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In a message dated 97-12-05 13:45:51 EST, you write:
<< Bill, this is interesting, would you mind posting it to the list?
I will take a look at the ISP that you suggested..As they say, ignorance is
bliss so I guess I'm gulty as charged. Thanks for the info on isp and
I wanted to let you know that I was a participant in the DCCT as an
experimental "subject" for seven years shortly following my diagnosis. I
MDI as my insulin delivery and was never outwardly encouraged to move toward
the pump until the last few years and even then it was just presented as an
option. Remember, the comfort of pump therapy in the eyes of the Physicians,
was scattered and they really moved cautiosly toward the pump. There was
one pump company involved in supplying pump technology, Minimed.
I maintained good A1C's and as a result had minimal therapy changes
throughout. I was viewed as an exellent example of control in my group due to
the results I was presenting and consistant A1C. I credit my success to my
running and also, the long periods of hypoglycemia that I existed in. I was
never unconscious or hospitalized due to hypo but then again, I am married to
a RN, and I have a high tolorance to low BG probably due to my conditioning.
The amount of exhausting, meticulous, unscientific effort involved in my
acheiving good results makes me really appreciate the ability of todays
technology and the ease at which I can control my BG. I haven't experienced
one significant low BG in the year and a half that I have been on the pump.
A1C has gone from 7.5 to 5.9 in 5 months on the pump, and that is lower than
its ever been since my diagnosis 14 years ago. And I achieve this with half
the effort. I'm quite sure that if they were to initiate the DCCT over again
today not only would they use pump therapy much, much more for tight control
but the results would be significantly better. I would like to see a long
trial on pump therapy versus MDI. It would prove conclusively, with some
exceptions, that with education, and tecnology(pump), tight control is safer
and more effective.
FYI, I 'm one of the many original participants in the extension of the DCCT
study called the EDIC-Epidemiology of Diabetes Intervention and
The DCCT settled the treatment question for early diabetic retinopathy,
nephropothy and neuropathy, the EDIC will study the effect of intensive
treatment on macrovascular disease. As you know, people with diabetes are at
much greater risk to develop atherosclerosis at an earlier age than people
without diabetes. By combining the results of the DCCT with the new results
collected in the EDIC, they will have an unpresidented collection of diabetes
data.(16-18 years worth!).FYI