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[IPk] Insulin availability, and other matters

Hi all!

I think I shall have to change our e-mail address!! (Not sexist - it's in
Paul's name because he was originally the keener to get on the Net - but now
seldom uses it...)

With regard to site infections, I recall only one while I was injecting and
that was long ago (25 years +).  I'm a bit embarrassed to admit that I have
had a small site abscess while using the pump - and that's in someone who not
only knows she's a Staph. aureus carrier, but is also an infectious diseases
specialist, and tries to be very careful.  Oops.  (Tony - and John - I
wouldn't generally advise antibiotic use for an abscess - we can discuss this
privately if you wish - but cellulitis is a different matter.  And don't
forget that a prescription is needed for antibiotics within the UK.)  I don't
know of any statistics for infections in pump users, but the opportunity is
greater because: a larger area is involved; there's more "fiddling" with
potential for contamination (and in my case, I can't really see what I'm
doing, much more difficult than a quick jab); and the duration of a foreign
body in the tissues is so much longer compared to the quick "in and out" of an

Pat - thanks for the thoughts on definitions.  I agree and have given a
proposal below - comments, group? I can hear objections already - but it helps
us know what we're talking about - obviously it isn't compulsory!!:-)
              site/set              =     terms can be used interchangeably
unless the problem is
                                              specific/known - in which case,
use capitals (eg "bad site" could be
                                              either, "bad Site" means the
problem is at the site)
              bad site/set        =      any problem with the site or set
              infected site/set  =      an infected site (or set ), implies
need to change set and
                                               consider seeking medical advice
particularly if not minor
              xxx site/set        =      specific problem with site/set, eg
allergic, malabsorbing, technical
So if you couldn't tell between an infected and allergic site/set but knew it
was happening at local level, you'd call it a bad Site, but if you had a
pretty good suspicion of the cause of the problem you'd call it that.
Hope this is clearer than mud!

It's my opinion that all hospitals providing pumps should have accessible
advice for pump users from an experienced pumper, in addition to that from
health care professionals.  On training days, as well as the instruction and
advice available from health care professionals trained to train in the
subject (I don't wish to criticise their excellent help and advice, but they
usually aren't themselves diabetic, and even if they've been thoughtful enough
to have a pump attached for a few days so they have some personal experience
they cannot know what it's really like), the presence of a such a person would
be invaluable. How do you know all the questions to ask before you start, the
problems you might encounter? - having a  1:1 "mentor" could be invaluable.
(I'd certainly be prepared to volunteer for such a role.)


PS Not being a very computer-literate person (although trying hard), I am
having problems in saving the IP news to chop out bits so you have a summary
of the text I'm answering.  While I work my way round that (this year, I
hope...:-) ) I trust you will all forgive me for not putting in the particular
relevant bits.  Today's response is from the subject quoted and refers to IP
news 573.
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