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Re: [IPk] Glasgow conference

Great letter John ,
My frustration matches yours and I've been struggling with this issue in the
UK for many years now !! Fortunately the rest of Europe hasn't been so slow
to accept pump therapy .

Progress is being made and I'm convinced that the UK diabetologists will
have to follow the improvements in standards of diabetes care being made in
other Europeans countries .

The continuous subcutaneous glucose sensor will be an excellent tool as it
will allow us to show the fluctuations occurring with injection therapy ,
particularly the nocturnal lows which occur during sleep and go undetected .

Hang on for a few more months and I think that we will be able to start a
revolution that the NHS and UK diabetology can no longer ignore .

We now have reliable pumps available, good quality detachable catheters ,
fast acting insulin analogues and soon a sensor so I believe that the
situation will start to change soon .

Can we be patient for a little longer ??

-----Original Message-----
From: John Neale <email @ redacted>
To: email @ redacted <email @ redacted>
Date: 08 May 1999 12:32
Subject: Re: [IPk] Glasgow conference

>John Davis wrote:
>> During the 3 days I spent at the conference my overwhelming impression of
>> the medical professionals, was that they did not understand pump therapy
>> all, nor, to a large degree did they understand diabetes.
>> Mainly they do not understand carbohydrate counting or the effect that
>> have on blood sugar levels. Furthermore, I am not convinced that they
>> to. Their remedy for "high" or "lows" seems to be, "well, just
>> increase/decrease your dose by two units". No questions are ever asked as
>> why you are high or low.
>My hunch is that the British diabetes establishment changes direction
>about every 5 years, leaving everyone totally confused about priorities
>and strategies. I was taught to carb count in 1977 when I joined the
>club. Then the tune was changed at some point, and it became eat
>healthily and regularly, lots of fruit and veg and fibre, and everything
>will be fine. No need to carb count.
>The insulin pump, bg testing and Humalog turns everything upside down
>again. Nurses (and doctors) aren't all intelligent. They just do their
>job. It will take a gargantuane effort to make them realise that once
>you have a correctly set basal, you must take insulin in direct
>proportion to carb, with a correction factor built in. It requires a
>total shift in mentality and strategy. We live with it day in day out.
>We think for ourselves. We are creative. The medical establishment is
>not, except for small pockets. We must keep on evangelising, and not be
>put off when we encounter stupidity and intransigence.
>mailto:email @ redacted
>Insulin Pumpers website http://www.insulin-pumpers.org/
>for mail subscription assistance, contact: HELP@insulin-pumpers.org

Insulin Pumpers website http://www.insulin-pumpers.org/
for mail subscription assistance, contact: HELP@insulin-pumpers.org