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Re: [IPk] Depression

Thanks Pat I will keep my chin up, although I will not feel guilty if it
"occasionally" scraps the floor either:)
 I think you made a good point when you said about taking control of when
you have a pump rather than your Doctor. I read the article by J Pickup and
it says very little about what they mean by poor mental health and should be
clarified. Diabetes and Depression seem to be linked much more as time goes
on and I guess it's trying to get the professionals to see it for what it
is. People may have a propensity to have depression in their lives but add
to that a chronic illness which affects daily life and things can become
much harder to overcome.
If Pat gets thrown off for her political views I'll probably go for making
everyone miserable...:)
I am seeking Union representation for the work issue. I didn't know they may
help with the pump so I will ask at the next meeting (eg, letter of support
from them)
----- Original Message -----
From: "Pat Reynolds" <email @ redacted>
To: <email @ redacted>
Sent: Sunday, May 27, 2001 1:00 AM
Subject: Re: [IPk] Depression

> Dear All,
> High blood glucose is well known as a cause of depression (aagh, don't
> ask me for references).
> I think there is a significant difference between depression and
> psychological disorders which would make pump use difficult, if not
> impossible.  Multiple personality might make things difficult (I can
> imagine someone who was fine with the pump in one personality, but
> couldn't stand it being attached to them in another).  Someone who
> listened voices telling them they didn't need to measure their blood
> glucose would have a bit of a job, unless they had 24 hr care, too. (I
> just looked at that and thought, what if the voices are not 'in your
> head', but your GP or a nurse in the clinic??? - you're not mad if you
> hear a health care professional talking to you, are you - but you have
> to deal with it in the same way: smile, say 'yes' (or challenge them),
> and do what you know is right).
> I think the authors of the paper need to be asked to be more specific on
> this point.  What diagnoses are they talking about?  Abigail, as 'one of
> them', could you write a letter to the journal asking this?  Of course,
> being lazy, I haven't checked the article myself ... maybe they do
> specify which conditions are contraindications.
> If they are talking about clinical depression, are they talking about
> depression which is related to diabetes (e.g. which was provoked by
> diagnosis or complications?)  Are they talking about patients who are
> not responding to treatment?
> Me with my cynical hat on, wonders just how large a population sample
> they have been working with.  Remember, Dr Pickup has had no induction
> programme for new pumpers until this year.  If he is talking about 'his'
> patients (and I'm one), one has gone back to mdi now that he or she
> understands insulin and carbohydrate counting.  He has some patients, I
> understand, who date back ten or more years, to when he was working on
> single basal rate pumps.  I do wonder if a single patient who had some
> significant mental health problems (very un-pc 'was barking') has
> coloured his experience.
> I find I got onto his programme because I was having hypo unawareness.
> Odd, I was unaware that I was!
> Also, although he says that those who want to go pump for 'convenience'
> should be allowed to pay for it, he refused to let me do this for two
> years.
> This all makes me feel quite bad: did I only get a pump because I know
> how to play the system?  (Thank you, my Thesis Advisor Panel at York,
> who pointed out to me that I really need to take charge of the 'get pat
> a pump' campaign, and stop letting Dr Pickup decide what happened to my
> life).  I have years of experience as a campaigner and fund-raiser
> (albeit in Culture, not Health), which I could use.  I only felt like
> giving up.  The grey waters hadn't closed over my head.  I just hope
> that I took money away from someone who only wanted a child.
> Hilly, don't give up. The DLA application shows me that you may be
> depressed, but you are still fighting, and have all the skills necessary
> to put yourself in a position where they'll give you a pump.  I agree
> totally with Abigail that's what will make the difference. But I have a
> non-diabetic friend who has found prozac very helpful - I think it's all
> down to understanding the difference between thoughts and processes
> which I could, reluctantly, call 'healing' or 'natural' which happen
> when we grieve (for ourselves, or others) and those which, by
> implication are 'unhealthy' or 'unnatural' (and that's why I'm
> reluctant).
> I'm sure I'm going to get thrown off this group for political opinions,
> but, given your work situation, do consider joining a union, won't you?
> They might be able to help get you a pump, too.
> Best wishes to all
> Pat
> --
> Pat Reynolds
> email @ redacted
>    "It might look a bit messy now, but just you come back in 500 years
>    (T. Pratchett)
> ----------------------------------------------------------
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