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Re: [IP] zero to DKA....



Kim,

Where in Northern Calif are you?  What insurance/med center?

Kim Huffman wrote:

> Some additional thoughts on the subject of kids and pumps and my recent
> experiences with the CDE.  I am trying to better understand their
> position on wanting their patients to be over 12 before starting on the
> pump.  I know she mentioned that she feels pumps are meant to allow
> independece, and that kids under 12 would not be able to do all that is
> necessary as far as counting carbs and then estimating the bolus.  I can
> understand her point, but I figured we would just be involved with
> helping her with this until she was old enough to do it on her own.
>
> The pump rep. I have been dealing with (who also happens to be a CDE
> herself)  works with this endo team and knows our CDE pretty well said
> that she feels they have one of the best pump programs in Northern
> Calif., and cautioned me about finding another endo that would just put
> her on a pump, but not have as much experience.  Do you think they are
> basing their age 12  on some research studies regarding kids and pumps
> that for some reason didn't recommend them for people any younger than
> this?  By the way, they haven't officially turned us down flat or
> anything, but have strongly discouraged it.  They are definetly
> pro-pump, but none of their patients are under 12.  We are at least in a
> better position by comparison to some friends of ours that also have a
> nine yr. old.  They have Kaiser (HMO plan), and when she brought up the
> subject, they said  no we don't recommend them, and that was that!
>
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