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Re: [IPk] RE: A big MOAN

Well I think it depends how motivated / able you are. But since when you're on 
a pump you are forced to take much more control of your own control than on 
conventional therapy, there tends to be less for the consultant to do.

Since I've been on a pump, both consultants I've had have said "you seem to 
know what you're doing, and you know far more than me about pumps anyway, so 
I won't interfere. But if you need help, just ask and we'll see what we can 
do." Largely, their role has become one of simply checking the HbA1c, and 
doing the routine tests, and advising more on issues related to complications 
and general matters, rather than the nitty gritty of day-to-day control. And 
I think this is how it should be.  Perhaps I've just been lucky, but it would 
surprise me if other people on pumps didn't have similar findings (assuming 
they have consultants who are pro-pump). Of course, the other issue is that 
my control has become so much better since I've been on a pump that I need 
less help from the doctors anyway! I haven't seen a DSN for about 4 years, 
though there are some available at my clinic, and one who I think specialises 
in pump therapy. I think Sheffield is one of the more forward thinking 
clinics in the country though (luckily for me).


On Thursday 17 Jul 2003 11:39 am, you wrote:
> Do the consultants actually do anything? I have been using a Disetronic
> since April 03 and have had no contact with consultant, but I must say
> my pump rep/nurse has been fantastic. There is 24hr 7 days a week
> support if needed.
> Joyce Jones
> I think from the consultants' point of view, a lot of them are scared to
> look after people on pumps because they feel they don't have sufficient
> knowledge, which is understandable. They have to take time to learn
> about pumps, and many of them would rather not have to. Can you imagine
> if they gave you some bad advice about doses or something and something
> terrible happened? They don't want to take that risk. Of course, I don't
>   condone this attitude, but I think it helps if you can see where it's
> coming from. I think that's the reason a lot of consultants won't
> recommend pumps for people, because they themselves are worried they
> don't have the knowledge.  I know that doesn't help much though!
> Di
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