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Re: [IP] Thoughts on various topics



Can you supply the reference to this paper please.

Michael
> as opposed to adults) but in light of this quote from an Italian
> researcher
>    :
>      however, the permanent threat of severe vascular organ disease
>      within 
> one or two decades, of early invalidity and limited life expectancy
> following long-term poor metabolic regulation (which is known to the
> health professional but only incompletely sensed by the young
> patient), forces the pediatrician to try to reach from the start the
> aim of normoglycemia instead of merely somewhat reduced
> hyperglycemia, normal lipid and amino acid patterns and near normal
> fluctuations of all metabolic parameters. With our present means of
> intervention, this goal is achieved only temporarily, if at all,
> necessitating immense permanent efforts by the patient and his or
> her family, including a greater responsibility (compared to that of
> his/her peers) for his/her everyday lifestyle  (the bold italics are
> mine)
> 
> , it behooves everyone to NOT accept equally outmoded thinking from
> docs who say to parents pf pre-adolescents or teens" Oh an A1C of 9
> or 10 is probably as good as it gets with kids that age". Given the
> advent of pump therapy, that kind of care of unconscienable, IF the
> family is seeking a better way to handle their child's diabetes
> care. Yet I continue to hear comments like that repeated by parents
> who are "relived" to have had the doctor tell them they're doing a
> good job". No one knows better than we pump parents how much
> diligence & vigilance it takes to battle the Dia-BEAST-ie, but by
> being as proactive, we also see far better results.
>    Melissa wanted to start pumping 7 years ago at age 12, but it was
>    MY 
> reluctance to "let go" that procrastinated another 6 months until
> she was 13. Her pre-pump A1C of 8.8 and her post-pump A1C six months
> later of 6.8 convinced me I should have listened to my child!!
> Regards Renee (Melissa's pump mom)
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