Menene Kuɗin Rayuwa tare da Ciwon Suga na 2? Labarin Mace Daya - Kiwon Lafiya

Mawallafi: Robert Simon

Ranar Halitta: 20 Yuni 2021

Sabuntawa: 7 Maris 2025

Kuɗi na Gudanar da Ciwon Suga na 2: Labarin Shelby - Kiwon Lafiya

Wadatacce

Kudin manyan canje-canje na rayuwa
Ciwon sukari na 2 yana ci gaba kuma haka ma farashin
Babban farashi na kiyaye inshorar inshora
Yin jurewa da canje-canje da hauhawar farashi
Biyan farashin kulawa
Yakin neman karin araha magani

Lafiya da lafiya suna taɓa kowannenmu daban. Wannan labarin mutum daya ne.

Lokacin da Shelby Kinnaird ke da shekaru 37, ta ziyarci likitanta don duba lafiyarta. Bayan da likitanta ya ba da umarnin a gwada jini, sai ta fahimci cewa matakan sikarin jininta ya yi yawa.

Kamar na Amurkawa, Shelby ya ci gaba da ciwon sukari na 2 - yanayin da jiki ba zai iya adanawa ko amfani da sukari daga abinci, abubuwan sha, da sauran hanyoyin ba.

Amma rayuwa tare da ciwon sukari na 2 ba batun batun koyon sarrafa suga ne kawai ba. Yin jigilar farashin yanayin - daga kudaden inshora, dillalai, da magunguna zuwa tsoma bakin rayuwa kamar azuzuwan motsa jiki da lafiyayyen abinci - yana gabatar da kalubale na musamman.

Da farko, bayan ganowar Shelby, farashinta sun kasance ƙananan ƙananan kuma yafi alaƙa da yin zaɓin lafiya na yau da kullun. Likitan Shelby ya tura ta ga mai koyar da cutar sikari don taimaka mata ta koyi yadda za ta iya sarrafa nau’in ciwon sukari na 2, ta hanyar amfani da abinci, motsa jiki, da sauran canjin rayuwa.

Tare da taimakon mai koya mata ilimin ciwon siga, Shelby ya haɓaka sababbin halaye na yau da kullun.

Ta fara bin duk abincin da ta ci, ta hanyar amfani da hanyar da aka fi sani da "tsarin musaya," don tsara abincin da zai taimaka wajen rage yawan sikarin jininta.

Ta fara motsa jiki sosai, tana fita yawo kowace rana bayan aiki.

Ta kuma tambayi maigidan nata ko za ta iya yin tafiyar kasa-kasa. Yana da wuya a tsaya ga cin abinci mai kyau da motsa jiki yayin tafiya kamar yadda ta kasance don aiki.

A cikin shekarar farko da aka gano ta, Shelby ya rasa aƙalla fam 30 kuma matakan sikarin jininta ya faɗi zuwa kewayon lafiya mai kyau.

A cikin fewan shekaru masu zuwa, ta iya sarrafa matakan sikarin jininta ta hanyar amfani da dabarun rayuwa mara tsada ita kaɗai. A wannan lokacin, kuɗinta sun yi ƙasa. Wasu mutanen da ke da ciwon sukari na 2 na iya sarrafa yanayin ba tare da magani ba na shekaru da yawa ko fiye. Amma daga ƙarshe, yawancin suna buƙatar magani don kiyaye sukarin jinin su cikin kewayon manufa.

Bayan lokaci, likitan Shelby ya ƙara magunguna guda ɗaya sannan wasu a cikin shirin maganinta.

A sakamakon haka, farashinta na rayuwa tare da ciwon sukari ya tashi - da farko sannu a hankali sannan kuma ya zama mai ban mamaki.

Kudin manyan canje-canje na rayuwa

A farkon 2000s, kamar 'yan shekaru bayan ganowarta, Shelby ya shiga manyan canje-canje da yawa a rayuwarta.

Ta rabu da mijinta na farko. Ta tashi daga Massachusetts zuwa Maryland. Ta sauya daga aiki na cikakken lokaci zuwa aikin wucin-gadi, yayin da ta koma makaranta don nazarin zane-zane. Bayan kamala karatu, sai ta bar kamfanin injiniyan software inda ta yi aiki don fara kasuwancin ta.

Rayuwa ta kasance mai wahala - kuma ta gagara samun fifikon kula da ciwon suga.

