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RE: [IPk] NICE guidelines (was Naive question)

I got funding recently and I have a hb1ac of 6.5. I have been on the pump
for 5 years and just managed to achieve funding. I also have never gone on
glargine. Apparently I didnt satisfy all the guidelines, but my consultant
was very proactive in getting it sorted for me. I also happened to be the
1st person in my PCT to get funding. I am actually getting a new pump now
called the paradigm totally free!!!


Age 26. IDDM 8 years. Pump user 5 years. 507C

-----Original Message-----
From: email @ redacted [mailto:email @ redacted]On
Behalf Of Pat Reynolds
Sent: 28 March 2003 13:58
To: email @ redacted
Subject: Re: [IPk] NICE guidelines (was Naive question)

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In message <email @ redacted>, Sarah
<email @ redacted> writes
>Has anyone had trouble getting their consultant/DSN to support a request
>funding? Mine say that I won't qualify because I never went on glargine
>(though when I asked to try it last summer there were delays in it being
>released in the UK and when I asked about again later in the year I was
>advised against it because splitting my insulatard had shown that I
>definitely needed a different background level during the day from during
>the night). The other reason for me not qualifying was because my HbA1c on
>MDI was not >8.0 so I had the pleasure of pointing out that a) it was and
>the guideline is 7.5 :)
>Anyone had any success in this department?

I'd write to your doctor, asking to see the copy of the notes he made
about his advice _not_ to put you on glargine last year.  If it was
right not to do it then, it's almost certainly right not to do it now.

Best wishes,

IDDM 30+, 508 1+)

Pat Reynolds
email @ redacted
   "It might look a bit messy now, but just you come back in 500 years time"
   (T. Pratchett)
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