Yes - it is the UK diabetes charity that funds research, lobbies parliament, provides diabetes education and provides support for people struggling with the impacts of diabetes such as those facing discrimination at work or school.Thank you. Is that diabetes.org.uk?
Hello, I'd like to ask for your advice please.
Last year I was arrested and held in custody in a London police station. I was arrested in the morning before I had had my basal and I forgot to take this insulin with me when I was taken to the station. I was held in the police cell for the rest of the day and I realised later on that I hadn't had my basal insulin. I had brought my meal-time bolus insulin and my correction insulin to the police station and this was held by the police while I was in custody so I did not have access to my medicine. I repeatedly asked if I could correct my blood sugar with my insulin and this was refused. I was told that I had to eat before I could have any insulin! That's obviously problematic because I needed to correct my blood sugar levels that were going up before I would consider eating but it's also problematic because diabetics are supposed to take insulin before eating, not the other way round!
I've complained to the police. Their response amounted to a whitewash and I've appealed the decision. The appeal has been sent to the Independent Office for Police Conduct whose decision is final. I am going to send them some extra information.
I was given a copy of some guidelines when I was in custody and they appear to be slightly different from the guidelines here Recommendations - Management of Diabetes Mellitus in Custody | FFLM which the police are referring to in their defence, though that may not be important. The guidelines say that 'a diabetic needs food to take insulin', a statement that is clearly mistaken. They also say 'a diabetic should not be prevented from using his/her normal medicine' and 'In the event the usual insulin is not available [it] is recommended to obtain a suitable prescription via the emergency department, or the [healthcare professional] may prescribe a short-acting insulin'.
I had my short-acting insulins with me and I would normally correct my high blood sugar and then probably take my basal after that. I was told I could not have my insulin without eating and I could not check my blood glucose myself. I believe that's wrong. My blood glucose skyrocketed and I was taken to the hospital (while still under arrest) with high ketones, ph level, and blood glucose. This had a bad effect on how I felt and it will also have had a detrimental effect on my long-term health so that's why I've complained and appealed.
I'd also like to point out that the guidance says 'It may be safer practice to maintain BG levels higher than the optimum community levels to reduce vulnerability to hypoglycaemia in detention'. I do not think that's right. A diabetic should have the same treatment as they would expect normally in the community or at home. Aside from the health effects of having high blood glucose, I don't think a diabetic can answer police questions as well as when their blood glucose is being properly managed. I felt really unwell during questioning but I answered the police questions as well as I could.
I'm wondering if someone has had a similar experience while in police custody, has complained to the police, or appealed a police complaint, or has any information that could help me in my desire to get justice? Ultimately I want to change the guidelines so that I and others aren't put in a similarly impossble, or difficult, situation.
I believe it should be my human right to equal and fair treatment while in police custody and that means the police should have given me my medication. What do you think?
I've messaged diabetes.co.uk and diabetes.org.uk directly and so far I haven't had a response. Thank you for reading.
No detained person can have access to any medicine or paraphernalia such as lancets because of safety issues to others and the detained person him/herself.
Hopefully he or she would have the knowledge to recognise that a T1 needs their insulin and/or blood testing equipment.. (Oh, I'm going to go on a rampage and kill my cellmates with my lancets....)
Next time I'm at work I will take a look at the exact details & wording if you (and others) are interested. When I'm at work and I hear someone saying 'This person is hypo or has diabetes', I'm in there shouting advice!!!
Thanks, that would be really interesting. And I'd really really love to know what the regulations say about T1s on insulin pumps.
'If person has diabetes...contact Nurse for advice
So the pump gets taken away because it's potentially lethal, and the Nurse has to administer insulin. How does she know how much? If my bg is at 20, I need a 100unit bolus. That could kill an average type one. If I don't get that though, I can go into DKA. Either way the system is risking lives.Yep, I would be VERY surprised if it mentioned pumps but I will take a look. Also I will make every effort to get things highlighted if it appears outdated or totally wrong etc! I suspect the policy will say 'If person has diabetes...contact Nurse for advice' BUT it's also interesting what 'training' or expertise a Nurse has. As we all know if it's an 'average' Nurse then gawd help us. x
Thanks, that would be really interesting. And I'd really really love to know what the regulations say about T1s on insulin pumps.
The advice to only have insulin with food is wrong and shows a lack of understanding of diabetes. The advice clearly needs to be updated and diabetes.org.uk should be contacted to help.
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