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Re: [IPk] RE: NCE Guidance

Just as well really! My point (in case anyone wasn't clear) was that if 
you're risking having your driving licence taken away by the DVLA 
because they think you're going to have hypos all over the place and be 
dangerous, you want to take a more strict approach to the meaning of 
severe hypos than if you're using it to get a pump via the NICE guidelines!

John Davis wrote:
> 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
> .
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