diabetes management phone coaching - Page 2

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diabetes management phone coaching - Page 2


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Old 05-25-2012, 21:03   #11
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The place I work offered a voluntary and free wellness plan that paid 200 dollars if you filled out their survey. I decided to participate in their diabetes management and nutrition plans with phone coaching, mainly just to argue with someone according to my BH, and I bought 4 gallons of coconut oil with the money.

Last night was my third call with the nutritionist and we must have gotten beyond the point of recommending ADA vs LCHF. Our conversation started with the usual verification that I am who they thought they were talking to and the call is recorded for quality purposes. She asked how I was doing and how my BG numbers were doing and covered some concerns about eating enough servings of vegetables and fruits. Assuring her by telling what I ate typically, she was satisfied on the veggies and didn't question "I don't eat fruit." We updated my exercising regime. I thought everything was going well and then she said we didn't talk about setting goals last time. And to my suprise she said, I will put down that your goal is to continue doing what you are doing and keeping an eye on your BG. I told her she could elaborate on that a little, that my goal was to control my BG to a number closer to normal than I could ever get on their ADA recommended WOE and with the minimum amount of pharmacological assistance necessary. Also to continue to do what was best for my overall health.

I just had blood pulled Tuesday, and I'm thinking my A1c will be lower, based on a 5.6% home test a couple of weeks ago. I'm not really expecting my lipids to be leveled back out after quitting the Lipitor and going higher fat, but if they are, I am going to be advising her on next months phone coaching. That will be more satisfying than arguing.
We had that two years ago, they always tell you eat whole grains and get plenty of fruit. I think these folks are getting an ear full.

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Old 05-26-2012, 00:40   #12
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Well the home A1c test not too far off, the lab test was 5.5%. Lipids were all up, don't remember all of them, will post later when I get back home. don't guess I'll start coaching just yet.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

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Old 05-26-2012, 01:07   #13
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I fight this battle periodically with CIGNA. After policy renewal they start calling me with the great "free" diabetes counseling service offer and sending me reading material direct at, hmmmm, maybe 5 year olds(?). I call them and tell them to take me off their contact list. The nice nurse-type person on the other end tells me "but it's FREE!!!!".

I ask her if she works for free. She says no, but "the service is FREEEEEE!!!!".

I ask her just where she thinks the money for her salary comes from. She says "oh! I never thought about it that way. But the service is FREEEEEEE!!!!!!"

I ask her what information she can give me that my doctor can't. This always stumps the nice nurse.

I reiterate - please stop the mailers and the calls. No contact.... now THAT'S Freeeeeeeeeeee!!!!!!!!!

Jen

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Old 05-26-2012, 16:05   #14
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I fight this battle periodically with CIGNA. After policy renewal they start calling me with the great "free" diabetes counseling service offer and sending me reading material direct at, hmmmm, maybe 5 year olds(?). I call them and tell them to take me off their contact list. The nice nurse-type person on the other end tells me "but it's FREE!!!!".

I ask her if she works for free. She says no, but "the service is FREEEEEE!!!!".

I ask her just where she thinks the money for her salary comes from. She says "oh! I never thought about it that way. But the service is FREEEEEEE!!!!!!"

I ask her what information she can give me that my doctor can't. This always stumps the nice nurse.

I reiterate - please stop the mailers and the calls. No contact.... now THAT'S Freeeeeeeeeeee!!!!!!!!!

Jen

I love it, we do have to stand up to our insurance companies. They make a basic assumption that all Diabetics are that way because they live a terrible lifestyle and sit around eating junk food all day. I'm curious if they do this with other chronic diseases like MS, High BP, Autoimmune conditions, thyroid disease. Probably not. But the general medical community assumes we are all over weight and under active. Next time one of these people call turn the tables on them and ask they what they eat, how much they weight, what their lipid scores are and how many times a day they test their bgs? Of course they will say they are not diabetic so they don't have to worry about that. Well, I think many of us are way more healthy than our non diabetic counter parts.

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Old 05-26-2012, 18:34   #15
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mbuster, that is precisely why I did not swallow the $200 bait. My numbers are great, my control is great ... but what about the poor sucker who isn't as well-controlled -- and it is not his or her fault?
How can you know what's going on with what they (insurers) are doing if someone doesn't participate? I think of it as being undercover.

My numbers are closer to control than a lot of others too, but I know the information they are getting is wrong or they know what's right and choose not to do it until the complications set in. I hope to, in my own little way, change one person that toes the ADA line for recommendations for one and all. Maybe that one can turn into many more.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
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Old 05-26-2012, 22:11   #16
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Just my opinion, but insurance companies should be in the claims processing business, not the healthcare delivery business - that's what doctors are for. Personally, I do not want to educate my insurance company about providing healthcare. I just want my claims paid timely and accurately, with a minimum of hassle, and at a reasonable price.

Jen

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Old 05-26-2012, 23:17   #17
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This crap started clear back in the '80s . . . it's one reason why OWC got out - he really didn't appreciate insurance companies calling the shots.




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Old 05-26-2012, 23:46   #18
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Hee hee - I guess my comments date me! I remember paying my doctor directly and submitting a claim, and having my doctor make the decision about any meds. I also remember paying the doctor directly....and that was it, no muss no fuss! How times have changed.

Our ENT guy stopped accepting insurance several years ago. He's totally pay as you go, and actually his rates are not bad. He doesn't have to support that whole insurance processing arm in his business and I think his patients reap the benefit.

Jen

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Old 05-27-2012, 00:51   #19
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I was offered phone counseling, but no monetary incentive. It made it easier to turn down!

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