Anyone Using A Cgm . Do You Like It. How Helpful Has It Been. Why Did You Qualify For A Perscription. Is You Insurance Covering The Cost | DiabetesTeam

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Anyone Using A Cgm . Do You Like It. How Helpful Has It Been. Why Did You Qualify For A Perscription. Is You Insurance Covering The Cost
A DiabetesTeam Member asked a question πŸ’­
posted March 7, 2023
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A DiabetesTeam Member

Yessiree JenniferWaithe, love my Dexcom6...also my "Suzie Q" and I bought a new Nectar Gel and memory foam mattress set...sleeping so much more soundly and not waking up in pain and feeling more energized. Best ($746.00) tax return investment we have ever made..!!πŸ˜€

posted March 13, 2023
A DiabetesTeam Member

I don't use one. If you call your inxurance company they can tell you if they will. It may have to do with insulin use but not sure.

posted March 8, 2023
A DiabetesTeam Member

I currently use the Freestyle Libre 2 isCGM (the "is" part means its an "intermittently scanned" continuous glucose monitor) and that is the important part for "me" since it is simply considered a "diabetes testing supply" not a "CGM" (like Dexcom or Medtronic) which is only covered for Type 1 Diabetics on my insurance

I take NO Diabetes Meds but my insurance sees isCGM's (Libre) as no different then test strips so simply falls under my $3000 annual limit for diabetic "testing supplies"

I previously used the original Libre and loved it - the Libre 2 is somewhat improved.

Even if you don't scan it, it takes 4 blood sugar readings per hour - that is the equivalent of 96 "finger sticks a day"

That is all the information you need to totally manage your lifestyle to best manage your blood sugar.

You see exactly what everything you put in your mouth does to your blood sugar and can make adjustments by the next meal

You can see exactly what exercise does to your blood sugar and use that information to help manage as well

CGM's and isCGM's are game changers in Diabetes Management

Instead of fixating on a single number from a couple tests a day you change your focus to "time in range" which allows you to better manage overall blood sugar

If these were authorized and covered for all Diabetics that want one we would see far fewer complications

I cover the co-pay so it runs me just on 45 bucks a month - well worth it if it keeps me off meds longer, prevents blindness or dialysis because it screams at me anytime my blood sugar is too high. Sometimes we need "immediate feedback" to keep us on track

posted March 7, 2023 (edited)
A DiabetesTeam Member

My health insurance actually covers my CGM (most likely due to the fact that I am on permanent disability and on Medicare A,B, and D (because of my age) my doctor prescribed my Libre2 because in the beginning of my diagnosis my numbers were so out of control I had to prick my fingers at least 10 plus times a day. Now being I have the libre2 I only prick my fingers 5x a day . If it is something you are interested in talk to a diabetes educator or endocrinologist. I am blessed in the sense I do not have to worry about $$costs as it is covered for me. Everyone is different though. One thing I have have noticed is my CGm will hit the low ⚠️ alert symbol frequently so I have to prick my fingers to double check. The sensor is I would guesstimate 80-90% accurate.

posted March 11, 2023
A DiabetesTeam Member

@A DiabetesTeam Member I agree that the CGM's are expensive but that is all relative

If spending 200 bucks a month on Libre Sensors allows me to manage well enough to keep me of Ozempic which costs $1000/month the insurance company is saving $800 every month that I don't need the meds

And if it saves my Kidney's so that I never need dialysis it saves the health care system $100,000 a year (and most dialysis patients last 5 years on average - so half a million bucks)

Keep just one patient from progressing to that and you can buy a whole truckload of sensors

That will be the way they get approved for everyone - it will be a "cost analysis" thing because the system doesn't care if it makes it easier for "us" - save them money and they will be all in

posted March 8, 2023

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