To Pump or not to pump?

By Type1Lou Latest Reply 2014-09-21 10:20:01 -0500
Started 2014-09-20 08:07:16 -0500

I saw this on another diabetes website and felt it worth sharing. Here's the link

I started pumping in 2011 after having injected insulin since 1976. Pumping has given me better control and greater flexibility and I'm kicking myself for not having begun to pump sooner. This article is yet another reason to opt for pumping if that's an option for you.

2 replies

Josi Type1
Josi Type1 2014-09-21 01:19:17 -0500 Report

I'm working with my doctor around changing my settings to get better control, but… My A1C went from consistent 6-6.5 using pens to being 7.5 for my last two since getting a pump. I like a lot of features that the pump offers, but find myself struggling with where to put it on my body (something that wasn't an issue with the pens). Overall I'm happy to have my pump; however it hasn't been as magical as others presented it to be when I was using pens.

Type1Lou 2014-09-21 10:20:01 -0500 Report

Josi, it does take some time and work with your med team to get the pump settings just right for your metabolism. It took me several months and, even now, 3 years later, I find myself changing some of those settings to accommodate my aging body and/or any changes I make in exercise routines. The beauty of pumping, for me, is being able to immediately make those changes once I understood what all the settings (insulin sensitivity, carb to insulin ratios, active insulin etc) really meant. Also, my pump is programmed for 2 insulin sensitivity settings based on time of day and my carb to insulin ratio also varies according to time of day. I also like the bolus wizard feature that calculates my bolus dose based on the carbs I input, my BG at that time and any remaining "active insulin". It does all the math. Insulin pump dosages can be administered in 1/100ths of a unit which is impossible with syringes. Reading Gary Scheiner's "Think Like a Pancreas was a big help to me as well as Dr Francine Kaufman's "Insulin Pumps and Continuous Glucose Monitoring." Friday, when I was out playing golf, my blood sugar was dropping and I still had an hour left to finish. I hadn't replenished my "snack" stash, (my bad) so, I just suspended my basal insulin delivery for that hour and kept on playing without any problem. I couldn't do that once I'd injected my basal (Lantus) insulin…it's there for the duration. My last A1c in August was 6.6. Many people think that a pump will "automatically" function as a pancreas without any input or effort on the pumper's part which is erroneous. I found it demands a great deal of commitment to make it work for me but the results have been well worth it.