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Message: <blockquote data-quote="Oldvatr" data-source="post: 1330527" data-attributes="member: 196898">There used to be a team who provided dietary and pump clinic support, but they were disbanded due to cuts and only support the local hospital  We have one Consultant, and two DCN in the county, but most local GP surgerues have trained healthcare workers who support the GP clinics. I don't think my friend wants to count anything.  I think he works like a bang - bang servo system in that he makes rough estimate when he sets up his basal in the pump, then he tests later and either eats biscuits or adds a correction dose on the pump based on his readings.  He often says when I meet him for rehearsal or gig that he has just eaten  high calorie meal and has given himself 20 units so he should last the gig.  Sometimes he only gives himself 10 units, so it is very rough and ready.  I have never heard him use the term bolus, but he does use basal.  He understands how to deal with low bgl in his own way and only uses insulin correction when it is high.  His target level seems to be 7 mmol/l since he is shocked when I get a 5 and don'r eat a biscuit immediately.  I think high calorie in his eyes equates to high fat, so it is his way of compensating for the effect that has on him.  I did copy him the report on T1 IR due to high fat intake, and he did read it, coz he mentioned that now he delays his readings and it helps stop him from over correcting/I agree that his control is nothing like what it should be (as currently taught) but he is an obstinate old codger, and must do things his way.  Its the same with his music, so learning a new song is a challenge.  Having experienced disagreements with him, I can see why a Consultant has told him to revert to his old ways, rather than insisting that he do it correctly.  When he was LC with me, he liked it since he did not have to count carbs, just avoid high carbs, and he did report needing less insulin, so he was clear that that was what would probably happen.  So it was no more dangerous that his current bang-bang regime, where someone would regularly pick him up off the floor.  I taught him my more  relaxed way of using LC, and it suited him, And he was beginning to report finding LC meals at Asda that I could use, with glee.  I hope I can get him back on the wagon,</blockquote>

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