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Re: [IPk] Reason for age given

 However, since we now have tools, if still crude, to achieve
>near-normal blood glucose levels, and the progression of complications is
>closely linked to this, it puts extraordinary pressure and responsibility
>on parents, who for the initial years have to control someone elses
>diabetes second hand. If that child grows up to develop, say,  retinopathy
>in their twenties, the parents will surely have to accept some
>responsibility for not trying harder when they were in control.

I would agree absolutely, John. It must be very hard to be a parent and
know what to do for the best, when a wrong move could make the difference
between your child losing its sight or developing other complications later
in life. I am sure my parents must feel some sense of guilt, whether
justified or not. I don't blame them for anything, but there are certainly
factors which influenced my control. For example, if my dad had set a good
example by testing his BG and watching his diet, perhaps I would have taken
it more seriously. If my parents had kept a more watchful eye on my control,
thingsmight have been different. Or they might not. Who can say? Perhaps if
they had, I would have rebelled even further against diabetes.
My wonderful specialist felt guilty on behalf of the medical profession
that they had allowed me to have such poor control for years, although I
hadn't been under his care at that time. I think that speaks volumes.

Based on my experiences, having had Dm since the age of 7, all I can
say is that if I were a parent, and if I deemed it appropriate for that
child, I would be fighting for a pump the minute I thought my child was
responsible enough to use one. Certainly there are some children and
teenagers who would not be suitable candidates, but that's another issue.

 I'm sorry, Jeremy, but I also cannot believe that the long-term effects of
pump use can be compared to the (at the time) unknown effects of drugs such
as thalidomide. We're talking about a delivery system, which is rather
different. And call me stubborn, but I also refuse to believe that the
long-term effects of excellent control will ever be proven to be worse than
the long-term effects of poor control, ie complications. If I had to choose
between hypo unawareness and blindness (not to mention other
complications in addition),  I know which I'd choose every time.

As you might have guessed, this is a subject I feel very strongly about.

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