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Re: [IP] Re: Maude report

I have always checked my son's blood sugars throughout the night both when
he was on MDI and now that he's pumping.  I can tell you that although I
still get up to check, I sleep much more peacefully now than I did when he
was on MDI.  His bgs are much more stable now that he's pumping.  So I
believe it is safer to sleep through the night now.  You do have to commit
to getting up initially to set basals, during times of growth or stress, and
on a few other occasions (new activity, hard to estimate food, etc).  So
children are different from adults in that their insulin needs can change
dramatically due to growth and therefore, their basal rates have to be
adjusted more often.

I still choose to test at night for several reasons.  I want to keep his
blood sugars as stable as possible.  We have 12 hour stretches with
completely or very close to normal bg levels fairly regularly.  I know this
does a lot to improve his future health.  Also, I want him to wake up
feeling good and so again I have to make sure that his bgs are as level as
possible.  Finally, I just don't want to take the risk of a serious
hypoglycemic or hyperglycemic episode in the middle of the night.  It really
is worth the price to me.  And I keep holding out for a reliable CGMS.  We
have to get one soon ...... don't we?  Certainly before he goes off on his


----- Original Message -----
From: "Alderson Arts" <email @ redacted>
To: <email @ redacted>
Sent: Wednesday, December 11, 2002 9:34 AM
Subject: Re: [IP] Re: Maude report

>     You mentioned the need to rarely check your child's blood glucose
> in the middle of the night, and that you are concerned about having to do
> that more on the pump. I don't know if children are different, but I only
> had to check in the middle of the night during my basal rate adjustments.
> course I still do it occasionally to record it, when I am ill, if I have
> reason to believe it will go high or low, and sometimes on a middle of the
> night bathroom trip.
>     I would think it a small price to pay if I had to check it every night
> to get the control and freedom I have now. You will never know that
> your child can have unless you TRY the pump. Nothing says you have to
> continue using it. One could go back to MDI or any other type of therapy
> any time.
>     If I was the parent of a diabetic child I would have the child try
> therapy ASAP! I would want to keep their blood as many hours as possible
> every day within normal glucose levels to help avoid the horrible
> complications of diabetes.
>     The Bottom Line. Is it possible even in the slightest that an insulin
> pump could cause someone's death? Yes. However, based on the numbers of
> pumps in use and reported deaths the probability of something so horrible
> almost doesn't exist.
>     Now on conventional therapy where a diabetic does not have control the
> probability of a slow, painful, full of complications death is a
> probability. Now I'm not saying everyone on the pump has better control
> MDI but most do.
>     As I said at the beginning, I thought about the pump causing my death
> for about five seconds. After beginning pump therapy and experiencing the
> freedom and control I have now, I think about how much longer I can live
> with this better control. And how much of it will be complication free.
>     Make an informed decision.
> Cody S. Alderson
> ----- Original Message -----
> > It bothers me that I read about 2 deaths in the past 14 >months, that
> believe are a result of the insulin pump. . .
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