Joining the Revolution

Among the many highlights of March was my decision to try to join the Dexcom Revolution. Having read plenty of blog posts and tweets about the power of the CGM. I’ve seen it do its thing live. For the people who don’t feel lows coming, clearly it is invaluable. For the people looking for even tighter control, it is essential. For the people looking for some information, it can be the gateway to a wealth of knowledge. I know I’m romanticizing this thing a bit, but I’m hopeful that a CGM will help me figure out what the hell is going on with my Lantus. Sure, I have an idea, but seeing a dotted line validating the lack of 24-hour coverage of Lantus will speak volumes. But none of this hype is any good without my own CGM.

Smash cut to last Wednesday. It turns out I got a phone call from Liberty Medical to my home phone number the day I left for Boston. For whatever reason I didn’t find out about it until last Tuesday and returned their call the next morning. Next thing I know my blood glucose log has met the requirements for medical necessity and my insurance company was covering 80% of the Revolution. Of course UPS tried to deliver my goodies between 2 and 4pm, when no one is home. But I was able to call their automated voice lady and have them hold my package at the nearest distribution center. I love new toys.

I can’t start using this thing until I go through my training. I’ve been told that people that need to be contacted have been contacted and my training will be happening soon. No definite dates yet, but I’m guessing I will have this thing on my stomach before the end of this week. Cool.

The big thing with this CGM is my quest for answers, mostly with my Lantus. When 15 units works, it works really well. I don’t have to over eat to feed a controlled overdose and I wake up in a nice 90-110 range. Having been on this particular dose for a few months, I’m convinced that this stuff doesn’t last more than 18 hours. I don’t care what the website or these doctors say, Lantus does NOT last 24 hours. Diabetes is not horse shoes, nor hand grenades – close isn’t going to cut it. My hope is that as I figure out how long this stuff is lasting, I will be able to get my post-lunch numbers in a better range than what I’m currently experiencing. There have been plenty of days that I’m within range 2 hours after lunch, but for (what I think is) no reason I will climb over the next 3 or so hours before dinner. Maybe I’m one step closer to figuring this stuff out?

I have to admit that despite all of this optimism, I’m still a little afraid of this whole thing. An insulin pen or syringe needle is one thing, but this is something else. I don’t know how putting on my first sensor is going to feel. I don’t know what kind of adjustments I will have to make in my day-to-day routines and movements because of this new device. I’m trying to embrace my apprehensions and not let them get the best of me. I know there is a great deal of good that can come from this and most importantly that this isn’t the end of the world.

After all, I signed up for this. I know there are people out there that had to drag their insurance companies kicking and screaming through the approval process of this or other medical devices. I know there are people out there without health insurance, making something like a CGM a financial improbability. I’m not here to gloat or dismiss this opportunity, I’m just trying to be real. Yes, this is great. But I’m still a little freaked out by some of this.

Special Delivery.

I guess I better invest in some Skin-Tac.

PS. Have you checked out my Tour de Cure page yet? I’m slowly on my way to reaching my fund raising goal and I could use your help.

7 thoughts on “Joining the Revolution

  1. Skin Tac: Make sure to apply it in a circle and make SURE the sensor doesn’t go thru it when you insert it. I had some problems with IV prep getting on my sensor and causing some VERY off readings (Just saying “high” or “low” when I was in range). Otherwise, my suggestion is to use IV 3000, which covers over the TOP of the sensor rather than making the underside sticky, saving your sensor from unwanted residue. Did that make sense?

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  2. I love my Dexcom. It hurts less then the pen needles. The only thing is just having something attached to you for a week. However, it is pretty small (compared to the Navigator). It helps me a lot with tighter control on my diabetes. Best of luck!

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  3. YEAH! I was the same with Lantus… only lasted 3/4 of the day. so my endo recommended halfing it and going every 12 hours. (although, with 15.. thats hard.. 8 and 8 or 7 and 7 or 7 and 8 or …. )

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  4. Chris-

    I love the dexcom! it is amazing. I know you’ll do fine with it. I tried Skin Tac for the first time I have to admit it didn’t do anything different than the alcohol pads beside making my undies stick to my stomach….TMI! Good luck.

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  5. My Dex was HUGE amazing change in my approach to care – it cuts the time you’re high like you wouldn’t believe. I know you’re an MDI guy, so I can’t compare it to a pump set, but it really isn’t the most painful sensor insertion – once it’s in, I don’t feel it. (And if it’s on my back, it’s so out-of-sight-out-of-mind, you wouldn’t believe it.)

    Congrats, and I hope you love it!

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  6. The Dexcom isn’t perfect but it sure is darn good! I hope that you get up and running on it soon and are happy with it. My a1c has gone down to 7.0 (even 6.3 per the a1c now test I took 2 nights ago) from high 7’s and low 8’s and I swear it has to be from using the Dex. I’m not doing anything else differently. It allows you to follow your bg much more closely and correct much more sooner. Good luck!

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