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Seven-year-old Ellie Clark holds her insulin pump, which also works with an implant to display blood sugar levels, Wednesday, Sept. 12, 2007, in Grandville, Mich. (AP Photo by Adam Bird) Seven-year-old Ellie Clark holds her insulin pump, which also works with an implant to display blood sugar levels, Wednesday, Sept. 12, 2007, in Grandville, Mich. (AP Photo by Adam Bird)

Alta. has high diabetes rate but won't fund insulin pumps

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CTV Edmonton: Laura Tupper on the issue
There are calls for the Alberta Government to cover the cost of insulin pumps, which allows those with diabetes to manage the disease without frequent insulin injections.

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Seven-year-old Ellie Clark holds her insulin pump, which also works with an implant to display blood sugar levels, Wednesday, Sept. 12, 2007, in Grandville, Mich. (AP Photo by Adam Bird) Seven-year-old Ellie Clark holds her insulin pump, which also works with an implant to display blood sugar levels, Wednesday, Sept. 12, 2007, in Grandville, Mich. (AP Photo by Adam Bird)

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Seven-year-old Ellie Clark holds her insulin pump, which also works with an implant to display blood sugar levels, Wednesday, Sept. 12, 2007, in Grandville, Mich. (AP Photo by Adam Bird)

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Date: Tue. Sep. 13 2011 8:14 AM ET

Alberta has the fastest-growing rate of diabetes in the country but the province still doesn't have a publicly funded program to pay for insulin pumps, says the Canadian Diabetes Association in a new report.

A total of 217,000 people, or 5.8 per cent of Albertans, were diagnosed with one of the two forms of diabetes last year, the association says. That's expected to rise to 8.6 per cent by 2020.

Those with Type 1 diabetes, or juvenile diabetes, require multiple injections of insulin a day, to help manage their blood sugar levels. Many of those with Type 2, or adult-onset diabetes, also require insulin.

Insulin pumps make managing the disease a little easier, by delivering the appropriate amount of insulin when required throughout the day and eliminating the need for manual injections.

But the pumps can be expensive, costing as much as $6,000 a year to maintain. While most provinces have assisted medical devices programs to help defer those costs, Alberta is one of just a handful provinces that still does not pay for the pumps. According to the Canadian Diabetes Association, Nova Scotia, Prince Edward Island and Quebec also don't have financial assitance programs or a commitment to establish a program to help pay for the pumps.

Canadian Diabetes Association spokesman Mike Cloutier says that's unacceptable.

"Investing into a publicly funded insulin pump programs make sense both for the health of Albertans and the sustainability of the province's healthcare system," he said in a statement Monday.

According to a new report commissioned by the association, the average out-of-pocket expenses for an Albertan living with type 2 diabetes is about $2,500 per year. That includes diabetes medications, devices and supplies, such as needles.

For people with type 1 diabetes, that amount rises to nearly $3,000 per year.

Those who choose to use insulin pumps see their personal expenses rising to more than $6,800 a year -- an amount few can afford, the association says.

The CDA says those with diabetes could lead healthier lives by using an insulin pump, and spend less time in hospital managing diabetes complications.

"People living with type 1 diabetes are at high-risk of developing serious long-term complications, such as kidney failure, heart attack, stroke and limb amputation," said Cloutier.

"Switching from daily insulin injections to an insulin pump can reduce complications and increase the quality of life for people living with type 1 diabetes while, at the same time, saving Alberta's health system millions of dollars over the next 20 years."

In fact, Cloutier says, the increased cost to the province of paying for the pumps would be more than made up for in long-term savings in health care.

The CDA report says an insulin pump program could save Alberta up to $10.8 million in the next 20 years because there would be fewer health complications from diabetes.

Alberta Health Minister Gene Zwozdesky attended a Canadian Diabetes Association breakfast Monday for the unveiling of the report.

He responded by saying he can't promise anything yet, but says the matter is on his radar.

"I'm very convinced by the statistics that I've seen so far, so I have to work with our expert committee on this," he told CTV Edmonton's Laura Tupper.

Comments are now closed for this story

Susan
said
0 0

I have had type 1 diabetes for 43 years. I have never used a pump nor do I have any desire to try one. I was told that there is no proof that these pumps help control diabetes any better than taking injections. It may work better for some people, but it may not be for everyone. My concern is that people are not able to afford the basic diabetic supplies - namely test strips. The test strip is the key to monitoring and controlling diabetes and it is not covered by Alberta Blue Cross. I am sure some companies have drug plans that cover this item, but the government's health care system does not cover test strips, syringes, pen needles, or Lantus. Should this not be the priority - to make management of this chronic disease less of a burden?


