Let me start by saying that when I was diagnosed with diabetes at 15, I was told that I couldn't just "go out and get pregnant."
Me: "Um...I'm 15. I'm not planning on having children for a long time."
Doctor: "That's my point. You HAVE TO PLAN. You can't just get pregnant."
Me: "Um...okay. But I'm 15."
Needless to say, I have had this conversation again and again and again over the years (well...the age changed, but you get the point). I get it. I know. I realize. Do NOT get pregnant without planning. Diabetics must be in absolute excellent blood sugar control before they get pregnant. And this can take a very long time to happen...so you must plan.
Fast forward to this February, and without giving too many details, my doctor informed me that it would be a good idea for Jared and I to bump our conception date up by a year (for an issue unrelated to diabetes). After about a week of the two of us trying to process this information, I started making the necessary appointments...the first to an endocrinologist.
You see, I already am a
pump user. What that means, in quick terms, is that I walk around with what looks like a beeper on my hip. In reality, it's a medical device, which is attached to my abdomen, and it gives me insulin throughout the day...but no, it does not test my blood for me. That would be a
CGM, which is something I do not have.
CGMs are not covered by most insurance companies. I am not really sure why, as I have not looked deeply into the reasons for a lack of coverage. I do know that CGMs give diabetics a much better understanding of their blood sugars throughout the day, but they do not replace finger sticking. (I do this a ton. In fact, my fingers are completely dotted with the stick marks.) If you use a CGM, you have to do both to maintain control. I am sure I will blog at some point about why I think CGMs should be covered, but that's a topic for later. All I know is that I was willing to shell out the money (lots of it...these are medical supplies after all...), if it meant having a healthy pregnancy and baby.
First appointment...LOVED my new endo. She suggested trying to gain better control with finger sticks, my meter, and adjusting my insulin levels. I agreed, seeing as how I am a teacher, Jared's a musician, and additional medical supplies aren't high on the list of things we can afford. Not to mention a long-drawn out battle for a CGM with the insurance company wasn't something I was looking forward to.