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[IP] Primary Care vs Endo



>  Justine wrote" It is difficult to understand how diabetologists can
> adequately treat
> without conducting complete physicals and being the first ones in charge
> of
> the diabetic's general health. After all, once the DM is under control,
> the
> biggest concern is prevention of complications. General or primary care
> practitioners have no specialized training to recognize the onset of many
> DM
> complications. As you say, they do not know "a whole lot" about DM.
>   This new compartmentalization seems inefficient, wasteful and dangerous
> to
> me. Justine"<<<<<<
> 
	I am not sure what a diabetologist is - I am assuming it is an
endocrinologist/diabetes specialist.   I get tired of all the specialists
sometimes.  But, let's face it, one person cannot be a specialist in every
area of health.  Just can't be done.  Not enough time to keep up with all
that is happening.   

	My primary care physician (PCP) is sent copies of the same doctors'
notes that go in my file with my Endo and copies of all blood tests results
from the Endo.    Any tests conducted and the results of each annual visit
of my PCP are copied from my PCP to my Endo.  I check and make sure this
happens after each visit.  Actually, the Endo's office sends me the copy and
I send it to the PCP.  She faxes him any results done on her end.   This
keeps each informed of the other regarding meds, problems, etc.  Seems to
work well for me.   In fact my PCP also wanted to call in a Rx for  Humalog
because she never wanted any problems with my running out.  So I have a Rx
in both Endo and PCP names at the drugstore.   Any other doctor I may visit
like my Orthopedic Specialist, sends his notes regarding arthritis and
prescribed medication to my Endo.   So I guess I regard my Endo as the
"Command Center", even though my PCP is called "Primary Care Physician".  It
isn't inefficient because I know each area is giving me the best specialized
care, where as my former "Family Physician" didn't even know what a pump
looked like.    
	Bonnie Richardson


	Bonnie Richardson


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> 
> ------------------------------
> 
> Date: Sun, 18 Jun 2000 21:48:25 -0400
> From: "The Kiley's" <email @ redacted>
> Subject: [none]
> 
> HAVE YOU EVER HEARD OF THOSE WATCHES THAT READ YOUR BLOOD SUGAR COUNT
> WITHOUT
> HAVING TO STICK YOURSELF?
> 
> 
> The watch is made by Cygnus.  I just read about it in the Diabetes
> Interview
> Mag.  Suppose to be released by the end of 2000 or beginning of 2001.
> 
> There is more info at:
> 
> www.cygn.com
> 
> 
> 
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> 
> ------------------------------
> 
> Date: Sun, 18 Jun 2000 19:03:36 -0700
> From: Jack Granowski <email @ redacted>
> Subject: [IP] Peritoneal shunt
> 
> I recently spoke with my doctor (former president of local
> ADA chapter) about the availability of the peritoneal
> shunt, from disetronic.  It turns out that he was involved
> with a friend of his on studies for this 10 to 15 years
> ago.  His friend had the study and he had the patients.
> They had major problems with occlusion and abandoned it,
> with difficulty.
> 
> He contacted the D research people, and could not find out
> any of the mechanics of the delivery system or where they
> were with there current tests.  He seems to think that it
> will be very far off, if at all.  I dearly hope that he is
> wrong.
> 
> Is there any kind of schedule for when the shunt will be
> available?  I could not find any at the site.  Is there
> any date for the mm implant, even though it would not be
> as helpful for my problems (delayed response, site
> deterioration)?
> 
> My doctor also said that he had more expectations for the
> fetal implant studies that are being conducted, rather
> than the current Canadian tests.  Whether a candidate
> would restrict, or support, fetal research is high on my
> requirements for a vote, as I would hope any dm'er would
> agree with, although many probably will not.
> - --
> Jack Granowski
> email @ redacted
> - --
> Being able to put two rounds into the same hole from 25
> meters! That's gun control.
