Thursday, February 12, 2009


This was Emma's A1C at her quarterly Endocrinologist appointment today! That's a pretty good reading and equates to an average blood sugar readings of 145. I'm pretty happy with that, especially since it was down 0.2% since last quarter. The bad part of that is that a lot of this is because of the number of lows we've been experiencing. The good news is that we aren't experiencing as many as we were but we're still experiencing them, and Emma doesn't feel them any differently than other readings, so we don't catch them as quickly as we'd like. I'd be fine with a higher A1C if it meant fewer lows.

The other positive news is that her endocrinologist has agreed to approve a Continuous Glucose Monitor for us. This will enable us to see what her blood sugar is doing without sticking her finger as much. And hopefully we'll be able to start catching the lows before they get too low.

There are 3 CGMSs on the market these days. We've piloted one before (the Minimed Guardian) but there are 2 others on the market that we haven't tried yet so I'm not sure which one I'd like to get. The Navigator was hyped as the most accurate of the three, with readings being only 7 minutes behind blood sugar readings. But the size of the transmitter worn on the body is pretty big and I'm not sure we want to do that yet. The third one - the Dexcom - is used by a lot of people happily and others hate it - I think you either love it or hate it and not much in between. So, I'm not sure what we'll choose between the three but I think we'll try the other two and then decide which one we want.

I'm not sure what kind of insurance battle we'll have. Some people get immediate approval for CGMSs. Others have to fight and appeal and others are just flat out refused. The endocrinologist thinks that having a good A1C (6.9% is pretty good) will make it tough for us, but weeks and weeks of documented low readings and zero awareness of lows should help. So, our amount of documentation will be very helpful.

1 comment:

Bernard said...

The advice I give everyone is to try out each CGM. The differences between each are important. For example, the Dexcom has the finest needle so it's often the least painful. But until you've tried on you can't tell whether you'll like it or even if it will work effectively for you.

I have several friends who wear the Navigator and think it's the best thing. I've used a Dexcom for almost 2 years and find it works well for me (Note: I sometimes own Dx shares). And others like the Minimed because it integrates nicely with their pump.

I hope you find the right one for Emma. I found it's made a huge difference for me.