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



Just what I was thinking! When I was first diagnosed I worked at Beecham
Pharmaceuticals and a chap there was just the same but worse! If his blood
sugar dropped he would slow down until he was next timetabled to eat! This
may be sad but the impact on me was not good. Work colleagues (even at a
drug research centre!) expected me to behave like that (i.e. strictly
controlled) or fall apart and die. Mind you I did give a good display of
rapid weight loss before I was diagnosed. The point I'm making is that such
people do influence the expectations of others around them. I would not
accept that nor would I accept the advice of a GP, consultant or indeed
anyone unless I understood it and agreed. This is why I was surprised that
some members of this forum actually listen to their GPs about staying away
from pumps - I never asked mine (ps I'm not advising anyone else to do the
same as me!).


Philip



-----Original Message-----
From: Ingrid Morrow [mailto:email @ redacted]
Sent: Friday, October 13, 2000 4:26 PM
To: email @ redacted
Subject: 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?


Ingrid


>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?
>
>John
>
>
>
>--
>mailto:email @ redacted
>http://www.webshowcase.net/johnneale
>
>
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>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml

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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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for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml