[Previous Months][Date Index][Thread Index][Join - Register][Login]
  [Message Prev][Message Next][Thread Prev][Thread Next]

Re: [IPk] my response to the DAFNE trial published in the BMJ



Hi Pat
You completely missed my first point.
Having a stable basal insulin (as MDI would give me if I had Lantus) isn't
enough - I need to be able to set my basal insulin to give me differing
rates at different times. That's pretty much impossible with MDI unless
you're very lucky and can time the peaks and troughs appropriately.
Di

----- Original Message -----
From: "Pat Reynolds" <email @ redacted>
To: <email @ redacted>
Sent: Sunday, October 13, 2002 10:59 AM
Subject: Re: [IPk] my response to the DAFNE trial published in the BMJ


> I'm with di for all her reasons (apart from the first, which is
> tautologous - if mdi gives you a stable base, then the fact that a pump
> does doesn't make it an advantage). But she's missed out one other
> reason to prefer a pump over mdi: it is very useful to clip your
> clothing together when elastic fails.
>
> Best wishes to all,
>
> Pat
> (dm 30+, 508 1+, pretty certain she'll get a hold on this 'getting
> dressed' stuff any day now).
>
> In message <email @ redacted>, Diana
> Maynard <email @ redacted> writes
> >Gosh - no way would I rather be on MDI even if it did get me stable basal
> >rates.
> >
> >1. I wouldn't be able to have different basal rates at different times of
the
> >day.
> >2. I wouldn't be able to adjust my insulin as easily to deal with a high
or
> >low.
> >3. I wouldn't be able to turn off my insulin or turn it down for e.g.
> >exercise.
> >4. I wouldn't be able to simulate a square wave bolus for covering meals
with
> >high fat or grazing type meals.
> >5. I wouldn't be able to split my meals up over several smaller snacks
> >without taking more injections.
> >
> >In fact, I can't think of a single reason why I'd prefer MDI to a pump.
> >Di
> >
> >> Not at all I think most pumpers would prefer to be on MDI if
> >> they had stable basal rates.  If you don't have stable basal
> >> rates a pump is the only way to ensure both a good HbA1c AND
> >> stable blood sugars.
> >>
> >> As I have stated previously, on MDI my HbA1c's were always 6.
> >> something but that was at the expense of severe night time
> >> hypos (I always felt too low was less damaging than too high
> >> but it is great now to rarely have either!!).
> >>
> >> Bev
> >----------------------------------------------------------
> >for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> >help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
> --
> Pat Reynolds
> email @ redacted
>    "It might look a bit messy now, but just you come back in 500 years
time"
>    (T. Pratchett)
> ----------------------------------------------------------
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
----------------------------------------------------------
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml