Insulin pump

By JMP314 Latest Reply 2012-02-12 17:50:50 -0600
Started 2012-01-26 23:10:29 -0600

I was diagnosed with Type 1 diabetes in 2004 at the age of 21 years old. I have been prescribed novolog and lantus. I have used the novolog flexpen for the last 6 years and find it very convenient. I live a very active lifestyle and have shied away from the insulin pump. I run 3-4 times a week averaging 20 miles a week. I recently have had a couple lows which has scared me enough to the point where I am leaning towards going to the insulin pump. I test my blood sugar on average 6 times a day, but am constantly thinking about where my blood sugar is at and is always on my mind. I would like to get a real time insulin pump which has another site shock tests as well. I know Medtronic has a pump available which has gotten some great reviews. There is also a new pump coming out this year which is called the T:Slim and looks slim and advanced. I was just curious if anyone had any advice, suggestions, or experiences? Appreciate it

6 replies

JMP314 2012-02-12 17:50:50 -0600 Report

I just wanted to thank everyone for the info and replies. After researching pumps, I have decided to go with the OmniPod. I just received the pump in the mail yesterday and am meeting with the dietician tomorrow to get it hooked up. I'm excited to get on the pump. Again appreciate everyone's feedback.

sweetkyfirefly83 2012-01-27 22:40:37 -0600 Report

Hi!! I was diagnosed in 2005 and they are pretty positive I have type 1. I was 22. Ive had a really rough road with my disease. Ive went from diet to pills straight to insulin. I'm.on Novolog and Lantus as well. Counting carbs and 40 units at night. My endocrinologist has suggested a pump and we have started the process. I think it will be a great asset to controlling my diabetes. I'm looking at a medtronic revel. Hopefully all goes well. I haven't talked with many people who is my age with diabetes. Hopefully we can talk soon.

Type1Lou 2012-01-27 17:20:09 -0600 Report

I was diagnosed Type 1 at age 27 and am now 63. I started on my Metronics Minimed pump last August because of repeated scary morning lows. I'm kicking myself for not going on one sooner. I love it! The minimed is not waterproof and must be disconnected when bathing or taking a shower. I do use the temp basal function that allows me to set the basal to 0% or any other % based on my expected level of activity and what my BG reads before my exercise. Prior to going on the pump, I used NovoLog and Lantus, like you. Since August, I have experienced two incidents of blockages with the pump where I was not receiving any insulin delivery. I was surprised at how quickly my condition deteriorated…both blockages were due to my error and the ensuing deterioration could have been caught and remedied sooner had I tested my BG sooner. I am not currently using the CGM (Continuous Glucose Monitor) feature but do test my BG's (usually) 7 to 10 times daily. I hope this info/experience has been helpful to you. I've been very pleased with the pump experience.

Turtle 2012-01-28 17:04:55 -0600 Report

Would you mind pm ing me and telling me in detail about your insulin pump? I am so curious and know a 15 yr old with one and have a young nephew with one.

kdroberts 2012-01-27 10:47:41 -0600 Report

The big question is what do you want to achieve? If you are just worried about lows, a pump may not be for you since the chances of a low are generally increase with a pump as it is automatically dispensing insulin regardless of if you need it. The flip side is you only have a few hours worth of insulin on board at any point in the day so you can end up with very high blood sugar very quickly if something goes wrong.

When running you would probably disconnect. Around 30 minutes or so is about the time you can do that but you may have to use a temporary basal reduction.

Your comment about wanting a real time pump is a litte confusing. There really is no real time pump. The pump itself will deliver basal insulin based on a pre-programmed pattern. The minimed, and soon Animas Vibe, have an integrated continuous glucose monitor but the pump and CGM work independently. I am also not a fan of the accuracy of CGMs, especially the minimed one.

Each pump is essentially the same but the individual features and company are what you should look at if choosing. Is tubeless a must? Do you need it to be fully waterproof? Do you want to bolus from the meter or are you happy using the pump itself? Stuff like that. I went with the Animas ping, it fit most of the criteria i wanted.

door331 2012-01-27 09:50:11 -0600 Report

Hi JMP314, I am 25 and T1D as well. I have been on a patch pump for the last year and I would say overall it has been pretty successful. The nice thing about the pumps is that you will be able to adjust your basal/bolus for different times of the day or situations. If you think your lows may be related to your active lifestyle I say give it a go. Many of the pumps allow you to set temporary basals specifically for things like exercising. Though you can also try eating something before your workouts - many people recommend peanutbutter.

I am using an Omnipod. Although it is tubeless I sometimes have issues with the pods. The other day I had it located above my bicep and the infusion came out— my BG was high for a few hours before I located the source of the issue. I believe both the Omnipod and Medtronic are waterproof which is a really nice bonus. I am not sure about the specs on the Tslim.

I tried out a continuous glucose monitor with my doctor before. I found it to be a useful diagnostic tool to see how my BG fluctuates during the day/night so I could adjust my basal accordingly. Keep in mind though that the CGM is not a replacement for doing your regular BG testing because they are not accurate enough. Personally the cost for using a CGM was too much for me to justify using one all the time but that's not to say you could not simply use it as you need it since the Medtronic has the functionality built in.

The only other thing to keep in mind is that both a Pump and CGM are probably going to cost you more out of pocket. Its difficult to get a quote on the costs ahead of time. The infusion sets (pods in my case) go through your medical insurance so your first refill of the year is usually huge because of the deductible. The CGM sensors will also go through medical instead of prescription insurance.

I hope that doesn't scare you away from trying out the pump. Your doctors should also be able to provide you with more info. I was able to get some hands on time with a few different models and got a demo for the Omnipod system I am using now. It should help you determine if the pump is the right choice for you and your lifestyle.

Good luck to you,

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