OK... So I met with my doctor this morning. He agress (YEAH!) that it is probably time for a pump. He sees where, for the most part, I've done what I'm suppose to do and still have the roller coaster readings of anywhere from the mid-20's to the upper 200's. Thankfully, he also knows his limitations and has referred me to the specialy Diabetes Clinic here in town as they are better at getting pumps they "know the right words to use with insurance companies". He says that not always do insurance companies allow pumps for T2's and since "technically" I am a T2 even though my body is acting like a T1 I could run into a problem. I asked him about the possibility that I might have been mis-diagnosed as a T2 at the beginning especially since my body is acting like a T1. He says it's possible, but the fact that I responded to pills at first argues for T2. There is a test available to fully determine, but he says that it wouldn't make a difference in treatment plans at this time. If the clinic &/or insurance company require it for eligibility for a pump, then have it done then but not until. So now I wait for up to 2 days for the clinic to call back to schedule my appointment after they have received the referral. I feel like I'm on the right track, now if everyone else will just jump on board.
jennch
Jenn, it is possible that you were a Type 1 with insulin resistance when diagnosed. The Type 2 med would have reduced your resistance and your blood sugar would have dropped, but not as much as needed. This is being diagnosed more often now. I have that problem, and take a Type 2 med along with my insulin. I have very good control though and I pump with the Minimed.
My health insurance would not approve my pump unless I i had a written statement from an endo saying I needed one. I have to see the endo every 3 months to keep being covered for the pump and all the supplies. They actually call the endo's office to make sure I am there every 3 months. It is certainly worth the extra hassle, pumping has given me the best control I have ever had.
Thank you Richard! It is so comforting to hear that someone else is like me. IMy initial A1C was 11.2 and after the first 3 months on meds it dropped to 8.0. The best I ever got was 7.2 and that was after I started insulin.