupid driving
decisions). Anyway, the combination of lost of fingersticks and CGM has helped
me keep my bg's between 70 - 130 most of the time. No more roller coaster. My
take is insurance companies (for-profit ones anyway) don't want us to live all
that long once we are Dx'd. And since most people change insurance over their
lifetime, kinda like the old mortgage system, if you develop an expensive
complication due to the fact that there is inadequate coverage for supplies
now, well that's not your current insurance company's problem.

----- Original Message -----

From: "Jerry Smith" <jsmith93+email @ redacted>
To: email @ redacted
Sent: Friday, May 30, 2014 8:30:07 AM
Subject: [IP] Test Strip Restrictions and CGM Usage

I have found the comments on test strip restrictions to be thought provoking.
There are signs posted at local intersections offering to buy test strips.
Where do these strips come from? B Some people are using strips paid for by
their health insurance companies and selling them to hustlers. B Medicare,
Medicaid, and the insurance companies are trying to limit payment for extra
strips that are not being used.

Then there is the CGM issue. B I have found that I can get by with 3+ strips
per day when I am using my CGM system. B My MM trainer said that her biggest
problem with CGM patients is overuse of test strips. B Effective use of a well
calibrated CGM system should only require three or four strips per day. B If a
CGM user requires ten or more strips per day, then there must be a problem
with either the user or the system.

It is difficult to justify a CGM system if ten or more strips per day are
required. B The Enlite sensor has a retail price of $95. B Each sensor costs
insurance company approximately $52 and my co-pay is $13. B BG test strips
the insurance company about $1 each. B If I am able to reduce my use of
the sensors will pay for themselves.

Since Medicare will not pay for sensors and is also trying to limit test
strips, they are trying to save money. B However, if we are limited in our use
of these items, then we will be subject to severe hypoglycemia and its
complications such as seizures, coma, cognitive impairment, and untimely
death. B If we die from a severe hypoglycemic episode, then all Medicare has
pay is the $255 death benefit. B Do you think that the objective is to just
us die?

Jerry Smith
Rochester, NY
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