Pump Therapy

By Emckee Latest Reply 2014-10-29 12:38:58 -0500
Started 2014-10-21 09:04:55 -0500

I have been diabetic for 8 years and just began using the pump. It's so different! I started the Medtronic 530G. I'm curious about other users experiences or tips about getting started. What are you using for therapy? I've been using it for four months now. Thanks for your input!

27 replies

LRD 2014-10-24 14:11:49 -0500 Report

So what is this used for? I don't understand. When are they coming out with meters that don't stick you? What are the experts saying on this?

Emckee 2014-10-24 14:57:55 -0500 Report

I still use a meter, but with this pump, I have a CGM and it will threshold suspend if I have too many low alarms with out taking action. I've found my CGM mis-alarms me too often for me to justify using it.

Carol2399 2014-10-23 20:40:54 -0500 Report

I have a pump, and while it does give me a lot of flexibility with scheduling, eating and sleeping, I am still a diabetic. It does not fix everything, but it helps make it all more manageable.
I can have some junk food, sometimes. I can sleep in and not eat, if that is what I want. BUT…I still got to look after my diabetes. There is still blood sugar testing, and highs, and lows.

Emckee 2014-10-23 21:16:17 -0500 Report

So true, well put. I'm still learning all the different ways to manage everything. It has been a lot better though.

Neily149 2014-10-22 05:58:50 -0500 Report

I have been pumping for for about 8 years now and have used Omnipod the entire time. I was so anxious to start pumping because I am fairly active and didn't want to be "plugged in" or have something "hanging off of me and getting in the way". Well my doctor convinced me to try it wen my numbers started to get out of control and it has been the best thing since. Omnipod is wireless and tubeless so I put a pump on it injects a little tube and I am good to go. I love it and would recommend it to any and all diabetics. It had made my life so much better. These pumps have helped me get through tough mudders, obstacle races. Crossfit, and a half marathon. They do an amazing job and have helped me control my diabetes.

Good luck with moving to the pump. I hope it will be as positive for you as it has for me. Just jeep working at it. Don't get lazy - I am coming out of a lazy phase where "I knew what my sugar was, so why do I need to test". Yeah, my A1C would disagree with my internal meter. But I have things back in order with a A1C of 6.8 my lowest ever at my last appointment.

Good luck!

Jan8 2014-10-23 11:26:29 -0500 Report

Fantasdtic for the A1C. I tried the pump but I felt like I was babysitting that black box. My Bgs went in the 400s and I tore the thing off and threw it away.

Emckee 2014-10-22 08:37:15 -0500 Report

6.8, that's great! I was the same way, I resisted the pump because I didn't want to be "hooked up." But, when my A1C hit 9.6 I knew I had to try something else. I get it checked again next month and can't wait to find out what it is, I used to dread it. Unfortunately, sometimes I slip into the lazy stage!! I am working to avoid it. Sometimes it can be frustrating, but I'm trying to make myself check at least 7 times a day. I'm still getting used to having the pump but I'm really glad I switched. It's provided me with more ease than issues. I've heard really great things about the Omnipod!

Silicone eyes
Silicone eyes 2014-10-21 15:22:52 -0500 Report

When I started mine, I found that my carb counting sucked. Get tip-top on your carb counting and it helps immensely.

Emckee 2014-10-21 15:47:45 -0500 Report

Mine has actually been pretty spot on! I notice that sometimes I purposely omit counting the carbs because I fear going low which is silly, but I'm working on changing it!

Silicone eyes
Silicone eyes 2014-10-22 09:09:56 -0500 Report

I really found how things like Pizza can mess with me.

