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04-09-2020, 14:22   #4066
banie01
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Originally Posted by calfmuscle View Post
If your consultant writes a letter outlining the medical need its free. Id recommend the dexcom over the libra. If your control isn't perfect and a cgm could improve it, that is the need justified. My hba1c went form 7.5ish to 6.5 and has stayed in or around that for 2 years now. I love it.
Do you have the dexcom feeding data to a pump?
Or are you still managing insulin by injecting?

The CGM all seem to have a fairly marked effect on control for all shades of diabetes.
Would love to get into the specifics of the HSE numbers on benefit of prolonged tight HbA1C control versus overall cost of care per patient.

Does going with CGM give enough scope to allow savings or even cost neutral?
If it does, even on the comfort factor alone for patients, surely it's worth it?

If it doesn't?
I'd hope they will show their figures, rather than push back the review again.
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04-09-2020, 14:34   #4067
Gael23
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Originally Posted by calfmuscle View Post
Yeah I love it, definitely a game changer. No more being high for a few hours before you even realise it. Plus alarms at night. The reports and suggestions it makes when it picks up a pattern are great too. My nurse can log in and see all my data also. So she can remotely monitor me in real time. Its just brilliant. Can't even believe some people still have to keep blood sugar diaries etc
Is the dexcom covered by the HSE?
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04-09-2020, 14:47   #4068
CramCycle
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Is the dexcom covered by the HSE?
Yes, for all ages once you have a suitable pump, but it can take awhile to get. The main part of it is provided through your healthcare provider via the HSE and then you get the insertion packs via the LTI in your pharmacist
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04-09-2020, 15:13   #4069
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Originally Posted by CramCycle View Post
Yes, for all ages once you have a suitable pump, but it can take awhile to get. The main part of it is provided through your healthcare provider via the HSE and then you get the insertion packs via the LTI in your pharmacist
I'm still on injections. I had a pump but I ended up in dka a few times so went back to injections years ago. Yes the hse pay for my dexcom. If the tslim tandem pump ever comes over here ill try that for sure. Its automatic mode looks incredible!!

Would love to know the cost factor also Cram but good luck trying to get the data. From experience working in the hse I bet you they have no idea of the cost benefits.
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04-09-2020, 16:18   #4070
CramCycle
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The HSE are like alot of departments where if the financial benefit isn't in the immediate term they can't understand. You then end up with people who have smart ideas who end up having a trial by media until the HSE via politics backs down. It's quite upsetting, and in that regard, diabetics do better than most. Glad to hear the pump isn't a necessity, as the CGM is the game changer.
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08-09-2020, 16:04   #4071
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From early July.
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Originally Posted by banie01 View Post
Had my HbA1C back today.

I was expecting a dip in my control due to some other concurrent medical issues, let alone lockdown.

It's gone out to 59, it's my 1st one over 50 in 4yrs or so and then was due to a medical issue too.
Had an Hba1c on the 1/9 and already have it brought back down to 52.
That's despite being a long period of being fairly inactive due to ongoing pain and mobility issues. Those issues are improving, finally got hold of a specialist who is getting a good handle on my issue and it's making a difference.

I have an appointment with my endo towards the end of Oct and I'm hoping to be back to mid 40 range then.

It's great to be seeing some improvement, my PMS pointed out that even without restricted movement that chronic pain issues very often has a bad affect on BG control.
Triggers the stress response and leads to prolonged elevated BG.

Last edited by banie01; 08-09-2020 at 16:11.
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14-09-2020, 13:03   #4072
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Just an update regarding me eyes.

Was unable to travel to Newcastle to get a scan and the Noctura mask.

Maker of the mask posted it to me this time after a phone consultation with Newcastle.

Had an outpatients appointment in the Eye and Ear this morning. First with them in over 2 years.

The outcome was that I am at the same good position as 2 years ago, which means the mask has to be working.

They do a fantastic job in Newcastle and here.
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23-09-2020, 17:32   #4073
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Had an issue with the Onetouch reveal app not syncing data on a new phone over the past few days.
Went through the usual clear data, restart, reinstall palaver but the sync timed out everytime.

