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type 1 diabetes medicals?

type 1 diabetes medicals?

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Old Aug 10th 2009, 7:43 pm
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Default type 1 diabetes medicals?

Anyone any experience of what type 1 diabetics (those on insulin) have to go through at the medicals?

Hope someone can offer some words of wisdom

Clare

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Old Aug 11th 2009, 4:22 am
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Default Re: type 1 diabetes medicals?

From what I can see of the medical and xray forms there will be blood tests required about this.

Question B17 on the medical form:
Do you have or have you ever had diabetes or sugar in the urine?
If the answer is yes then:-

Provide details, including date of diagnosis and any treatment received.

and also from the NZIS website

What preparations are required prior to the medical examination?

You may be required to fast or temporarily discontinue some medications in preparation for the medical examination. Applicants that may be required to do a fasting blood test include:
  • applicants 30 years of age and over
  • applicants with risk factors in their personal or family histories such as premature cardiovascular disease, diabetes or hyperlipidaemia.
The medical examiner will advise the need for the test. In some circumstances a repeat specimen may be advisable. Applicants travelling significant distances to medical examiners should consider whether they may be required to give a fasting blood specimen.
HTH

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Old Aug 11th 2009, 8:12 am
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Default Re: type 1 diabetes medicals?

Originally Posted by clarecarr
Anyone any experience of what type 1 diabetics (those on insulin) have to go through at the medicals?

Hope someone can offer some words of wisdom

Clare

xx
I don't actually have experience of the Type 1 medical but I know a bit about diabetes care.

I have heard of Type 1's passing the NZ medical and it will always be about diabetic control. If you have excellent control, with 6 monthly HbA1c's within optimum range there should be no great problems. You will however need to get a specialist report on the condition and it would go to the NZ medical assessors.

You would need to be aiming for HbA1c to be in the range of 5 to 7mmols. I know that probably sounds a bit tight but it can be done. As you are probably aware the long term damage is caused by regular hyperglycaemia, you would need to show this is not the case and therefore not going to cost NZ loads of money in the future.
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Old Aug 11th 2009, 11:22 pm
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Default Re: type 1 diabetes medicals?

As previously mentioned as long as your HbA1c is under 7% and you have no evidence of complications then I would say all good!!!

I work as a Diabetes Nurse specialist/ Educator and look after a fair number of type 1 folks who moved here from the UK

Just get the control tip top and provide as much information as possible. It is highly likely that they will want a specialist opinion that you have optimum control and no complications.Good luck!!
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Old Aug 12th 2009, 12:45 am
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Default Re: type 1 diabetes medicals?

Originally Posted by clarecarr
Anyone any experience of what type 1 diabetics (those on insulin) have to go through at the medicals?

Hope someone can offer some words of wisdom

Clare

xx
Hi

Another good idea is to have a recent consultants report that you can take to the medical with you, my OH is type one and we had no real issues coming over.
We contacted the consultant and got the most up-to-date reports we could get showing good control levels which speeded up the process
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