Insulin pump

bscmom3
By bscmom3 Latest Reply 2010-06-23 01:19:19 -0500
Started 2010-06-20 16:49:14 -0500

I have recently started an insulin pump because of poor diabetes control. I was taking 8 shots a day and I was ready to give up. My numbers were always high. like 300-400. Even when admitted to the hospital my numbers stayed 300. Now that I am on the pump I have lows all the time. 30-40. highs didnt scare me but the lows are really scary. It feels like I am going to pass out. I am ready to go back on the shots because of this any suggestions?


9 replies

AngeLsLuv
AngeLsLuv 2010-06-23 01:19:19 -0500 Report

you just need to play with your Basal and Bolus amounts.. When I was put on the pump, the woman from the company (medtronic) had me write down my blood sugars and she just gave me a constant dose throughout the day and night.. That doesn't work, no way, nut-uh… You should see a pattern of highs and lows and you can work with them to decide the amount of insulin you need.. Don't give up on the pump.. Due to that woman doing that to me, I had given up on the pump for months, then sat down and figured it out.. I'm not perfect, and with Type 1 and Hypothyriod [causing unexpected insulin shocks (Not reactions but shocks)] my A1C's used to be about 12, now with working out my own amounts through the day and night, my A1C's are at 7 - 8 (not perfect but better)… BTW: My doctors know nothing about insulin pumps so I've had to do this all myself with no help..

Sheri S
Sheri S 2010-06-21 21:44:53 -0500 Report

Like the others have said don't give up on the pump too quickly. I have been a Type 1 for 42 years and have been a pumper for 10 years now. I would never go back to injections.

I like the freedom to be able to eat when I want…not when the clock says I have to. The others are right about adjusting your basal settings and learning to count your carbs. I meet with an educator every 3 months to see if any basal/bolus adjustments are needed but can e-mail my educator between office visits whenever I need her help or have any questions.

I was a member of Weight Watchers for a while and the motto was "If you bite it you write it"…you have to count EVERYTHING you eat even if you just grab a couple pieces of something. Each day I would keep a journal of EVERYTHING I ate or drank even it it was water or a diet drink. You'd be amazed at how much grazing people do without realizing it during a day.

Hang in there…it will get better :o)
Sheri

monkeymama
monkeymama 2010-06-20 21:11:56 -0500 Report

Hello there! I recall having A LOT of injections while waiting for my insulin pump to come in. Elrond is correct about the carb thing. It will also take time to go through pine toning your settings. Keep in mind too that as your body goes through changes, as will your insulin pumping settings need to be changed. My Endo & I review every 3 months whether we change my settings or not. I utilize "Calorie King" and "Nutrition in the Fastlane" to help me with all of my counting. Also, have they given you what is called a "Glucagon Kit"? This is used for low blood sugar such as levels you have stated. Consider asking to review this with your Endo or Diabetic Nurse Educator/Manager. I would also agree with Harlen that the settings may just be too high for what you are needing. Please do not give up just yet.

Harlen
Harlen 2010-06-20 17:43:18 -0500 Report

Yes been there you need to have your pump ajusted
they may have set it to high
Do you know how to count carbs?
Best wishes
Harlen

sweets4sweets
sweets4sweets 2010-06-20 17:04:35 -0500 Report

My situation is the same as yours. I am currently on about 4-5 shots daily and i am sick of it. It is so inconvenient, especially @ work…i really want the Pump, my sugars run in the 300's all the time, but listening to your story about your low numbers i am now afraid or @ least having 2nd thoughts about the Insulin Pump.

Elrond
Elrond 2010-06-20 17:25:13 -0500 Report

Hi, sweets,
As I mentioned to bcsmom, the trick to living with a pump is proper carb counting. If you give the pump an honest carb count, it'll give you exactly the insulin you need to maintain a very good blood sugar. At first, there's a 'honeymoon period' while you and your doctor learn the proper settings for your body and activity but after that, things are great. I haven't used an insulin syringe for several weeks and only need to change catheter sites about every 3 days. This is a simple process and is surprisingly less painful than an injection. I do wind up testing more than ever but I consider it a trade-off. Since I wear the pump 24/7, it does get to be a pain but you can adjust. It clips to most clothing and I purchased a velcro belt with a little pouch for the pump. Since I don't like to wear much to bed, this has become my 'pajamas'. I can move the pump around anywhere I like so I'm not lying on it. I can also wear the belt under clothing if I don't have a convenient belt. I found mine on Amazon.com but Medtronics has a similar product. You 'wimmenfolk' can get a pump pouch that fits inside a bra too.

MAYS
MAYS 2010-06-20 18:03:07 -0500 Report

Seriously consider getting a pump, there will be a learning curve at first until you get used to the functioning and programing of the pump based on your needs as a diabetic.

The freedom of a pump will bring you a bit closer functioning as a non diabetic's body does (not having to constantly inject yourself with insulin).
It's all about learning and doing what's necessary and best for you.

~Mays~

monkeymama
monkeymama 2010-06-20 21:19:18 -0500 Report

The insulin pump is the greatest decision I have even made. I would never go back to the injections. While I was waiting for my pump, I was doing 4-6 injections a day and sometimes more. My life style, schedule, work & college, and more just made it a pain for me. I have so much freedom, flexibility, and control over my BG. I have only had 2 (may be 3 lows) in over 2 years of insulin pumping. I can even swim with my pump and mine has a pump remote. Thin of it this way, with a pump you only change your insets/catheters every 2-3 days verses what you are having to do now. Along with that is a possible decrease need to check BG as much in some peoples cases. Please research further and don't be afraid to ask questions about pumping.

Elrond
Elrond 2010-06-20 17:01:59 -0500 Report

Talk to your doctor or diabetes educator. Either your diet or the pump settings need adjusted. Watch your carb intake closely and be sure to give the pump accurate information about how much you're eating. Sugar that low is indeed scary. You can't possibly function properly at that level. When I get in that range, I can't even remember how to operate my meter. Don't give up on the pump. Mine is the best thing that's happend to me in a long time.