What questions are most frequently asked in your clinics?

What questions are most frequently asked in your clinics? So the frequent questions, I think, in London, I think there's a huge variance around the quality of care people get and familiarity of individual teams regionally. So a lot of patients would come to us from other centers from from places in which they've not been supported. Pump therapy is incredibly complex. So the normal discussion starts with whether they have experience, if, if they've had experienced any issues with mechanics of the pump, which essentially means that there's pump failure, whether they changed their canola every third day, if they've had insulin and what kind of insulin they use, they've noticed any crystallization of the insulin or pump blockade. Um, and then you move on to the technical stuff, but essentially means a discussion around the basal rates, which essentially means how much insulin you need every hour because in the insulin pump, you can set your insulin rate for every hour of the day. And also a discussion on insulin carbohydrate ratios, which essentially means how much insulin you need for a certain amount of carbohydrates. Insulin sensitivity factor, which would essentially mean that one unit of insulin will bring down your sugar by how much. insulin on board time, which essentially means that based on the kind of insulin, whether how long would insulin last in your system, so you don't get too much of it, so you don't have hypers. Then we have discussions around the CGM data, which is conscious glucose monitor, and how people use them to make decisions of post-calculations within the pump, that in this case is mainly the Hexcom, which is one of the devices. And then we move on to having discussions around the use of pump therapy during exercise, sleep, intimacy, and other things, normal daily activities. And then the discussion also involves around having them having the retinopathy screen, the nephropathy screen, the blood pressure management, and cholesterol management. So it can be quite complex, the oral care, because it involves essentially the mechanical element of the pump therapy, the clinical use of pump therapy, establishing whether the person has the essential skills to do cough counting, and trying to apply all those with regards to the day-to-day functionality of that individual person and trying to individualize it can be incredibly difficult because different people want different things and they have different preferences from the device.