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<blockquote data-quote="tim2000s" data-source="post: 1202532" data-attributes="member: 30007"><p>Grant, have you checked the Input website? NICE are not the only guidelines. There's also the ABCD stuff on which far more people qualify. There's more here: <a href="http://www.inputdiabetes.org.uk/alt-insulin-pumps/is-it-provided-by-the-nhs/" target="_blank">http://www.inputdiabetes.org.uk/alt-insulin-pumps/is-it-provided-by-the-nhs/</a></p><p></p><p><strong>ABCD recommends that insulin pump therapy is also considered in the following situations</strong>:</p><p>• Pregnancy</p><p>• Acute painful neuropathy or symptomatic autonomic neuropathy if</p><p>conventional treatment fails to enable adequate blood glucose control</p><p>• Hypoglycaemia unawareness</p><p>• Extreme insulin sensitivity</p><p>• Needle phobia</p><p>• Severe insulin resistance with poor blood glucose control</p><p>(especially if type 2)</p><p>• Specific quality of life issues:</p><p>– Pathological fear of hypoglycaemia</p><p>– Marked glycaemic excursions/dawn phenomenon</p><p>– Excessive number of injections for optimised control</p><p>– Impaired exercise capacity, abnormal eating behaviour or an unacceptable number of sick days</p><p>– Shift work or frequent travel across time zones</p><p>– In children: sub-optimal school performance, exclusion from aspects of a full school life; behavioural problems (for example, mealtimes); adverse impact on family dynamics</p><p></p><p>Mine was obtained on the grounds of marked glycaemic excursions/dawn phenomenon, with Glycaemic Variabilty stated as the cause, along with excessive number of injections.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1202532, member: 30007"] Grant, have you checked the Input website? NICE are not the only guidelines. There's also the ABCD stuff on which far more people qualify. There's more here: [URL]http://www.inputdiabetes.org.uk/alt-insulin-pumps/is-it-provided-by-the-nhs/[/URL] [B]ABCD recommends that insulin pump therapy is also considered in the following situations[/B]: • Pregnancy • Acute painful neuropathy or symptomatic autonomic neuropathy if conventional treatment fails to enable adequate blood glucose control • Hypoglycaemia unawareness • Extreme insulin sensitivity • Needle phobia • Severe insulin resistance with poor blood glucose control (especially if type 2) • Specific quality of life issues: – Pathological fear of hypoglycaemia – Marked glycaemic excursions/dawn phenomenon – Excessive number of injections for optimised control – Impaired exercise capacity, abnormal eating behaviour or an unacceptable number of sick days – Shift work or frequent travel across time zones – In children: sub-optimal school performance, exclusion from aspects of a full school life; behavioural problems (for example, mealtimes); adverse impact on family dynamics Mine was obtained on the grounds of marked glycaemic excursions/dawn phenomenon, with Glycaemic Variabilty stated as the cause, along with excessive number of injections. [/QUOTE]
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