"Sauye-sauye da yawa na rayuwa sun faru a lokaci guda," in ji ta, "kuma da ciwon sukari, da farko, shi ne babban fifikona, sannan kuma ina tsammanin, 'oh abubuwa sun yi kyau, ina yin kyau,' kuma duk ba zato ba tsammani, yana tafiya ƙasa da jerin. ”

A shekara ta 2003, gwajin jini da aka yi ya nuna cewa yawan sikarin da ke cikin jininta ba ya cikin zangon da take niyya. Don taimakawa saukar da matakan sikarin jininta a ƙasa, likitanta ya ba da umarnin metformin, maganin baka wanda ake amfani da shi don magance ciwon sukari na 2 na shekaru da yawa. Metformin yana nan a matsayin magani na gama gari a farashi mai rahusa ko ma kyauta.

Shelby ya ce "Bai taba kashe ni fiye da $ 10 a wata ba,"

"A gaskiya, lokacin da ni [daga baya] na zauna a Arewacin Carolina, akwai wani kantin sayar da kayayyaki a wurin wanda ke ba da metformin kyauta," ta ci gaba. "Ina ganin saboda magungunan sun dade sosai, yana da sauki sosai, kamar idan muka ba ku metformin kyauta, za ku zo nan don wasu kaya."

Tuno da metformin fadada saki

A watan Mayu na 2020, an ba da shawarar cewa wasu masu ƙera metformin da aka ba da izinin cire wasu allunan daga kasuwar Amurka. Wannan saboda an sami matakin da ba za a yarda da shi ba na kwayar cutar sankara (wakili mai haddasa cutar kansa) a cikin wasu karafunan maganin metformin. Idan a halin yanzu kun sha wannan magani, kira likitan ku. Za su ba da shawara ko ya kamata ku ci gaba da shan magungunanku ko kuma idan kuna buƙatar sabon takardar sayan magani.

Ciwon sukari na 2 yana ci gaba kuma haka ma farashin

A cikin 2006, Shelby ta ƙaura tare da mijinta na biyu zuwa Cape Hatteras, jerin tsibirai waɗanda suka faro daga babban yankin North Carolina zuwa Tekun Atlantika.

Babu wasu cibiyoyin kula da cutar sikari ko kuma masana cututtukan cututtukan fata a yankin, don haka ta dogara ga likitan kula da lafiya don taimaka mata wajen kula da lafiyarta.

Ta ci gaba da shan maganin metformin a kullum, cin abinci mai kyau, da motsa jiki a kai a kai. Amma bayan shekaru da yawa, ta ga cewa waɗannan dabarun ba su isa ba.

"Na isa wani wuri da kuke tunanin kuna yin komai daidai, kuma komai cin abincinku, sukarin jini ya hauhawa," in ji ta.

Don taimakawa rage matakan sukarin jininta, likitanta na farko ya ba da umarnin maganin baka wanda aka fi sani da glipizide. Amma hakan ya sa matakan sikarin jininta ya sauka kasa sosai, don haka ta daina shanta kuma ta “kara tsananta” game da tsarin cin abincinta da motsa jiki don ƙoƙarin kiyaye sukarin jininta cikin kewayon.

Lokacin da Shelby da mijinta suka ƙaura zuwa Chapel Hill, North Carolina, a cikin 2013, har yanzu tana gwagwarmaya don sarrafa matakan sikarin jininta. Sabon likitanta na farko ya tura ta zuwa likitan ilimin likitanci.

Shelby ya ce, "Na je na ga likitan ilimin cututtukan cututtukan cikin gida a can," in ji Shelby, "kuma a zahiri ta ce, 'Kada ku doke kanku, wannan abu ne mai ci gaba. Don haka, ko da kun yi abubuwa daidai, zai kama ku a ƙarshe. ''

Masanin ilimin likitancin ya rubuta wani magani na allura wanda aka sani da Victoza (liraglutide), wanda Shelby yayi amfani dashi tare da metformin da dabarun rayuwa don rage matakan sikarin jininta.

Da farko, kawai ta biya $ 80 ne don kowane kayan kwana 90 na Victoza.

Amma a cikin 'yan shekaru, wannan zai canza ta wata babbar hanya.

Babban farashi na kiyaye inshorar inshora

Lokacin da aka fara gano Shelby da ciwon sukari, inshorar lafiya mai ɗaukar nauyi ce ta rufe ta.

