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Re: [IP] Re: British Med Journal article

For those of you who didn't read the article, the researchers presented the
findings of their study ofo glycemic control in pumpers versus those on
intensive injection therapy.  They found that those on pumps had better
glycemic control and therefore a lower risk of complications.  However, they
concluded that the risks were not lowered that significantly and that pumps
should "be reserved for those with special problems."

So in essence, they admitted that CSII is a superior form of therapy and yet
only endorse limited use.


-----Original Message-----
From: email @ redacted <email @ redacted>
To: email @ redacted <email @ redacted>
Date: Monday, March 25, 2002 7:28 PM
Subject: [IP] Re: British Med Journal article

><<Connie Miller wrote in regards to article in British Med Journal:
>"This kind of research makes me crazy, and is what some NON CHILD PUMP
>FRIENDLY CLINICs hold on to! IT's NOT right!"
>Connie, we agree 100%.  Didn't go in to check the article, but if it's the
>one we're thinking of, it relates to potential cost to the "socialized"
>medical coverage in Britain if people use pumps(at end, think it said that
>total number to use pumps under the criteria would be small).  To us, this
>means that holding costs in toe is more important than someone having to
>take say 8 shots including middle of the night, lots more glucose checking,
>I also didn't go in to read this article, but have read ones with similar
>conclusions in the past (maybe the same one, recycled?).  I spent 2 years
>the UK with Claire and her diabetes.  The government provides at no charge
>all diabetic supplies which are approved--when we arrived lancets were not
>approved item, but a few months later they were.  Only certain strips were
>covered, so we had to switch bg meters, to a Dex which I hated.
>     I saw some pretty awful standards of diabetes care for children.  I
>told not to check bgs at lunch time and the docs were not pleased that
>got 3 injections a day, they preferred 2.  When we went to a diabetes
>children's weekend in England, I discovered that almost every child in
>attendance was using pre-mixed insulins--eg 75/25 N and R.  How do you get
>any sort of control with this??  When Claire's bgs went to 350-400 almost
>every day in the late afternoon I wanted to add a fourth injection at lunch
>or a bit later, but I was told not to, that a few hours at this level was
>just fine.  I then started my own research and found out about insulin
>and decided we would have to move back to Canada to get one.
>     If the doctors/researchers in the UK come out and say that the pump is
>better, there will be pressure on the gov't to buy the pumps and supplies.
>And they just don't want to spend that sort of money.  I did actually meet
>UK doctor who was a "pump expert"--he happened to be visiting our hospital
>the day of Claire's appointment where I asked about insulin pumps.  The
>were a bit excited about my interest, so I think there is interest on their
>part.  They just need to have met more patients on them.  I have been
>to write them a letter about our experience.
>Barbara, Mum of Claire 7
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
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for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
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