Type 2 - Connect

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

Hi Christopher,

I agree with what you are saying about T2 diabetics would benefit in having CGMs. I bought one for my own benefit so I could give my nurse a good overall staus at my appointment. It showed I was having lows during the night and we came up with a solution to trial so I bought another one to see if it made a diiference and it did. The cost for this was over $200 for the month which I cannot afford to maintain. Also, during this month I lost 1kg and my levels stayed within the range because I was monitoring them closer than I would have with pin pricks. I would question the government's decision over no subsidy for T2 by asking "Isn't it better for everyone if T2 people are managing their diabetes so it leads to less complications in the future and less hospitalisations for heart, kidney, amputations etc?"

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

Thanks for the response Annette.  Yes, the Freestyle Libre 2 is an expensive monitoring system.  However I have weighed that against trying to get my BGLs within the acceptable range (about 4 to 9.5 for 70% of the time according to my diabetes educator.

This was ok using Ozempic with basal insulin - in fact very successful.  But Ozempic is not reliable in terms of supply, made me feel very sick all the time and also made me very tired and without energy.  Dropping Ozempic meant I regained energy, don't have to have an afternoon nap and can do lots.  Also physical exercise goes up too.  So does appetite which is quite hard to control.  The BGM helps that a lot. A real lot.

Getting away from skin penetrations on the fingers helps a lot with leukaemia and I think the CBGMs should be subsidised. I have helped the NDSS with my experiences. I have written to the TGA complaining. I am about to write to the Minister for Health.  And I am about to enlist the support of my local MP (not that he is much use to anybody!).

In the end it will save the health system if I can maintain the CBGM.  And I don't believe we will ever end up with a few useless nuclear subs and believe money raised from the taxpayer could be better spent on real taxpayer needs.

------------------------------
Christopher

Original Message:
Sent: 07-06-2024 10:45
From: Annette
Subject: T2 and medications

Hi Christopher,

I agree with what you are saying about T2 diabetics would benefit in having CGMs. I bought one for my own benefit so I could give my nurse a good overall staus at my appointment. It showed I was having lows during the night and we came up with a solution to trial so I bought another one to see if it made a diiference and it did. The cost for this was over $200 for the month which I cannot afford to maintain. Also, during this month I lost 1kg and my levels stayed within the range because I was monitoring them closer than I would have with pin pricks. I would question the government's decision over no subsidy for T2 by asking "Isn't it better for everyone if T2 people are managing their diabetes so it leads to less complications in the future and less hospitalisations for heart, kidney, amputations etc?"

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

My lancets are heavily subsidised by the NDSS.

------------------------------
Paul D

Original Message:
Sent: 12-06-2024 08:52
From: Barry
Subject: T2 and medications

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

Mine might be also (haven't checked) but at $32 a box compared with $1.20 per box for test strips, I feel the subsidy could be much higher as you can't do a manual BGL without doing a finger prick.

My lancets are heavily subsidised by the NDSS.

------------------------------
Paul D

Original Message:
Sent: 12-06-2024 08:52
From: Barry
Subject: T2 and medications

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

Lancets foir finger pricking

Rather than arguing about the cost I usually used to rub the lancets on a piece of fine sandpaper or a fingernail file - emery board.  That keeps them in good order for the prick.. Now that I am using CBG monitoring systems I do not need to finger prick but if I ever go back to that I will continue giving them a quick rub on the emery board or piece of 24grit sandpaper. Saves money. Of course we should all attack (?) our local MPs and demand subsidised CBGL monitoring devices.  With a chronic condition we all deserve better than we are receiving.

Mine might be also (haven't checked) but at $32 a box compared with $1.20 per box for test strips, I feel the subsidy could be much higher as you can't do a manual BGL without doing a finger prick.

My lancets are heavily subsidised by the NDSS.

------------------------------
Paul D

Original Message:
Sent: 12-06-2024 08:52
From: Barry
Subject: T2 and medications

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

Lancets foir finger pricking

Rather than arguing about the cost I usually used to rub the lancets on a piece of fine sandpaper or a fingernail file - emery board.  That keeps them in good order for the prick.. Now that I am using CBG monitoring systems I do not need to finger prick but if I ever go back to that I will continue giving them a quick rub on the emery board or piece of 24grit sandpaper. Saves money. Of course we should all attack (?) our local MPs and demand subsidised CBGL monitoring devices.  With a chronic condition we all deserve better than we are receiving.

Mine might be also (haven't checked) but at $32 a box compared with $1.20 per box for test strips, I feel the subsidy could be much higher as you can't do a manual BGL without doing a finger prick.

