I am dismayed at the lack of proactive engagement from the diabetic centre. My partner , who is type one , has never been made aware of any advancement in treating the condition. The Abbott Industry sensors have enabled her to reduce the amount of insulin injected , giving better control and weight loss . These sensors are available on the NHS but not on the Isle of Man. The benift is so clear that paying over one thousand two hundred pounds a year is worthwhile. It would be nice if they were on the NHS in the Isle of Man .

I understand that diet drinks are still being recommended to diabetics despite the fact that aspertain blocks insulin absorbsion.

We are told that we are the seventh richest nation in the world and spend only sixty percent per head that the UK spends on health. Where has the money gone ?

Why the contribution is important

Better control...better outcome.

Proactive ... better engagement.

Rethink how money is allocated ...gain paratyphoid with the UK.

by nigelsmith on August 01, 2018 at 02:59PM

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  • Posted by Eponymous August 02, 2018 at 17:51

    As a long-time type 1 diabetic myself, I'm not sure some of this is strictly correct, although I agree with the sentiment.

    The Freestyle Libre (which I also have) is actually only available in certain parts of the UK on the NHS - this very subject made the front page of The Times last week, featuring Theresa May, to illustrate the point about postcode lotteries. I have calculated the cost of using blood test strips based on doing 7 tests a day (which is my average) and it works out that providing the Freestyle Libre instead of strips at retail cost would be an additional cost of about £10 a month - which would be recouped, in my view, by diabetics having better control and so less risk of later life complications.

    I would be happy contributing 50% of the cost and think that would be fairer.

    The other disconnect is that the DVLA (and by extension, the Manx version) don't accept that interstitial blood testing is valid in order to drive, therefore I am still required to use blood test strips for this purpose. Whilst I can partly understand the rationale, this is ridiculous because the guidance on blood testing is that you must test within 2 hours of driving, but as any diabetic knows, 2 hours is a long time and your sugars can alter significantly in this period. Also, there is no specific guidance around which blood test meter you should use, which finger, at what temperature etc - and in reality all of these factors can cause a +/- 10% variance in the reading, which is what the interstitial documents define as being the mean divergence in reading vs blood test strips. I think this needs to be re-evaluated as it means some of the cost savings can't be "banked" by the government.

    I intend to lobby on both of these points.

    I also don't agree that the diabetes centre aren't moving forward with treatment - I lived in the UK for 20 yrs and the care I received there was far below the quality of care provision I receive here for my diabetes.

    The comment on aspartame is nonsense - certainly for me, it has no effect whatsoever on insulin absorption, although your partner's experience may differ. I also have never been recommended to drink diet drinks at the diabetes clinic, but if the advice was given in context of drinking diet drinks as opposed to the full sugar version, then clearly, this was sensible advice.
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