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Re: [IP] Confused, looking for help......

Frank W. Tegethoff, jr. wrote:

> Ruth,
> You are absolutely correct.  Pump therapy is not new.  What I was trying to say was that in my
experience.  It is 'new' to the vast majority of md and to almost all insurance co.  I know that
pumps have been around for along timeand that there had been a loyal following among a small
group of endo.  But I don't think that in the US we had any 'hard' scientific data to throw at the
insurance industry untill the DCCT. Is my thinking on this correct?  Please advise, if not.  You
may want to e mail me at email @ redacted as we may end up getting off topic for the list.

> Frank

Frank,I'll take a chance since I think this is reasonably on topic and I think others may be able to
contribute too.  Yeramichael?

I know that in the early '80s there was some conflicting evidence about bg control but the general
word at the dr's office was that improved control improved health -- especially, my pediatric endo
when i was 14-15 was able to show definitive research to  the insurance co, for teenage girls in the
long term.  In the late '80s I was told by my dr. that tight control appeared to lessen complications
about 1/3 of the time, make no difference 1/3 of the time, and I forgot exactly what the other 1/3
did -- something neutral though I remember.  I know that the initial
dcct studies in the early 90s showed that abrupt tight control often caused eye problems and kidney
problems, at least initially -- causing a swing back from the emphasis on tighter control in the late
1970's-80's.   We now, obviously, know more about this and its manifestitions and implications.

On the "new" issue.  In the mid '80s, my insurance thought pump supplies were reasonably "old"
enough to cover without issue.  In the last 5-6 years, Aetna and BlueCross have reclassified them
and the "member services" representatives have started talking about them as "newer" treatments. 
One can speculate about trends in medical care or publicity that may have caused this.  At any rate,
since "diabetes" doctors have been trained more as generalists and less as specialists in the last 10
years or so, it seems logical that for a while pumps were less commonly
treated as options for Type 1 diabetics.

Does that answer you?

> ----------
> >
> >
> > > Pump therapy is new.
> >
> > Sorry Frank, but it is not new.  It is 25 years old!  At the time it came out,
> > they thought we would have closed loop pumping in 10 years (that was 20 years
> > ago!). Pumping is certainly not old but when you consider that the ADA
> > materials most diabetics are trained on only evolved in the 1970s and that
> > insulin was only discovered in the '20s, it's just not that new.
> >
> > Don't mean to contradict you but it is this kind of misinformation that causes
> > whatever new insurance policy I have acquired when I change jobs to first
> > reject my pump supply requests!
> >
> > Ruth
> >
> > 
> > Insulin-Pumpers website http://www.bizsystems.com/Diabetes/
> >
> Insulin-Pumpers website http://www.bizsystems.com/Diabetes/

Insulin-Pumpers website http://www.bizsystems.com/Diabetes/