Insulin Pump approval

You would still inject for any carbs you had in the pre bed snack, but if it was cheese you wouldn't. The cheese does digest and although mostly fat does get converted into glucose. But it happens very slowly. But the theory is your body is aware that there is fuel in the gut being processed and so does not get the pancreas to release glucagon, or at least not as much, therefore keeping the liver from spitting out huge amounts of glucose.

Normally most people have had nothing in there for 7-8 hours so your body needs a kick up the bum to get going........[dawn phenomenon]......

August was a while back, and together with the change in seasons, I would say its time for some background testing again to see if you need to tweak your dose....

novorapidboi26, I'm hopefully being referred to the consultant very soon about an insulin pump. As your also in Lanarksire do you mind me asking a few nosey questions on your pump approval?

How many people were on the list when you were placed on it?

What timeframe did it take from being on the list to your pump date of jan/feb next year?

What models are available in Lanarkshire? I've looked at all the models out there online but don't have a source for availability through Lanarkshire PCT.

Cheers,

Derek

I would be delighted to answer your questions if i can............

I don't actually know of any list as such............ I was aware that the our PCT had acquired funding for 18 pumps for the adult clinics and a further 18 for the children's clinic.....so I wasn't surprised when my consultant mentioned it to me, I had actually asked about it 6 months previously and the reaction was very different........

The next stage was to have a consultant meeting up at Monklands, the pump centre for Lanarkshire, I then had a further meeting with the pump nurse and dietician, this was just to asses that I was aware what I was getting in to and was competent enough. The pump team then have a meeting every month were they decide on who has greatest priority. They said I was an ideal candidate..........

However its not the same as it is normally would be as there is finding in place for 18 pumps, a lot more than would usually be in place, so I am quite fortunate. So there are definitely other people on the 'list' you could call it, but there probably wont be many folk that wont get one, as the consultants still made the decision at the beginning...

The time frame was 6 months............and that was just down to the busyness of the clinic........it was a few months to get the first meeting, then the rest of the appointments came quickly,..

I think there are 2 main ones that Monklands issue and they are the Medronic Paragigm an the Accu Ceck Combo I think...........

Thanks novorapidboi26,

I suppose list is a misleading term for it.

It's useful to know the workings behind the actual proceedings.

its all new to me as well, so far the experience hasn't been bad at all, I just feel fortunate to have the opportunity......

Novorapidboi26,

I've been bombarding my DSN at Monklands with lots of random questions on insulin pumps and been told the models available in Lanarkshire are the Medtronic and Animas. Not sure which model the Animas is as I see there is a 2020 and Vibe version, does anyone on here know if one supersedes the other of if there is an advantage of one over the other?

I have to say that Katrina at Monklands has been very helpful coming back to me when I ask the questions and taking the time to do it through messaging here on dafneonline.

Derek

I've been to a meeting at the hospital to look At the pumps available, which at UHSM is Medtronic, Animas 2020 and the Roche Combo.

The vibe supersedes the 2020 if I remember rightly and their big selling angle was that

A) it was waterproof whereas the Medtronic was 'Splashproof'

B) it works with a CGMS

What they often fail to tell you is that the CGMS is only available on the NHS in extreme circumstances and has to be funded privately, costing £60 p/w for the sensor equipment.