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Re: [IPk] Funding of Designated Specialist Centres for Diabetic Insulin Pum p Users

In message <004e01c0346d$74986d40$email @ redacted>, Ray Morrissey
<email @ redacted> writes
>The difficult part of Diabetes control seems to me (As a non-diabetic) this
>whole matter of balancing insulin + food to get the right degree of control.
>This is just as valid for people on MDI as on CSII.
>There is no reason therefore why you should not aim for centres of
>excellence in diabetes care, one of whose functions would be to look after
>pump users where that was the most appropriate form of therapy.

I agree with this totally (except that it isn't just the simple matter
of balancing insulin and food, one also has to balance exercise, stress,
and (for some of us) throw the menstrual cycle, other medical
conditions/drugs, and the weather into the equation).

I would be happy to vote for a 'centre of diabetes education
excellence', which would work with diabetics as individual learners (and
yes, that does mean exploring learning styles, literacy levels and so
on), and aim to achieve excellent control on MDI, but have full funding
for the pump for those who don't get excellent control for MDI, and
support purchase by those who get excellent control on MDI, but who
would like a bit freer lifestyle.

My guess is 40% would achieve excellent control with MDI, 30% would
achieve excellent control on the pump, and 30% would leave the centre
(or be placed in special remedial programmes) because they did not have
the intelligence or commitment to do the learning and balancing

Best wishes to all,
Pat Reynolds
email @ redacted
   "It might look a bit messy now, but just you come back in 500 years time" 
   (T. Pratchett)
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