[Previous Months][Date Index][Thread Index][Join - Register][Login]
  [Message Prev][Message Next][Thread Prev][Thread Next]

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.
for HELP or to subscribe/unsubscribe, contact: