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Letter from the Editor, #793

Aug 5, 2015
 

Sometimes it seems that we get our priorities screwed up. Earlier in the week, I had to teach a patient how to dose NPH and Regular insulin to manage their diabetes.

This does not seem like much except this patient has been well-controlled for at least five years on an insulin pump. Unfortunately, his insurance company has decided they would no longer pay for his pump supplies, so he was forced off the pump and back on to injections. But since he was no longer on a pump, his insulin could no longer be billed to Medicare Part B and so he quickly found himself in the donut hole, and his Glargine and Lispro were costing him over $400 a month.

His only alternative was to go on NPH and Regular and buy it over-the-counter for a reduced price. I know that many of you have been through this same dilemma with your patients and know it is getting worse, not better.

Where I think our priorities are screwed up is in the lack of publicity that this problem gets. If there was as much coverage of this tragedy in care as there was for the shooting of Cecil the Lion then maybe these patients would have a better chance of getting the care they need and the medicines that they deserve.

Testosterone clinics began popping up all over the country about four years ago and men with below normal levels were going to the clinics to get a boost. Recent studies pointed to the relationship between attaining higher levels and the incidence of cardiovascular accidents. Now a new study shows that low levels may have the same effect in men.

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From dLife.com: “How to overcome diabetes hurdles in the workplace; Luke Branquinho talks about his life as a rodeo champ who also has diabetes; and, dLife’s Jim Turner gets personal about sex and diabetes (parental discretion advised).” Sundays live online at dLifeTV.com at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at dLifeTV.com.

 

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We can make a difference!

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Dave Joffe, Editor-in-chief