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justinr1234
@justinr1234
they're fairly similar
the biggest thing is taking at least 2 readings per time ... if not 3 if necessary
if I take 2 readings and they're the same ... I don't do a 3rd
similar logic aorund my 3 CGM sensors
I've noticed the 530G is actually better (when calibrating more than 4 times a day) at predicting rise/fall
and predicting low/hihg
the Dexcom is actually slower to pick up the changes
even though the Dexcom is generally more accurate
for instance, if I have a slow crawl from 160 to 95 over 1.5 hours
the dexcom won't alert me until it reaches my low thresh (85)
whereas the Medtronic would alert me 15-30 minutes earlier
I've avoided multiple lows and highs by wearing the 530g WITH the dexcoms
(not in place)
diabeticgonewild
@diabeticgonewild
I can only get "6 tests per day" from my endo and I'm "on the radar" with my insurance company (Medicare--I'm on disability and it's really only my business but I intend on getting off someday) cause I get "more than 3 test strips per day". Like my endo "medical record" gets "audited" (even several times) and I have to provide "proof" that I test 6x/day, with records, no matter what, and I cannot have fewer than 6 records written down. Also, if I don't provide the records to my endo Medicare goes after my endo, NOT ME
Even with severe gastroparesis and autoimmune autonomic failure, my endo is only able to justify 6 tests per day
But I have phenomenal secondary insurance (completely private), which includes health, prescription, dental, and vision. I was able to stay on past the age of 26, as a disabled dependent.
justinr1234
@justinr1234
I have really good insurance ... I also keep meticulous records written up at any minute for my doctor if for some reason there was ever a need to justify all the stuff I get
lol
With Obamacare my private insurance basically just said "screw it" and opened up anything that the doctor writes a prescription for
and my doctor will write anything I want
(for diabetes)
lol
diabeticgonewild
@diabeticgonewild
But if there is no "billing code" for HCPCS for like Medicare (such as with the 530G--not CGMs) My secondary can't pay for the "denied item from Medicare" as there was no EOB. Hence I would have to pay completely out of pocket for the 530G.
justinr1234
@justinr1234
Big point here, I was curious what other poeple saw between Medtronic / Dexcom
Relying on an APS with incorrect CGM data seems like it could suck pretty bad
diabeticgonewild
@diabeticgonewild
It's a rare occurrence though.
justinr1234
@justinr1234
:)
diabeticgonewild
@diabeticgonewild
Yeah, being diligent and attentive helps.
justinr1234
@justinr1234
the 530g has a HCPCS code
diabeticgonewild
@diabeticgonewild
It does now?
it's the same as the other pumps
diabeticgonewild
@diabeticgonewild
I have a 530G but I upgraded my pump before my warranty ran out and I was "entitled to" Medicare.
Yeah, I got this letter from Medtronic saying they had a dispute with Medicare and if I was using Enlite sensors they would pay for it until Medicare fixed their garbage
That went on for like 6 months apparently cause Medicare takes forever.
Yeah, before the HCPCS code was different for the Enlite, probably cause Medtronic wanted more money for reimbursement. And they said to me that it would be "unethical" for them to change the code for reimbursement
Like I have an out-of-warranty 530G, and Medicare paid for my t:slim, because I had an out-of-warranty pump and I had just gotten medicare like 4 months before that.
justinr1234
@justinr1234
t:slim is so much beter than the others
diabeticgonewild
@diabeticgonewild
Like, my date for my "disability decision" goes back to when I was 21 (I'm 26 now). I applied once, and I didn't have to "appeal" any decisions because it was approved on "the first try". Also, I applied a month before I turned 24 because to stay on my (currently) secondary insurance, I had to prove that I was "disabled" and that was really the only objective proof that was strict and not subjective (the SSA has strict requirements). Also, when you fill out the forms required for my secondary insurance to stay on past the age of 25, they ask you if you are on disability and get Medicare.
Toby Canning
@TC2013
:point_up: June 18 2015 4:53 PM I'm not sure it would be any less safe than relying on your pump basals alone???
diabeticgonewild
@diabeticgonewild
So it wasn't like I was abusing the system, but it's my business.
Could you be more specific @TC2013 ? I don't know what you are trying to say, specifically.
Ben West
@bewest
was reply to someone else's comment
diabeticgonewild
@diabeticgonewild
Yeah, I know. I know he's trying to say that if you only rely on basals, that you can "get by" but IDK...
Toby Canning
@TC2013
Having an APS running off a CGM that lags or is 20-30 points off is no worse than (if not better than) just relying on your pre-programming basal rates to do the job
justinr1234
@justinr1234
I'm more referring to the case where it's waaaay off
diabeticgonewild
@diabeticgonewild
Yeah, I would agree. It's also a matter of finding "tolerances".
justinr1234
@justinr1234
for instance when I had 1 sensor reading "you're going high" and another reading "You're going low" and another reading "You're fine"
Toby Canning
@TC2013
Absolutely, but I think that's where the raw data becomes very important
It usually tells one when things are amiss. That and the signal noise