cost /benefit
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Posted by elliott on 20:41:18 2010/01/24
A question being asked by many academics, regulators and others is what degree of benefit from islet transplantation equates with what cost? This assumes no safety issues ( e.g. no immune suppression)
This is easy if the result of the transplantation is complete and permanent insulin independence. The cost of a life time of T1D is about $1 million, and this would be saved.
It is not as clear if the result is something less
One definition of modest success could be
1) attaining a HbA1c of less that 7%
2) lowering insulin dose by at least 20%
3) major lessening of severe hypoglycemia.
4) reduction of swings of blood glucose by at least 50%
for at least 2 years.
I have not seen any surveys done among people who have diabetes of what their opinions might be.
I would appreciate feed back
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