Fired an email to their support late Monday, in the meantime I managed to sort the issue out.
They rang me back today, fully ready to walk me through the foibles of getting the app running on a rooted android!
The girl on the other end of the phone had pulled info from xdaforum on the potential issue and other US diabetic forums and was ready to get this problem solved.

Told her I'd sorted it, and how but thanked her for her time and professionalism.

Well done to the Onetouch support team.
Really was a great demonstration of customer service and support.
I know many aren't fans of their meter but for me the verio flex and the app are a good fit and I'm in no rush to change until libre or similar becomes available on LTI.
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25-09-2020, 11:31   #4074
graflynn
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Originally Posted by Gael23 View Post
Is the dexcom covered by the HSE?
Yes, I've had Dexcom through the HSE for 5 years. It's based on clinical need but if you are attending a pro-technology consultant and team they're not too strict with the criteria. Sometimes you have to fight for it though.

This might be helpful for you before you have this conversation with your team - https://bloodsugartrampoline.com/blo...reestyle-libre
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25-09-2020, 19:20   #4075
banjobongo
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Originally Posted by graflynn View Post
Yes, I've had Dexcom through the HSE for 5 years. It's based on clinical need but if you are attending a pro-technology consultant and team they're not too strict with the criteria. Sometimes you have to fight for it though.

This might be helpful for you before you have this conversation with your team - https://bloodsugartrampoline.com/blo...reestyle-libre
If Dexcom is available through the HSE in Ireland, is the FreeStyle Libre also available?
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26-09-2020, 11:01   #4076
banie01
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Originally Posted by graflynn View Post
Yes, I've had Dexcom through the HSE for 5 years. It's based on clinical need but if you are attending a pro-technology consultant and team they're not too strict with the criteria. Sometimes you have to fight for it though.

This might be helpful for you before you have this conversation with your team - https://bloodsugartrampoline.com/blo...reestyle-libre
Great post and info.
Must give your blog a follow too, seems quite good.
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27-09-2020, 11:26   #4077
banjobongo
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Any body know if you can get Dexcom through the HSE, on the basis of:

1/adult
2/Type 1
3/Im injecting my insulin every day, ie IM not on a pump and I dont think I want to be on a pump...
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28-09-2020, 15:28   #4078
ddarcy
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Originally Posted by banjobongo View Post
Any body know if you can get Dexcom through the HSE, on the basis of:

1/adult
2/Type 1
3/Im injecting my insulin every day, ie IM not on a pump and I dont think I want to be on a pump...
There’s a bit of a checklist to get one. If you’re hypo unaware you’ll get approved (be forewarned that this other other implications with driving etc).

You can also convince your doctor as well. For instance I’m very active, cycling, weight lifting, 5a side etc. So you could get it for that as your blood sugars could fall quickly.

Honestly talk with the diabetic nurses. They well know all the ways to get one.
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29-09-2020, 19:46   #4079
Buford T. Justice XIX
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I booked in for my Flu shot tomorrow but there appears to be a delay or shortage of some kind in delivery of the vaccine. I must contact the clinic in the morning to check they have received the delivery before they can confirm they have a shot for me.

The procedure is changed now as they come out to give the shot in the car rather than us going in.

I said I'd mention it for those that may want to get it early, there may be some delays.
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29-09-2020, 22:08   #4080
kippy
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Originally Posted by Buford T. Justice XIX View Post
I booked in for my Flu shot tomorrow but there appears to be a delay or shortage of some kind in delivery of the vaccine. I must contact the clinic in the morning to check they have received the delivery before they can confirm they have a shot for me.

The procedure is changed now as they come out to give the shot in the car rather than us going in.

I said I'd mention it for those that may want to get it early, there may be some delays.
Speaking with my GP there today and they are getting very limited supplies and prioritising the over 70s currently, he reckons twill be end of October before they have their full quota in.
So yeah. Defo call ahead. I don't mind waiting another few weeks.
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