To pump or not to pump?

By harry1 Latest Reply 2014-03-06 17:38:15 -0600
Started 2014-03-02 10:32:23 -0600

I need some thoughts from people who are on a insulin pump. Why did you start on one? What was it like? Did you have any problems? Did your A1C drop within 3 months? I'm thinking about going on one since my bs numbers are all over the place. I take Levemir 60 units in am and pm, Novolin70/30 70 units at breakfast 60 units at lunch and 66 units at dinner along with humalog slinding scale. Sometimes I can't remember if I took my shots this caused me to have a 4 day stay in the hospital. I am trying to get a Metronic Revel pump. My last A1C test was at a 11.9 and my last urine is showing high amounts of protein in it. any thoughts would be helpful. thanks harry

7 replies

jaydoubleyou23 2014-03-03 22:16:49 -0600 Report

Wow! That's a lot of insulin! Yes I love my pump! Highly recommend the omnipod. :) It's not noticeable and it's tubeless so you don't have to get it caught on anything. Also changing the omnipod only takes a couple minutes and it inserts itself so it's virtually painless. I started it because I was scared to give myself shots. My a1c would have went down if I didn't abuse my privilege. It's going down now though. :) Very easy and helped keep my numbers from scattering all over the place! Just got to remember to bolus whenever you eat anything!

AmoreG 2014-03-03 10:01:53 -0600 Report

I've been on the pump for about 9 years now and I would definitely recommend it, it gives you much more control. Since I've been on it I've been able to do exercise and eat without the fear of going too low or too high. It usually only lasts for about 3 years and I've had a few, last time mine broke I had to use the insulin pen for two days and everything just spiralled out of control, my pump really has become my lifeline and has made my life much easier.

Type1Lou 2014-03-03 09:56:17 -0600 Report

I have been diabetic since 1976 but only started pumping in 2011. In 2010, I started experiencing frequent low BG episodes. I was on Lantus and Novolog at the time. My Aic had crept into the 7's. I tried pumping because I wanted to avoid those hypoglycemic emergencies…it's worked! It took 3 months in 2011 to get all of the pump settings properly calibrated for my metabolism. Don't expect it to be perfect from the start. It will require frequent testing and tweaking by you and your health team to get it just right. It was worth it transitioning to the pump. My last A1c was 6.7. My insulin needs were/are much lower than yours since prior to pumping I averaged around 21 total insulin units per day…but pumps also have a setting for insulin sensitivity. My total daily insulin requirements dropped from 21 units per day to between 16 and 18 units per day. I use the Medtronic Minimed Revel 523 pump and love it. Pumping requires commitment and input from you. At meal time, you'll need to input how many carbs you will eat so that the pump can calculate your meal-time bolus to handle those carbs. Pumps use only a fast-acting insulin, usually Humalog or Novolog.
For bathing and water sports, you'll need to disconnect from the Medtronic pump. For those "intimate moments", you can disconnect for about an hour or just work around it. At night, I've sewn pockets into my PJ's to hold the pump and keep it secure. You'll need to change the infusion set/reservoir every 2 or 3 days and rotate your infusion sites. I love pumping and would hate to go back to MDI.

mjhorgan 2014-03-02 16:32:37 -0600 Report

I spend a lot of time in the summer outdoors, at the beach, swimming, kayaking. I the summer months (May - end or Sept) I do MDI.In the non summer months I use the minimed pump, My A1C and always the lower 6's or high 5's. I like to have a break from the pump anyway, I think pump holiday's are always good every once in a while. I just do mine all at once in the summer. I can say that my sugars are good either way. However, type 1 is juts easier to manage with the pump. The setting really allow you to customize insulin delivery to exactly what you need. I like the pump, just don't love it. It can be a pain. Accidentally pulled out infusion sets, painful site every now and then, and the cost can be big negatives for the pump. I also sleep in the nude so I have no place to clip the pump, and it sometimes falls to the floor at night. I love the pump for skiing, because I can use the remote control to give my self a bolus while I am on the chair lift etc. I think the biggest thing to understand about the pump is 1) the cost, T1D is much more expensive to manage with the pump and 2) you have to be willing to adjust the settings as thing change in your life. If you don't use the pattern setting then the pump is not worth it.

kimfing 2014-03-02 15:19:31 -0600 Report

Husbands been pumping thirty years. Back in the day, they had only nph long lasting. It gave him horrific migraines so they put him on pump. It's kept him pretty well. Not too many complications and him alive!

ashley50 2014-03-02 10:46:59 -0600 Report

Yes i went on the pump, because i could not keep my bgs under control. I love the pump! As soon as i went on the pump my A1C went down!

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