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Re: [IPk] Using pump as calculator

big shame isn't it. i can see education is key, and some people might  
not want to be so involved with their control, but there must be a big  
group of MDI users who are as motivated (and able)as pump users to  
take control, but not fortunate enough to get a pump. i would have  
loved to have an extra tool... xxp
On 11 Apr 2008, at 12:31, Melissa Ford wrote:
> Hi Paula
> A few years ago Roche developed a system similar to what you describe.
> It was a Palm Zire PDA with an IR port that could take information
> from any IR equipped Accu-Chek meter. They launched it in the summer
> of 2005. However it was not a full commerical launch and it hasn't
> made any waves in the market. the product doesn't appear on their US
> website now so they may have stopped the program - I'll have more
> information on the status in early June.
> IMHO the fatal flaw of the system introduced in 2005 was that Roche
> wanted it to be administered by healthcare professionals only, such
> that the carb:insulin ratios and correction factors could only be
> changed by a healthcare professional who entered a secret PIN into the
> device. Doctors and nurses just don't have that kind of time to make
> minor adjustments personally!! Pumps are set up so that we can edit
> the carb:insulin ratios and the correction factor whenever we like,
> which makes a lot of sense to me.
> I queried Roche on why they were going to "lock out" patients from
> editing settings on their PDA product. Their response was that many
> people on MDI don't have the training and education to adjust the
> ratios themselves. Probably true, but you can never really solve an
> education problem with technology alone.
> I wish everyone who takes insulin HAD to go on a DAFNE course within
> 18 months of starting insulin therapy. It would make such a
> difference. The fact that so many people don't receive the education
> necessary to get value out of a "bolus wizard" until they are about to
> go on a pump may well explain why there's been relatively little
> investment in technology to support optimal carb-counting/bg
> correcting by MDI users.
> Melissa
> Type 1 15 years; MiniMed pumper 7.5 years; Animas pumper 4.5 years
> On Fri, Apr 11, 2008 at 12:20 PM, Paula Briggs  
> <email @ redacted> wrote:
>> My first full day on a pump! Am enjoying the "gadget" - no insulin
>> though, saline for a week. Already am finding ability to let the pump
>> (medtronic) to work out bolus using bolus wizard. Begs the question,
>> or am i missing a trick, why isn't there a meter which also acts as a
>> calculator, which people on mdi cold use to help work out bolus's  
>> too?
>> I know a pen delivers larger units so it wouldn't be as refined,  
>> but i
>> would have loved a meter on mdi which worked like bolus wizard on the
>> pump, taking active insulin on board, sensitivity etc, and then give
>> the dose via pen.... ? too simplistic?
>> Paula, type 1 2001, just getting started on pump
> .
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