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[IPk] justification for pump

If Emily is having hypoglycaemic convulsions then isn't this one of the
criteria? ( hypo needing assistance)
Even if it can be prevented by getting up to test, you could argue that any
hypo could be prevented if you tested oftn enough!

The HbA1c is really a mixed blessing isn;t it?
One of theGP mags recently had a discussion on the vveaknesses of this test. I
though there vvas going to be a long explanation of hovv unvvell one can feel
even ith a good A1c, that it only reflects averae bg and that person could be
having severe hypos affecting  their ability to hold  a job, drive etc, in
pursuit of a good A1c

the argument  vvas purely that A1c can be elevated even vvith a very recent
improvement in control. VVell if they encouraged home testing more rather than
the cheaper A1c..

Admittedly this argument is mainly aimed at patients treated in general
practice: for the most part diet or oral hypoglycaemic controlled
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