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RE: [IPk] RE: NCE Guidance



Hi Di,

NICE are far more liberal!!

John Davis

-----Original Message-----
From: email @ redacted [mailto:email @ redacted] On Behalf
Of Diana Maynard
Sent: 14 April 2008 18:17
To: email @ redacted
Subject: Re: [IPk] RE: NCE Guidance

Thanks John!
Personally I think "fear of hypos" is quite an odd criteria, but there 
you go....
As far as I remember, the DVLA talks about third party assistance, but I 
definitely wouldn't count needing someone to drive you home as third 
party assistance in that case!
Di


John Davis wrote:
> 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
.
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