Re: Importing Insulin from Britain to USA-Shipping and handling fee increase
- From: Alan Mackenzie <acm@xxxxxx>
- Date: Thu, 8 Dec 2005 22:54:41 +0000
willbill <trek@xxxxxxxxxxxxx> wrote on Thu, 08 Dec 2005 14:18:39 -0600:
> Alan Mackenzie wrote:
>> I've been posting a bit on a thread in de.sci.medizin.diabetes
>> recently. There I expressed the opinion that, considering the number
>> of DMers, even the considerable number of just T1s, the progress in
>> treatment has been meagre indeed.
> true
>> The isolation of insulin, and making it available to us 80 years ago
>> was indeed a massive advance.
> especially true!
>> The development of delayed action insulin was a significant advance.
> again true
>> The development of fast acting analogs was an advance of some note.
> not true!
> it's all in the mind of most diabetics and in fact false (in comparison
> to using only human-R or pork-R (roughly both the same overall speed),
> or even sloooow beef-R for meals)
Well, there's been the odd time or two in the last few decades when I've
felt the old BS skyrocketing past 400 for one reason or another, and
waiting the few hours for the R to do its job hasn't always been nice.
But the stuff is so damn fragile that the hassle seems more than the
benefit.
>> All the advances in treatment seem to be in terms of fewer people
>> developing complications and dying.
> i can't help but wonder if that's only been true for the large t2
> community (roughly 95% of diabetics in the USA) and had little/no
> difference for the small t1 community
I hadn't thought of that. Aren't the statistics kept separately? Maybe
you're right. Hey, where's the stats expert round here? Henry? Anja?
What's been the improvement in not-dying for T1s in the last 40 years?
> afaik, all "advances" are measured in t2 terms (and not by what goes on
> in the small t1 community)
>> Where're the advances for the healthy diabetic? 40 years ago, I had
>> to inject insulin every day. After 40 years of progress, I now have
>> to inject insulin every day - but now four time as often.
> that's coz you've bought into the so called "goodness" of separate
> injections for background insulin injections and meal insulin
> injections
I suppose so. Not that I've really had much choice up until 3 or 4 years
ago.
> if you want to go back to a true 1x shot per day, my suggestions are
> these (from CP):
> 1. 1x of beef PZI upon rising (i didn't check
> but i assume that CP still offers it)
> 2. 1x of beef NPH upon rising
NPH? YUCK!!! Unless the cowness really would make a difference.
> or (3.) if you are one who has "dawn phenomena" (rising blood glucose
> at some point in the early morning or later (after rising)), try 1x of
> beef-Lente (in the morning or evening, with the possibility of some R
> mixed in) and maybe a 2nd shot of only R at some point in the day
> (Lente by itself in the morning doesn't lend itself to much of an
> evening meal)
Just like what I had in 1965. Le plus ça change, le plus c'est la même
chose. (Excuse my French.)
>> Where's the insulin (analog) that can be injected once a month, at
>> full moon when the wolves are howling in the forest,
> ? :)
>> and whose activity is much higher when BS is high, and absent when BS
>> is low? For such an insulin (analog) I would be prepared to risk the
>> unknown long term complications.
>> Day to day living really hasn't improved much at all in that period,
>> at least that I can see.
> agreed
>> I suppose that plastic disposable syringes are a cut above the glass
>> ones which had to be regularly sterilised, and were kept in industrial
>> meths, whose taste one could quite get to like.
>> I'm passing my 40th "birthday" about now - I don't know the exact
>> date, but it was some time in October or November, I think. I don't
>> have the courage to try and find out. What would I do? Celebrate?
>> Celebrate what? Not having died yet? Somehow, I just can't. I can
>> only look back at the awful things which happened then, and reflect
>> how different things might have been.
>> Indeed! The IDDT has been sending me their useful and informative stuff
>> ever since I sent an email about the demise of Berlin-Chemie's pig
>> insulin.
> has the pig insulin helped with your depression?
Interesting question. Not stunningly noticeably, no. It's made me more
placid, so I don't get angry much any more, but I'm not sure whether
that's a good or a bad thing - a bit of both, really. I have to be more
careful about not putting on weight, but I can cope with that, OK. Hypos
are definitely more noticeable and well defined than with yeast insulin,
and the change is worth it just for that.
> it's possible that the beef insulin may help more (i don't think i have
> depression; but going back to beef insulin in '98 (after 7 years of
> human-R and 1 year of lispro (both via pump)) has opened questions.
> fwiw, a long time USA female t1 helped put it in perspective for me
> when she posted (on mhd) ...
Any chance of a Message-Id?
> ... that if she could cure either her depression or her type-1
> diabetes, she'd go for curing the depression!
I'll second that. The diabetes is little more than a minor
inconvenience, by comparison.
> bill t1 since '57
--
Alan Mackenzie (Munich, Germany)
Email: aacm@xxxxxxxx; to decode, wherever there is a repeated letter
(like "aa"), remove half of them (leaving, say, "a").
.
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