Insulin Pump

Gracieinez
By Gracieinez Latest Reply 2010-11-17 05:23:08 -0600
Started 2010-10-27 18:31:38 -0500

Hi, I was back to my Dr. yesterday and i asked what more I could do to prevent the lows I have. I take Lantas, and Humalog plus metformin to treat my type 1. He said that a pump was the answer to the lows. I would like to get some in put from pump users or anyone. I have been a diabetic for 6 years and have never had mine on a steady even road. My A1c was 6.9 but with all the lows I have been having I know that is not a true reading.


20 replies

hopejoey1
hopejoey1 2010-11-17 05:23:08 -0600 Report

The pump does have more benefits over shots. I have nbeen diabetic for 30 yrs now. I like that pumps offer better regulation and treatment of low blood sugars but shop around. I do not advise the accucheck spirit insulin delivery system. Its sounded great but it has been so frustrating The support team was more marketing than anything else…I have moved to a new state and now my new endocrinologist wants me to get a new pump as she isn't comfy with the system I have…It isn't covered by our current insurance as they only allow one pump in a lifetime, we are switching insurance in Janurary…I a a fan of medtronic as I had a mini med 507c back in the day…As a woman I had to get through some body image issues the pump brought to light..You can wear a thigh pouch and get creative with itbut it also brings challenges such as weather sensitivity.. Some pumps are water resistant, and you need to know your options…How often will you be permitted on your insurance plan to upgrade your pump and do you have tomail order your insulin? I have to get three months worth in one go and I am afraid if the refrigerator gets too cold then I am out all that money.. Some pumps have ability to download and communicate with your meter but find out what is going to enhance your life and not impede it…

BobCGM
BobCGM 2010-11-14 19:50:59 -0600 Report

I go with CGM as the answer, as some others suggest here. Knowing what your glucose is at all times and where it is going is more valuable than the guessing that one must do with either pump or MDI and finger sticks. A CGM will teach you how food, exercise and insulin affect your glucose levels and allow you to fine tune your control and largely eliminate hypoglycemia regardless of insulin delivery method. The alarms for both hypo and hyperglycemia will protect you from excess variability even when you are too engaged with other parts of your life to pay attention to how you are feeling. There would be many fewer pump users out there if CGM had been developed first. I can truly say that CGM has saved and improved my life immensely, and I am now able to achieve normal A1C levels without fear of hypoglycemia, hence my name.

deannadee05
deannadee05 2010-11-02 08:59:52 -0500 Report

I am a mother of 5 my 4 year old daughter has type 1 she was diagnosed april 14 2009 we had her on the pump by nov 1 2009 I love it she does really well with her bgs i keep in contact with her drs every week to see if we need to make adjustments to her basal icr all that I just took her to the dr last week her a1c was 7.1 so she is doing really good we only have a few lows during the month It took a little while to get it down but im so glad we arent doing the shots anymore she was up to 7 shots a day before we started using the pump but it would be something to look into for sure

monkeymama
monkeymama 2010-10-29 21:11:46 -0500 Report

Hello there! I have been a insulin pumper now for 3 years and it has been amazing. The insulin pump is geared more around you and the changes your body goes through. The pump allows for easier changing as it is needed and limits the lows. In the time I have been on the pump. I have only had about 3 lows compared to what I was getting before while I was taking Lantus and Novolin. The pump allows for me to be free/flexibility, less pokes with injections, and since of comfort. The pump has allowed me to have a more realistic and better control naturally of my diabetes. I went from having an A1c of 11% to now close to my goal at 7%. This was all due in a great Endo, my changes, and my pump. I feel more confident and strong with my diabetes. along with the ability to share more with my family together (meals and activities). My overall health has taken an amazing changing change. I look at my pump as if it were like a donor pancreas. I would consider the pro's and con's and see where you are feeling. You can also go to your local library or book store and read more about insulin pumping. You will find a lot of wonderful books that will help you understand and see the overall of insulin pumping. Best of wishes to you! :)

douglasslb
douglasslb 2010-10-29 02:28:36 -0500 Report

I have been a diabetic for 40 years. I have always suffered from very low blood sugars. It was a constant up and down, in and out of the hospital and falling out all the time. That was until I got the pump. That was the best thing I could have ever done. My life changed for the best and I am so happy with it. I have more flexibility in my eating times (no more scheduled eating times), I can eat things that I was not able to before; because they use this thing called carb counting instead of calorie counting. Even though I have occasional lows they are no where like they were. I have been on the pump for almost 20 years. I would not trade it for the world. I hope this helps and may God's blessings go with you.

