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Is there something like too low HbA1C?
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<blockquote data-quote="Scott-C" data-source="post: 2044602" data-attributes="member: 374531"><p>History is repeating itself, Michita. </p><p></p><p>I was dx'd in 1988, and was lucky enough to miss the testing via a tablet in a pot of pee method, as colour-changing strips had just been brought out, massive drop of blood on the strip, wait a minute, wipe, wait another minute, compare the colour to a chart. </p><p></p><p>My dsn at the time, the wonderful Sister Carmichael, told me these are new and very expensive so I should cut the strips in half to double each pot.</p><p></p><p>Then meters came out and, again, these were the new expensive things.</p><p></p><p>Now we're onto cgm, and it's the same old story - new, expensive, why do they need them? That meme has run through all these stages: they managed on what went before so why do they need this now?</p><p></p><p>The truth is that we did manage, but very often, we didn't manage that well.</p><p></p><p>At the induction meeting we had when I got my libre script, the doc said there had been a lot of politics going on with the bean-counters, and then said the reason they decided to approve it was that, "we know how tough T1 is; if we were T1, we would want it, so we're not going to deny it to you guys."</p><p></p><p>That was a wonderful display of how this about the humanity of it, not the money.</p><p></p><p>But money does play a part in the real world. ABCD is doing a national audit of libre use, and there's been indications that quite a lot of money been saved in the short term by avoiding ambulance callouts and admissions for dka and severe hypos, so maybe the bean-counters will take note of that.</p><p></p><p>It seems that a few ccgs have more or less thrown a huff at being told to comply with the RMOC guidelines. If you test more than 8 times a day and can show a clinical need for that, you fit the guidelines, and Partha Kar has said that he wants to hear about denials and will take it up with the ccg involved, so maybe that's a route into it for you?</p><p></p><p><a href="https://mobile.twitter.com/parthaskar?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor" target="_blank">https://mobile.twitter.com/parthaskar?ref_src=twsrc^google|twcamp^serp|twgr^author</a></p></blockquote><p></p>
[QUOTE="Scott-C, post: 2044602, member: 374531"] History is repeating itself, Michita. I was dx'd in 1988, and was lucky enough to miss the testing via a tablet in a pot of pee method, as colour-changing strips had just been brought out, massive drop of blood on the strip, wait a minute, wipe, wait another minute, compare the colour to a chart. My dsn at the time, the wonderful Sister Carmichael, told me these are new and very expensive so I should cut the strips in half to double each pot. Then meters came out and, again, these were the new expensive things. Now we're onto cgm, and it's the same old story - new, expensive, why do they need them? That meme has run through all these stages: they managed on what went before so why do they need this now? The truth is that we did manage, but very often, we didn't manage that well. At the induction meeting we had when I got my libre script, the doc said there had been a lot of politics going on with the bean-counters, and then said the reason they decided to approve it was that, "we know how tough T1 is; if we were T1, we would want it, so we're not going to deny it to you guys." That was a wonderful display of how this about the humanity of it, not the money. But money does play a part in the real world. ABCD is doing a national audit of libre use, and there's been indications that quite a lot of money been saved in the short term by avoiding ambulance callouts and admissions for dka and severe hypos, so maybe the bean-counters will take note of that. It seems that a few ccgs have more or less thrown a huff at being told to comply with the RMOC guidelines. If you test more than 8 times a day and can show a clinical need for that, you fit the guidelines, and Partha Kar has said that he wants to hear about denials and will take it up with the ccg involved, so maybe that's a route into it for you? [URL]https://mobile.twitter.com/parthaskar?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor[/URL] [/QUOTE]
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