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Type 1 Diabetes
Is an insulin pump just another insulin delivery device?
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<blockquote data-quote="Deleted Account" data-source="post: 2082313"><p>Whilst I don't believe pumps (or CGM or Libre) should be a reward for active diabetes management and I don't think we should have to jump through lots of loops, I believe money should be spent on treatments for people that get the most out of them.</p><p>Most of my diabetes related conversations are with people on this forum; people interested in and care about managing their diabetes. Therefore, it is easy to forget about the people with type 1 who don't have the interest/motivation/intellect to manage their condition.</p><p>My DSN was recently discussing some of her "patients". I use quotes because they rarely turn up to appointments or they turn up and lie about their results or don't listen to the advice they are given or they stop taking their insulin or just blindly follow the instructions about doses without making adjustments for illness/exercise/different meals.</p><p>Thankfully, I have no other conditions to compare with diabetes but it is not a easy condition to manage. It takes time to understand, it takes effort to work out what is happening, it takes brain power we can't always spare, ... We cannot just take a tablet twice a day and get on with our lives.</p><p></p><p>Ignoring the expense, if we could given everyone with type 1 diabetes a pump, would it help or hinder these people who don't have the interest/motivation/ intellect?</p><p>I imagine it would help some but I expect the numbers would be small. If you are not willing to do basal testing, the variable basal on a pump would not help. If you cannot (or will not) carb count, small insulin doses would be of little value. If you panic when your BG goes very high, you may struggle if your pump fails. If you don't like changing the insulin cartridge in a pen, you will hate changing a pump set.</p><p></p><p>I believe insulin pumps should be made available to more people and, maybe some will benefit from a pump right at the start. But, although I agree with the points [USER=30007]@tim2000s[/USER] makes, I don't think they should be handed out like pens.</p><p></p><p>Some of my pump dislikes (e.g. being attached all the time) may be less of an issue if I had one from the start. But I still think it requires more effort than many brains are able to spare when dealing with a new diagnosis of a chronic condition.</p><p></p><p>Great topic for thought and discussion though. Thanks for starting it.</p></blockquote><p></p>
[QUOTE="Deleted Account, post: 2082313"] Whilst I don't believe pumps (or CGM or Libre) should be a reward for active diabetes management and I don't think we should have to jump through lots of loops, I believe money should be spent on treatments for people that get the most out of them. Most of my diabetes related conversations are with people on this forum; people interested in and care about managing their diabetes. Therefore, it is easy to forget about the people with type 1 who don't have the interest/motivation/intellect to manage their condition. My DSN was recently discussing some of her "patients". I use quotes because they rarely turn up to appointments or they turn up and lie about their results or don't listen to the advice they are given or they stop taking their insulin or just blindly follow the instructions about doses without making adjustments for illness/exercise/different meals. Thankfully, I have no other conditions to compare with diabetes but it is not a easy condition to manage. It takes time to understand, it takes effort to work out what is happening, it takes brain power we can't always spare, ... We cannot just take a tablet twice a day and get on with our lives. Ignoring the expense, if we could given everyone with type 1 diabetes a pump, would it help or hinder these people who don't have the interest/motivation/ intellect? I imagine it would help some but I expect the numbers would be small. If you are not willing to do basal testing, the variable basal on a pump would not help. If you cannot (or will not) carb count, small insulin doses would be of little value. If you panic when your BG goes very high, you may struggle if your pump fails. If you don't like changing the insulin cartridge in a pen, you will hate changing a pump set. I believe insulin pumps should be made available to more people and, maybe some will benefit from a pump right at the start. But, although I agree with the points [USER=30007]@tim2000s[/USER] makes, I don't think they should be handed out like pens. Some of my pump dislikes (e.g. being attached all the time) may be less of an issue if I had one from the start. But I still think it requires more effort than many brains are able to spare when dealing with a new diagnosis of a chronic condition. Great topic for thought and discussion though. Thanks for starting it. [/QUOTE]
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Is an insulin pump just another insulin delivery device?
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