Skip to content

Not Going in the Hole

May 16, 2017

“Insulin and other diabetes medications and supplies can be costly. Here in the US, insurance status and age (as in Medicare eligibility) can impact both the cost and coverage. So today, let’s discuss how cost impacts our diabetes care. Do you have advice to share? For those outside the US, is cost a concern? Are there other factors such as accessibility or education that cause barriers to your diabetes care? (This topic was inspired by suggestions from Rick and Jen.)”

There are going to be people who read this and finish it thinking, “do you know how lucky you are?” The answer is yes; I definitely do. 

If you’re here, you’re probably familiar with the unhappy medical patients in America. You might think this post will focus on this and show my gratitude to these people, but I’m staying more personal. Call me crazy, but health just shouldn’t bankrupt a person. Here’s my story: (and also a very difficult one for me to write because I have kept this information very close to me.)

Last Spring, my car died. It was one of those days where I couldn’t deal with it. I didn’t even have a local garage. The effort to even figure out this information was overwhelming. I started with my budget. In order: Rent, Utilities, Health Insurance, Dental Insurance, Medicine, Cell Phone, Food, Transportation, Car Insurance, Food, Savings & Fun. I realized how much I had left over at the end of the month and it was scraps. How could I have a Bachelors Degree and a full time job and barely make ends meet? 

I looked at it and was wondering if there was a way to “catch up.” What part of my budget could I take some money out of? My car was safely in my driveway, so I cancelled my insurance and started taking the train to work every day. People started asking when I’d get it fixed. I told people a part was getting ordered, or that I was enjoying walking everywhere, or any sort of other response to deflect from the real reason. Even though I was not paying car insurance, I still could not catch up. I just kept going though. Eventually I’d get enough tucked away to make it work. (Even before knowing how desperate my budget was, my parents offered to pay for the repairs on my car.) 

I would order my prescriptions, and walk to the pharmacy with dread. Would my card go through?  How long could I go in between buying my insulin? How many salads did I need to eat to extend the length of my insulin? Which also sucks because produce is the most expensive part of the grocery store. I stayed incredibly busy, so that I was continually exhausted and only ever staying for one drink with my friends. I changed from drinking cider to beer. There’s a $3 difference at the bar, and even though it’s not a big deal for one week, it adds up over time. I kept that pump and Dexcom information and paperwork in my apartment, because even though I desperately wanted and needed them, could I add another cost? I started getting my groceries delivered, because the delivery fee is less than what I usually spend on impulse buys. Any time I saw change on the sidewalk, I’d pick it up. Some big life stressors that I referenced yesterday were happening too. Dealing with high insulin and insurance costs, and being incredibly stressed is not a good combination. I was doing everything I could. I researched so many of the “how to get out of debt” articles, and the amount people would save was equal to or less than what I spend on prescriptions. What else could I possibly do without telling people just how dire my finances were? 

In case you haven’t noticed, I really value being independent and not asking for help. 

My mom kept asking me why I was throwing money away on car insurance. I snapped. I finally explained that I wasn’t. They couldn’t believe that months had gone by and I hadn’t asked for help. I never fully made it into a hole, but I also couldn’t stand up. I was handed a check and off my car went to the mechanic. When I ordered the insulin pump, the paperwork was sent off with the question, “you’ll pay for this if needed, right?” It’s interesting, I now combine my style of commute and still take the train every so often. It seems to be the way to keep my transportation costs as low as possible. It’s still the area of my budget with the most wiggle room. The lack of worry has made the bank account seem much bigger.

I am lucky. I am grateful and I refill my insulin every time I’m allowed. I’m even running out of room in the fridge. The bank account has not grown, but the worry has lessened. This simple fact has made diabetes so much easier to deal with. 

Phew. It’s a hard road to know you’re qualified, with a good paying job, insurance and you STILL can’t make ends meet. Somewhere, there must be a solution. I don’t know where it is or when I’ll find it. Maybe I can find it here


May 15, 2017

Diabetes Blog Week, hosted by Karen, is back this week! I hope you’ll join me in reading and writing all about diabetes topics from people around the world! 

