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[IPu] Re: Brittian? Brittain??



> Hi Alan
> Indeed it is true......I know Simon Heller (though he's not my
> diabetes specialist). It's shocking, isn't it? But not surprising,
> when you consider that many type I diabetics are - int his day and
> age - being put onto a regime of one injection a day of pre-mixed
> insulin that they can't adjust! And many dieticians here think that
> "carb counting doesn't work" and even type Is on insulin are better
> off "eating healthy meals regularly with plenty of carbs" rather
> than carb counting!!! No wonder we have to struggle to get pump
> approval, let alone funding! Most doctors still think that "pumps
> are unreliable and a fad". Still, at least things are improving, if
> slowly..... Di

If I might chime in here. Di, you are very close to the "trees" so to 
speak.... I've watched for serveral years now from this side of the 
water and I've seen slow steady progress in the UK of the acceptance 
of pump therapy. You now have several centers that handle pump 
patients, that put youngsters on pumps and areas where funding is 
available. You're right it is very slow progress, but it IS progress 
nonetheless. The glass is half full :-) and the water is rising.


> 
> On Monday 07 October 2002 05:48, Alan Reed wrote:
> > Michael,
> > When I first read this message I thought it was a joke but on further
> > consideration I was not sure what to believe. Thank goodness I, with my
> > family, escaped from Brittain in 1971.
> > I must state however that my endo in the UK gave me clear instructions on
> > how to balance insulin against urine sugar tests from day 1.
> > Michael, are you sure that Brittian isn't a country in Africa or South
> > America? We had better check with D. Maynard because my memory tells me she
> > lives in a town? called Sheffield.
> > Alan Reed
> >
> > Date: Fri, 4 Oct 2002 11:36:30 -0800
> > From: "Michael" <email @ redacted>
> > Subject: Re: [IP] Is this a *Breakthrough*????
> >
> > Yeah, after all this time the medical profession in Brittian is
> > finally discovering MDI and carb counting. Some day maybe they will
> > discover Pump Therapy :-(  The daily struggle our friends across the
> > water must go through with their government run health care system is
> > appalling.
> >
> > Michael
> >
> > > This was a report on the BBC  10/4/02. I don't know about anyway else
> > > but the one I received it from has been using this type of regime in
> > > New York since about 10 years ago.
> > >
> > > http://news.bbc.co.uk/1/hi/health/2295325.stm
> > >
> > > Friday, 4 October, 2002, 00:35 GMT 01:35 UK
> > > *Diabetics 'freed from strict diets'*
> > > Insulin injection
> > > Some 350,000 Britons have type I diabetes
> > > A new treatment regime for patients with type I diabetes looks set
> > > to transform the lives of millions of people with the disease.
> > >
> > > A study by doctors in England has found that simple adjustments to
> > > the amount of insulin patients take allows them to eat almost
> > > anything they wish.
> > >
> > > The vast majority of people with the disease currently have to
> > > follow strict diets to ensure their sugar levels remain stable.
> > >
> > >
> > > This is a fantastic breakthrough and offers people with diabetes the
> > > chance of a more spontaneous, normal life
> > >
> > > Suzanne Lucas, Diabetes UK
> > >
> > > Doctors said the breakthrough would enable patients "to fit diabetes
> > > into their lives rather than their lives into diabetes".
> > >
> > > Dr Simon Heller and colleagues at Northern General Hospital in
> > > Sheffield enrolled 169 patients with type I diabetes into their
> > > insulin dose adjustment for normal eating (DAFNE) trial.
> > >
> > > *Slow uptake*
> > >
> > > The theory that patients with type I diabetes can eat anything they
> > > wish as long as they adjust their insulin intake was first developed
> > > in Germany.
> > >
> > > However, it has been slow to take off in other parts of the world,
> > > including the UK. The National Institute for Clinical Excellence is
> > > currently assessing the programme.
> > >
> > > The Sheffield doctors divided the patients into two groups.
> > >
> > > The first received training on how to adjust their insulin intake to
> > > take account of their changing diet. The second group received their
> > > usual treatment.
> > >
> > > After six months, the doctors found that those in the first group
> > > had more stable blood sugar levels despite the fact that they had to
> > > take insulin injections more often.
> > >
> > > They also reported greater satisfaction with treatment, general
> > > well-being and quality of life.
> > >
> > > Writing in the British Medical Journal, the doctors said the
> > > findings had the potential to dramatically improve the lives of
> > > people with type I diabetes.
> > >
> > > "We have shown in a group of volunteers that skills training in
> > > insulin adjustment that provides patients with the ability to fit
> > > diabetes into their lives rather than their lives into diabetes
> > > improves quality of life and glycaemic control in the short term.
> > >
> > > "The DAFNE approach has the potential to reduce the incidence of
> > > microvascular complications and thereby protect quality of life in
> > > the long term as well as the short term."
> > >
> > > They said further research is needed to see if the findings could
> > > apply to all patients with type I diabetes. But they estimate that
> > > at least half could benefit from this approach.
> > >
> > > They added that the programme could help the NHS to save money by
> > > reducing the cost of treating patients who develop kidney disease
> > > and eye problems.
> > >
> > > *'Fantastic breakthrough'*
> > >
> > > The charity Diabetes UK described the findings as "fantastic".
> > >
> > > Suzanne Lucas, its director of care, said: "DAFNE has been a
> > > liberating experience for people on the trial. Many people found
> > > their whole lifestyle and outlook on life has improved following the
> > > course and with better diabetes control their worries about
> > > complications have reduced.
> > >
> > > "Participants also found they were able to travel abroad without
> > > worrying about missing a meal or eating on time.
> > >
> > > "This is a fantastic breakthrough and offers people with diabetes
> > > the chance of a more spontaneous, normal life."
> > >
> > > Type 1 diabetes develops if the body is unable to produce any
> > > insulin. This type of diabetes usually appears before the age of 40.
> > >
> > > An estimated 350,000 people in the UK have type I diabetes. That
> > > figure is expected to increase substantially in the years ahead
> > > because of poor diet and people exercising less.
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> >
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