Insulin pump questions

By Scrump Latest Reply 2014-09-01 08:45:32 -0500
Started 2014-08-30 16:02:08 -0500

Looks like I'm finally on the home stretch to getting a insulin pump. I'm getting the Medtronic Revel 723. I was wondering if anyone has any pro's or con's regarding this? Also I understand there is a "cartridge" your insulin is in inside the pump, but what if I take 2 types of insulin?
Also any experience with wearing it while swimming/walking in the pool? I've been a diabetic for 14 years but just in the last 2 months finally got serious about it. Anything you can add would be helpful.

2 replies

Type1Lou 2014-09-01 08:45:32 -0500 Report

Hi Scrump! I've been using a Medtronic Minimed Revel 523 pump for the past 3 years and I love it. (The 523 has a smaller insulin reservoir than the 723 because I use less insulin over a 3-day period than you do. ) Prior to pumping I was on MDI (Multiple Daily Injections) of Novolog and Lantus. The pump only uses a single insulin (Novolog in my case) and the basal levels that were provided by your Lantus a replaced by small amounts of the Novolog throughout the 24 hour day. One of the benefits to pumping is that you can manually change or suspend that basal level to accommodate exercise needs or high or low BG's. You will need to accurately calculate and enter the carbs you are eating so the pump will be able to accurately calculate your bolus insulin (Novolog) for any meal. The Medtronic pumps are not waterproof and must be disconnected for bathing or swimming as kimfing mentioned. You will need to fill a new reservoir and change your infusion site every 2 or 3 days (I do it every 3rd day) and the sites need to be rotated to avoid scarring of tissue and insulin absorption problems. I find I am testing my BG 8 times a day to be certain I'm in control. If/when insulin delivery is occluded (blocked) we can reach high BG levels very quickly and need to change the reservoir/infusion set when that happens…the only way for me to do that is by testing my BG since I do not use a CGM. My last HbA1c was 6.6. I have found Medtronic to be very accessible and accommodating and supportive. I have found Gary Scheiner's book "Think Like a Pancreas" to be a very valuable resource for me. Medtronic also puts out a book "Insulin Pumps and Continuous Glucose Monitoring: A User's Guide to Effective Diabetes Management" by Dr Francine R. Kaufmann. If you have any other specific questions, please don't hesitate to ask.

kimfing 2014-08-30 20:17:57 -0500 Report

I just got on the pump two months ago. My husband has had one 30+ years. You will only use your fast acting insulin in your pump. I use humalog. you and your pump educator will set up your basal rates which replaces your long lasting insulin. When i shower or go into pool, i disconnect my pump from infusion set, put safety cap on set then reconnect when i am done. Im usually not in water for more than half an hour. If i will b i will get out n reconnect then go back in later.

Good luck

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