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Re: [IPk] Pump - Doctor's Comments

Pat that is absolutely BRILLIANT!  You have it in one.....


>From: Pat Reynolds <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: Re: [IPk] Pump - Doctor's Comments
>Date: Sat, 12 Jul 2003 08:29:27 +0100
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>She's right, and she's wrong.  The key phrase in her statement is 'that
>matter'.  That matter to _what_???  What she means is 'that matter for
>the probablity of a long term complication of diabetes'.  She's dead
>right.  It doesn't matter whether your bg is constantly 6, or swings
>between 2 and 10, but averages 6.  It's the average (6) that matters.
>BUT while the average is what controls long-term complications, the
>swing has a great impact on quality of life, including ability to earn a
>living, care for children and so on.  These highs and lows are difficult
>for non-diabetics to appreciate, unless they drink alcohol.  I am not
>surprised, but saddened, that your team don't understand what
>hypoglycaemia and hyperglycaemia _mean_ to the diabetic.  I explain it
>like this: average may be 'sober', but the lows are like 'drunk' and the
>highs are like 'hung over' - and while drunk, you can't drive, can't
>take care of yourself, or dependants.  And while hung over, your, your
>boss and your friends and family are not happy!  Sure, if you spend the
>same amount of time 'drunk' and 'hung over' in terms of diabetes, its'
>the same as 'sober all the time' - for long term complications.  But its
>far from the same in terms of 'a normal life'.
>What pump studies show is that we spend more time 'sober'.  Some studies
>(but not all) show that we also have lower averages, and so win both
>ways - a better life, _and_ a longer one!  Now, while the 'average'
>diabetic may not have a better average bg on a pump than the average
>diabetic not on a pump, this is not to say that _you_ wont.  So even if
>they don't care tuppence for your quality of life (and do you really
>want to be with a doctor who doesn't care that you are drunk half the
>time, and hung over half the time, so long as you have an average of
>sober????), they can't say _you_ won't benefit because the average
>doesn't (that makes as much sense as saying a particular horse won't win
>a race because the majority of horses don't win any races).
>Best wishes,
>(dm 30, 508 2+, doing rather too much reading lately on statistics,
>In message <email @ redacted>,
>email @ redacted writes
> >Hi everybody,
> >
> > I would be interested to hear the comments of all you pumping experts on 
> >statement made by the doctor I saw at the Diabetes Clinic yesterday.
> >
>  > We were discussing my going on to a pump. (This has been decided with 
> >and support of the DSN, but I think the doctor remains uncertain as to 
> >merits of a pump in my case.) One of the reasons I gave was better and 
> >control (i.e. fewer highs and lows) and, hopefully, a better HbA1c.
> >
>  > She made this comment, "Successive studies - including studies which 
>  >carried out on the same group of people over years and years - have 
> >it is _not_ the swings between low and high that matter, but the 
> >(i.e.
> >the HbA1c levels). Remember - if I tested my blood after lunch I could be
> >11.1."
> >
>  > While I can accept that this may be what studies show, is that the case
>  >because the volume of studies on pump users does not yet exist? I know 
>how bad
> >I
> >feel when I come out of a meeting with a BG of 12+. Given that I am in
> >meetings/giving presentations 3-4 days a week, surely these regular highs
> >_must_
> >have at least a long-term effect?
> >
>  > I'd be interested to hear your comments, and details of any studies 
> >been done on pumpers which showed tighter control and better HbA1c.
> >
> >Many thanks,
> >
> >Graham
> >----------------------------------------------------------
> >for HELP or to subscribe/unsubscribe, contact:
> >HELP@insulin-pumpers.org
>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:

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