>  - Jesse Ventura, during a pre-election radio interview on
> the crime issue
> 
> 
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> 
> ------------------------------
> 
> Date: Sun, 18 Jun 2000 22:12:44 EDT
> From: email @ redacted
> Subject: [IP] Do DMers need primary care doctors?
> 
> For many years I have had a primary care physician and endo whom I see 
> regularly as well as a cardiologist, an ophthalmologist, a podiatrist, and
> a 
> dermatologist who check/treat me for diabetes related problems at least
> once 
> a year or more often if necessary.  In addition I see a gynacologist at
> least 
> once a year. I believe each of them play a very important role in keeping
> my 
> 65 yo body up and running.  The primary physician has referred me to each
> of 
> these over a period of years.
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> 
> ------------------------------
> 
> Date: Sun, 18 Jun 2000 22:14:55 -0500
> From: "George Lovelace" <email @ redacted>
> Subject: [IP] Re: Do DMers need non-invasive meters? YOU BET!
> 
> On 18 Jun 00, at 20:54, Ryan Suchy wrote:
> 
> > I have.  Can't remember the name but there is a website, and they will
> > send you some info in the mail for free. They sent me a LARGE packet.  I
> > am sure someone else knows the name....Is it Glucowatch?
> > Kristin
> > 
> > HAVE YOU EVER HEARD OF THOSE WATCHES
> > THAT READ YOUR BLOOD SUGAR COUNT
> > WITHOUT HAVING TO STICK YOURSELF?
> 
>    It is the GlucoWatch, and links to Cygnus and the manufacturers 
> of other non-invasive (although it's debatable there) glucose testing 
> meters can be located toward the bottom of our Links page at:
> 
>        http://www.insulin-pumpers.org/links.shtml
> 
>   
> George
> 
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> 
> ------------------------------
> 
> Date: Sun, 18 Jun 2000 23:11:19 -0400
> From: "John Kinsley" <email @ redacted>
> Subject: [IP] Do DMers need primary care doctors?
> 
> Sat, 17 Jun 2000
> Justine Gudenas asked:
> Do DMers need primary care doctors?
> 
> > ..<snip>............................
> > ................He (endo) treats ONLY DM. I must sign up with a primary
> care
> > physician. This person conducts physicals and advises on matters not
> related
> > to DM, such as infections, colds, etc.
> >     Is he correct? Should I sign up with another physician even though I
> am
> > almost never sick? And shouldn't the diabetologist be involved in
> treating
> a
> > diabetic's colds, infections? What are other pumpers doing?
> >
> 
> Most managed care plans require patients to have a primary care provider
> (PCP), aka 'gatekeeper', who is an internist or family practitioner.  A
> patient with diabetes must then have a referral to see an endo.  This
> referral is too often too elusive.  When I needed to enlist with an HMO,
> as
> a type 1 diabetic,  I first made an appointment with a prospective
> internist
> (which I paid for out of pocket) specifically to discuss my intent to
> continue seeing my endo of many years.   Would he, the PCP, have any
> reservations about providing the necessary referrals.  He said I would
> receive my referral and I would continue to see my endo on a regular
> basis.
> Based on this I chose him as my PCP.  Nine months later, at my third
> visit,
> I asked about the referral and was told that I was stable and under
> excellent control and had no need to see an endo.  (Don't go away - this
> gets better.)  A couple of visits later I said I wanted an insulin pump.
> My
> PCP said NO and offered several other options, such as glucophage, etc. as
> an adjunct to my Regular, Ultralente, and NPH insulins.  When Humalog
> became
> available he reluctantly, at my request, gave me the Rx.  When I told him
> how well it worked he said he would not recommend to other patients.  He
> preferred to let their bGs run high because "it keeps them out of
> trouble."
> !?!  Now I am angry.  I remind him of our initial conversation about
> referrals.  He gave me one and three weeks after seeing my endo I had a
> pump.
