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[IPk] Getting out (was )7 year old male scared of needles????????



Dear Ingrid,


My feeling is that, underneath these lie the real reasons. Why do you
need to improve control before getting pregnant?  Because it's not good
now (if you have hba1cs in the non-diabetic range, never have a hypo,
and never worry about when and what someone's going to serve you for
dinner, then you have perfect control).

Focus on what's wrong now: too many hypos?  poor control during illness?
inability to exercise without loosing control?  Then say why you think
one of the new long-acting insulins or a pump might help.  

What impact does that poor control have short-term and long-term?

What changes have been made to your treatment to try and permit you to
get good control?  Only if your current specialist has at least tried
some of the options, does being referred out of town seem reasonable (or
if the specialist has said 'I don't know what else to do'.

I'm afraid I don't know what your chances are of being treated out of
area.  I was referred out by a very sympathetic gp, who agreed that the
current specialist was only suggesting things which I'd already tried
and proved didn't work.  My GP didn't take kindly to being called a liar
by the specialist, so that helped!

Best wishes to all,

Pat
dm30=, 508 9months+.
In message <email @ redacted>, Ingrid Morrow
<email @ redacted> writes
>Thanks Pat,
>
>I am going to see my GP soon about getting a referral to an endocrinologist 
>at Kings'.
>
>I am going to have to try to persuade my GP to refer me to her out of area 
>(I live in E14, and should go to Mile End Hospital).  What arguments should 
>I use other than:
>
>1)  I want to try some other newer long acting (like Lantus/Glargine)  but 
>my Mile End specialist had never heard of it
>
>2)  I want to investigate pumping (but noone is on one through Mile End)
>
>3)  In a couple of years I want to try to have kids so need tighter control 
>than what I currently get.
>
>
>What are my chances of getting an out of area referral?
>
>Thanks
>
>Ingrid
>
>
>>From: Pat Reynolds <email @ redacted>
>>Reply-To: email @ redacted
>>To: email @ redacted
>>Subject: Re: [IPk] 37 year old male scared of needles????????
>>Date: Mon, 14 Jan 2002 07:32:25 +0000
>>
>>In message <email @ redacted>, Ingrid Morrow
>><email @ redacted> writes
>> >I have never seen an insertion set, but they sound enormous.  Why are 
>>they
>> >so big?
>>
>>It depends upon what you are expecting, and comparing it to.  I showed
>>my (already inserted) set to my mother-in-law last night and her
>>exclamation .... 'that's tiny!'.  (But then, we'd just wept buckets over
>>Boromir getting shot full of lots of arrows!)
>>
>>But compared to the needles on pens, yes, they're huge! I think they're
>>big because plastic needs to be thicker than steel.
>>
>>The website has lots of pictures and video clips which should put your
>>mind at ease!
>>
>>With best wishes to all,
>>
>>Pat
>>(dm 30+, 508 9months+, Tolkien reader 30+)
>>--
>>Pat Reynolds
>>email @ redacted
>>    "It might look a bit messy now, but just you come back in 500 years 
>>time"
>>    (T. Pratchett)
>>----------------------------------------------------------
>>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>
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-- 
Pat Reynolds
email @ redacted
   "It might look a bit messy now, but just you come back in 500 years time" 
   (T. Pratchett)
----------------------------------------------------------
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml