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Type 1 Diabetes
Would you prefer to be on insulin injections or on a pump?
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<blockquote data-quote="SimonClifford" data-source="post: 337528" data-attributes="member: 51740"><p><strong>Re: Would you prefer to be on insulin injections or on a pum</strong></p><p></p><p></p><p> Me too, desperately been trying to get a pump for the last 4 years. Tried clinic after clinic in the area and across 3 PCTs. I THOUGHT I'd nearly got there a few months ago, with appointments booked with the pump clinic nurse. I'd done my research, I've done DAFNE, I've been using an Aviva-Expert, I've got pictures of carb-counted meals, I've gone and got a 0.5u pen (back on cartridges). Only to discover, "Well, actually, we call ourselves a pump clinic because we don't have enough staff to run a standard diabetic clinic as well" <cue sound of pedals going backwards quickly> I'm afraid your HBa1c is showing you're very well controlled [6.7] (blooming well should be after 6 blood tests a day, and correction injections every 3-4 hours). Although we often admit to being quite free with pumps and we do give them to type-2 diabetics as well {WHAT THE!!!?} we DO adhere quite strictly to the NICE guidelines. (except for the type-2 thing, I suppose). </p><p>So now I'm wondering if the only way is to "engineer" results to comply with NICE guidelines (yes I am completely FED UP with 8 injections a day, my injection sites are all swelling up <"you can use the top of your thighs and buttocks too you know" Yeah - right, they'll love me pulling my trousers down in the office every 3 hours, I'm sure!> So how do you "engineer" your results as the DSN "alluded" to? just HOW LONG is a "persistent HBa1c >8.5%" - how long am I going to have to sustain that? Alternatively, a little bit of chemistry might help ... "fear of unexpected hypos". Hmm, well guys, by my calculation, a standard dextrose tablet is 15mmol of glucose. </p><p></p><p>On a completely different, totally unassociated and off-topic line of thought, if a standard Boots lucozade tablet was diluted in 1l of tapwater you'd have 15mmol/l "blood" - dilute 100ml of THAT in another 300ml of water and you've got ~3.3mmol/l "hypo in a bottle". Its interesting to observe that the Aviva Expert meter doesn't do a conductivity test to see if real blood is present. The Insulix does, so a small amount of salt would be needed to get THAT meter to provide a result with this solution. Of course this is all purely hypothetical and I dare say that NOBODY keen on getting a pump would EVER consider using such a 3mmol/l solution of glucose randomly every couple of days. :roll: </p><p></p><p>... Interesting to note also, that if the consultant sees NICE-compliant reasons, then the budgets associated with the clinic are NOT a reason to deny a pump.</p></blockquote><p></p>
[QUOTE="SimonClifford, post: 337528, member: 51740"] [b]Re: Would you prefer to be on insulin injections or on a pum[/b] Me too, desperately been trying to get a pump for the last 4 years. Tried clinic after clinic in the area and across 3 PCTs. I THOUGHT I'd nearly got there a few months ago, with appointments booked with the pump clinic nurse. I'd done my research, I've done DAFNE, I've been using an Aviva-Expert, I've got pictures of carb-counted meals, I've gone and got a 0.5u pen (back on cartridges). Only to discover, "Well, actually, we call ourselves a pump clinic because we don't have enough staff to run a standard diabetic clinic as well" <cue sound of pedals going backwards quickly> I'm afraid your HBa1c is showing you're very well controlled [6.7] (blooming well should be after 6 blood tests a day, and correction injections every 3-4 hours). Although we often admit to being quite free with pumps and we do give them to type-2 diabetics as well {WHAT THE!!!?} we DO adhere quite strictly to the NICE guidelines. (except for the type-2 thing, I suppose). So now I'm wondering if the only way is to "engineer" results to comply with NICE guidelines (yes I am completely FED UP with 8 injections a day, my injection sites are all swelling up <"you can use the top of your thighs and buttocks too you know" Yeah - right, they'll love me pulling my trousers down in the office every 3 hours, I'm sure!> So how do you "engineer" your results as the DSN "alluded" to? just HOW LONG is a "persistent HBa1c >8.5%" - how long am I going to have to sustain that? Alternatively, a little bit of chemistry might help ... "fear of unexpected hypos". Hmm, well guys, by my calculation, a standard dextrose tablet is 15mmol of glucose. On a completely different, totally unassociated and off-topic line of thought, if a standard Boots lucozade tablet was diluted in 1l of tapwater you'd have 15mmol/l "blood" - dilute 100ml of THAT in another 300ml of water and you've got ~3.3mmol/l "hypo in a bottle". Its interesting to observe that the Aviva Expert meter doesn't do a conductivity test to see if real blood is present. The Insulix does, so a small amount of salt would be needed to get THAT meter to provide a result with this solution. Of course this is all purely hypothetical and I dare say that NOBODY keen on getting a pump would EVER consider using such a 3mmol/l solution of glucose randomly every couple of days. :roll: ... Interesting to note also, that if the consultant sees NICE-compliant reasons, then the budgets associated with the clinic are NOT a reason to deny a pump. [/QUOTE]
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