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Insulin pump appointment - moan alert!

neryscm

Active Member
Messages
30
Hello,
I've just arrived home from my appointment with the lady who is responsible for insulin pumps at my diabetes centre (after waiting almost 2 hours to go in! But hey ho).
My current Hba1c is 10.3 m/mol (89 in mg/dL) and she told me to come back at the start of July to get it retested, where it will hopefully be between 8 and 9, as I'd then meet one of the NICE guidelines. She also reminded me that a consultant needs to agree before we submit funding requests etc, but unfortunately my appointment with my consultant was moved from April to October as he's off until then due to having an operation. She did say, however, that she'd chase down the consultant who is overseeing things until then, to explain my case and hopefully convince him that I should have a pump.
Basically I think I'm feeling a bit down as I was expecting everything to have moved a lot faster than this. I think I'd done so much reading and research into pumps that is psyched myself up to getting one soon, but now I'm feeling like a lead balloon.
Has anyone got any top tips on lowering my Hba1c? She told me that if it was lower than 8-9 m/mol i.e. around 5-6 m/mol then I wouldn't actually be eligible for a pump as it would show I can get a good reading without a pump, so all I'm looking for really is how to get it around 2 points lower in a period of about 8 weeks.
Sorry for the long post but I needed to rant somewhere, and thank you in advance for any replies.
 
Hi, just because a consultant is off sick doesn't mean you can not have the required treatment. Your trust should have in place a replacement to carry on his/her duties. So this excuse is not valid.
It's also a load of tosh regarding the pump criteria for having an A1c of 5 - 6 % as many pumpers had pumps with those figures. Your nurse is not reading the guidelines correctly.
Have you done any basic basal testing and do you carb count correctly and correct any highs that you have? These are the basics of bringing down your A1c Also testing at least 8 times a day will help to keep on top of things.
 
Second what CarbsRok has said, by proving that you are committed in lowering your Hba1c his will go in your favour rather than against you when the consultant assess your suitability for a pump.

Start with some basal testing and see if your background insulin needs adjusting, once you do that you can then look at things like your insulin-to-carb ratio's, the following is an on-line version of the DAFNE course, register and see if it help matters by completing the course:

http://www.bdec-e-learning.com/
 
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