Re: [IPk] Optimisation, was Lantus and Levemir
Don't discount the slightly radical solution of doing what you know
works best while telling the hospital what they want to hear.......
If you know that you need to do X to get Y, but you know that doing X
will give you worse results, you can always fudge it. ONLY DO THIS IF
YOU KNOW WHAT YOU ARE DOING!
So for example, if you have to prove that you still can't get perfect
control while "optimising" - whatever that means in their eyes - in
order to be considered for a pump, tell them you're optimising as they
say, and continue doing what works for you.......You might have to bite
their lip when they say "I told you so" or whatever, but it can
sometimes be the best solution.
This is not the advice of a medical person and I wouldn't normally
recommend people go against the advice of their doctor.....but sometimes
if you know what you are doing and you need them to believe something in
order to get what you want, then it may be justified.
Of course I never told you any of this.....
Mary Moody wrote:
> Thanks for your reply.
> I have been optimising now for almost 2 weeks and things have never been
> worse. Woke up this morning with a normal BG (6.1) having increased my
> ratios, and by 9 a.m. BG was up to 21.9 and I was feeling really ill. Have
> taken a correction and lunch + another correction. Felt that I might have
> been low in the night as I had a headache and felt a bit post-hypo.
> Wondering if I am just getting so stressed with the attitudes I am having to
> face that this could be having an effect on my BGs.
> I know under the NHS we are entitled to 2nd opinions, however, the way
> things have been set up in Scotland re pumps not sure how easy this will be.
> Consultants etiquette will probably result in me being reported to another
> consultant as "difficult". I'm not - I'm really co-operating to the best of
> my ability, just I have a lot of experience to colour any judgments and the
> pump clinic are not in the least interested. My husband says I'm being
> treated like a lab rat.
> Have made an appointment to see my GP and propose to contact the diabetes
> nurse at my previous clinic for an opinion, however, don't think they'll
> really be able to suggest much.
> The other option is just to do as the pump DNS says and give up.
> Thanks for listening to my rant! Felt much better last night after some of t
> he stuff I read in the Insulin Pumpers discussion group. The amount of
> knowledge you all have is really impressive.
> Mary Moody
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