> 
> This scenario is all too common and many patients with diabetes are
> receiving inadequate care and no option to see someone who will provide
> the
> appropriate care.  I have recently discussed with my endo the idea of
> diabetics, at least type 1's, choosing an endo as a PCP (many managed care
> plans allow women to pick an OB as their exclusive PCP, or as a second PCP
> for whom no referrals are needed).  The diabetic can, when necessary, get
> a
> referral from the endo to see an internist for other care.  My endo agrees
> with this scheme, so I have been thinking about talking with my state
> senator for his input and possible help in accomplishing this through
> legislation.  Or should I write my HMO for their input?
> 
> What are the thoughts of the IP group?  Is this a reasonable expectation?
> Does the idea seem to have merit?  Does it have a chance?  What are the
> drawbacks?
> 
> John Kinsley
> email @ redacted
> Type 1 since 1956
> MM 507 since 6/9/98
> 
> 
> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 00:25:12 EDT
> From: "c c" <email @ redacted>
> Subject: Re: [IP] bolusing for protein/fat
> 
> It took me a long time but I would extend my bolus out 3 to 4 hours 
> depending on how much protein and fats I consume so as not to go low and 
> then high later on.  It just takes alot of trial and error before you will
> 
> get it right and each person is different and YMMV.  I suggest
> experimenting 
> and if you get low extend the time to 3 or 4 hours instead of the 2 and 
> suggested
> 
> >
> >I have the same problems and I can't get it right no matter what I try.
> >Suggestions please!
> >
> 
> 
> ________________________________________________________________________
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> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 00:02:05 -0500
> From: "George Lovelace" <email @ redacted>
> Subject: [IP] Re: Hi from a fellow pumper
> 
> On 18 Jun 00, at 23:14, email @ redacted wrote:
> 
> > Hi, 
> > I have been in and out of the chat but noone is there.  suppossed to be
> an
> > 11 pm new York time chat I thought am i wrong? Amie
> > 
> 
> Don't know what room you were in, but when I left at 11:57 CDT 
> there were still two people left in the Anytime Room.
> 
> George
> 
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> 
> ------------------------------
> 
> Date: Sun, 18 Jun 2000 21:59:18 -0700 (PDT)
> From: Michael Robinton <email @ redacted>
> Subject: Re: [IP] Re: Do DMers need primary care docs?
> 
> > > HAVE YOU EVER HEARD OF THOSE WATCHES THAT READ YOUR BLOOD SUGAR COUNT
> > WITHOUT
> > > HAVING TO STICK YOURSELF?
> > 
> 
> there is a link to their site in teh No-Prick Glucose Testing section of 
> the LINKS page at:
> 
> http://www.insulin-pumpers.org/links.shtml
> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 01:12:04 -0400
> From: Ginny Kloth <email @ redacted>
> Subject: Re: [IP] New complications?
> 
> I see a speech therapist for a similiar thing. My therapist taught me how
> to eat foods so I wouldn't choke. Mine was also discovered through a
> swallow study. I choke. So I have to be very careful. My voice is also
> gone
> so I use sign language with my hubby (which I am still learning) and I
> have
> an artificial larynx. My problem may not be all from diabetes because I
> have 2 neurological diseases.
> I have a certain type of cup I have to use. A certain spoon and I cannot
> use a straw and when eating I have to alternate between high and cold as I
> eat my mush.
> 
> Wish I could be of more help :(
> 
> Ginny
> email @ redacted
> 
> 
> At 06:43 PM 06/18/2000 -0700, you wrote:
> >I have now learned that I have a new one, that is
> >related.  It is rare but definitely a complication.  I
> >have mild pharyngeal aphasia(sp?).  It turns out that the
> >cough I've had (14 years) is caused by liquids being
> >pooled when I swallow, and eventually goes down the wrong
> >tube, which causes roughness in my esophagus and hence a
> >cough that does not go away.  My doctors have now
> >determined that it is a neuropathic/neurological problem
> >and they know of no real way to treat it, although I will
> >be going back to the speech therapist that performed the
> >barium drip, for exercises to help with my swallow.
