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Type 1 Diabetes
Is an insulin pump just another insulin delivery device?
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<blockquote data-quote="kitedoc" data-source="post: 2082065" data-attributes="member: 468714"><p>Having been diagnosed in 1966, the option of an insulin pump, cgm, even glucose meters was impossible. And there is this stubbornness and wish to be independent which led to me resisting the move to a pump til much later than i could have</p><p></p><p>I see this will to be as independent as possible as one of the hindrances that we as patients/ consumers sometimes cause well-meaning health professionals, as @tim2000s.may be alluding to.</p><p></p><p>In terms of acceptance of insulin pumps at diagnosis, children seem to take to them like ducks to water to quote a phrase. Those older might be more hesitant but that does to mean that it is impossible. I think financial strictures and criteria to limit the numbers eligible to use pumps are Government-inspired plus inflexibility in some doctoras to iniate pump therpay early. I have personally witnessed this latter attitude over and over.</p><p></p><p>. If doctors have been trained to start TIDs on insulin injections and wait until something goes wrong before the pump is suggested then the utility of the pump and the potential for improved control in that important first 6 1/2 years is often missed..</p><p></p><p>However i contend that the best HBAICs and lowest bsl excursions require a LOW carb diet in addition to either pump or insulin injection therapy to maximise that potential in the first 6 1/2 years for a more complication -free future.</p></blockquote><p></p>
[QUOTE="kitedoc, post: 2082065, member: 468714"] Having been diagnosed in 1966, the option of an insulin pump, cgm, even glucose meters was impossible. And there is this stubbornness and wish to be independent which led to me resisting the move to a pump til much later than i could have I see this will to be as independent as possible as one of the hindrances that we as patients/ consumers sometimes cause well-meaning health professionals, as @tim2000s.may be alluding to. In terms of acceptance of insulin pumps at diagnosis, children seem to take to them like ducks to water to quote a phrase. Those older might be more hesitant but that does to mean that it is impossible. I think financial strictures and criteria to limit the numbers eligible to use pumps are Government-inspired plus inflexibility in some doctoras to iniate pump therpay early. I have personally witnessed this latter attitude over and over. . If doctors have been trained to start TIDs on insulin injections and wait until something goes wrong before the pump is suggested then the utility of the pump and the potential for improved control in that important first 6 1/2 years is often missed.. However i contend that the best HBAICs and lowest bsl excursions require a LOW carb diet in addition to either pump or insulin injection therapy to maximise that potential in the first 6 1/2 years for a more complication -free future. [/QUOTE]
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Is an insulin pump just another insulin delivery device?
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