To pump or not....that is the question

By mommyr3m2 Latest Reply 2012-11-16 08:40:59 -0600
Started 2012-11-08 11:28:17 -0600

We will be meeting with our endo in December and are thinking about asking about putting Ryan on the pump. A little info on Ryan he is a very active 5 year old, we have had to do a lot of adjusting to ratios because he had his honeymoon phase. He seems to finally be leveled out and on a pretty consistent does.

I've done some research into the pumps, but from my experience first hand knowledge is always better. If you/your child is on a pump what are the ups and down? If you have chosen to stick with injections why? Any info is helpful.

5 replies

type1's mom
type1's mom 2012-11-16 08:40:59 -0600 Report

Oh let me add that the main reason we choose Medtronic over Animas was because the CGM was integrated and the representatives were very open and honest. That won my trust. Also I did alot of research BEFORE my endo appt and I think that helped for his approval. I know a child that sees same endo that has been asking for pump for a year and he keeps telling her no. **The downside to ANY insulin pump is that if u don't follow directions the child can go into DKA very easily since there is no long lasting insulin** ( PS no scary lows since we started pumping!! )

type1's mom
type1's mom 2012-11-16 08:29:23 -0600 Report

My very active 10 yr old has been pumping for a month now and we love it! It's alot of work but gives much more control, peace of mind AND way less sticks!! Ethan says he will always shave a pump :). I researched the major companies and went with Medtronic. They r super friendly and helpful!! they answer questions quick and r very involved after payments went through lol. The Omnipod still doesn't have a pediatric size and my endo said he had experienced issues with reliability (these are personal opinions U should form your own of course!) The regular sized Omnipod seemed huge on my very small 10 yr old. Ethan also got a Continous glucose monitor(CGM) that is sends readings to his pump. U still have to check BG regularly but this gives u an idea between pricks. Anyway my point is that we r super happy with Medtronic minimed with CGM but u should be honest with the major companies and ask for no commitment info or trials.

GolfNshape 2012-11-10 15:03:18 -0600 Report

I've been T1 since 1987 and a pumper since 1994z I've found that both injections and pump therapy can deliver great results. My A1c's have always been around 6.0 on my pump and in June, I decided to take a pump break that lasted 3 months.. Lol… My next A1c was 5.9.. Now I think diet and exercise plays a much larger role in those #'s, it still shows you that success can come from either treatment. It's all about trial and error and you don't know until you try it.. Even with a pump, it's still a good idea to know how much Basel insulin you need just in case you want to go off the pump for an activity or your pump breaks.

Harlen 2012-11-09 19:24:46 -0600 Report

One thing I now is that when you go on the pump your life gets a lot better as do your #s
Best wishes

ShellyLargent 2012-11-09 16:19:39 -0600 Report

I am on an Omni Pod insulin pump. It is completely tubeless. I was also on an Animas pump for years prior to the Pod. I was on MDI's prior to that. I totally believe that pumping is the way to go for insulin. It's better controlled that way. With injections, I was finding that I was having to eat to match my insulin. I was either always too high or always too low. Very rarely wa I ever exactly where I wanted to be in my numbers. With pumping, it allows me to have a more precise dosage and totaly control over my insulin usage.

As far as which pump I prefer after having both types, I prefer the pod. I like not having a wad of tubing to try and stuff in a pocket or worry about the pump falling out of my pocket or unclipping from my pants. I like to wear sweat pants and jammie bottoms around the house on weekends and after work. Most of those do not have pockets so I would have to try and tuck my Animas into my bra or have to carry it in hand everywhere I went. Not fun. The pod is actually controlled wirelessly from a remote (called a PDM) and you do not have to have it with you at all times. As far as durability, both the pods and the Animas pump are very durable. I've bumped my pods on door jambs or knocked them into the tub side while bathing. I've also gotten them hung up in purse and backback straps, but they also seem to make it through with no problem. I've only had one malfunction due to dropping it onto a hard wood floor from the kitchen counter, even then I'm not 100% sure that's why it failed. My Animas took some pretty hard knocks as well from falling out on my pocket. I never had to have it replaced because of that. They do have a design flaw that I never liked that causes a weak point in the case by the battery cap. If you tighten the cap too much, you can crack the outer case. The newer ones may not be as bad, but I had to have my pump replaced 4 different times because of that. However, the people at Animas were always great and I always had a replacement the very next day. I was never without my pump.

For a little one like your son, I would think that the pod might be a better choice simply because theres less things for him to have to worry about or get hung up on/in. The insertion process for the pods is a little less involved than with the Animas pump. With the pod, you fill the pod through a port in the back, let iit prime itself, stick on the pod, push a button on the PMD and it is self inserting. With the Animas, you have to rewind the cartridge chamber, fill a cartridge, screw on the tubing, install the cartridge, manually prime the tubing, and manually insert the canula. Personally between the two, the pods hurts a lot less the than the Animas when it came to changing the sites. The insertion sites for the Animas are about the size of a 50-cent piece, maybe a little smaller. The pods are quite a bit bigger and bulkier, and do take some time to get used to.

Pumping insulin is one of the best things I ever did for my diabetes control and my family's peace of mind. My husband no longer has to worry about me not waking up the next morning because my blood sugar bottomed out in the middle of the night and I never felt it. I used to have multiple lows during the day and night. Once I went on my pump, it cut the lows down to maybe one or two a month. And I do know that both Animas and Omni Pod work with CGM units as well. The MiniMed does too.

Sorry to be so winded, but I'm a huge advocate for pumping insulin over the injections, and once I get started, I just keep going! Hopefully this was helpful in making a decision. If there's anything specific that you'd like to know about wither pump, please don't be afraid to ask! I'd love to help. Take care!