> >
> >Has anyone had this affliction, or similar ones.  Is there
> >any type of treatment that might be effective?  Because I
> >am particularly effected by these types of complications,
> >how many others of these problems are there to look
> >forward to?
> 
> 
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> 
> ------------------------------
> 
> Date: Sun, 18 Jun 2000 22:37:19 -0700
> From: Ruth Elowitz <email @ redacted>
> Subject: Re: [IP] Do DMers need primary care doctors?
> 
> Great idea -yes!
> 
> John Kinsley wrote:
> 
> > Sat, 17 Jun 2000
> > Justine Gudenas asked:
> > Do DMers need primary care doctors?
> >
> > > ..<snip>............................
> > > ................He (endo) treats ONLY DM. I must sign up with a
> primary
> > care
> > > physician. This person conducts physicals and advises on matters not
> > related
> > > to DM, such as infections, colds, etc.
> > >     Is he correct? Should I sign up with another physician even though
> I
> > am
> > > almost never sick? And shouldn't the diabetologist be involved in
> treating
> > a
> > > diabetic's colds, infections? What are other pumpers doing?
> > >
> >
> > Most managed care plans require patients to have a primary care provider
> > (PCP), aka 'gatekeeper', who is an internist or family practitioner.  A
> > patient with diabetes must then have a referral to see an endo.  This
> > referral is too often too elusive.  When I needed to enlist with an HMO,
> as
> > a type 1 diabetic,  I first made an appointment with a prospective
> internist
> > (which I paid for out of pocket) specifically to discuss my intent to
> > continue seeing my endo of many years.   Would he, the PCP, have any
> > reservations about providing the necessary referrals.  He said I would
> > receive my referral and I would continue to see my endo on a regular
> basis.
> > Based on this I chose him as my PCP.  Nine months later, at my third
> visit,
> > I asked about the referral and was told that I was stable and under
> > excellent control and had no need to see an endo.  (Don't go away - this
> > gets better.)  A couple of visits later I said I wanted an insulin pump.
> My
> > PCP said NO and offered several other options, such as glucophage, etc.
> as
> > an adjunct to my Regular, Ultralente, and NPH insulins.  When Humalog
> became
> > available he reluctantly, at my request, gave me the Rx.  When I told
> him
> > how well it worked he said he would not recommend to other patients.  He
> > preferred to let their bGs run high because "it keeps them out of
> trouble."
> > !?!  Now I am angry.  I remind him of our initial conversation about
> > referrals.  He gave me one and three weeks after seeing my endo I had a
> > pump.
> >
> > This scenario is all too common and many patients with diabetes are
> > receiving inadequate care and no option to see someone who will provide
> the
> > appropriate care.  I have recently discussed with my endo the idea of
> > diabetics, at least type 1's, choosing an endo as a PCP (many managed
> care
> > plans allow women to pick an OB as their exclusive PCP, or as a second
> PCP
> > for whom no referrals are needed).  The diabetic can, when necessary,
> get a
> > referral from the endo to see an internist for other care.  My endo
> agrees
> > with this scheme, so I have been thinking about talking with my state
> > senator for his input and possible help in accomplishing this through
> > legislation.  Or should I write my HMO for their input?
> >
> > What are the thoughts of the IP group?  Is this a reasonable
> expectation?
> > Does the idea seem to have merit?  Does it have a chance?  What are the
> > drawbacks?
