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Working with Medicare is one of the biggest challenges for people seeking coverage of diabetes supplies and services. '"People have a hard time with Medicare,'" says Tim Cady of Advanced Diabetes Supply (www.northcoastmed.com.), a division of North Coast Medical Supply in San Diego. Tim should know, because his national mail order diabetes company specializes in helping people who have Medicare insurance get their testing and insulin pump supplies. Medicare is the nation's largest health insurance program, covering about 40 million people. You are probably eligible for Medicare if you are disabled, have reached your 65th birthday or have permanent kidney failure treated with dialysis or a transplant. If Medicare is an enigma that you haven't unraveled, this column can help. Q: Where can I find the government's own regulations to argue my case? A: The Internet has two excellent resources: The Official U.S. Government Site for People With Medicare at medicare.gov. Search for "Medicare Coverage of Diabetes Supplies and Services."…
David Mendosa is a freelance journalist and consultant on diabetes. Since 1995, his Web site, www.mendosa.com, has become one of the largest about diabetes. He publishes '"Diabetes Update'" online each month and is a coauthor of the book "What Makes My Blood Sugar Go Up and Down." Like comedian Rodney Dangerfield, glucose tablets and gels "don't get no respect." That's not good grammar, but nothing else better captures the low regard that many of us have for this wonderful product. ...glucose...is the sugar that our bodies use the fastest. Maybe it's the cost. None of the five manufacturers make expensive tablets or gels, and one brand of glucose tablets lists for less than a dime per tab. We might respect them more if they cost as much as, for example, test strips. Maybe it's the taste. Glucose tabs may look like candy, but they certainly don't taste as good. Actually, that's intentional. They don't taste bad, but they are medicine.…

24Oct

Insulin Pumpers

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The Insulin Pumpers mailing list that took shape this year is certainly highly specialized. But for those people with diabetes who are looking for the tightest possible control, if offers knowledgeable advice from pumpers and their parents. That candy meant more to him than anyone could imagine. For Rose Lulla, the mailing list encouraged her to find an endocrinologist who would put her 10-year-old son Ravi on a pump. "Doctors here in Omaha, Nebraska, don't have much interest in putting kids younger than 12 or 13 on the pump," she tells me. Ravi had got his diagnosis on his seventh birthday. In October his mother and he joined the Insulin Pumpers mailing list, and about two weeks later he began to use a pump. Ravi's use of the pump not only give him tight control but also have unexpected emotional rewards. Days after he began to use a pump, one of his classmates noticed that he was eating the five…
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