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<blockquote data-quote="mnickle" data-source="post: 2198237" data-attributes="member: 518440"><p>I’m based in the south west Cornwall. You are very right only a handful of people have the pump. Although there seems to be a lot of T2’s who have the pump in America I understand we have a completely different system when it comes to medical most are using the Tslim or Medtronic and alot wear the V-go patch pump </p><p>which comes in 3 versions 20, 30, 40 units of fast acting insulin and delivers insulin over 24hr and is replaced everyday. The only problem with this once daily patch pump is you can’t set insulin rates as you can with regular insulin pumps. Yes I have tried half a unit pens but still hasn’t helped me sometimes even half a unit is to much for me yet at other times I need so much more units especially in the morning. It’s very clear that my body needs different amounts of insulin at different times of the day something I cannot achieve using MDI. My last discussion with my health team was applying for Individual funding request to the CCG. The guidelines that Nice say that Insulin pumps are only for T1 and not for T2. However if a consultant thinks the following:</p><p>1. Insulin pump therapy is the only method of treatment that will work for a patient.</p><p>2. The patient has numerous health problems that make it impossible to control there diabetes. </p><p>3. Have consistently high Hba1c </p><p>4. Other medications have been tried & exhausted </p><p>5. It would be cost effective in the long run to have insulin therapy ie: reduce hospital admission </p><p>6. If the patient requires numerous injections on a daily basis with no real blood glucose control.</p><p>7. If the patient has Dawn phenomenon </p><p>8. Constant Hypo & Hyper that is out of your control </p><p></p><p>If the Endocrinology team give evidence that insulin therapy will give good quality of life and hopefully see a lower Hba1c then the CCG may grant funding for insulin pump therapy. I currently self fund the Dexcom G6 as I have hypo-unawareness this has proved to be a life saver and also to detect patterns with my uncontrolled diabetes. As my T2 diabetes doesn’t present itself as a normal T2 the ? is would I qualify for alternative treatment. I have been in discussions for the last 2yrs with my Endocrinologist & team so we are most definitely looking at every possible treatment. I wanted to know if anyone else has gone through this process. Input were very helpful according to them there are some T2’s in the uk but only a small amount who have the pump but we don’t know if they are self funded or NHS funded.</p></blockquote><p></p>
[QUOTE="mnickle, post: 2198237, member: 518440"] I’m based in the south west Cornwall. You are very right only a handful of people have the pump. Although there seems to be a lot of T2’s who have the pump in America I understand we have a completely different system when it comes to medical most are using the Tslim or Medtronic and alot wear the V-go patch pump which comes in 3 versions 20, 30, 40 units of fast acting insulin and delivers insulin over 24hr and is replaced everyday. The only problem with this once daily patch pump is you can’t set insulin rates as you can with regular insulin pumps. Yes I have tried half a unit pens but still hasn’t helped me sometimes even half a unit is to much for me yet at other times I need so much more units especially in the morning. It’s very clear that my body needs different amounts of insulin at different times of the day something I cannot achieve using MDI. My last discussion with my health team was applying for Individual funding request to the CCG. The guidelines that Nice say that Insulin pumps are only for T1 and not for T2. However if a consultant thinks the following: 1. Insulin pump therapy is the only method of treatment that will work for a patient. 2. The patient has numerous health problems that make it impossible to control there diabetes. 3. Have consistently high Hba1c 4. Other medications have been tried & exhausted 5. It would be cost effective in the long run to have insulin therapy ie: reduce hospital admission 6. If the patient requires numerous injections on a daily basis with no real blood glucose control. 7. If the patient has Dawn phenomenon 8. Constant Hypo & Hyper that is out of your control If the Endocrinology team give evidence that insulin therapy will give good quality of life and hopefully see a lower Hba1c then the CCG may grant funding for insulin pump therapy. I currently self fund the Dexcom G6 as I have hypo-unawareness this has proved to be a life saver and also to detect patterns with my uncontrolled diabetes. As my T2 diabetes doesn’t present itself as a normal T2 the ? is would I qualify for alternative treatment. I have been in discussions for the last 2yrs with my Endocrinologist & team so we are most definitely looking at every possible treatment. I wanted to know if anyone else has gone through this process. Input were very helpful according to them there are some T2’s in the uk but only a small amount who have the pump but we don’t know if they are self funded or NHS funded. [/QUOTE]
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