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NHS contract for an insulin pump
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<blockquote data-quote="NicoleC1971" data-source="post: 2023404" data-attributes="member: 365308"><p>I have had a pump for 7 years now I think and like most diabetic pumpers I know, I'd prefer to keep it. But I am aware that my HBA1c is not much improved and that this and hypos are the quantitative measure by which a CCG and its intermediaries (the care team) will rationalise whether to give me the next one.</p><p>I do not believe that anyone who has had a pump removed (nobody I know although it has been threatened) would get one back either.</p><p>At around £3k a year which far excedes MDI regine costs, I get that and do feel guilty if I don't make the most of the tools but obviously some things feel beyond my control.</p><p>I like it because it is a little drip every hour rather than 5+ daily jabs and less hypos, but after 7 years' I think that it is only the addition of the CGM that is going to be a game changer for me.</p><p>I also worry about the scar tissue issue (the reason Richard Bernstein doesn't like pumps) which manifests as poor insulin absorption more frequently than it used to.</p><p>I would agree with earlier posts that the pump is a great tool if you and your team have the resources to make it work really well. </p><p>How many of us have that level of input ?</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 2023404, member: 365308"] I have had a pump for 7 years now I think and like most diabetic pumpers I know, I'd prefer to keep it. But I am aware that my HBA1c is not much improved and that this and hypos are the quantitative measure by which a CCG and its intermediaries (the care team) will rationalise whether to give me the next one. I do not believe that anyone who has had a pump removed (nobody I know although it has been threatened) would get one back either. At around £3k a year which far excedes MDI regine costs, I get that and do feel guilty if I don't make the most of the tools but obviously some things feel beyond my control. I like it because it is a little drip every hour rather than 5+ daily jabs and less hypos, but after 7 years' I think that it is only the addition of the CGM that is going to be a game changer for me. I also worry about the scar tissue issue (the reason Richard Bernstein doesn't like pumps) which manifests as poor insulin absorption more frequently than it used to. I would agree with earlier posts that the pump is a great tool if you and your team have the resources to make it work really well. How many of us have that level of input ? [/QUOTE]
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