pros and cons of having a pump...

By alyrenee Latest Reply 2015-01-27 00:55:26 -0600
Started 2015-01-26 09:54:27 -0600

Hey everybody! So i ended up talking to my healthcare professional about the possibility of getting a pump.If my insurance will help pay for it then i might get it,but first…what are some pros and cons of having a pump? its just something new and so part of me is all for it and the other part is a little "iffy."

2 replies

lilleyheidi 2015-01-27 00:55:26 -0600 Report

I'm not a pumper, it's not an option for me at this time. That being said, for all the reasons Lou stated below, and a few personal ones, if the option were there for me, I would speak to my doctor right away about getting a pump. It was at one time a possibility, but things changed for me. Definitely recommend learning as much as you can about it, maybe taking a class if you can. Best to you. Heidi

Type1Lou 2015-01-26 15:03:09 -0600 Report

I have been pumping for the past 3 years after 35+ years on injections. I waited so long because I didn't want to be connected to something 24/7. Now, I would hate to have to go back to MDI (Multiple Daily Injections) The pros for me have been greater flexibility with less insulin and better control. Pumping also eliminated the increasingly frequent low BG episodes requiring glucagon or trips to the ER. The capability of fine-tuning insulin delivery to fractions of a unit and adjusting basal insulin delivery up or down to compensate for illness or exercise is also a BIG positive. Most pumpers only have to change infusion sites every 3rd day rather than taking multiple injections per day. Giving bolus (meal-time) insulin can be done very unobtrusively since no needles or pens are involved. The pump will calculate the correct dosages for you based upon carb input and BG readings at meal-time. The cons might be that you have to really be good and accurate about counting the carbs you eat to input the info into your pump so it can calculate your bolus dosage based on your programmed carb to insulin ratio(s). Some people have issues with the adhesive used to hold the infusion set in place. Rarely, but it does happen, I will nick a blood vessel in changing out an infusion set. This can cause insulin absorption problems and lead to a quicker change of infusion set…or inremoving an old set, (again rarely) a blood vessel is nicked and causes a "blood gusher" requiring pressure on it to stop the bleeding…really scary the first time it happened to me. For sleeping, you need to accomodate your pump so it is not pulled out; I've sewn small, stretchy pockets into my nightgowns to hold it in place. Lastly, for those intimate moments, you have to decide wheher you will "disconnect" or keep the pump on you. My husband and I have learned to work around it. You still have to test your BG. Since I don't use a CGM (Continuous Glucose Monitor), I'm testing 8 times a day. Many pumps are not waterproof and cannot be worn when bathing or swimming. Many pumps use tubes to connect the pump to the infusion set cannula and care has to be taken to not snag the tubing. Others are waterproof and tubeless. If you have any specific issue that I haven't addressed, please don't hesitate to ask. (Sorry this turned out so long)