> >
> > John Kinsley
> > email @ redacted
> > Type 1 since 1956
> > MM 507 since 6/9/98
> >
> > ----------------------------------------------------------
> > for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> > send a DONATION http://www.Insulin-Pumpers.org/donate.shtml
> 
> - ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> send a DONATION http://www.Insulin-Pumpers.org/donate.shtml
> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 02:58:50 -0700
> From: "Kornfeld, Avner" <email @ redacted>
> Subject: [IP] Insulin resistance -over weight - question
> 
> I have a question from a friend of mine - his father is a type 2 IDMM (age
> 60+). He is overweight, not in control (high BG), and lately it seems that
> insulin is not effective. He is on MDI regimen, total of more than 150
> unit/day and does not seem to reduce his BGs to acceptable range. His
> doctors seem to change dosage without success so far.
> 
> Is there any one with experience on similar phenomena? Is there any
> medicine
> that helps to increase the effectiveness of insulin? He claims that his
> BGs
> are higher even without food...
> 
> Thanks for any help.
> 
> Avner  - IDDM type 1 since 1974 and pumping since 12/1998.
> 
> 
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> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 03:51:51 -0700 (PDT)
> From: Sandi Pope <email @ redacted>
> Subject: [IP] employment discrimination
> 
> >>Who should I call, and what should I do? I thought
> of 
> >>calling my endo to see if he can recommend a
> suitable >>lawyer in the area, or the ADA.
> 
> Maureen,
> 
> Please give the lawyer at the ADA HQ a call, the
> number is (703) 549-1500 or direct is (703) 299-5519. 
> Her name is Shereen Arent and her title is the
> Director of Legal  Advocacy and she can put you in
> touch with a local lawyer and give you information on
> employment discrimination and how to proceed.   
> 
> __________________________________________________
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 03:54:38 -0700 (PDT)
> From: Sandi Pope <email @ redacted>
> Subject: [IP] JDF grey ribbon pins
> 
> contact Larry Solar of JDFI for grey ribbon pins at: email @ redacted
> 
> __________________________________________________
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 05:27:13 -0700 (PDT)
> From: =?iso-8859-1?q?Nanette=20Chana=20Freedman?= <email @ redacted>
> Subject: [IP] travel to US
> 
> I will be travelling to the US (to the Washington DC area) on a 2 and a
> half week work-related trip in 3 weeks time, and am trying to plan
> ahead to ensure I have all the diabetes related supplies, and any other
> info I should know.  I lived in the US for 8 years, but in my
> pre-diabetes days, so apart from what I see on the list, know nothing
> about diabetes care, availability of supplies etc in the US.  Obviously
> I hope to travel with anything I might conceivably need plus more, but
> who knows what can happen.
> 
> In the event that I need to get hold of supplies for the Disetronic
> pump, who do I call?  In the event that I need supplies for the
> glucometer, (Accutrend Sensor) who do I call?  where do I find such
> useful telephone numbers?  also I remember hearing that in the US it is
> sometimes possible to get free glucometers from the manufacturers - I
> really need to have a spare, do you think there is any way I could get
> one during my stay?
> 
> Anything else I ought to be aware of? 
> Thanks very much for any advice.
> Nanette
> 
> __________________________________________________
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 09:11:59 -0400
> From: "Pixie" <email @ redacted>
> Subject: Re: [IP] velosulin 
> 
> I was lucky, my local CVS carries V constantly and alot of people
> (obviously
> they have a different endo than me) use it lin thsi area, according to my
> pharmacist.
> 
> I had my set go bad while on the road during a 5 hr drive. I had 239 units
> in my pump when it happened so I just topped the vial off with V (created
> a
> 4:1 ratio) and put a new rapid in. That site has lasted 3 days now, no
> painful boluses, no soreness other than when I lie on my site a certain
> way,
> and sugars have been ideal except for a period in the afternoons when I
> hover in the 50's every day. I needed to lower my basals a little to aviod
> hypos. but it's working better than straight H already!. I had my doubts
> but
> it's apparently working and this is my first sets that's lasted 24 hours
> in
> three weeks. So I plan to try that mix again for the next set (whenever
> this
> one goes bad and not before) to rule out the possiblity that I just hit a
> sweet spot on my body.
