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Re: [IPk] DAFNE project



Hi Abi

I think the D nurse was sort of OK about it but wouldn't have suggested it
herself if I hadn't kept on, but the paediatrician was a bit opposed to it
at first because Sasha's HbA1c was considered a bit low.   But one of the
reasons why I wanted it was because she had hypo's in the early morning at
4 - 5AM  (with seizures)  because mixtard 30 was giving her too much of the
longer lasting insulin. When I explained he reluctantly gave it to us. She
has little or no dawn phenomena (at the moment). I most other countries they
don't use pre mixed insulins at all.  So they have to teach them about carbs
to begin with.
I think he forgets that some of the "good" HbA1cs  probably came from the
frequent lows she was having at night.
Jackie



----- Original Message -----
From: "Abigail King" <email @ redacted>
To: <email @ redacted>
Sent: 15 August 2001 10:42
Subject: [IPk] DAFNE project


> Jackie
> wonderful news that Sacsha is doing so well.I think it's true that knowing
> you can have a treat fosters a more healthy outlook to food
> I just think it's abysmal that all children are stuck on a twice daily
> premixed regime without being offered an alternative unless they, or their
> parents really push themselves, which makes it hard to control even if
meals
> are kept constant ( to make any kind of adjustment you need to get
> permission from a doctor ie get a prescription for a different mix)
> Why was there so much opposition to splitting the pm dose? I thought that
> hypo at 2am and/ or high bg on waking was a common phenomenon that can
> often be alleviated by having the intermediate acting dose later. It seems
> almost as if medical professionals don't want to wear out their biros by
> writing three items on a prescription as opposed to two
> Abi ( who believes that premixed insulins should never have been invented
> and who is, as usual, having a go at her own profession)
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