Pens VS Pump

By nikkiburns Latest Reply 2013-01-03 21:19:02 -0600
Started 2013-01-01 17:49:05 -0600

What do y'all think of pens VS pumps? Pros and cons of both?

6 replies

John 2013-01-03 21:19:02 -0600 Report

Been on a pump vacation for the last week after 6.5 years of pumping. My previous MDI experience was disastrous with nine 911's. My A1C has been great while pumping, but in the last months it's been nearly impossible to keep sets working well. I learned a whole lot about my basal profile and other peculiarities. For instance if I skip breakfast, I will get a big liver dump at lunch regardless of what I eat. We also lost an insurance, so I asked my doc for a vacation.

My basic plan is to cover my minimum basal need with Lantus and cover my two DPs (dawn and dusk phenomenon) with Novorapid. I can't tak a full dose of Lantus to cover my DP or it will drive my hypo in the night. My sleeping need is .525 units per hour while my DP peaks at about 1.30u. The catch is I need to wake early and bolus, no later than 6am. I also need a small shot around dinner. I take my Lantus around 10pm.

One big question: does my small 10-12u Lantus shot last 24 hours? Everything I've done indicates yes, and week in my sugars are now remarkably stable; though my wayward LCHF eating does scramble my liver. I usually don't eat breakfast, and that makes lunch boluses iffy. There's also been too much snack food around the house this season :( A big negative is more shots, but I am using areas I'd never insert a set like arms and inner and outer thighs.

So far, so good.

Type1Lou 2013-01-03 11:13:11 -0600 Report

For me, pumping means fewer shots and better control with, overall, less insulin. Prior to going on a pump in August 2011, I was on MDI (Multiple Daily Injections) of Lantus and Novolog pens, averaging 4 shots per day. I began having frequent and dangerous low BG episodes while on MDI which led me to my pump. The low BG's have nearly been eliminated and my A1'c are back in the 6's. Pumping requires one injection of the cannula every 3 days vs 4 shots per day on MDI. One the down side, pumping is the more expensive option and does require more frequent testing of BG (I average 7 test per day).

nikkiburns 2013-01-02 23:02:21 -0600 Report

Robert, I know what you mean. I had the pump right when they first came out with them, I loved it at first but I had so many issues with it that now I'm scared to try one again! I do love the pens, but how much more expensive are they than pumps?

Robert413 2013-01-02 11:27:33 -0600 Report

Hello, I'm 23 and experienced both pens and pumps - also the regular needles . I had the pump when I was 15 to 18 or 19 and I did not have a good experience with it . My pump was a deltec cozmo which they claimed was so great at the time , which I later found out they recalled. It would jam , and run out , battery die - just a lot of complications. I decided to try the pen and I love it . It's already filled and can be disguised . My doctor wants me to try the pump again but I'm in love with the pen .

manapua72 2013-01-01 21:02:01 -0600 Report

I'm currently on a pump … Since I've been on the pump my numbers have dropped and r more stable . I also use less insulin too … The only thing I dislike about the pump is having to wear it 24/7 and the tubing … Prior to the pump I used insulin pens … I took a long acting @ night and in the morning … I took a short acting before each meal , then two hours after meals if #'s were still up more short acting insulin … My #'s were still out of control … My stomach & waist area felt like a pin cushion … Was getting bruised up & tender … Had to always try to calculate the right amount of insulin to take , it was a little hit & miss @ times … With the pump I'm able to work with my trainer and doctor and get my basal rates adjusted then when eating just count carbs add to pump which has a calculator that calculates how much of a bolus to give … A lot easier then shots and a lot less pain …

Robert413 2013-01-02 11:33:47 -0600 Report

I totally agree with your post ! I didn't state the cons of the pens , but sometimes I get sore in the spots I constantly use. I need to keep track of my numbers though so I can see the difference

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