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Please I want your answers in regards to Insulin pumps and the access to them.
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<blockquote data-quote="In Response" data-source="post: 2502315" data-attributes="member: 527103"><p>[USER=533331]@Olihill99[/USER] I don't see it as the NHS/DSN not trusting you to use the pump but that they may not feel you are ready after ony a year. </p><p>Even with a closed loop, you have to carb count - injected insulin does not work fast enough. And you need to carb count much more accurately than you did with injections because there is no "spare" basal (injected basal assumes your needs are the same 24 hours a day which they are not so, typically your dose is closer to the period when your body is most hungry for basal and ,as a result, you have extra basal for other times of the day).</p><p>Plus, and this is most important for me, pumps can fail. They never fail at a convenient time and it is always stressful. When pumps fail, you have to revert to injecting. So, injecting must be second nature to be able to quickly adjust during stress. </p><p></p><p>I think you are incredibly lucky if you are a candidate for a pump only a year after diagnosis and must have show an amazing aptitude for understanding how your body works to be on the list for a pump after such a short time. Many many many people are not able to adjust that fast and understand diabetes well enough to be able to manage a pump. A pump is VERY complex. Closed loop does not do everything for you. </p><p></p><p>Whilst I agree that something needs to be done to <strong>find the budget</strong> to be able to fund insulin pumps (and the training) for more people with Type 1. I think the people who should be prioritised are those who have struggled with MDI for years.</p></blockquote><p></p>
[QUOTE="In Response, post: 2502315, member: 527103"] [USER=533331]@Olihill99[/USER] I don't see it as the NHS/DSN not trusting you to use the pump but that they may not feel you are ready after ony a year. Even with a closed loop, you have to carb count - injected insulin does not work fast enough. And you need to carb count much more accurately than you did with injections because there is no "spare" basal (injected basal assumes your needs are the same 24 hours a day which they are not so, typically your dose is closer to the period when your body is most hungry for basal and ,as a result, you have extra basal for other times of the day). Plus, and this is most important for me, pumps can fail. They never fail at a convenient time and it is always stressful. When pumps fail, you have to revert to injecting. So, injecting must be second nature to be able to quickly adjust during stress. I think you are incredibly lucky if you are a candidate for a pump only a year after diagnosis and must have show an amazing aptitude for understanding how your body works to be on the list for a pump after such a short time. Many many many people are not able to adjust that fast and understand diabetes well enough to be able to manage a pump. A pump is VERY complex. Closed loop does not do everything for you. Whilst I agree that something needs to be done to [B]find the budget[/B] to be able to fund insulin pumps (and the training) for more people with Type 1. I think the people who should be prioritised are those who have struggled with MDI for years. [/QUOTE]
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