| By John Perry
Dan Gormley knew it was wrong. But he was in a hurry, and he thought
he could get away with it.
“It’s a fine line to walk,” Gormley would say
later.
At 6:10 a.m., Gormley was running late. To save time, he skipped
breakfast. He remembers dragging the garbage out, but at the curb
he became confused and couldn’t remember where he was going.
He focused his thoughts, reminding himself it was Friday, and he
needed to drive to work.
Shuffling toward his car, Gormley lost sensitivity in his feet
and couldn’t feel the ground. Light-headedness became dizziness.
His vision began swirling. He felt faint.
Acting on instinct, he got behind the wheel of his car and pushed
the automatic door locks. Then came a sensation like slowly falling
down a deep well. He gripped the steering column to stop his descent.
The well was bottomless. Darkness closed in.
On Sunday, when the darkness receded, Gormley, an accountant with
Aviation, was lying in a Southwest Memorial Hospital bed.
He learned that EMS had broken the car window to rescue him.
“This is what can happen if you don’t respect your blood-sugar
level,” Gormley said.
An experience worth missing
Just as he had done every morning for the last 32 years, Gormley,
who has type 1 diabetes, tested his blood-sugar level. It had fallen
into the low deciliters of blood. Pre-breakfast blood-glucose monitoring
should yield a reading between 75 and 100 mg/dl.
He should have eaten something right away.
Gormley never skipped his three-times-a-day insulin injections,
but he wasn’t always so diligent about his diet.
“Problem is,” Gormley said, “once your blood-sugar
falls too low, your decision-making process gets impaired. You make
mental errors in judgment and might not realize what’s happening.”
Now, Gormley tests his glucose levels before meals and then again
two hours afterwards to make sure the level is staying in the normal
100 to 140 mg/dl range.
If it slips too low, that’s the signal to have a snack.
“I keep a box of raisins handy,” Gormley said. “And
I drink bottled water throughout the day. It’s important to
stay hydrated.”
Type 1 diabetes, formerly known as juvenile diabetes, accounts
for five to 10 percent of all diagnosed cases. It occurs when the
pancreas no longer produces insulin. Sometimes, for reasons scientists
don’t entirely understand, the body’s own immune system
attacks and destroys the insulin-producing cells. Once dead, the
cells never come back.
“My pancreas quit producing insulin when I was 28,”
Gormley said. “I’ve had to take injections to compensate.”
With a regimen of insulin and careful eating, Gormley is successfully
managing his diabetes.
“I live my life to the fullest,” Gormley said. “I
never say ‘Oh, woe is me.’ I make following the rules
of good health a way of life that includes monitoring, dieting and
visiting my doctor every three months.
“Otherwise,” Gormley concludes, “I could find
myself pushing up tulips.”
|
Plan costs for prescriptions
and diabetic supplies |
| |
HMO |
PPO
in-network |
PPO
out-of-network |
Out-of-area |
|
Prescriptions/
supplies
30-day supply |
$10/ 30/ 45 |
$10/ 30/ 45 |
$10/ 30/ 45 |
$10/ 30/ 45 |
|
Prescriptions/
supplies
mail order
90-day supply |
$10/ 30/ 45 |
$10/ 30/ 45 |
$10/ 30/ 45 |
$10/ 30/ 45 |
|
Equipment |
20 % |
$30 copayment + 20 % |
40% after deductible |
20% after annual deductible |
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