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Re: [IPk] How many tests a day



Thankfully my GP has never questioned how many strips I use but I must admit
I do get frustrated sometimes at my meter.  I have been using the Medisense
Softsense meter for the last two years and occassionally it can take four
attempts to actually get a result.

When put on the pump I was told that I should be testing pre-meal, bedtime
and if I am driving.  I do however test every two hours when I can because I
am still trying to sort out my am basal rate and have found that even
without any food my blood can rise by 6 mmol in 2 hours!

----- Original Message -----
From: "Jackie Jacombs" <email @ redacted>
To: <email @ redacted>
Sent: Friday, September 05, 2003 3:03 PM
Subject: RE: [IPk] How many tests a day


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>
> Abigail
>
>
>  I assume all these people who think that a few tests a week is ok,
cannnot
> possibly have any expirence of
> living with diabetes.
>
>  I think the lack of education given to people with diabetes is very
inadequate
> in most areas.
>
> Its all very worrying.
>
>
> Jackie
>
> > -----Original Message-----
> > From: email @ redacted [mailto:email @ redacted]On
> > Behalf Of Abigail King
> > Sent: 05 September 2003 10:37
> > To: email @ redacted
> > Subject: Re: [IPk] How many tests a day
> >
> >
> > Insulin Pumpers is made possible by your tax deductible contributions.
> > Your donation of $10, $25, or more... just $1 or $2 per month is
> > needed so that Insulin Pumpers can continue to serve you and the rest
> > of the diabetes community. Please visit:
> >
> >     http://www.insulin-pumpers.org/donate.shtml
> >
> > Your annual contribution will eliminate this header from your IP mail
> >
> > I think the "unecessary " argument for more frequent testing highlights
the
> > inadequate standards of diabetes education in many areas. Trouble is if
they
> > don't test they can't adjust things and if they don't know how to act on
> > results they can't adjust things. Seems a very conveniant way of making
some
> > short term financial savings to me
> > I read a big document on local guidelines for diabetes care. Not bad on
the
> > whole ( aimed as much to T2 as T1 though). Dietetic advice was very
sketchy
> > usual high uncounted complex carbs/ snack on fruit/ wholemeal bread
between
> > meals if hungry ( not given in the context of carbohydrate and insulin
> > adjustment). When talking about care of adolescents I raised some
eyebrows.
> > Mentioned that once daily insulin did not provide adequate control and
twice
> > daily normally needed in the hectic life of a teenager ( twice daily
> > =flexible? and who would inflict a once daily on anyone: forcing them to
> > have dinner at a fixed time as well as lunch ), although also talked
about
> > advantages of basal bolus regimens for flexibility. Then mentioned that
this
> > in itself doesn't give better contol. In the next paragraph stated that
> > teenagers should test enough to feel confident about their diabetes:
usually
> > 6 to 8 times per week ??!!!. This is mentioned in the context of
dislike
> > and refusal to test by many,>
> > Does have  a section of driving and underlines the importance of testing
> > then. Also testing at times relevant to excercise
> > A great deal of talk about aiming for A1c of 7 and possible need to
change
> > treatment plan if persistantly 8 or above.Also talk of patient
empowerment.
> > I don't call testing less than at least 3-4 times per day when on
insulin,
> > empowerment ( although some may disagree if have a dislike of tests !)
> >
> > >
> > >  My daughter Sasha is 9 and on MDI, I would reckon that she tests
about 7
> > times
> > > a day. No one has said
> > >  anything about test strips yet!!!!!!!!!! my GP is very supportive,
but I
> > know
> > > other Drs in the practice
> > >  would not prescribe me enough. Here in Gloucestershire they are
trying to
> > stop
> > > meters and strips being
> > >  given to people with type 2 diabetes, unless they are on insulin and
then
> > they
> > > are supposed to test only
> > >  twice a week!!!! They say its unecessary and that no one "acts on the
> > results".
> > > I am worried that it
> > >  may lead to strips for type 1 being rationed. Also in my expirence of
> > people
> > > with type 2 diabetes they do
> > >  use the results to change thei My consultant questions the amount of
> > tests we
> > > do a day but we cannot
> > >  keep levels reasonable unless we do. Sasha has no hypo awareness when
> > asleep so
> > > we have to test during
> > > the night.
> > >
> > >
> > > Jackie
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