Diabetes: All In on the Challenge

 

It’s been a while since I wrote anything about the challenges that come with being diagnosed with Type 2 Diabetes. In part, I haven’t written about it because I seem to have landed on some sort of plateau where my numbers, specifically my A1c, are good but not good enough. Unfortunately, I seem to be stuck on this plateau with no movement either good or bad and that can be frustrating.

At least the doctor was happy with my most recent test results, but I wasn’t because I once again missed my goals. And that’s where self-doubt began to set in. Am I missing my goals because they are unrealistic or impossible? Are my prayers for healing off the mark? Was I being delusional back when I told the doctor that I expect God to do something amazing? After quite a bit of self-examination, I find that the answer to all these questions is a resounding “No!”.

My problem is not unrealistic expectations nor are my prayers misplaced. What is unrealistic is thinking that I could half-heartedly do the things I know I need to do and expect the results that I want. I need to be all in with my diet and exercise, or else I’ll remain stuck on this plateau. The good thing is that I’m blessed since my body still makes insulin. So, if I dive in with both feet, I have a shot at achieving the goals that I have set for myself. I must change in order to make that happen.

I have about five and a half months before my next doctor’s appointment, and I know what I want to see as far as results when that time comes. To get there I must be all in when it comes to my current health challenge. It’s time to stop kidding and to stop my halfhearted approach. The Bible tells me that I have a God who heals and that I can do all things through Christ who strengthens me. These are the promises He has given me. Now I must live like I want to hold on to what He has offered.

 

One Prescription Gone. Just Not the One I Expected

Managing Diabetes involves making several decisions each day, like what to eat and what not to eat. It also involves two or three doctor’s visits per year as well as the occasional visit to the pharmacy. One thing I did not count on is the fact that managing diabetes sometimes involves having to deal with rejection letters from health insurance providers, especially when the day job changes insurance companies. That happened to me this year and it resulted in a denial of one of my prescriptions. Since my goal is to get rid of all my prescriptions, I am fine with dropping one. I just wish it wasn’t the prescription for my constant glucose monitor (CGM): the most useful tool I had for making the changes I need to get back to “normal”.

To be honest, I should have seen it coming. When I was first diagnosed, the insurance company that we were paying at that time did not want to cover a CGM, sending me a denial letter in which they basically accused me of not taking my diagnoses seriously. I think they based that on the fact that I did not do things their way: going to a dietitian, signing up for their special monitoring program, etc. As I wrote in “Continuous Glucose Monitors Are Game Changers,” I am a researcher and I chose to find my own answers when it came to diet, exercise and other ways of managing diabetes. It seems as if the insurance company did not like that. Eventually, there would be a change in policy, and the insurance company began paying for the Dexcom G7 but it took two different appeals to get to that point.

As I wrote in the post mentioned earlier, having a CGM is a game changer for diabetics and should be a standard part of the health regimen for those dealing with the disease. I learned quite a bit while using the device and was able to make several big adjustments based on what I was seeing. During the second half of 2024, I was able to keep my readings in a very tight range resulting in an A1c that is trending in the right direction: remaining below 7 and hopefully at my next official reading it will be below 6.5. But what would life be without times of change and last year ended with a change in insurance carriers mentioned earlier.

I appreciate the fact that my day job offers one of the better insurance packages in the area and that they do their best to keep my out-of-pocket expenses from rising. To maintain that level of service at the right price, the company changed insurance providers at the start of this year. When they announced the change, I should have thought about the trouble I had with our previous provider in getting the CGM prescription approved. When it came time to renew the prescription this time around, I received a new denial letter describing the new company’s policy of only approving constant glucose monitors for people who are on insulin. I think this policy is a bit shortsighted as it overlooks the fact that a CGM could help keep me off insulin. My new insurance company would rather pay for treatment instead of paying for prevention.

So, I have lost what is a great tool for managing diabetes but while I am disappointed, I am not defeated. I believe that God is in control, and everything happens in His timing. God opened the door for me to get a prescription for the Dexcom G7 and this year He has closed that door and told me to move on. I have learned what I needed from wearing a CGM and God has said it is time to start getting off of my prescriptions. The first of them is done and gone. Now, in Christ, I work to get off them all.

Whose Medical Team Is This, Anyway?

Almost two years ago I was diagnosed with Type 2 Diabetes. Since that time I’ve had my ups and my downs (fortunately mostly ups) as I work at keeping my glucose levels “in range.” I’ve gotten my A1C down below 7 and am at a point where the doctor says I have things under control but with room for improvement. I have goals that I have set for myself as far as exercise and weight loss. Hopefully I will still be able to push my A1C down even further by the end of this year. I believe I am on a good path but there’s just one thing bugging me: an area where I felt I needed to speak up and take control. That area rests squarely between the four walls of my doctor’s examination room.

Don’t get me wrong. I do believe that my doctor and his staff have my best interest at heart. Here’s the problem. My doctor likes to do things “By the book,” which means medications with occasional increases in dosage. That’s not my goal but at first I was afraid to say anything about it. Early on I asked what it would take to get off of the medications but my question was met with an answer that I did not like. Over the 1st year and a half I found myself wondering who is in charge and if we share the same goals. Yes, we share the goal of keeping me healthy but my goal is to do so with as little medication as possible and I’d rather not go down the path of a higher dose of this followed by a higher dose of that.

So here’s my question. How do you see your relationship with your doctor? Is your doctor your medical boss, giving out orders that you have to follow? At times I become a people pleaser and I think this caused me to see the relationship in these terms. God helped me see that my doctor is a medical expert giving me advice based on his experience but his experience is not alway a perfect fit for my situation. For example, he did not think I could lose enough weight to make a difference. I have. The bottom line is he gives his best advice and it’s my choice on what I do with that advice as well as with the advice I get from many other sources. Most of the time I will probably do as the doctor says but I want to have some input and I make the final decision.

I want to be clear about this. I’m not advocating for you or anyone else to ignore the advice of their doctor. I’m not on some power trip and do not plan to ignore my own doctor. What I am advocating is for all of us to become informed patients, learning all that we can including what the doctor’s “book” says. As I learn more about living with diabetes I plan to make my health a collaborative effort, one in which I do lean heavily on my doctor for advice. And I will recognize that 99% of the time it is the best advice but it is advice and not a command.

When it comes to my health I will not be a people pleaser. After all, whose medical team is this anyway? To be more accurate: Whose life is this anyway?