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RE: [IPk] RE: NCE Guidance



The latest guidance does not mention third party assistance! NICE have
recognised that it is the fear of hypos that is the most important
consideration.

Para 1 of the new guidance states:

"Continuous subcutaneous insulin infusion (CSII or 'insulin pump') therapy
is recommended as a treatment option for adults and children 12 years and
older with type 1 diabetes mellitus provided that: 

Attempts to achieve target haemoglobin A1c (HbA1c) levels with multiple
daily injections (MDIs) result in the person experiencing disabling
hypoglycaemia. For the purpose of this guidance, disabling hypoglycaemia is
defined as the repeated and unpredictable occurrence of hypoglycaemia that
results in persistent anxiety about recurrence and is associated with a
significant adverse effect on quality of life."

I hope this clarifies the point.

John Davis
INPUT


-----Original Message-----
From: email @ redacted [mailto:email @ redacted] On Behalf
Of Melissa Ford
Sent: 14 April 2008 17:36
To: email @ redacted
Subject: Re: [IPk] RE: NCE Guidance

If you need someone to come help you 'cause you're hypo, the way I
look at it that's third party assistance. If Lesley J or John Davis
would like to comment it would be good to hear their perspective on
this question!

Melissa

 On Mon, Apr 14, 2008 at 5:25 PM, Diana Maynard <email @ redacted>
wrote:
> Are you sure about that Melissa?
>  I always thought third-party assistance for a hypo meant you need a
> third-party to get you out of the hypo, not that you need a third-part to
> assist you in doing the thing that you wanted to do and couldn't because
you
> were hypo!
>  Di
>
>
>  Melissa Ford wrote:
>
> >
> > But having to be driven home when you are hypo counts as third-party
> > assistance for a hypo - no question!!
> >
> > Melissa
> > Type 1 15 years; MiniMed pumper 7.5 years; Animas pumper 4.5 years
> >
>
>  .
.
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