Bayan ta bar aikinta don fara aikin kanta, sai ta biya don kiyaye tsohuwar tsarin inshorar ta na ɗan gajeren lokaci kafin ta sayi inshorar mai zaman kanta da kanta. A wancan lokacin, samun inshorar lafiya mai zaman kansa na iya zama da wahala ga waɗanda ke da yanayin rashin lafiya kamar ciwon sukari.

Sannan Dokar Kulawa mai Amfani (ACA) an fara aiki a cikin 2014 kuma zaɓin nata ya canza. Shelby da mijinta sun yi rajista a cikin shirin Blue Shield Blue Shield ta hanyar musayar ACA ta North Carolina.

A cikin 2014, sun biya $ 1,453 kowace wata a cikin jumlar jadawalin kuɗin kuma sun sami ragin $ 1 a cikin hanyar sadarwar dangi.

A 2015, wannan ya canza. Albashinsu na wata-wata ya ɗan faɗi kaɗan, amma rarar da aka samu na dangin su ya tashi zuwa $ 6,000. Lokacin da suka tashi daga North Carolina zuwa Virginia daga baya a waccan shekarar, farashin su ya ragu kaɗan zuwa $ 1,251 a kowane wata - amma abin da suke cirewa ya ƙara girma, yana ƙaruwa zuwa $ 7,000 a shekara.

A matsayin dangi, sun sami ɗan ƙaramin hutu lokacin da mijin Shelby ya cancanci Medicare. Darajar ta ta fadi zuwa $ 506 a kowane wata, kuma an saita adadin wanda ke cikin hanyar sadarwar ta $ 3,500 a shekara.

Amma hawa da sauka a cikin farashin bai tsaya ba. A shekarar 2016, kudaden da Sheby ke fitarwa na wata-wata ya fadi kadan zuwa $ 421 a kowane wata - amma ragin da aka samu a cikin hanyar sadarwa ya kai dala 5,750 a kowace shekara.

A cikin 2017, ta sauya zuwa Anthem, tana zaɓar wani tsari tare da farashi na wata $ 569 da kuma hanyar cire hanyar sadarwa ta $ 175 kawai a shekara.

Wannan shirin na Anthem ya samar da kyakkyawan tsarin inshorar da ta taɓa samu, in ji Shelby.

"Labarin ya ba da mamaki," kamar yadda ta fada wa Healthline. "Ina nufin, ban je wurin likita ba ko kuma wani aikin likita ba wanda sai na biya abu daya [tsawon shekara]."

Ta ci gaba da cewa, "Abin da kawai zan biya shi shi ne, takardar magani, kuma Victoza ta kasance 80 a cikin kwanaki 90."

Amma a ƙarshen 2017, Anthem ya fita daga musayar ACA na Virginia.

Shelby dole ta shiga cikin sabon tsari ta hanyar Cigna - shine kawai zaɓin ta.

"Na zabi daya," in ji ta. "Na samu wani tsari wanda ya kai $ 633 a wata, kuma abin da na cire ya kai $ 6,000, kuma daga aljihu ya kasance $ 7,350."

A kan matakin mutum, shi ne tsari mafi tsada daga kowane ɗayan tsarin inshorar lafiya da ta samu.

Yin jurewa da canje-canje da hauhawar farashi

A karkashin shirin inshorar Cigna na Shelby, farashin Victoza ya tashi da kashi 3,000 daga $ 80 zuwa $ 2,400 don samar da kwana 90.

Shelby bata ji dadin karin kudin ba, amma ta ji cewa maganin ya yi mata kyau. Ta kuma so cewa yana ba da fa'idodi masu amfani ga lafiyar zuciyarta.

Kodayake akwai wadatattun hanyoyin sayen magani, ta damu da cewa sun zo da babban kasadar hypoglycemia, ko kuma rashin sukarin jini.

"Ina son ƙin motsawa zuwa wasu magunguna masu arha," in ji Shelby, "saboda suna iya sa zafin jininku ya yi ƙasa, don haka to lallai ne ku damu da rauni."

Ta yanke shawarar tsayawa tare da Victoza kuma ta biya farashin.

Da a ce ba ta da gata sosai a harkar kudi, da ta yanke hukunci daban, in ji ta.

"Ina jin matukar sa'a cewa zan iya biyan $ 2,400 don magani," in ji ta. "Na fahimci cewa sauran mutane ba za su iya ba."

Ta ci gaba a kan wannan tsarin maganin har zuwa shekarar bara, lokacin da mai ba da inshorar nata ya gaya mata cewa ba zai kara rufe maganin ba - kwata-kwata. Ba tare da wani dalili ba na likitanci, ma'aikaciyar inshorar ta gaya mata cewa ba za ta rufe Victoza ba amma za ta rufe wani magani, Trulicity (dulaglutide).

