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Re: [IPk] monitoring

    Hi all,

The story about being instructed to test less often is scary, but I'm sure
not unusual. As you all say, it stems from misunderstandings about the
requirements of intensive insulin therapy in general, and pump therapy in

But as I've said many times before, we can afford to be forgiving, and
instead of grumbling just do something about it! Don't be afraid to meet the
doctor concerned to explain the facts:

1    Frequent testing is absolutely essential in pump therapy
2    The expenditure on diabetes management represents only 18% of NHS money
spent on diabetes, while 60% is spent on complications. It makes sense for
us with diabetes, for the sake of our quality of life, to shift some of that
expenditure to improve the care of diabetes and so prevent complications,
and it makes such financial sense that most governments, including the UK,
have accepted this, which is why the NSF and regional diabetes frameworks
were invented.

So don't get upset because your GP is uninformed, just INFORM HIM!

Good luck

Tony O'Sullivan
a pumping GP!
----- Original Message -----
From: "Abigail King" <email @ redacted>
To: <email @ redacted>
Sent: Wednesday, October 30, 2002 10:09 PM
Subject: [IPk] monitoring

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> Yes
> Many GPs are notoriously poor at understanding type 1. Then again so are
> hospital doctors
> In one of the GP magazines there was an article about glargine stating
that it
> is more expensive than NPH but may work out less expensive as patients
> only need one injection per day instead of 4 !!
> Despite the heading once daily BASAL insulin
> So some of my colleagues expect us to starve now to save the cost of a few
> units of actrapid or humalog!
> It does make me cross that so many people are having difiiculties or
having to
> bend over backwards to justify themselves in order to get good care. I
> fortunately have not had problems so far although I always get nervous
about a
> confrontation and I worry in case of needing to move as I think primary
> is better where I live than in many other parts of the country
> We do appear to be behind in the UK compared to many other parts of the
> ( European countrieas and US). I think it's partly because of British
> conservative attitudes, not liking to complain, being grateful because its
> free etc, blind obediance to our "superiors" or plain bloody laziness!
> Personally I'd rather have to pay a small subsidy on my medication than go
> without a pump (or even adequate strips) if I couldn't come up with the
> for these. It seems pretty irrelevant really that we don't have to pay for
> off non DM related drugs which wouldn't break the bank, but struggle to
> or even get denied tools to control DM properly
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