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Re: [IPk] I've started the ball rolling!
Jackie, you and Sasha have to take a bow for getting such great results
while allowing normal treats. This is the key to leading a normal life with
diabetes, and shame on your various team members for not recognising that
you have cracked it and that you basically know more than them, which you
But does that success come at a cost? You have to be up every night, and
Sasha has to put up with a lot of hypos. Does that impact on your lives, and
is the extra effort worth it? I'm not questioning, because I know nothing
about managing young kids with diabetes, but I am inquisitive.
----- Original Message -----
From: "Jackie Jacombs" <email @ redacted>
To: "Insulin Pump List" <email @ redacted>
Sent: Tuesday, May 28, 2002 11:22 PM
Subject: Re: [IPk] I've started the ball rolling!
> Hi Babs
> Well you seem to have got that bit all sorted out then, I don't think I
> get any support from my D team to go elsewhere. Sasha's last HbA1c was
> the one before was 5.9 the highest its ever been is 7.2. I got told off
> last time as he it was too low he said the one before that was too. Yet
> Sasha hasn't been having as many hypos as she was before. Since changing
> Novorapid she has much better post prandial readings and as we always
> 2.30 am we correct highs and lows so her reading over night are usual very
> good. She has no dawn rise to contend with either. So we are not obvious
> pump candidates.
> I think he thought as we did that some of the good HbA1cs were due to the
> untreated/undiagnosed coeliac disease causing absorption problems but now
> 6 months on a gluten free diet so it cant be that. The blood test show no
> antibodies meaning that we have definitely kept to a strict diet.
> I dont bother to tell them I carb count because they dont believe in that
> would probably accuse me of being obsessive.
> I was a bit put out to as he wrote different doses in her log book, doing
> things like changing 3= units of Novorapid to 3 units and 12= units of
> Insultard to 12 unit etc. I know damn well that if I only give Sasha 3
> of Novo for breakfast that by lunchtime she will be in the 10mmols range
> not 5 or 6 mmols. As she only has Insultard to see her though lunch if it
> not lower than 7mmols she will be high all afternoon and feel lousy. I
> know that she need 12= unit and now maybe 13 units to get her though the
> without going into to high before teatime. It really peed me off. The
> that we were reviewing is always from 6 months before as they only take
> blood when we come to clinic. So he was telling me to alter doses that
> weren't relevant at all. I dont know whether to pretend I cut back or
> I just cant sit back and not give her the insulin she needs because her bg
> would be permanently raised. I dont know how I can make her HbA1c higher
> without ignoring high readings and not treating highs.
> I dont tell them that she eats cakes, biscuits, sweets and ice-cream
> Most of my local parents D group dont give their kids yoghurts or stuff
> has sugar or over a certain % in but Sasha eats the same as she always did
> I dont look at the sugars on the yogs etc just the whole carb count. BTW
> in case you thought I give her sweets or ice cream all the time I dont. I
> have never let my kids just have lots of sweets just as and when they
> They have to ask first and are not allowed to just take food without
> Dani, 14 take no notice though!!
> Anyway when you start the pump it would be useful if you give us a
> update on how it all goes and the problems etc and how you over come them.
> Cant wait to hear how it goes.
> From: <email @ redacted>
> To: <email @ redacted>
> Sent: 28 May 2002 21:11
> Subject: Re: [IPk] I've started the ball rolling!
> > Hello Jackie
> > Well, first of all I rang Danielle's diabetes nurse to ask her if anyone
> > the hospital were on a pump and she told me they weren't. I said "Well
> > really want to try one for Danielle and it might mean changing
> > She said that we could move hospitals with her blessing and she would
> > much as she could with the moving. I couldn't just leave it there so I
> > explained to her what I knew about the pump and how everyone should have
> > etc. She said that they have never learnt about them because no patient
> > ever asked for one before. She asked me to bear with her a few days
> > she spoke to the consultant. She rang me back about 3 days later and
> > that the consultant was very happy to still see Danielle at his clinic
> > that he would not be involved with the pump. For instance, he said that
> > would check her growth and HBA1c but we would have to accept that he
> > help with queries with the pump but he was happy that there is back-up
> > the pump suppliers.
> > As I said, I phoned Minimed today and asked them what I should do. I
> > told that I needed the consultant's approval first so I explained that I
> > got this but they do not know anything about the pump. They took all my
> > details and said that our local pump nurse would get in touch with us
> > visit. Unfortunately she is on holiday for 2 weeks but I told them how
> > desperate I was and they said they might get a paediatrician to speak to
> > meanwhile. I asked how long it would be before Danielle would actually
> > the pump and she explained that all cases were different but if I was
> > prepared to fund it, it could be 2 weeks after it is ordered.
> > Minimed sent me an information pack which I received this morning. They
> > included a video and I couldn't wait to watch it. I was determined to
> > the pump after I watched it and Danielle watched it with me. The only
> > that concerns her is if it will hurt.
> > I can't wait.
> > Babs
> > ----------------------------------------------------------
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