Why does the standard of care differ in the uk

Hi @DannyH,
Totally agree the system isn't "fair" and as mentioned by others pumps are expensive and even more importantly pretty difficult to use effectively.

Probably 3 factors to consider re your likelihood of being approved - a) postcode lottery, what overall budget is available to your area - this is out of your control, b) your current issues using MDI, access to / improvement using Libre, DAFNE course attendance completed. Note chronic hypos and hypo unawareness in adult Type 1s is much more of indicator to be considered for pump therapy than high BG levels. But all these much more in your universe to personally influence. And sadly c) your area's availability of specialist staff to train, supervise and evaluate the effectiveness of your pump usage - again variable and in short supply countrywide. But a proactive attitude and willingness to cooperate using time consuming and detailed number monitoring can go a long way.

I've just had a 6 mth review with my diabetes endo - lots to discuss as I self fund a Dexcom G6 CGM. Conclusion - I need to redo basal testing with my Diabetes nurses as too many nighttime hypos, maybe change insulins, add BP medication (not on it yet). Reading between the lines he would consider recommending me for a pump, but looks like a minimum of 18 months more evaluations first. Pragmatically I think this is reasonable, though I still envy a Scottish lady that I've met that was approved almost immediately for both CGM and pump when diagnosed Type 1 age late 40's!

Just keep cracking on!

Hi Danny, it's important you don't feel alone in managing this that's why support through others is vital, we are all open books when it comes to learning new stuff about t1, it is an ever changing game, so its important being adaptable to new techniques/tech/care.

Every day is a school day as a t1 friend told me once !

Hope you can build a good relationship with your team, find that one good nurse to back you and you've got it sorted.