Jimlar kudin Trulicity an saita zuwa $ 2,200 don kowace samarwa na kwana 90 a cikin 2018. Amma bayan da ta buge kudin ta na shekara, sai ta biya $ 875 don kowane sake cikawa da aka saya a Amurka.

'Katinan Ajiye' na masana'antun suna da duka Trulicity da Victoza, da kuma wasu magunguna, waɗanda zasu iya taimakawa mutanen da ke da inshorar lafiya na masu zaman kansu tare da tsada. Matsakaicin tanadi na Trulicity shine $ 450 don wadatar kwana 90. Ga Victoza, iyakar tanadi ita ce $ 300 don wadatar kwana 90.

A watan Disamba, Shelby da mijinta sun ziyarci Mexico kuma wani kantin magani na gida ya tsaya don yin kwatancen farashi. Don wadatar kwana 90, farashin yayi farashin akan $ 475.

A cikin gida, Shelby ta bincika adadin mai ba da inshorar ta na Trulicity na 2019. Bayan sanya magani a cikin keken ta don umarnin kan layi, farashin ya zo $ 4,486.

Yanzu, ban sani ba idan wannan shine ainihin abin da zan ƙarshe biya, "in ji Shelby," saboda wani lokacin ƙididdigar su ba daidai ba [daidai]. Amma idan wannan ne, Ina tsammani zan yi - ban sani ba. Ban sani ba ko zan biya shi ko kuma zan koma wani abu dabam. "

Biyan farashin kulawa

Magunguna shine ɓangare mafi tsada na shirin kula da ciwon sukari na 2 na yanzu na Shelby.

Amma ba ita kadai ce kudin da take fuskanta ba yayin da take kula da lafiyarta.

Baya ga sayen magungunan ciwon sikari, ta kuma yi amfani da aspirin na yara don rage kasadar kamuwa da bugun zuciya da shanyewar barin jiki, statins don rage matakan cholesterol na jininta, da maganin thyroid don magance hypothyroidism.

Wadannan al'amuran kiwon lafiya galibi suna tafiya kafada-da-kafada tare da ciwon sukari na 2. Akwai haɗin kai tsakanin yanayin da hypothyroidism. Batutuwa na zuciya da jijiyoyin jini, kamar su bugun zuciya, shanyewar jiki, da hauhawar hawan jini, suma sunfi kowa a cikin mutane masu ciwon sukari na 2.

Kudin likita da na kuɗi na cutar ciwon sukari na 2 sun ƙaru. Shelby ta kuma sayi daruruwan kayan gwaji a kowace shekara domin lura da matakan sukarin jininta a kullum. Wani lokaci, ta same ta mai rahusa ta sayi kayan gwaji daga ɗakunan ajiya, maimakon ta hanyar mai ba da inshorar ta. A shekarar da ta gabata, ta sami tube na gwaji kyauta don musayar gwaji na matukin jirgi sabon injin saka glucose.

Kwanan nan, ta sayi mai sa ido na ci gaba na glucose (CGM) wanda ke bin jinin jininta akai-akai ba tare da gwajin gwaji ba.

"Ba zan iya faɗi kyakkyawar magana game da shi ba," in ji Shelby ga Healthline. "Ina ganin kawai ya kamata su rubuta wadannan ga duk wanda ya kamu da cutar sikari, kuma lallai suna bukatar inshorar ta rufe su."

Ta ce, "Ba zan iya gaskata abubuwan da nake koya ba," in ji ta, "kawai daga iya ganin hoto na inda sukarin jinina yake duk yini."

Saboda Shelby baya ɗaukar insulin, mai ba da inshorar ba zai rufe kuɗin CGM ba. Don haka ta biya $ 65 daga aljihu don mai karatu ita kanta, da kuma $ 75 ga kowane firikwensin biyu da ta siya. Kowane firikwensin yana ɗaukar kwanaki 14.

Shelby ya kuma fuskanci biyan kuɗi da ƙididdigar tsabar kuɗi don alƙawarin kwararru da gwaje-gwaje na lab. Don taimakawa kulawa da kula da ciwon sukari, ta ziyarci likitan endocrinologist kuma ana aikin jini kusan sau biyu a shekara.

