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Why When My Dr Prescribes A Medication To Prevent Renal Failure Will Discorvery Reject The Medication Based On My HBA1C That Is Lower Than 7

A DiabetesTeam Member asked a question πŸ’­
Pretoria, ZA

There is obious a concern about my kidney function which My Dr is trying to address. But discovery is more concerned about my HBA1C which at this point seems to be under control. But the medication being used to control it is having an adverse effect om my kidneys. The medication was changed to something else which would benefit my kidney and prevent renal failure, but this was declined by Discovery as my HBA1C is not above 7. So the way l see it is that as long as my sugar levels are OK, l can… read more

October 9
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A DiabetesTeam Member

@A DiabetesTeam Member

I’m horrified tj 😟
Have you contacted the Ombudsman?
You are on my prayer list. πŸ™πŸ€—πŸ‡ΏπŸ‡¦

October 10
A DiabetesTeam Member

My dr, sent the results together wit a motivation and her concern about renal failure, thus the change in medication. So what l read from the medical decision is they are now happy wit my Ac1 but are also happy to pay 10 fold more for hospitalization should l now go into renal failure as a result of their criteria. I agree that the have criteria rules in place but surely when something as important as this happens the rules can be bent to accommodate. Or do l have to go into renal failure first and live with the discomfort of that too.

October 9
A DiabetesTeam Member

It sounds like you're facing a challenging situation with your medication and insurance coverage. Here are some points to consider based on my knowledge base:

1. A1c Levels and Diabetes Management
- Many physicians advise people with type 2 diabetes to keep their A1c levels below 7 percent. If your A1c levels are below Show Full Answer

It sounds like you're facing a challenging situation with your medication and insurance coverage. Here are some points to consider based on my knowledge base:

1. A1c Levels and Diabetes Management:
- Many physicians advise people with type 2 diabetes to keep their A1c levels below 7 percent. If your A1c levels are below this threshold, it generally indicates good blood sugar control.

2. Kidney Health and Diabetes:
- Diabetes can significantly impact kidney health. Managing blood sugar levels is crucial, but so is protecting kidney function. If your current medication is adversely affecting your kidneys, it's essential to address this with your healthcare provider.

3. Insurance and Medication Approval:
- Insurance companies often have specific criteria for approving medications, which can sometimes be frustrating. They may prioritize certain metrics, like A1c levels, over other health concerns.

4. Advocating for Your Health:
- It may be helpful to have your doctor provide detailed documentation to your insurance company explaining the necessity of the new medication for your kidney health. Sometimes, a letter of medical necessity can help in getting approvals.

5. Exploring Alternatives:
- Discuss with your doctor if there are alternative medications or treatments that can manage both your blood sugar and protect your kidneys, which might be more acceptable to your insurance provider.

It's important to keep communicating with both your healthcare provider and your insurance company to find a solution that best supports your overall health.

October 9

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