Showing posts with label Pharmac. Show all posts
Showing posts with label Pharmac. Show all posts

Tuesday, 10 June 2014

The Year of the Horse - Galloping by Diabetes Style

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The days are flying by. I remember the older people in my life always used to say that the days go quicker as you get older. Younger me always thought this was stupid. However, 26 year old me says slow the heck down world.

May was a pretty great month in terms of Diabetic things. I wrote all 7 blog posts for the 2014 Blog Week, I tuned into the Diabetes Hope Conference, My blog got a shout out from Amy over at Diabetes Mine, I got my lowest a1c in 8 years and to top it off, I got renewed funding for my insulin pump consumables. That is a whole bunch of great things!

There's more to come with June too. I'm determined to continue to get amongst the DOC by reading and commenting away on blogs. I'm also starting training for a half marathon... keen eyes may have noticed my exercise log on my blog. It lists my training runs and some data I've done around it. Going to put up a separate post about this my reasons why I want to run a half marathon and how I'm feeling about it.

Feel a little like I'm caught up in whirlwind but I am enjoying it so far!


Year of the Horse I tell you! Credit to Artist Centauressa


Tuesday, 13 May 2014

Diabetes Blog Week 2014 - Poetry Tuesday

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Blog Week 2014


This year, Diabetes Blog Week and TuDiabetes are teaming up to bring out the poet in you! Write a poem, rhyme, ballad, haiku, or any other form of poetry about diabetes. After you’ve posted it on your blog, share it on the No Sugar Added® Poetry page on TuDiabetes, and read what others have shared there as well!

Click for the Poetry Tuesday - Tuesday 5/13 Link List.


I've written a couple of poems in the past. I don't know if I could find them now as I suspect they were on a long gone computer. I do remember I saved them in a folder and then made the folder invisible, I felt pretty spy like doing that. 

I do recall reading back on them that they were pretty dark and depressive. They were written at a low point during my teenage years. When I saw this topic I immediately did not want to do it. I thought that I would choose one of the wild card topics. However, when I looked at the topic again this morning I thought, hmm maybe I can write a Haiku - so I googled it and found an explanation on Wiki How.

There's some context to my Haiku - the word relentless came to me and just fit with how I was feeling about my diabetes management. I've been on my Animas Vibe for 6 months now and feel like I'm walking a tightrope. In order to qualify for continued funding of my pump consumables I need to show a 10 point drop in my Hba1c, that's about 0.9% drop in the other units. 

So today, I received the news that my A1c has dropped 14 points from 76 to 62 or 9.1% to 7.8%. So happiness for me! Glad to see the work is paying off. So this Haiku shows that change, from earlier in the day when I the word relentless resonated me so much to when I felt like the changes I made were seeing results. 

So without further ado.... 


Relentless Diabetic Puzzle
Turned a corner
The Changed Wind appears to blow through



Wednesday, 23 April 2014

Pharmac and Insulin Pump Funding concerns

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I'm worried about the funding for my insulin pump, or more specifically the pump consumables. As far as I am aware, an application for funding was sent off in July/August last year. The application listed the last three of my HBA1cs, the lowest of which was 73 in the new units, or 8.8%. I received 9 months of funding for pump consumables in August and started the pump in October.

In the middle of last month (March) I had an appointment with my CDE. My A1c was 64 - or 8% in the old units. It was actually the lowest it had been in my 8 years with my current District Health Board. I haven't always been so intensive with my management. It was interesting to look back on those results, there was a couple of results that were so cringe worthy that I didn't want to see but for the most part my control has stayed in the 70s for the past 8 years. I hadn't realised that so seeing that 64 was even more of a win. What's more, is that I knew I could do better than this. In February the average on my meter was about 12.5 mmol/l, I had a couple of unfortunate experiences where my site or tubing pulled out so I woke up in the 20s with ketones. I was also using teflon cannulas with my Animas Vibe pump and found that on the 2 or 3rd day I would sky rocket in my BSLs and it would take so much insulin to bring them back down. When I switched to metal cannulas, the results were amazing. The March Average on my meter was 8.5 mmol/l - which would equate to about a 53 HbA1c. So at that meeting, my CDE was a bit puzzled at what she could do to bring down the 64 lower, based on a few days worth of records that indicated I was running pretty good averages. I explained that I'd changed cannulas and was certain that the month of February would be artificially putting my Hba1c higher than it was. She was happy with this, I was happy and I left feeling positive and overwhelmingly happy at the pump. We organised I would get an A1c test done in yjr beginning of May and that my CDE would put through the application for continued funding in Mid May.

And now we come to the month of April. The average on my meter is 11.1 mmol/l - which would equate to an Hba1c of 70 or 8 %. To qualify for continued funding I need to show a 10 mmol/l drop to a 63 I was on track for this in March but now? I'm scared. I'm been trying to figure out the reasons for the increased Bsls - I had been extremely busy at work, I had a family bereavement, I thought I might be getting a bladder infection...many things which could contribute. Freaking stress. So I'm scared I'm not going to qualify for funding.

So my plan of attack is:
- Increased exercise
- Recording BSLs and sending them to my CDE
- Healthier eating

It looks easy when I put it like that. I think it's been working though, I tweaked my Insulin Sensitivity factor a couple of days ago and I am noticing lower morning BSLs. I feel a lot better writing this all out and there is another thing that could be helpful to me. I received funding in August last year but didn't actual start on an insulin pump until October, so in theory I haven't actually had 9 months of treatment on a pump. My CDE has said that will be enough to get an extension, so I imagine that's the next step.

