hatman: HatMan, my alter ego and face on the 'net (Default)
( Apr. 10th, 2014 03:50 pm)
So, new insurance wanted me on their brand of insulin. It did not work well for me. I had to majorly up the dosage just to get things vaguely back under control, and even then the numbers started slipping again. Meantime, I've been feeling even worse than usual for the last 3 months. It didn't seem to make sense, but one friend pointed out that maybe the insulin change could be the problem. It shouldn't have been, but I eliminated every other likely possibility.

The rule insurance has is that I have to try their stuff for 30 days, and if it doesn't work after that, the doctor fills out a one-page form saying so, and they approve the other stuff. I've been on it for months now. That shouldn't be a problem. It's a delay and an annoyance, but not a problem. (The problem is having to use the wrong medication for a month just to prove I need the right one, but that's another issue.)

I tried talking to the doctor about it, but he kept dodging around the idea of switching back to the old stuff. I told him how awful I'd been feeling, and he tried to chalk it up to stress or depression. It's a mark of how tired I am that it was several hours before that sank in enough to seriously piss me off. I brought up changing insulin again, though. He finally agreed to give me a couple of sample pens he had in the office. But he told me that if I saw any difference in my fatigue level just from switching insulin I should probably see a shrink. He relented, though, saying that he could see no clinical reason for it to have that kind of effect, but, in the end, he's an empiricist.

The stuff he gave me lasted a little more than a week. I sent him the blood sugar testing logs. He looked them over and called me back. "These readings look great! What changed?" "That's on the old insulin." "It is? Oh, wow. We have got to get you back on that!" *headdesk* "Boy, I don't know how we'll get insurance to approve it, but you're doing so much better!" "That's all you need to tell them. Just write that on the form and it will go through."

From his words and tone, I think that was the whole problem. He's afraid of having to fight the insurance company. That's why he kept dodging the question. Except that (a) it makes a huge difference in my health and (b) with the Lyrica, it really was that easy. The doctor filled out the form saying I'd tried the other stuff and it didn't work, and, next thing I know, the stuff I need shows up at my door.

My sugar readings are much better with my old insulin. How I've been feeling has been harder to pin down. I was wiped out for the first few days after I made the switch. It was hard to tell whether I was exhausted because it hadn't fixed the problem or exhausted because it had fixed the problem and I was finally recovering. It didn't help that I had my sleep study Monday night. I didn't get to sleep until midnight or so, they woke me up at 6 AM, and then I had enforced naps into the afternoon. I didn't sleep well there because the bed wasn't that comfortable and so on. The whole thing was exhausting and disorienting. Took me a couple of days to recover from that.

But now I think I'm caught up and I had 10 hours of sleep last night. I'm still foggy and tired, but much better than I've been all year (since I switched insulins). I don't understand it, but that does seem to have been the reason the last three months of my life have pretty much gone down the drain.

Doc gave me more samples of the good stuff to tide me over while the paperwork gets sorted out. Hopefully, things should be better from here.
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