Natalie Solent

Politics, news, libertarianism, Science Fiction, religion, sewing. You got a problem, bud? I like sewing.

E-mail: nataliesolent-at-aol-dot-com (I assume it's OK to quote senders by name.)

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( 'Nother Solent is this blog's good twin. Same words, searchable archives, RSS feed. Provided by a benefactor, to whom thanks.
I also sometimes write for Samizdata and Biased BBC.)

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Monday, October 23, 2006
When the political becomes the personal. Yesterday I failed to flag up another - indeed the very first - post featured in Britblog roundup for a reason that is rather typical of me. I had already copied the bare link into Blogger for myself, but hadn't yet made a post of it. Now I have. Squander Two, about to become a father at the time of writing, has more than the usual fears common to his position. His wife is diabetic.
What this means, for those of you who don't know much about insulin, is that a heavily pregnant diabetic woman is injecting herself four times a day with what would usually be a lethal dose. As soon as she gives birth — within minutes, in fact — the required dose goes back down, not only to what it would be usually, but, as sugar is now being converted into milk instead of stored as fat, even further down that that.

So, you have nurses who know sod all about diabetes and are arrogant enough to overrule the instructions of diabetic consultants and the protests of experienced patients, in charge of giving insulin to a diabetic whose required dosage was about thirty-six units a couple of hours ago but who would now be killed stone dead if injected with even twenty units, whose ideal dosage is far lower than anything that has ever been recorded in her medical records, and who, on a drip and having just given birth, is in no condition to resist being given the medication. Really, it's amazing only two people have been killed.

So it was a great relief to us when, earlier this week, Vic's diabetic consultant told us that he has "an arrangement" with the nurses and midwives at our hospital whereby his patients are allowed to medicate themselves. He says they're all under strict instructions to allow his patients to inject their own insulin and to bow to their expertise over what dosage they should be taking. If there's any argument, we're to tell the nurses to call him, and he'll tell them that the ideal dose is whatever Vic says it is. Which is great.

For his patients.

For this is sheer luck. If we had a different postcode, Vic would have a different diabetic consultant, who might not have decided to overrule NHS policy and whose patients would therefore have to run the gauntlet whenever they went to hospital.

Emphasis added.