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Why Won't My Diabetes Nurse Let Me Have A Pump?
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<blockquote data-quote="kitedoc" data-source="post: 1879819" data-attributes="member: 468714"><p>Hi [USER=365308]@NicoleC1971[/USER], I would be interested in reviewing the research stating pumps are no better than MDI for HBAIC results.</p><p>Do you have a reference.?</p><p>Without use of a pump at the 45 years on insulin mark despite intensive MDI, I would have lost my driving licence, suffered setbacks in my career and possibly died or become brain damaged through hypoglycaemia.</p><p>Measuring HBA1C does not tell you anything about hypoglycaemic episodes and cannot be considered the final arbiter of diabetes control, just an average idea of what is happening.</p><p>Quality of life IS relevant as disability caused by hypoglycaemia, concomitant loss of earning, resulting rehabilitation all may cost more than would the relatively piddling cost of a pump by comparison.</p><p>Please, I am not against you raising the issue of pumps vs MDI, I applaud it as it is important to understand the sources of information and the thought processes (or lack of them) of policy makers, who by and large do not have a clue what it is like to be an insulin-requiring diabetic.</p><p>All too often cost savings trump quality of life issues. Why are not clinicians speaking up about this and does the NHS and CCGs not allow community representation on their boards and committees? Where has common sense gone?</p><p>And will the intransigence of officialdom lead T1Ds to purposefully suffer hypos to prove a point?</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1879819, member: 468714"] Hi [USER=365308]@NicoleC1971[/USER], I would be interested in reviewing the research stating pumps are no better than MDI for HBAIC results. Do you have a reference.? Without use of a pump at the 45 years on insulin mark despite intensive MDI, I would have lost my driving licence, suffered setbacks in my career and possibly died or become brain damaged through hypoglycaemia. Measuring HBA1C does not tell you anything about hypoglycaemic episodes and cannot be considered the final arbiter of diabetes control, just an average idea of what is happening. Quality of life IS relevant as disability caused by hypoglycaemia, concomitant loss of earning, resulting rehabilitation all may cost more than would the relatively piddling cost of a pump by comparison. Please, I am not against you raising the issue of pumps vs MDI, I applaud it as it is important to understand the sources of information and the thought processes (or lack of them) of policy makers, who by and large do not have a clue what it is like to be an insulin-requiring diabetic. All too often cost savings trump quality of life issues. Why are not clinicians speaking up about this and does the NHS and CCGs not allow community representation on their boards and committees? Where has common sense gone? And will the intransigence of officialdom lead T1Ds to purposefully suffer hypos to prove a point? [/QUOTE]
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