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which areas are pro(or anti) insulin pumps?
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<blockquote data-quote="jopar" data-source="post: 72114" data-attributes="member: 11712"><p>The NICE guidelines were amended last year, in the main a more positive, as it gave credence to ‘quality of life’ aspects of benefiting from using an insulin pump and how they determined hypo’s to include a fear of hypo… Downfall was they increased the HbA1 level from 7.5 to 8%...</p><p> </p><p>They did improve the guidance concerning children, which in the old guidelines were really non-existent…</p><p></p><p>In the main the changes for the 12-18 years olds, is that they don’t have to have tried MDI previous to getting the pump, not do they face having under go a trail of MDI after having the insulin pump to be able to keep it…</p><p></p><p>There are several reasons for certain areas shying away from pump therapy, this can be from the consultant diabetic team not being educated in pump therapy, and some older consultants could be reluctant to research and/or use it, as with the first generation pumps did have and caused problems for the diabetic, but most of these have been resolved in the main, also they might be concerned as a downfall to pumping is that there no background insulin as backup, so any problems with pumping the diabetic can quickly become DKA…</p><p></p><p>And yes the actual cost of buying the pump and running it is a consideration indeed…</p><p></p><p>As you have in the main two types of diabetics. The can’t and the won’t kind…</p><p></p><p>The can’t diabetic</p><p></p><p>Is the diabetic who how ever hard they try, can’t not achieve good control, they’ve are doing the monitoring working with there insulin to achieve good control etc… And does include those that have other medical conditions that need to be taken into consideration with how control is effected…</p><p></p><p>The won’t</p><p></p><p>Are the diabetics who don’t bother looking after themselves, nor will they educate themselves to learn how it may be control/improved…? If they receive the education then they have no intention of doing what is needed to gain the control they need…</p><p></p><p>And with this latter group the won’t it is totally pointless to fund insulin pump therapy, as they would achieve very little or no improvements and yes in my opinion it is a waste of money and resources…</p><p></p><p>But with this all going on, the ones that should have the option available to them, are children and those who have tried all sorts to control there condition, with out arguments to funding…</p></blockquote><p></p>
[QUOTE="jopar, post: 72114, member: 11712"] The NICE guidelines were amended last year, in the main a more positive, as it gave credence to ‘quality of life’ aspects of benefiting from using an insulin pump and how they determined hypo’s to include a fear of hypo… Downfall was they increased the HbA1 level from 7.5 to 8%... They did improve the guidance concerning children, which in the old guidelines were really non-existent… In the main the changes for the 12-18 years olds, is that they don’t have to have tried MDI previous to getting the pump, not do they face having under go a trail of MDI after having the insulin pump to be able to keep it… There are several reasons for certain areas shying away from pump therapy, this can be from the consultant diabetic team not being educated in pump therapy, and some older consultants could be reluctant to research and/or use it, as with the first generation pumps did have and caused problems for the diabetic, but most of these have been resolved in the main, also they might be concerned as a downfall to pumping is that there no background insulin as backup, so any problems with pumping the diabetic can quickly become DKA… And yes the actual cost of buying the pump and running it is a consideration indeed… As you have in the main two types of diabetics. The can’t and the won’t kind… The can’t diabetic Is the diabetic who how ever hard they try, can’t not achieve good control, they’ve are doing the monitoring working with there insulin to achieve good control etc… And does include those that have other medical conditions that need to be taken into consideration with how control is effected… The won’t Are the diabetics who don’t bother looking after themselves, nor will they educate themselves to learn how it may be control/improved…? If they receive the education then they have no intention of doing what is needed to gain the control they need… And with this latter group the won’t it is totally pointless to fund insulin pump therapy, as they would achieve very little or no improvements and yes in my opinion it is a waste of money and resources… But with this all going on, the ones that should have the option available to them, are children and those who have tried all sorts to control there condition, with out arguments to funding… [/QUOTE]
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