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Re: [IPk] CGMS glargine etc



Hi Abigail


I can only hope that more paediatricians will consider the pump in the
future although funding is still a big issue.  Sasha aged 7, had five
serious nocturnal hypos with seizures when using two injections a day
(mixtard 30) she use to hypo around the 4.30 to 5.00am time.  Due to too
much longer acting.  This was then changed to Mixtard 40 which didnt really
solve the problem either.  I then put a lot of pressure on the D nurse to
split the doses and use Actrapid and Insulatard which has worked out much
better. No more seizures since then, but we still check once during the
night. Sasha has little or no dawn rise and I have found the best time to
give her the insulatard is at about 7.30 am. Which the D nurse says is the
wrong time even though it works well for us. I had to fight to get them to
change to three injections a day because they say they usually only split
the doses when the children are older.   We have just the one D nurse  who
deals with children and adults.  I would like to try Humalog or Novorapid
and I am going to try to persuade them to let me have some on the next
clinic visit on Tuesday.


Jackie


----- Original Message -----
From: "Abigail King" <email @ redacted>
To: <email @ redacted>
Sent: 01 December 2001 23:06
Subject: [IPk] CGMS glargine etc


> Morag
> It's wonderful that even the most conservative paediatricians are
beginning
> to consider the pump. i remember when I was an SHO in paeds and used to
> sometimes observe the paeds DM clinics or deal with patients brought in
> after a nocturnal hypoglycaemic fit. I think all the paediatric patients
in
> this hospital were and are on twice daily premixes. I don't know whether
> they'd consider a basal bolus injection regimen even if parents were very
> well informed and asked for it, let alone pumps. Part of the problem is
that
> there is only one DM nurse specialist for the whole county for adults and
> paeds..
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