Post Date: 2/10/12 6:41 pm I'm a little nervous about this one...
I have a history of gestational x2, and pre-diabetic for 5 years, and then two years ago officially diagnosed with a 7.1 A1C. I was put on Victoza, and watch what I eat.. and I have my A1C down 6.2
Here is where it gets tricky...
I was diagnosed, and prescribed the Victoza, but I work in an Endocrine office, so the rep just throws an extra pen in for me every time she's there. And, the A1C has been so great (which I can just run at work), that I have not been back to MY Endo. I did get my yearly labs done though with the PCP.
What I have to take in to the visit with the surgeon is:
The notes/labs on my original 7.1 diagnosis with the PCP
The notes from the Endo where I was put on Victoza, and diagnosed "Newly diagnosed type 2 in suboptimal control"
My most recent A1C from PCP which is 6.2, with office notes that state "Type 2 diabetic 250.0 confirmed"
My downloaded meter with 120-130 fastings, and spiking over 200 1-2x per day
And.. as another perk of the job.. I have 2-three day reports of wearing a continuous glucose monitor showing the spikes to match the meter.
I'm worried that since my diabetes is not out of control that insurance won't consider me. My insurance states that I must have a co-morbidity. Trying to be prepared here..
I'm trying to prove with the CGM and meter that regardless of my A1C, I'm still having spikes that are destroying beta cells.
Any thoughts or experience on this?