MODY diabetes, Dr Andrew Hattersley, Professor Mark Strachan

KITLIVING

continued over

an insulin pump to just tablets was a less

dramatic experience. I don't miss it, but

going on a pump when I thought I had

Type I diabetes really did revolutionise my

life at the time. I did not go on the pump

until after I got married and settled down.

I was less conscious of my body image

by then. I'd been offered a pump several

years earlier but I was not ready for the

commitment. As I said we love camping,

we do it a lot and that used to be a real faff

to have to sort the pump out in the dark

in a field, but being on a pump helped me

achieve far greater control, letting me sort

out doses on the run, I could dose on the

bus and not have to get an injection out.

"I was devastated to learn that my

baby had a 50-50 chance of being

diagnosed with the same thing; as prior

to that it was only a one-in-200 of passing

on Type I diabetes to my children. Now, if

had another baby, I would be less worried

as ABCC8 is not so hard to deal with as

Type I diabetes."

Sophie Reymbaut is a paediatric

nurse and thinks that her interest in this

as a career may have been due to her

experience in hospitals as a result of her

diabetes from an early age.

The consultant's

side of the story

Professor Mark Strachan.

Professor Mark Strachan, consultant

in diabetes and endocrinology at the

Western General Hospital, Edinburgh,

has called for every patient with Type 1

diabetes of at least 3 years duration to

have a C-peptide blood test. The test

costs ~£6 a time and can help identify

people who need further investigation to

establish the cause of their diabetes. He

says, "If we identify that somebody has

a genetic type of diabetes, it can have a

transformative effect on their life. Also, if

we can establish that an individual has

another form of diabetes, such as Type 2

diabetes, again there may be alternative

treatments to insulin that we can offer

them. So I think it is a very important and

potentially transformative test."

Explaining further, Professor Strachan

says, "The C-Peptide blood test shows

how much insulin a person with diabetes is

making. This can help make the diagnosis

more accurate. Much research has been

done into this in recent years, especially

by Dr Angus Jones and Professor Andrew

Hattersley at Exeter University, yet it is not

integrated into many mainstream NHS

practices. Our catalyst here in Edinburgh

was one of our own patients, Sophie,

who had been in our care for many years

as someone we believed had Type 1

diabetes. A colleague working in another

centre informed us that her father had

recently been diagnosed with a rare

form of genetic diabetes, so we thought

we ought to test Sophie for it too, just in

case…. When we did, it turned out that

she too had that rare form of genetic

diabetes. It meant that she was not Type

1 and could therefore stop taking insulin."

As related in her story above, Sophie

Reymbaut, was able to come off insulin

and to go onto tablets after having to use

injections (and later going on an insulin

pump) over a period of nearly 27 years.

"Now she doesn't have to do any blood

tests at all," says Strachan, "And while

she does still have a form of diabetes, it

is under much better control than it has

ever been."

He then started to wonder how many

others in his clinic with a diagnosis of Type

1 actually might have a different cause of

their diabetes. He says, "Of course, as

a team, we were shocked at Sophie's

"The biggest moment in my life as a Type

1 diabetic was the move from multiple

daily injections (MDI) to an insulin pump

- I really felt that that change my life.

Oddly, moving from an insulin pump

to just tablets was a less dramatic

experience. - Sophie Reymbaut

Index

  1. Desang diabetes magazine diabetes information
  2. Diabetes UK Helpline
  3. Desang diabetes magazine diabetes information, Sue Marshall
  4. Dexcom buys Type Zero, JDRF UK, cellist Sheku Kanneh-Mason
  5. Diabetes news, Now Pharmacy, Now Patient, Now Healthcare, Lee Dentith
  6. Diabetes news, Novo Nordisk buys Ziylo
  7. Medtronic Guardian Connect, Medtronic Enlite CGM
  8. diabetes food news, montezuma chocolate
  9. London Medical, London Diabetes Centre, private diabetes clinic
  10. MODY diabetes, Dr Andrew Hattersley, Professor Mark Strachan
  11. MODY diabetes, Dr Andrew Hattersley, Professor Mark Strachan
  12. MODY diabetes, Dr Andrew Hattersley, Professor Mark Strachan
  13. JDRF UK One Walk
  14. Accu-Chek Mobile blood glucose system
  15. Accu-Chek Mobile blood glucose system
  16. Diabetes kit, Natalie Balmain diabetes, Type 1 clothing
  17. Diabetes kit, Natalie Balmain diabetes, Type 1 clothing
  18. Diabetes kit, Natalie Balmain diabetes, Type 1 clothing
  19. Dexcom CGM, continuous glucose monitoring
  20. Medtrum Touchcare diabetes technology
  21. Medtrum Touchcare diabetes technology
  22. diabetes and coeliac disease, diabetes and gluten intolerance
  23. diabetes and coeliac disease, diabetes and gluten intolerance
  24. diabetes and coeliac disease, diabetes and gluten intolerance
  25. Ascensia Contour Next One Diabetes blood test meters
  26. OurPath programme, Roche Diabetes Care
  27. OurPath programme, Roche Diabetes Care
  28. OurPath programme, Roche Diabetes Care
  29. OurPath programme, Roche Diabetes Care
  30. Diabetes kit, Diabetic Supply, Omnipod insulin pump from Insulet
  31. Diabetes kit, Diabetic Supply, Omnipod insulin pump from Insulet
  32. Diabetes kit, Diabetic Supply, Omnipod insulin pump from Insulet
  33. Omnipod Insulet insulin pump with insulin pods
  34. Silla Bjerrum Robata Japanese grilling cookbook
  35. Silla Bjerrum Robata Japanese grilling cookbook
  36. Making Carbs Count pineapples
  37. Making Carbs Count pineapples
  38. Accu-Chek Insight insulin pump
  39. Accu-Chek Insight insulin pump
  40. Free diabetes magazine, living with diabetes, the diabetic diet, carb counting

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