It's nerve wracking thinking about all of this and it has been on my mind a lot. Writing it down has been cathartic for me. If there is any one else having trouble with continuing their pump funding I would love to hear from you.

S x

Saturday, 21 September 2013

The long and winding road to becoming an insulin pumper

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On the 9th of August I received funding approval for insulin pump consumables from Pharmac - due to a bit of a mix up I received funding for the actual insulin pump two weeks later. I am on my way to becoming an insulin pumper. Well on my way.

This isn't a post on pumping. This is a post on my feelings of having diabetes and how it has influenced my pumping decision.

My feelings on Insulin Pumps - Through the ages. 

I was diagnosed at the age of 15 and was initially put on a twice a day insulin regime, taking Protaphane at 7am and 7pm. For the life of me, I can't remember how long that lasted for. A little while, a couple of months. I don't think it was longer than 6 months. I remember my blood sugar not getting lower than 15 mmol/l and it'd been warned if that happened I needed to go to the Emergency Department, I did that and luckily didn't have Ketoacidosis. I did still have to have those painful blood tests where they take blood out of your wrist. I think that's my diabetes nemesis. The day after that visit to the Emergency Department I was put on the more usual regime, taking novorapid before meals. I remember at that time, or not long after I switched regimes that my Diabetes Educator gave me a brochure about insulin pumps. I'd had a read and they looked pretty cool but were expensive. Had it been a more viable option financially I'm sure it would have been something my parents looked into for me. But alas, it wasn't.

Insulin pumps have always been something I was aware of but wasn't something I gave much thought too. I was on Protaphane from 2003 - 2010. I was offered the switch to Lantus on 2005 but it wasn't funded back then. I'm sure my parents would have paid for it if I had asked but the big reason I was happy to stay on Protaphane was that Lantus was not available for pens in 2005 (not in NZ anyway), so I would have had to have used syringes. I was and in some ways still am, a needle phobic person. Syringes? No thank you. In hindsight, the protaphane's peaks and lulls and my own less than stellar timing of taking injections, resulted in some pretty scary lows in 2006/7/8. However. I was young and wasn't in good contact with the Diabetes Department at the Hospital. I visited the GP occasionally for insulin prescription repeats and also went to diabetes check ups with the nurse there. Somewhere between diagnosis, high school and going to Uni,  my feeling of needing to hide my diabetes began. I was growing up! I liked the feeling of independence I had! Over the years, this turned into a dislike of my diabetes. Having Diabetes made me feel like I was reliant on someone or something. I hated the idea of people needing to watch out for me, of being less than other people because I had this chronic medical condition. During this time, I barely kept up with advances in technology. In fact, one day I went to the Pharmacy and they'd told me my prescription for test strips was for the wrong type of meter. It turns out the meters had changed and I didn't even know. The girl I know today would have not let the technology pass her by! Back then though, I didn't follow the technology updates, or the DOC or anything diabetes related really. I let my prescriptions to Diabetes New Zealand and to Accu Chek expire which meant I didn't get their newsletters.

This isn't to say that my experience with Diabetes over those years was all bad. I met someone in 2006 who was in some ways a bit of a role model for me. She wasn't afraid of testing or injecting in public. Or of asking a bar tender for a free coke as her blood sugar was low.

My outlook on life with Diabetes slowly began changing, it did include a couple of very scary moments including being woken up my paramedics in my bedroom and in ICU for ketoacidosis. I've always thought about writing about them on my blog but haven't yet. Maybe soon. But where was I? Insulin pumps!

When I discovered the DOC, my reality changed entirely. I was suddenly not alone. And one thing I noticed was that everyone had a pump! There were very few blogs where the writers were on MDI - It was one of the reasons I started my blog, hardly anyone was writing about MDI so I wanted to.

I've written before about my diabetes control and how much a jigsaw and roller coaster it is. Over those appointments my DNE kept mentioning maybe a pump was an option. I was hesitant. I don't know why./con At the appointment where my DNE told me she was putting in a pump application she asked me, why I wasn't keen on the idea. I said it wasn't that I wasn't keen but that I didn't like change. I knew if I was given the opportunity of having a funded pump, I wouldn't turn it down. There was a couple of weeks before I heard back about the pump funding application and in that time I did a lot of research. I read, read and read even more about pumps. And that's when I knew that this was something I really wanted to do. A few special mentions - the videos from Diabetic Danica and Sweetful Stuff are fantastic! And I was lucky enough to find a fellow diabetic based in the North island who is a couple of steps ahead of me with the pump - but its been great to have someone to share questions, concerns and fears with. She's started pump training and has written about her experiences on her blog here.

But the roller coaster of feelings in my head didn't stop then. Over the past 6 weeks I've felt like I'm stuck in this giant whirl of feelings going on around me. I was so hesistant to tell any one about the pump especially while waiting for confirmation of funding. But even when I got confirmation I was scared to tell people, scared that something might go wrong. It didn't, but my special authority number was delayed meaning I didn't get my pump prescription for a while. That was frustrating but not the end of the world. I guess in my mind, telling people meant that it became real. I've been going through periods of excitement and then also utter terror. Having a physical manifestation of diabetes isn't and idea I am particular fond of.

And here I am, 25 years old, about to hit my 10 year anniversary of diagnosis and three weeks out from pump training. Nervous? Yes. Excited? Yes. No idea what to expect? Yes and No.

The whirlwind of feelings is on going and is the main reason this blog post has taken me so long to write but I am trying to roll with it! I know there's more to come. My pump start date is the 14th of October and I am told I can expect to be pumping by 11am. The countdown is on!

S