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Daily CE Musings of Piob - Page 323

post #4831 of 5333

I may be in the midst of moving to a pump... I just wish there were better (and cheaper) monitoring technology.  I'm getting fairly good control these days.

post #4832 of 5333
Thread Starter 
We've got quite the contingent of Type 1's around here; very surprising. I have a niece and nephew (they're brother and sister) that both developed it within six months of each other. Really makes one wonder if some of the folks that develop it get it from environmental factors?

As to the epi: we can change the game but I don't think we should hate on folks playing the current game. Yes, this product is life and death, but if you think about it, so are tires (my quickly formulated analogy.) I picked MB as folks tend to not mind when "rich" folks get price hikes but do tend to mind when families needing epipens need it and the media always picks a poor family to highlight. If we want to declare things like insulin and epipens some special category, that's one thing, but hating on folks just playing by the current rules is another.

Just IMO, YMMV, and YOLO. wink.gif
post #4833 of 5333
Quote:
Originally Posted by jcman311 View Post

I may be in the midst of moving to a pump... I just wish there were better (and cheaper) monitoring technology.  I'm getting fairly good control these days.

i was on the fence for years... finally got a really good doc and decided to try it out. such a huge difference. My A1C has dropped dramatically and keeps getting closer to normal.
post #4834 of 5333
Quote:
Originally Posted by Piobaire View Post

We've got quite the contingent of Type 1's around here; very surprising. I have a niece and nephew (they're brother and sister) that both developed it within six months of each other. Really makes one wonder if some of the folks that develop it get it from environmental factors?

As to the epi: we can change the game but I don't think we should hate on folks playing the current game. Yes, this product is life and death, but if you think about it, so are tires (my quickly formulated analogy.) I picked MB as folks tend to not mind when "rich" folks get price hikes but do tend to mind when families needing epipens need it and the media always picks a poor family to highlight. If we want to declare things like insulin and epipens some special category, that's one thing, but hating on folks just playing by the current rules is another.

Just IMO, YMMV, and YOLO. wink.gif

i got it when i was 19.... doc said it was probably due to me being on antibiotics for an extended period of time. Said after it killed the infection, it couldve turned on my body and destroyed my pancreas. odd.

I think if the drug companies were as competitive as the tire market, a lot of these problems would sort themselves out. nod[1].gif
post #4835 of 5333
Thread Starter 
Quote:
Originally Posted by DerekS View Post

i got it when i was 19.... doc said it was probably due to me being on antibiotics for an extended period of time. Said after it killed the infection, it couldve turned on my body and destroyed my pancreas. odd.

I think if the drug companies were as competitive as the tire market, a lot of these problems would sort themselves out. nod[1].gif

Yeah, I think many of our pricing problems are the end user being isolated from POS pricing 95% of the time. As I always say, the US system has elements of all the major healthcare delivery models, and somehow manages to get the drawbacks of all of them but the benefits of none.
post #4836 of 5333
Quote:
Originally Posted by Piobaire View Post

Yeah, I think many of our pricing problems are the end user being isolated from POS pricing 95% of the time. As I always say, the US system has elements of all the major healthcare delivery models, and somehow manages to get the drawbacks of all of them but the benefits of none.

well said! haha
post #4837 of 5333
Quote:
Originally Posted by DerekS View Post


i got it when i was 19.... doc said it was probably due to me being on antibiotics for an extended period of time. Said after it killed the infection, it couldve turned on my body and destroyed my pancreas. odd.

I think if the drug companies were as competitive as the tire market, a lot of these problems would sort themselves out. nod[1].gif

Sf twin! I too got it when I was 19. I had some issue as an infant (celiac, milk protein allergy) that probably caused the later onset. How many kids do you have? Did you know that if a male has type 1 there is a 1 in 17 chance of passing it but for women its a 1 in 25 chance?

Maybe we should start a type 1 thread. I know @Gibonius is also a type 1.
post #4838 of 5333
Quote:
Originally Posted by DerekS View Post

type 1 diabetic as well. I just had to pay $6K last week for my supplies and insulin pump and CGM. Moving to the pump was the best decision ive made, but holy shit it was expensive.

When i used the pens, my copay was $30 for a pack of them. (4-5 pens in the box if i recall) I remember when i was without insurance i had to pay thousands out of pocket for those few months. Kinda terrible... 2 choices... pay it, or pretty much die.

We have a lot of diabetics around here....


I'm pretty lucky for insulin, it's like $90 for three months. It's kind of annoying having to pay the brandname surcharge when there are no generics even available, but at least I can do mailorder now.


Pump supplies though, good lord. I think I'm spending $2500 a year now, with the CGM.

Quote:
Originally Posted by jcman311 View Post

I may be in the midst of moving to a pump... I just wish there were better (and cheaper) monitoring technology.  I'm getting fairly good control these days.

Dexcom CGM is pretty awesome. Quite accurate, good response time, comfortable, stays good for 7-10 days no problem. Not perfect, but a lot better than the previous stuff and better than testing all the damn time.

My A1c is down to 5.9 since I got on it last year. That's equivalent to an average of 123 mg/dL. Never came close to that before, was always hovering around 7.
post #4839 of 5333
Quote:
Originally Posted by Piobaire View Post

What's the dubious claim? That the sex tape itself was not "news?" The existence of a sex tape as being news is obviously not controversial but Hulk's technique is news? That one I'm not so ready to buy.