Emckee 2014-10-22 09:29:34 -0500 Report

Haha it's worth it! I'm still trying to mess with how exactly to bolus it cause sometimes I still wake up in the middle of the night high, but it's worth it sometimes :)

Emckee 2014-10-21 10:44:20 -0500 Report

My dad was diagnosed in 1988 when he was 36. I was very reluctant to start with the pump but my A1C made me realize I need to try something else. I had one really bad episode the first night I was connected and I went low and didn't wake up for over 19 hours so I've been pretty terrified of lows since then.. I started using the CGM, but like you my insurance won't cover them. I still have them but they are incredibly inaccurate (at least for me) and the constant low/high alarms were a nuisance. I feel a lot better on the pump and I'm glad I made the switch, I just feel like I still have a lot to learn. Lately my sugars have been pretty high but I'm sick now, so that may be part of the issue. Do you change your basal rates when you're sick? I haven't really tried adjusting them yet. Thanks for replying!

kimfing 2014-10-21 19:00:57 -0500 Report

Someone on this site, i forgot who, put me onto this book i just finished reading. It is awesome. Think like a pancreas

kimfing 2014-10-21 18:59:41 -0500 Report

You can do a temp basal rate increase while u are sick. I wouldn't touch your current basal in case u forget to set it back once u r better

Emckee 2014-10-21 19:36:55 -0500 Report

Someone commented to read that!! I was just thinking about ordering it. I will need to check it out. Ya good idea! Thanks

Type1Lou 2014-10-21 10:37:06 -0500 Report

I started pumping in 2011 but was diagnosed in 1976 (yeah, I'm old!). Pumping has given me better control while reducing the incidence of low BG episodes. I LOVE pumping! But it does take commitment and determination. Are you using the Enlite CGM feature with your 530G pump? Because I have no insurance coverage for CGM's, it makes no sense for me to upgrade from my Medtronic Paradigm Minimed 523 to the 530G, otherwise, I would. I test my BG 8 or more times a day to make certain I stay in control. I count my carbs and use the bolus wizard feature that helps calculate the insulin dosage based on the carbs and BG level at the time I eat. I adjust my basal rate, reducing it when I am exercising to prevent lows, or increasing it to help lower my BG if I am fighting an infection. It took about 3 to 5 months for my medical team to fine-tune the pump setting for my metabolism and I find, I am still fine tuning them. (Our bodies are constantly changing.) I bought Gary Scheiner's book, "Think Like a Pancreas" that better helped me. He explains many of the issues we deal with: I now understand "Insulin Sensitivity" (a pump setting) and he helped me set expectations for post-meal BG's. Dr Francine Kaufman has also written "Insulin Pumps and Continuous Glucose Monitoring" which is a user's guide to effective diabetes management. You might find that one helpful as well.

I used my pump for nearly a year before encountering a "gusher" when I was removing an old infusion set. Don't panic if/when that happens. Just apply pressure to it and it should stop bleeding. You may also encounter some faulty infusion sets/reservoirs. Call the Medtronic 24/7 helpline when this happens, explain the problem and they will send you replacement sets for the faulty ones. They may even send you pre-paid shipping to return the faulty ones to them. I've been very happy, overall, with Medtronic's customenr service.

If you have specific questions, please don't hesitate to ask. I'll be happy to help if I can.

Emckee 2014-10-21 10:21:02 -0500 Report

That's great! Do you use multiple basal rates?

Type1Lou 2014-10-22 14:20:14 -0500 Report

Right now, I have 5 basal rates programmed into my pump and I'm considering another temporary basal rate for after I work out since my BG's seem to rise after the workout (which is contrary to what you'd expect but not unusual for strenuous exercise or competitions.)

jayabee52 2014-10-21 10:20:59 -0500 Report

Howdy Emckee
I have no pump so I have no tips, however I just wanted to say WELCOME to DC

God's best to you

Emckee 2014-10-21 10:34:28 -0500 Report

Thank you! Are you Type 1? What's your treatment?

jayabee52 2014-10-21 10:45:00 -0500 Report

I am T2 and manage mine with a meal plan I have devised. My pancreas puts out enough insulin to cover what I eat if I eat very carefully. I have been doing this for 3 + yrs now. Prior to that I was injecting "baby" doses of NPH twice a day.

kimfing 2014-10-21 10:17:34 -0500 Report

I've been D for about year and a half. I started pump accu chek system at the and of June. I love the convenience of the pump. Finally dialing in on my basal rates. Last three weeks morning bs have been under 100. That's where i like them

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