Hopes for an insulin pump dashed

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SteveG4

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Relationship to Diabetes
Type 1
Desperately trying for a pump to bring my treatment regime into the 21st century. Issue is that I've had type 1 for 44 years (just passed my anniversary) and my control is reasonable with very little in the way of complications. I need to ease the burden of MDI therapy and my body is like a pin cushion; I'm also not getting any younger. Received this from my newly acquired specialist today:

Dear …

I understand that you contacted my secretary recently to enquire as to where you were with regards to pump therapy. I can see from your Libre View data when I looked at it recently, that your time spent in the hypoglycaemic range is only … with … of the readings between 3.9 and 10. This shows you are able to achieve good glycaemic control with minimal hypoglycaemia. I do not doubt that this is not without considerable effort on your part.

However, as I explained on behalf of the … team in my letter of June this year, the NHS cannot fund a pump for you, as you do not meet the criteria. And further in response to the email correspondence we had in August, I have to make sure that we use NHS resources wisely and so, even if you wanted to self fund a pump, we need to focus the limited resources on those that would stand to benefit the most in terms of utilizing limited nursing dietectic time.

I’m sorry that this is not what you wanted, however, if you still wish to pursue pump therapy, then may I suggest that you ask your GP to refer you to a different service perhaps nearer to home.

Yours sincerely,

…..

Clinical Lead for Diabetes”


Having been with this NHS provider for 41 years and never missed an appointment I didn't like the tone. All seems lost at the moment. Fed up with this; the gap between my treatment and the wonderful stuff available to others now is getting wider and wider.
 
So ask for a referral elsewhere, do not take no for an answer. How many injections a day do you need to control your blood sugars and how many finger pokes, also what affect does all this have on your mental health and quality of life?
Write it all down and take it further. All they want you to do is go away, so do not give them the pleasure of doing so.
 
So ask for a referral elsewhere, do not take no for an answer. How many injections a day do you need to control your blood sugars and how many finger pokes, also what affect does all this have on your mental health and quality of life?
Write it all down and take it further. All they want you to do is go away, so do not give them the pleasure of doing so.
Amazing Sue to see that you've been suffering with T1D for 56 years. It is becoming a major quality of life issue for me now. Hardly gave it a thought a number of years ago but I'm 60 next year and I just don't need the MDI burden anymore. Running out of injection sites after in excess of 80,000 of them. Fully appreciate of course that pump usage doesn't remove the need to be continuously thinking about T1D.
 
Hello Steve,
You really do have to push the quality of life, so you end up with your goal of a pump.
Yes pumping is hard work but the quality of life is a wow factor after so many injections. I battled for 5 years to get a pump and it wasn't a good journey I can assure you. In the end I was sent a pump from a lovely gentleman in the USA which allowed me to self fund so I got in the back way so to speak and eventually secured funding.

I can assure you though I have not suffered from diabetes for 56 years, as only four when diagnosed so know no different and diabetes lives with me. Yep very frustrating at times but nope def not suffered because of it 🙂
 
Is this letter through your hospital team? My location also has a diabetic team in the community whom for me seem to have all the access to additional treatment and funding.
I know also in my area I was advised that to qualify for a pump you had to jump through some hoops including a DAFNE course. My diabetic team have been amazing,I really hope you have one near you as they have really been a life line to me.
I really hope you find your in
 
Hope you can find a way to meet the criteria @SteveG4

Have to gone through the fine print of TA151? That’s the binding Technology Appraisal - and if you are seen to meet the criteria, the health service are obliged to provide funding.


INPUT (now part of JDRF) were always the go-to for advice and supoort in accessing appropriate diabetes technology for people with reluctant Drs / CCGs. Might be worth asking them for advice?
 
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