A cikin 2013 an gano ta da cutar hanta mai haɗari (NAFLD) - yanayin da zai iya shafar duk mutanen da ke da ciwon sukari na 2. Tun daga wannan lokacin, ta kuma ziyarci ƙwararren masanin hanta kowace shekara. An yi mata gwajin hanta da yawa da gwajin elastography.

Har ila yau, Shelby tana biyan kudin duba lafiyar ido na shekara-shekara, a lokacin da likitan idanunta ke duba alamomin lalacewar ido da hangen nesa da ke shafar mutane da yawa masu ciwon suga.

Tana biya daga aljihu don tausa kowane wata da kuma zaman yoga na sirri na mako-mako, wanda ke taimaka mata wajen sarrafa damuwa da tasirin da yake da shi akan matakan sukarin jininta. Akwai wadatattun zaɓuɓɓuka masu tsada - kamar su bidiyon yoga a gida da motsa jiki mai zurfi - amma Shelby ya shiga cikin waɗannan ayyukan saboda suna yi mata aiki da kyau.

Yin canje-canje ga tsarin abincin ta ya shafi yawan kuɗin da take kashewa na mako-mako, tunda abinci mai ƙoshin lafiya galibi yakan fi ƙarfin zaɓuɓɓuka masu ƙaranci.

Yakin neman karin araha magani

A hanyoyi da yawa, Shelby yana ɗaukar kanta mai sa'a. Yanayin kudadenta yana da kyau matuka, don haka bai kamata ta bar abubuwa masu "muhimmanci" don samun damar kula da lafiyarta ba.

Shin zan fi son kashe kudina kan wasu abubuwa, kamar tafiya, da abinci, da sabuwar mota? Tabbas, ”ta ci gaba. "Amma na yi sa'a da ba lallai ne in ba da abubuwa ba don in iya iyawa."

Ya zuwa yanzu, ta kauce wa matsaloli masu tsanani daga ciwon sukari.

Waɗannan rikitarwa na iya haɗawa da cututtukan zuciya da bugun jini, gazawar koda, lalacewar jijiya, rashin gani, matsalolin ji, cuta mai tsanani, da sauran al'amuran lafiya.

Irin waɗannan rikice-rikicen na iya shafar lafiyar jiki da ƙoshin lafiyar mutanen da ke fama da ciwon sukari, yayin da haɓaka haɓakar magungunan su ƙwarai da gaske. Wani bincike da aka gudanar a shekara ta 2013 ya nuna cewa ga matan da suka kamu da cutar sikari ta biyu tsakanin shekaru 25 zuwa 44, yawan kudin da ake kashewa na kai tsaye na jinya don magance matsalar da kuma matsalolin da ke tattare da ita shine $ 130,800.

A cikin binciken, kuɗaɗen da suka shafi rikice-rikice sun kai kusan rabin wannan jimlar farashin. Wannan yana nufin guje wa waɗannan rikitarwa na iya zama babban mai ceton kuɗi.

Don taimakawa haɓaka wayar da kan jama'a game da ƙalubalen kuɗi da yawancin mutane da ke fama da ciwon sukari na 2 ke fuskanta, Shelby ya zama mai ba da haƙuri.

Ta ce "Diungiyar Ciwon Suga ta Amurka tana daukar nauyin wani abu kowace shekara da ake kira Kira zuwa Majalisa a watan Maris." "Na kasance a cikin biyun karshe, kuma zan sake komawa a watan Maris. Don haka wannan wata dama ce ta gaya wa ‘yan majalisunku labarai kamar haka.”

Ta kara da cewa "Ina amfani da duk wata dama da zan samu wajen fadakar da zababbun jami'an na duk abin da muke fuskanta."

Har ila yau, Shelby yana taimaka wajan gudanar da kungiyoyin tallafi guda biyu ga mutanen da ke dauke da cutar sikari ta biyu, ta hanyar kungiyar da ake kira DiabetesSisters.

Ta ce, "Rukuni ne na mutanen da duk suke mu'amala da abin da kuke mu'amala da shi," in ji ta, "kuma kawai goyon bayan motsin zuciyar da kuke bayarwa da dauka a cikin irin wadannan muhallin ya kasance mai girma."

Ta ce, "Ina tsammanin duk wanda ke da wata irin cuta ta rashin lafiya ya yi ƙoƙari ya nemi ƙungiya kamar wannan," in ji ta, "domin yana taimaka ƙwarai da gaske."

23% sun ce yana da kyakkyawan fata.
18% sun ce yana samun isasshen motsa jiki.
16% sun ce yana kula da bayyanar cututtuka.
9% sun ce yana da tasirin magani.