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Re: [IP] A1c - 5.5 on MDI vs 5.5 on Pump
Studies are only as good as the sources that did them. So your memory of
unnamed sources is not a huge endorsement to me. I can also say that I have
read studies and pulling from my memory, these studies show that pumps help
to maintain more normal blood glucose levels. Also, I have done my own
personal study (sample of 1) and can assure you in my son's case the pump is
a vastly improved method of delivering insulin. Just to see his basal
profile shows this. His lowest basal is .15 and the largest is .6 It would
take a TREMENDOUS amount of testing and shots to provide for stable bgs for
him. When I add sports into the picture, and the use of temporary basals,
the superiority of CSII is really evident. I know that at in least some of
the islet transplant centers, it is a requirement that patients use pumps.
This thread seems to have changed from "are pumps a medical necessity" to
"MDI can be just as good as pumps." It can't.
Not just my opinion.
----- Original Message -----
From: "Richmond, Raymond" <email @ redacted>
To: <email @ redacted>
Sent: Friday, January 24, 2003 5:27 PM
Subject: RE: [IP] A1c - 5.5 on MDI vs 5.5 on Pump
> There were in fact at least a couple studies done comparing MDI to pumps
> this way. I will try to look them up the the journals for a reference but
> I'm pulling this from memory.
> The findings showed that on a fairly intensive MDI program compared
> to pump with carb counting in both cases that there was a negligible
> difference, almost zero really difference between the 2 methods. This
> specifically looked at blood glucose values and the ranges that they would
> hit as well as the A1c values. On average (excluding exceptionally good
> bad pumpers as well as MDI patients) the majority exhibited highly
> comparable numbers in both sampled BG values as well as A1c.
> If I recall correctly one of the studies ran for ~5 months and had
> the participants wearing the minimed cgms system to perform the logging.
> The major differences noted related to lifestyle more than anything,
> with erratic schedules tended to do better on the pump than on MDI while
> lifestyle regulated patients did about equally as well pump or MDI.
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