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Re: [IP] New insulin from Lily-A Completly Different Opinion

Frank I understand what you were saying about the rest of the world and it's
need for different treatments.  So let me state that I was speaking of the
US.  With that said I have cut and pasted and exert from emedicine.com  and
their online book which tells doctors how to handle diabetics in the
emergeny room.  There is a link to the full book at the end of my post.  The
following message kinds irked me because so many of the elderly, (be they on
their death bed or not) are treated this way.  And if you will take the time
to read some of this website it will scare you and you will know why some
people have to tell the doc what to do when this kind of material is out

Also at the site there is a link for email to the author of this subject
matter in the book.  Oh, and to think the site was last updated on 9/8/00.

*Some patients should not aim for near-normal blood glucose levels. In
elderly patients who have a life expectancy of less than 5 y or any patient
with a terminal disease, tight control is unnecessary.*

http://emedicine.com/cgi-bin/foxweb.exe/email @ redacted:/em/ga?book=emerg&topi

Sheila Morris

Date: Sat, 09 Sep 2000 14:36:09 -0700
From: "Frank W. Tegethoff, Jr." <email @ redacted>
Subject: Re: [IP] New insulin from Lily-A Completly Different Opinion

>>>>>>>>>>Hi All,
I've been watching this thread for the last day or so and I would like to
offer a completly different opinion about 'Mixed Insulins'.
First, let me say that I respect you all and do not mean to affend any one
of you with my comments.  I have NO desire to start a flame war over this or
any other issue raised for discussion on this list.  Now that that is out of
the way.
I find promotion of 'suboptimal' treatment offensive.  However, I do not
believe that Mixed Insulins have anything to do with this.  Yes, they are
convenient for both the DM'r and the MD.  However to assume that this is not
the appropriate protocol for a patient is wrong.
Treatment of DM, as we all know, is a complicated art (at best).  I think
that we also know that the only person we can change in this world, is
ourselves.  Any treatment that can improve a DM'r life should be appluaded.
Please remember, Lily and Novo-Nordisk are respnding to, and producing for a
Global Market.  If Mixed Insulins help the control of DM, then lets use
them!  The treatment of DM as experienced by those of us in the 'west' is by
no means Universal.  Pumping, MDI, Intensive Bg testing, just do not exist
all over the world.
While we lucky few have the means and the desire for successful Pumping,
Mixed Insulin may offer a huge improvement in control and quality of life to
individuals not so lucky.
This is just my .02 cents, wishing you all, all the best.

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