Richard
said
0 0

No wonder Alberta doesn't fund the pump. It looks like large numbers of Albertans don't understand Type I diabetes.Type I diabetes is contracted during childhood. It is not yet understood how. What is certain is that obesity, diet and excercise have nothing to do with Type I diabetes. That is Type II. Pumps are for Type I diabetics.As far as the cost goes, it costs far less to supply pumps for Type I diabetics than it does to treat all of the inevitable medical problems (nerve damage, loss of mobility, blindness, amputation) that occur from poor blood sugar control. The pump saves LIVES and it saves MONEY.


Kassie in Kanata
said
0 0

I agree that providing pumps for those inflicted with type 1 diabetes (especially juveniles) is a good idea and that the Albertan government should get on that. However, type 2 diabetes is completely avoidable and, in most cases, cureable. Eating properly and maintaining a healthy lifestyle is key and I don't think those inflicted should be provided with these extremely expensive pumps. I think better education and encouragement to help themselves actually get better would be a much more productive alternative.


KJ in Calgary
said
0 0

and why should the government provide this health handout. A good portion of Albertan's are overweight, don't exercise or take care of their own health. Obesity and diabetes are a huge cost to health care and so why should my taxdollars be spent on those who refuse to take care of themselves!


Scotty
said
0 0

The richest province in the country won't give you an insulin pump but at least you won't have to pay PST on the purchase price when you buy one yourself! It's all about priorities and this is what the people there keep voting for. What am I supposed to do, feel sorry for them? Alberta is what Alberta chooses to be. Thankfully I don't live there.


Dave
said
0 0

I guess the government should pay for remedies for all illnesses, injuries, etc.. But then where would the government get the monies. Not from the persons wanting the tax monies to pay for it all.But it would then be put on the shoulders of the hard working person. Pretty soon our country will turn out like another Greece.


SK Prairie Boy
said
0 0

A pilot study at Newcastle University in the UK recently showed that dramatic weight loss cures Type 2 diabetes...this could save governments billions of dollars a year...


Dan Dan
said
0 0

Wow. I expect some ignorance on behalf of regular people, but for it to come from a veteran Type I, that is extremely frightening.In a person with a functioning pancreas, a small amount of insulin is produced round the clock. In Type I diabetics, this function is provided by the pump.For those using needles, they have to give themselves large injections of slow-acting insulin several times daily, and hope that spreads out well over the course of the day.Which do YOU think is going to work better for the body?


Art in Alberta
said
0 0

Yeah that's Alberta for you. I've lived here for 9years and I'm continually amazed at how little the people of the province matter to the government of the province. It's all about Royalties and oil and gas companies.


Don
said
0 0

Alex is totally off base.These pumps are worth every penny.Has he ever tried one?


Stu
said
0 0

It sounds like is what Alberta needs most is education so fewer people get the disease in the first place. Eat balance meals & get plenty of exercise. Alberta has a large number of conservatives these people don't believe in scientific facts but they really need to be educated.


Consumer
said
0 0

I guess the producer of these very expensive pumps is targeting Alberta and not even mentioning who the other two provinces are since they can make much more money in the Alberta market.


Ryan in AB
said
0 0

As someone who has seen their spouse use both there is no comparison. My wife is a type 1 diabetic and the challenges of maintaining consistent blood sugar with injections was far more difficult thanh when we made the choice to pay out of pocket to get the pump. The fact is that better management of blood sugars has been scientifically linked to lower complications (and there for health expenses) in the future. We need to be future thinking and while the cost of the pump is not insignificant the cost of dealing with future complications outstrips this cost by many fold.


Alex
said
0 0

I call hogwash on this article. I have type 1 diabetes, have had it for 25 years and in my experience these pumps are a scam and do not work for everybody. They are essentially an IV for insulin, meaning unless you are around food 24/7 there is a substantial risk of having a higher rate of low blood sugar episodes. They also are a more expensive product due to the high costs of the patent. This story seems like nothing more than an advocacy campaign by the drug makers to encourage more use of their product and having taxpayers foot the bill withour significant clinical trials that it is the most effective treatment. The real question is why we don't have any program to provide drugs free of charge for chronic conditions like diabetes, asthma, chrohns and other disabilities. These conditions are normally genetic in nature and beyond the control of the patient, it is not fair for them to suffer so much both in terms of health and finances when they have no drug coverage and face remarkably higher costs of living. Governments NEED to consider this in the next health accord negotiations!


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