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Re: [IPk] one injection per day

Hi Barbara

I have lent my pumping information (sent to me last year) to one of the
parents in my local support group so that she can get an idea of what it's all
about.  She has an awful lot of trouble with getting her daughter blood sugars
anywhere near stable.  At the moment the daughter, aged 7 (Cecilia) is having
bg sugar of over 18mmols 1= to 2 hours after meals.  The mother realises that
she now needs more fast/short acting insulin and she went to see our D nurse
Monica.  Monica said that  she would speak to the consultant and see about
getting her something else.  The consultant is dragging his feet and will only
give them humalog mix 25 which isn't working.  Duh!!  and wants them to wait
10 days before trying a 50/50 mix.  He wont let them do what we do and give
Novorapid or Humalog with separate NPH.  The little girl has a weight problem,
though she is type 1.  I don't know if that is what he is basing his decision
on.  At the moment the child has too high a bg to want to eat much lunch and
then goes too low because she is not hungry and has too much NPH on board.   I
can't see why they wont let this child have Humalog or Novorapid as then it is
possible that she wouldn't have to eat all those snacks to keep her blood
sugars up in the afternoon.  Since changing Sasha to Novorapid she does not
normally need an afternoon snack which is better as none of the other children
have one at school.  She usually want something to eat when she gets home as
does Beckie so I usually give her a couple of units of Novorapid with the

I will tell her what you have done about contacting the pump company and
getting training through them and the clinic and see what she says.  Cecelia's
mum is quite a timid person (like me!) and is easily deterred but seems quite
determined to do something rather than put up with the current poor blood
sugar levels.

Good luck with your mission.


----- Original Message -----
From: <email @ redacted>
To: <email @ redacted>
Sent: 02 June 2002 22:10
Subject: Re: [IPk] one injection per day

> Hello Joanne
> What I did was, I phoned our diabetes nurse and told her that I would like
> Danielle to go on the pump and she told me that there were no other children
> on pumps but when I explained that the pump company do all the training and
> give the back-up, she said "ok, we will still see her at clinic".  I must
> admit it left me a bit worried that I had to go it alone until the nurse
> me from the pump company and she is specialised in diabetes and especially
> with the pump and diabetes combined.  She will come to our house and she
> visit our diabetes nurse and consultant to train them up.  Rather than take
> up too much extra time, she can combine it with one of the clinics (but not
> necessarily Danielle's appointment).
> I found that Danielle's nurse was too scared to commit herself to a meeting
> without the consultant's approval, so I rang John from Input and he said he
> would get someone from the pump company to talk on the phone to our
> consultant and if not, he would ring him himself.
> There are ways to do it so please don't be put off by anything.  You only
> have to watch the Minimed video to see what I mean.  I applied to Minimed
> an information pack and they sent me a video.  By the time I was 1/4 of the
> way through it, I decided I had to go for the pump.  I let my daughter watch
> it with me and she smiled all the way through it and that told me I had to
> act now.
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