I am a Type 1 diabetic since 1991. I have had two children and desperately want a third, but cannot face another pregnancy like the second due to severe hypoglycaemia which kept occurring.
I breastfed for a very long time (2 years +) after the birth of my second child and since stopping my sugar levels have been very unstable – this also happened after stopping breastfeeding the first child and I was labelled a brittle diabetic at that stage.
I want to get a pump and have approached Roche. My doctor did initially suggest it and I have asked for a referral to a centre that deals with pumps as my present doctor does not. I have heard that there are two centres in Pretoria that deal with pumps, but have had no information about Johannesburg. I have also been told that no endocrinologists specialise in/are dealing with pumps in this country – that only GPs are doing so at present – is this true? I also would like to know what the chance of getting a pump on medical aid is if it is recommended by a doctor and if the medical aid is paying for CDE at the moment? I have been told that a pump costs R26000 at the moment – are there cheaper options? What type of motivating factors would a medical aid be wanting to approve a pump?
I am trying to control my sugars now but even tracking them 6-8 times a day, taking multiple extra shots when needed and tracking my diet closely is not helping and the problem appears to be with the night time readings – as some nights I do go hypoglycaemic, but whether I do or not my sugars always rise very heavily between 04:00am and 07:00am when I get up so even if they are normal at 4:00am they will be high by 07:00am and if they are low at 04:00am then they will be even more high by 07:00am (sometimes as high as 18/19).
Can a pump help to correct this as a bad reading in the morning seems to mess up all control for the rest of the day no matter what I do to try to correct it. Also can a pump prevent the severe hypoglycaemic episodes I had during my second pregnancies which resulted in ambulance trips a few times if I were to fall pregnant again?