01/07/2025
📍TROY'S STORY — PARKES, NSW
Diagnosed with Type 1 Diabetes just before COVID hit in 2020, Troy has faced this condition with little support and a lot of barriers.
When I met him in September 2024, he hadn’t had pathology in 6–12 months. He didn’t know his HbA1c and wasn’t wearing a CGM after a terrible experience — his first CGM left him in pain with numbness down one side. When it was removed, a full needle came out. Understandably, he was scared to try again.
Troy is the full-time carer for his grandmother and lives on a Concession Card. Like many Australians, he doesn’t have private health insurance and cannot afford an insulin pump — a piece of equipment that should be standard, not a privilege.
In oct 2024 his hba1c was 12.4%. His kidney function was starting to show signs of strain. Despite all this, Troy showed up. He wanted to do better.
In March 2025, we got him started on the Dexcom G7 — and his HbA1c had dropped to 9.9%. Better… but still not enough to prevent long-term complications.
Last week we got him on the Medtronic 780G insulin pump — even without private insurance. These pumps can save lives, reduce complications, and ease the mental load of diabetes… so why should people like Troy have to go without?
His time InRange when we started the pump was 38% — a significantly improved hba1c of 7.7! 👏 an excellent change from a year ago which he managed on injections. Of course it is possible but it takes a lot of effort, concentration and flexibility. After just one week on the 780G, his time InRange is 76% with nil increased low symptoms..
Troy hasn’t had formal carb counting education. But we've developed a system in collaboration with his specific insulin pump settings — estimating 10g, 20g, or 40g based on how a plate looks. And it’s working. He’s doing less, feeling better, and finally has hope. It can be as simple as knowing that a sandwich is 30g and comparing the rest of your plates to that, if it needs to be!
To top it all off, today he was approved for his taxi licence. 🧡
This is the power of access, of support, of someone in your corner.
Let’s be clear: diabetes care should not be dictated by what’s in your bank account.
We must do better for people like Troy.
📍If you or someone you know is living with T1D and feeling unsupported — reach out. There are options. And you’re not alone! Diabetes Australia Medtronic Diabetes - Aus Kerin Health