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(Our) survey results indicate that for some people, changing insulins has a negative impact on their health, well-being and quality of life. People need more information as to the reasons for changing their insulin and they need to have the choice. They need the support of their physicians and their diabetes health care teams during this time of change-over. The (Canadian) National Advocacy Committee is committed to advocating for the continuation of beef/pork insulins for those whose health, well-being or quality of life will be affected by the change.
Diabetes Dialogue, Fall 1997, Canadian Diabetes Association
The following is the summary of a position statement that originally appeared in the June 1995 edition of Canadian Diabetes, a publication of the Canadian Diabetes Association's Clinical & Scientific Section.
After reviewing the evidence, the ad hoc committee came up with a list of recommendations and a protocol for switching insulins, which the Association du Diab_te du Qu_bec and the Canadian Diabetes Asso-ciation's Clinical & Scientific Section endorsed.
The key recommendations include:
Who can decide on changing the type of insulin? That should be left to the endocrinologist or the treating physician. Except in emergencies, pharmacists are not authorized to exchange human insulins for beef/pork insulins. Unless their reasons are justified, medical professionals also shouldn't pressure patients to switch from animal to human insulins.
With that in mind, the ad hoc committee suggested that when switching insulins:
* * *
Adapted from the Report of the Ad Hoc Committee on Beef-Pork Insulins by Nahla Aris-Jilwan, MD; Pierre Malheux, MD; Tina Kader, MD; Alain Boisvert, B.Pharm, DPH, MSc; and Sara Meltzer, MD. Adapted by Stuart Foxman.
From the CDA web page: diabetes.ca, added June 6, 1996.
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.