My lancets are heavily subsidised by the NDSS.

------------------------------
Paul D

Original Message:
Sent: 12-06-2024 08:52
From: Barry
Subject: T2 and medications

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

Mine are in a drum of 6 (AccuChek FastClix) and the individual lancet tips are not exposed to enable resharpening.

Lancets foir finger pricking

Rather than arguing about the cost I usually used to rub the lancets on a piece of fine sandpaper or a fingernail file - emery board.  That keeps them in good order for the prick.. Now that I am using CBG monitoring systems I do not need to finger prick but if I ever go back to that I will continue giving them a quick rub on the emery board or piece of 24grit sandpaper. Saves money. Of course we should all attack (?) our local MPs and demand subsidised CBGL monitoring devices.  With a chronic condition we all deserve better than we are receiving.

Mine might be also (haven't checked) but at $32 a box compared with $1.20 per box for test strips, I feel the subsidy could be much higher as you can't do a manual BGL without doing a finger prick.

My lancets are heavily subsidised by the NDSS.

------------------------------
Paul D

Original Message:
Sent: 12-06-2024 08:52
From: Barry
Subject: T2 and medications

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

Mine might be also (haven't checked) but at $32 a box compared with $1.20 per box for test strips, I feel the subsidy could be much higher as you can't do a manual BGL without doing a finger prick.

My lancets are heavily subsidised by the NDSS.

------------------------------
Paul D

Original Message:
Sent: 12-06-2024 08:52
From: Barry
Subject: T2 and medications

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------

My lancets are heavily subsidised by the NDSS.

------------------------------
Paul D

Original Message:
Sent: 12-06-2024 08:52
From: Barry
Subject: T2 and medications

I totally agree that CGM devices should be subsidised for T2 diabetics. I have purchased several over the years and I have been impressed with the improved BGL control that I am able to achieve; particularly since the device I used was able to continuously download the BGL readings to my smart phone.

I remember the days (back in the 90's) when T1 diabetics had to purchase their syringes (before pre-filled pens etc) despite the fact that drug addicts received free syringes so I am confident that subsidised CGM devices will come but it needs to happen sooner rather than later.

In the meantime, I also find it somewhat strange that we need to purchase lancets to enable us to do finger pricks despite the fact that test strips are subsidised! Lancets also should be subsidised.

------------------------------
Barry

Original Message:
Sent: 05-06-2024 09:27
From: Christopher
Subject: T2 and medications

I believe, from my own enquiries, that a type 2 diabetic is incapable of producing sufficient insulin to allow cells top open and receive glucose (for energy needs). As a consequence the "excess" glucose remains in the bloodstream, hence the medications such as Jardiance, Metformin and Janument.

I have been a T2 diabetic for about 24 years and first controlled BG through diet and exercise and, over time, had lower doses of metformin, then higher doses, the introduction of Jardiance and finally Janumet. Last year control of BGL disappeared (age, stress in my life and leukaemia advancing since 2019) and that led to the doctor prescribing Ozempic (which is unreliable in terms of supply) and the best substitute basal insulin. That is slow release once a day with units adjusted over time to achieve a good BGL coupled with close monitoring of diet and exercise.

This is working because I asm currently achieving and Hba1c of 6.0 and I use a constant BGL device to check on what is occurring throughout the day.

It is very difficult managing T2 diabetes and I am vigilant. Some might say too vigilant.  But watching the BGL is essential to maintaining a good and effective life.

The result of these changes (staying on the orals and using the basal insulin) has meant that I have more energy than I have had for at least 5 years. I no longer fall on the bed to sleep in the afternoons and I can pretty much do as I want these days. That, to me, is a good result.

I am concerned that there is no government subsidy for the BGL device and so that costs me $52 a week.  Expensive.  But I get a certain peace of mind, and accurate read out on my status through the day (and night) and I do not have to finger prick.  The problem with finger pricking for me is infections in my fingers from the constant pricking and that is a consequence of leukaemia.  But the government is unforgiving when it comes to considering a T2 with two chronic conditions - their attitude is tough.  Learn to live with it.

I am sure constant BGL would have liong term benefits for all T2 diabetics if they care to utilise the tool properly and that would, in turn, ease pressure on the health system.  But governments are incapable of making sensible and relevant decisions!

Back to the central themes - T2 do not make sufficient insulin.  Henc e the pills and now, for me, the injectable insulin. That has changed my life!  At 77 I consider it to be a really good outcome.

------------------------------
Christopher
------------------------------