> 
> Pixie
> 
> 
> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 08:22:02 -0500
> From: Bonnie Richardson <email @ redacted>
> Subject: [IP] Primary Care Physicians
> 
> > Subject: Re: [IP] Do DMers need primary care doctors?
> > 
> 	 Yes, DMers do need a primary care physician.   Endo should not be
> taking care of scheduling your annual tests such as Mammograms, pap
> smears,
> and other things we all need checked on.  Maybe you never get sick now,
> and
> I don't either, but my PCP takes care of me and has all my records of past
> tests and knows when I call (because I never call) that there is really a
> problem and she reacts quickly.  She is the one who refills meds
> (allergies,
> etc.) that are not diabetes related.  Course I am a "senior citizen".  But
> I
> believe a PCP is necessary to "know you" and be there should anything ever
> happen.  
> 	Bonnie Richardson
> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 08:26:41 -0500
> From: Bonnie Richardson <email @ redacted>
> Subject: [IP] No Delivery Alarms
> 
> 	  You know in nearly 5 years of wearing a MM507, whenever the no
> delivery alarm sounds I know it is time to change the batteries.    This
> has
> been the case every single time since the first year.  Apparently no one
> else has had this signal.   So now we have YMMMV - "Your Mini Med May
> Vary".
> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 09:31:57 -0400
> From: Craig/Judy Chase <email @ redacted>
> Subject: [IP] Bolusing for Fat
> 
> One night last week we had pizza for dinner and remembering Ruth's
> suggestion for dividing the bolus in half--half immediately and half using
> a
> square bolus-I had Craig take 3.5 right away and 3.5 over 3 1/2 hours.  It
> worked great..practically broke my arm patting myself on the back.  Fast
> forward to Sunday morning-- a special breakfast treat for us are "fried
> English muffins" (fry 1/2 pound of bacon and then split the muffins and
> fry
> them in the bacon grease)...can't think of anything that would have more
> fat..but did I even consider a square bolus..of course not..square bolus
> is
> for pizza...he took his regular "english muffin breakfast" bolus...was
> down
> to 49 3 hours later...ate lunch...still not thinking I had him subtract
> one
> for the low when he bolused and 2 hours later he was at 240..(I think you
> call that a spike!)  OK now the light bulb comes on..if they had meant the
> square bolus to only be used for pizza they would have called it the
> "pizza
> bolus".  So..my question...What other  types of meals do you use a square
> bolus for?  Would a sausage biscuit from McD's qualify? How about
> spareribs?
> I think I read somewhere about using it for Chinese but I don't think of
> Chinese food as being high fat. Any help in compiling a "square bolus
> list"
> would be appreciated.
> 
> Judy
> pump coach to Craig - DM 58 years-pumping since 3/00 
> 
> - ----------------------------------------------------------
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> send a DONATION http://www.Insulin-Pumpers.org/donate.shtml
> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 10:46:15 EDT
> From: email @ redacted
> Subject: Re: [IP] Do DMers need primary care doctors?
> 
> My kid goes to a pediatrician and an endo.  When she becomes a woman, she 
> will drop the pediatrician and go to a gynecologist and possibly an 
> internist.  An internist would be the one to go to for, let's say, screen 
> tests for colon cancer, osteoporosis, also heart.  Try it, it can't hurt.
> 
> Your doctor is probably right.  Everybody is so specialized, you don't
> want 
> some problem falling through the cracks.
> Lindsey
> - ----------------------------------------------------------
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> send a DONATION http://www.Insulin-Pumpers.org/donate.shtml
> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 10:28:15 -0400
> From: "Ryan Suchy" <email @ redacted>
> Subject: Re: [IP] Re: Hi from a fellow pumper
> 
> Hi. The chat was in the anytime room.  When I left at 11:50 there were
> still
> several people there.
> Don't know if we are having it next week wince Sara SP will be in Texas!