I'm reluctant to comment too much on it because I don't know all the facts, but my understanding is that Gawker posted a poor quality excerpt that showed about ten seconds of sex.

I think we can mostly agree that the existence of the tape and the event itself are newsworthy -- Hogan's "best friend" is a radio celebrity himself, and he's very publicly having his wife have sex with various celebrities, then secretly recording it.

Even assuming the tape itself is off limits, what's the harm suffered by the release of ten seconds of low-resolution, blurry, infrared sex tape (in the light of everything else which is legitimately newsworthy, and, I assume, the video's distribution by others?) -- $110 million dollars (plus another 30 or so for punitive damages)? I don't think I'm going out on a limb here by saying that most people would gladly let Gawker publish a full length video of them screwing that woman, in 4k HD, for a tiny fraction of that. And Hogan's career was pretty much over by that point anyway. It's not like he suffered any real financial loss from this after all the other stuff he's done.

The verdict is outrageous.
post #4840 of 5333
Quote:
Originally Posted by Piobaire View Post

Yeah, I think many of our pricing problems are the end user being isolated from POS pricing 95% of the time. As I always say, the US system has elements of all the major healthcare delivery models, and somehow manages to get the drawbacks of all of them but the benefits of none.

It's such a hodgepodge. We keep slapping bandaids onto a system that was never really comprehensively designed in the first place, it just evolved over time. An underappreciated downside is just how much time and energy consumers have to spend dealing with all this. You have to make yourself educated on a bunch of insurance and tax details that just don't exist in other systems. Comes into play on the provider end too, so much money gets spent on billing and compliance.

Many Americans are weirdly defensive about our system too. I think some of it is the downside of American exceptionalism. We just automatically assume our way is best, reality be damned.


I heard some expert concluding that if you sat down to design the worst possible health care system, you'd still get something more functional than the US one.
post #4841 of 5333
Quote:
Originally Posted by jcman311 View Post

Sf twin! I too got it when I was 19. I had some issue as an infant (celiac, milk protein allergy) that probably caused the later onset. How many kids do you have? Did you know that if a male has type 1 there is a 1 in 17 chance of passing it but for women its a 1 in 25 chance?

Maybe we should start a type 1 thread. I know @Gibonius is also a type 1.

just one... nobody else in my family has any form of diabetes either. Guess im the lucky one ha
Quote:
Originally Posted by Gibonius View Post

We have a lot of diabetics around here....


I'm pretty lucky for insulin, it's like $90 for three months. It's kind of annoying having to pay the brandname surcharge when there are no generics even available, but at least I can do mailorder now.


Pump supplies though, good lord. I think I'm spending $2500 a year now, with the CGM.
Dexcom CGM is pretty awesome. Quite accurate, good response time, comfortable, stays good for 7-10 days no problem. Not perfect, but a lot better than the previous stuff and better than testing all the damn time.

My A1c is down to 5.9 since I got on it last year. That's equivalent to an average of 123 mg/dL. Never came close to that before, was always hovering around 7.

thats great. my a1c had been around 11ish for years. after i got my pump, got it down just below 7.

I use the medtronic CGM. its been accurate, and a HUGE help.
post #4842 of 5333
Quote:
Originally Posted by Piobaire View Post

I hope Derek's daughter is doing well and my thoughts are with them.

As to pricing...hate the game, not the player. If this was a guy that bought out a line of tires Mercedes used exclusively, and he jacked up the prices 10 fold, the same people cursing now would be applauding over the tire price hike.
The issue here is that patent protection and the FDA acting as a gatekeeper, coupled with the requirement by schools that kids have the sole, regulatory-agency-approved-device, means that Mylan has more than just a monopoly. They have tremendous regulatory capture rents. In this case, Mylan's competitor was removed from the market by the FDA for having a failure rate that is, supposedly, the same as Mylan's. Once that happened, Mylan was free to jack up prices, and they did.
One article I read suggested that an easy fix is to make Epi-pens over the counter, rather than prescription, which would make it easier for competitors to get approval. Here: http://www.cnbc.com/2016/08/23/epipen-prices-are-out-of-control-heres-how-we-fix-the-problem-commentary.html
post #4843 of 5333

Glad you guys are on top of this. My mother died  too young from the side effects of not treating her diabetes seriously enough .

post #4844 of 5333
Quote:
Originally Posted by dopey View Post

The issue here is that patent protection and the FDA acting as a gatekeeper, coupled with the requirement by schools that kids have the sole, regulatory-agency-approved-device, means that Mylan has more than just a monopoly. They have tremendous regulatory capture rents. In this case, Mylan's competitor was removed from the market by the FDA for having a failure rate that is, supposedly, the same as Mylan's. Once that happened, Mylan was free to jack up prices, and they did.
One article I read suggested that an easy fix is to make Epi-pens over the counter, rather than prescription, which would make it easier for competitors to get approval. Here: http://www.cnbc.com/2016/08/23/epipen-prices-are-out-of-control-heres-how-we-fix-the-problem-commentary.html

ahh teh wonderful FDA. @Jr Mouse thinks theyre just amazing.
post #4845 of 5333
Quote:
Originally Posted by Numbernine View Post

Glad you guys are on top of this. My mother died  too young from the side effects of not treating her diabetes seriously enough .

true story... you know what made me get my shit together? A buddy of mine has diabetes that he doesnt control at all and his cock stopped working. scared me straight for sure.

there was also a good dude from the forum that i chatted with a bunch years ago. thanks ben. icon_gu_b_slayer[1].gif
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