I've discussed (briefly) with my doctor the idea of getting a CGM, but like many people who are not on a pump, my insurance won't cover it. In fact the only way my insurance (Blue Cross) will cover it is if I have a pump and "A history of hypoglycemic unawareness without preceding symptoms, as evidenced by altered level of consciousness or seizures and as documented in the patient's medical record."
Well I'm not on a pump, and even if I were, my hypo situation isn't and has never been as they would require.
I don't have much interest in a pump (for several reasons, but one of them being the 24/7 hooked up issue) and I do believe the most important thing in control is knowing your sugar level. My doctor mentioned how some people use a CGM periodically, for certain amounts of time. (After all, it doesn't replace the traditional test anyway.)
Anyone out there doing something like that? Using a CGM, but not on a pump?
Anyone out there ever fought your insurance company for coverage and won?
hey Brian, a few thoughts: many folks have to fight insurance. I know BCBS often denies the first request for a CGM. if you really want one, and they formally denied coverage, then start an appeal.
BCBS in NJ covered mine, but it is a messed up story (ill tell you if you really want to know). The data is good from the CGM but the accuracy and repeatability are terrible - still, the data is good. The data will make it easier for you to figure out your basal requirements and if your eating habits and your bolus shots are working. it helped me a lot in pump tuning.
Yes I have heard of people on CGM without a pump. I have a question for you though - the CGM sensor is pretty much exactly like an pumper's infusion set - in fact you have to tape them down a bit more than you would have to for most infusion systems out there. Then you clip the CGM monitor to your belt. Soooo my question is how is this different is this, relative to being hooked up 24/7 to a pump? The communication between the sensor and the monitor is wireless, but still, it's exactly like a pod and not too far from a traditional pump situation. What was your expectation for the CGM sensor/monitor system?
anyway I hope you can get the system if it's what you want. Mine did help a great deal.