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Re: [IPk] number of strips recommended



Hi all, rushing to the defence of general practice (as usual!), I agree that
setting limits on the number of strips you use is unfair, but of course the
high cost is a concern to those writing the prescription as well. It isn't
necessary to jump to conclusions, the doctor just asked to see the person
before writing a further prescription. Occasionally, people have been known
to obtain higher than average amounts of prescribed products for someone
else, eg a US citizen who isn't entitled to free NHS treatment, or even a
family member or friend living abroad. Perhaps the GP simply wants to hear
that this number really are needed.

If a genuine problem arises where a doc is trying to limit use, simply
remind them that most people with diabetes use around 20% of the strips that
would be recommended for them, hence 1 person using more than 4 per day
simply begins to balance things out, and doesn't represent an explosion in
glucose strip costs.

Certainly also remind them that 7 tests per day are the recommended norm for
pumpers, because of the demands of increasingly tight control that we are
all trying to achieve.

Good luck,

Tony
----- Original Message -----
From: "Abigail King" <email @ redacted>
To: <email @ redacted>
Sent: Wednesday, August 07, 2002 8:40 PM
Subject: [IPk] number of strips recommended


> I think the world health organisation recommended 4 tests per day. I think
> this was the number used in the DCCT as well.
> Certainly many doctors have no clue with type 1 diabetes. I remember
reading
> an article in one of the GP magazines, stating that an A1c of 7 % was a
> realistic goal for most people, that insulin was usually given in a twice
> daily premix, and that once daily testing was adequate, and people testing
4
> to 7 times a day were obsessive. No mention of testing before driving.
> I wish I had sent in a reply
> I have also read articles about the usual cause of hyperglycaemia in
diabetics
> being ingestion of excessive sugary food!
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