> :)
> 
> 
> > > Hi,
> > > I have been in and out of the chat but noone is there.  suppossed to
> be
> an
> > > 11 pm new York time chat I thought am i wrong? Amie
> 
> 
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 10:45:34 -0400
> From: "Ryan Suchy" <email @ redacted>
> Subject: Re: [IP] travel to US
> 
> I think you can buy test strips, needles, insulin (except Humalog?), and
> any
> needed supplies without a precription here.  You might have to sign for it
> (we do in VA.-they want to make sure the druggies aren't buying too many
> supplies) but you can get it.  Don't know about pump supplies though.
> 
> Kristin
> mom to Nathan, 2, dx'd 5/99
> and Ashley, 8 months.
> 
> > I will be travelling to the US (to the Washington DC area) on a 2 and a
> > half week work-related trip in 3 weeks time, and am trying to plan
> > ahead to ensure I have all the diabetes related supplies, and any other
> > info I should know.  I lived in the US for 8 years, but in my
> > pre-diabetes days, so apart from what I see on the list, know nothing
> > about diabetes care, availability of supplies etc in the US.  Obviously
> > I hope to travel with anything I might conceivably need plus more, but
> > who knows what can happen.
> 
> - ----------------------------------------------------------
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> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 10:53:27 EDT
> From: email @ redacted
> Subject: Re: [IP] Re:work and diabetes issue--please help!!
> 
> Maureen, 
> My heart goes out to you.  Your boss is a bitch (pardon my French) of the 
> first order.  You do have grounds for suing, the questions are 1) do you
> want 
> to, and 2) how good is your case?  You need a labor lawyer; and no other 
> kind.  My brother in law is one and he would be willing to access your
> case 
> over the phone for no charge as a favor to me.  Please e-mail me privately
> at 
> email @ redacted for his name and number.  
> Lindsey
> - ----------------------------------------------------------
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> send a DONATION http://www.Insulin-Pumpers.org/donate.shtml
> 
> ------------------------------
> 
> Date: Mon, 19 Jun 2000 10:52:47 -0400
> From: "Handsfield, James H." <email @ redacted>
> Subject: RE: [IP] Do DMers need non-invasive meters? YOU BET!
> 
> George Lovelace <email @ redacted> wrote:
> 
> >    It is the GlucoWatch, and links to Cygnus and the manufacturers 
> > of other non-invasive (although it's debatable there)
> 
> Actually, it is not debatable -- the GlucoWatch is *minimally* invasive
> because of the mild electric current used to draw interstitial fluid up
> through the skin and into the sensor.
> 
> Also some other items not generally mentioned in the hype:
> 
> Finger sticks are still required -- at least two a day to calibrate the
> GlucoWatch for each new sensor pad;
> 
> There's a three hour "warm up" from the time a new sensor pad is installed
> before the device will start monitoring glucose levels;
> 
> The AAA battery must be replaced either once a day or with each new sensor
> pad (i.e. 2/day) (sorry, I don't recall which);
> 
> Approximately 5% of users in the clinical trials developed irritation to
> the
> device (the electric current, actually) which made it uncomfortable to use
> and may have caused deviations in the readings.
> 
> All that notwithstanding, the GlucoWatch is definitely a step in the right
> direction.  Unfortunately, the cost of the device (~$350.00) and the
> sensor
> pads (~$4.00 each) as well as battery cost make it unlikely that insurance
> companies will cover these any time soon, particularly since they will
> still
> have to cover the more conventional monitoring costs as well.
> 
> Jim Handsfield
> Statistician
> Centers for Disease Control and Prevention
> mailto:email @ redacted OR
> mailto:email @ redacted
> 
> The opinions expressed are my own and do not necessarily represent those
> of
> the Centers for Disease Control and Prevention, the United States Public
> Health Service or any other agency of the United States government.
> - ----------------------------------------------------------
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> 
> ------------------------------
> 
> End of insulin-pumpers-digest V4 #261
> *************************************
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