“Diabetes can sometimes seem to play by a rulebook that makes no sense, tossing out unexpected challenges at random. What are your best tips for being prepared when the unexpected happens? Or, take this topic another way and tell us about some good things diabetes has brought into your, or your loved one’s, life that you never could have expected? (Thank you, Heather, for inspiring this topic!)”

There have been a few stressful events that have happened this year, and as I’ve been coping and strategizing, someone said to me that my intuition on who to trust has been impeccable. How could I have predicted reactions and support so correctly? The answer is simple: diabetes. 

Let me explain, because the stressful events have not all been related to diabetes. I do not like to let diabetes take priority, but sometimes it does. When they happen, I’m kind of a “put my head down and deal with it” person. I definitely have tunnel vision during these moments and have a much harder time seeing the big picture. But there are people who have stayed, asked questions, stepped in and helped. They were just THERE. They were there in the exact way I needed them to be. It’s a great feeling. And later, when I do or don’t want to talk about it, they’ve understood that too. 

So when the big, stressful, life events happen, these are the people who I talked to, lean on and love. I have needed people to brainstorm with, to lean on, to hold me, to distract me. The people who have been 100% supportive in diabetes moments have been 100% in all the other stressful moments. There are other people around, who have spouted support, and appear to be the greatest kind of friend on the outside, but when I truly truly needed them, their “support” during the stress has been more damaging than helpful. 

Thank you diabetes, for shining the light on my greatest friends. 

To read other PWD’s thoughts about Diabetes & the Unexpected, go here

Wishing for Snow 

May 10, 2017

“Lets wrap up the week by sharing a little more about ourselves, beyond the chronic illness we or our loved ones live with. Share an interest, hobby, passion, something that is YOU. If you want to explore how it relates to or helps with diabetes you can. Or let it be a part of you that is completely separate from diabetes, because there is more to life than just diabetes! (This topic is a suggestion from the 2016 #DBlogWeek survey.)”

Maybe you’ve noticed it a time or two here, or Twitter or Instagram or even Facebook, but I LOVE to ski! 

There’s something about cold air, wonderful snow, maybe even some ice, family and friends that make all of the “how do I do this with diabetes?” completely worth it. We have a heat wave here in Boston right now, and walking with friends the other night they were rejoicing and I was wishing for the snow to come back. Yes, I am counting down the days already. And if you’re ever in New England when it’s cold and want to find a mountain with me, I’ll happily join you. 

We are all more than diabetes! Go here to find what makes others more! 

Eighteen Months 

April 19, 2017

I always said I could never take a pump break. Lantus never seemed to work, so how could I possibly stop using one? But I did. A pump site fell out and I don’t think I’ll ever forget the feeling of, “Yes! I’m done!” I thought I might take a month break. 

Eighteen months ago when a pump site fell out and my first thought was, “yes! I’m done!” I knew I needed a break. I never imagined my break would last this long or that I would choose an entirely new-to-me pump. I’m giddy over here, impatiently waiting to start back up on a pump.

I’ve been playing phone tag trying to set up my training, but when I got home yesterday and took the pump out of the box not knowing when I could start, I started crying. Chronic illness emotions are weird, so armed with the instruction book and my prior knowledge f insulin pumps, I taught myself this morning. I just gave myself my first bolus and I’m so giddy that this is back in my life. When I was putting the pump site in, it felt as though no time had passed.

These two photos (and their captions) briefly cover what I’ve been feeling. 

  • I know I still need to go in for training. 
  • I don’t completely know how it’s working for me yet, because starting was an impulsive decision about two hours after my Levemir dose. 
  • Filling this reservoir is weird! 
  • With the ping, I used the long tubing so I could shower with it. I chose the short tubing this time, which is convenient for tucking it into pockets, but it seems SO short. 
  • Bolusing is so much more convenient. 
  • I got into bed and forgot I had to sleep with it. It didn’t bother me last night, but I couldn’t feel it under my back this morning. 
  • I cannot wait to use a temp basal for exercise rather than using foods for safe BGs. 
  • I would be way more nervous about starting this by myself if I was not using the Dexcom. 
  • I’m really grateful to all the T slim users who have offered advice and support and “let me know if you have any questions!” 

