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

You have to feel a bit sorry for the guy. I wonder what is holding him back?


>From: John Neale <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: Re: [IPk] Funding of Designated Specialist Centres for Diabetic 
>Insulin Pump Users
>Date: Fri, 13 Oct 2000 16:14:06 +0200
>I too agree with Ray's observation.
>Pump initiation is certainly best performed at a clinic with a thorough
>grounding in pump use. But the clinic would serve the community best if its
>specialisation was not specifically in pump therapy, but rather in all
>aspects of "intensified insulin therapy". You may choose to get your basal
>rate by 3 or more smaller injections of long acting insulin, and meal
>boluses, geared to what you are eating, by injecting Humalog. Or you may
>choose to do the whole thing by pump. Frequent injections of long acting
>insulin is a nice solution, since it smoothes out the potential peaks and
>troughs of once or twice daily long acting insulin.
>Edwin Gale, head of diabetes care in the Bristol area, talked to me a
>couple a years ago about setting up a clinic for intensified insulin
>therapy. I've no idea what has come of his plan. It would be both for
>pumpers and people on flexible insulin therapy - where you match the
>insulin to what you are eating.
>Di was telling me - very revealingly - about a colleague of hers at work
>who has Type 1 diabetes, and never tests "because it hurts and there's no
>point". This guy is not stupid, and has several degrees behind him, and
>works on an advanced research project. And if the late morning meeting
>overruns, he gets rather shifty because he's late for his lunch, and at the
>office barbeque he could only eat one sausage "because it was the wrong
>time of the day". We have to respect his own choices. He's seen Di's pump,
>and isn't interested. But I do wonder what prompts him to accept these
>restrictions on his life. Is it ignorance? Is it that no one at his clinic
>has empowered him to take control?
>mailto:email @ redacted
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml

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