Ten Minutes 

April 6, 2017

I get it. I see you for 10 minutes every year. Or, I’ve seen you for 10 minutes every year since I moved to Boston. You’re always very nice and ask about my job, my activities and my A1C (which I don’t get because you have access to it). You’ve always been at the top of my list for personality as far as doctors go. 

And then it happened. Normally your speech goes like this: How long have you had diabetes? That’s amazing; your eyes are still perfect. This is how it went this year: How long have you had diabetes? I can see some retinopathy. 

The tears instantly started falling, but you had already turned your back to write this diagnosis in my file and order images of my eyes. You had me go there and the elderly medical professional made me completely and utterly uncomfortable, forcing my head into this machine, no matter how many times I told her that just by pushing harder, didn’t mean I could see the light. When I saw you again, you told me that the retinopathy was minimal, and that you’d see me again in one year. Why is the timeline for perfect eyes and starting retinopathy the same? It doesn’t make any sense. And to lower my A1C. Don’t you realize that I’m trying desperately to do that, but just because I’m working on it doesn’t mean everything else in life is making that an “easy” task. I was sniffling and probably used your entire box of tissues, but you never asked how I was feeling, just if I had any questions. I don’t even know what questions to ask!! 

You work in a diabetes eye clinic where retinopathy is probably an everyday occurrence. But I’m a person with diabetes who has never had a complication of any kind before. I’ve been taught to freak out about my eyes, so that’s what I’m doing. I’m scared out of my mind. 

Opposite of Hibernating 

March 29, 2017

Here I Go Again 

January 5, 2017

So there’s a business card sitting in my wallet. 

There have been phone calls made & phone calls missed. 

There was a smile from my endocrinologist. 

There has been a lot of mental reflection. “Am I ready for this again?” 

There has been bank account examination. 

There are insurance doubts. 

But I am so excited. 

I was pumping for 13 years before my 1.5 years break. Here I go again. 


December 23, 2016

A few weeks ago, I sat at Joslin. Without notice, they have requested that patients arrive 30 minutes early instead of 15. I sat, and I sat, and I sat. It was a snowy morning, the first in Boston, with traffic galore. I knew I’d probably be delayed.

I also knew what I needed to get done at work that day. Every five minutes I was calculating what time I’d need to leave in order to get everything done. The first half hour wasn’t bad, since it wasn’t my appointment time yet. However, the last half hour was frustrating. This doctor has never been late in the past. I’ve been so frustrated with diabetes and other stressors in my life lately, that I really needed this appointment. At the time when I knew I needed to be back at work, I walked over to the check out area. 

She asked me to confirm that I was canceling. I said, “it would seem the doctor has cancelled at this point since I still haven’t seen him?” I went on to explain how the delay may be understandable, but SOMEONE should have come out to explain the delay. She seemed completely flabbergasted and shocked that I was disappointed and leaving. She was also frustrated with my work & vacation limitations. I didn’t know what 2017’s insurance plan would be yet, so I needed this to be before the end of the calendar year. We finally found a time that worked for both of us. 

When I left, I posted on Facebook about possibly leaving Joslin for my medical care. I need a place that respects me and my time. I certainly understand that people run late, there are medical emergencies, and that you can be two minutes away from Joslin and it take you another twenty to check in. I understand all of that. But I want a place that will keep me updated. Your doctor is running late due to a medical emergency. Or, your doctor is running late because of the weather. Or, your doctor is running late, how long can you stay? Something! 

When I went back earlier this week, the doctor called me back 2 minutes after my scheduled time (I’d call that perfectly on time!) After a standard greeting, he said, “You cancelled last time?” I think he was shocked when I said, “no, I left to get back to work when you were 30 minutes late.” Luckily, he apologized.

 The appointment went on as it was supposed to. I like this doctor and I don’t know if trying to find a new positive fit is worth my time. I have an endocrinologist appointment early in 2017, and hopefully that meeting goes as smoothly as my second attempt. 


November 15, 2016

I know that I haven’t been talkative here lately. I’m trying. So very very hard. But flattening and lowering these lines is where my focus is. So please hang tight. 

Getting Ready + Low BG 

October 5, 2016

Girls’ Night