Gracieinez
Gracieinez 2010-10-29 18:34:59 -0500 Report

Thank you so much. I guess i feel like this is a big step and maybe I am not sure if i am ready for it. All the replys I have gotten are all postive so I think I'll see what I can do about getting a pump.

Kimbala
Kimbala 2010-10-28 16:33:37 -0500 Report

My mother had a transplant in 1989 we were told that it might last 5 to 6 yrs. She got a pump I think in 1991 her kidney lasted 11 years. And she never rejected it the diabeties ( i can not spell) got it so she was able to have another one. The pump helped to control surgar and it helped the kidney last longer.

Getting pump is a great idea and it will be a big help.

Richard157
Richard157 2010-10-28 10:56:02 -0500 Report

Do you use carb counting to determine your insulin dosages before meals and snacks? i did not know about carb counting until the mid 1990s. When I started using it, my control improved very much, but I still had lows. I started pumping in 2007 and that is when i stopped having lows below 50. Lows in the 50s and 60s are not really a problem for me. I used to have some lows in the 30s and 20s and my wife fed me glucose tablets. Now that I am pumping I have not needed help with a low since July, 2007.

As another member mentioned, a CGM is also very helpful. It warns you when you are going low or high, so you can do something about it before it gets any worse.

Gracieinez
Gracieinez 2010-10-28 12:43:28 -0500 Report

Yes I do carb counting. It just seems like my insulin food and activity doesn't work sometimes especially when I am hard at work. I can deal with 50's and 60's it the 3o's that wipe me out. Also I hate waking up at 3Am because my sugar is too low. Has it helped at night also? Thanks for your input.

Richard157
Richard157 2010-10-28 13:15:25 -0500 Report

Yes, it wakes me up with an alarm at night if I go low. I can set it to alarm at various levels. I set mine at 60 and have a couple if glucose tabs or a few jelly beans when it wakes me. That way I don't go below 60 during the night.

Harlen
Harlen 2010-10-27 21:05:15 -0500 Report

Hello
I have had mine for well over a year and I dont get lows anymore.
I love my pump life is a lot better now on it .
If I where you I would do the pump school at medtronic its free and will teach you a lot .
Best wishes
Harlen

Gracieinez
Gracieinez 2010-10-28 10:39:10 -0500 Report

Thanks for your input. I am checking with my insurance to see what they will pay then I'll probably try it. So tired of feeling bad most of the time.

Harlen
Harlen 2010-10-28 15:09:00 -0500 Report

I know what you mean I was so happy to get my pump .
Best wishes
Harlen

tweetynj62
tweetynj62 2010-10-29 14:25:46 -0500 Report

Hey Harlen, how long did it take you to get your basal rate(s) set? I just got my pump on Monday, after being diagnosed T1 two years ago and doing shots for two years. I'm exhausted from staying up to test 4 hours after dinner and then getting up at 3 a.m. to test; I'm used to going to bed at 10 and getting up at 6:30 - but I know it needs to be done. My mom's been a pumper for many years now, so I know it's a good thing. And the new pumps are just awesome…

Thanks for any feedback.

Nancy

Harlen
Harlen 2010-10-29 16:41:04 -0500 Report

I was on shots for 4 years and my ratio was 2 gram carb to 1 ut of insulin
so my endo set the pump up to my ratio with what ever math she used and got it right the first time .
Is your BS running low at night ???? if it hasnt yet you got it .if its still running high you need to has the doc ajust it .
I did the week of testing every 4 hr too but after the week you will not need to do it lol
Why do they make you do that ?????
well after a week of good #'s you will feel the lows ,thats what they sead to me lol
Hope this helped
Best wishes
Harlen

tweetynj62
tweetynj62 2010-11-01 10:55:07 -0500 Report

Thanks Harlen! I initially had a 1:18 insulin to carb ratio but my CDE changed that to 1:25 and that seems to be working. After my first two days on the pump my endo had me set a second basal rate for between 12 a.m. and 3 a.m. because he thought I was dropping too much then, and those settings seem to be working. I guess as I go along I'll work with them to figure out different rates for exercising, etc.

Thanks again for the response.

Enjoy the snow!

Nancy

Harlen
Harlen 2010-11-01 11:38:53 -0500 Report

Any time
When I work out I suspend the pump and that works out for me .
Best wishes
Harlen

Crashnot
Crashnot 2010-10-27 18:56:59 -0500 Report

I've had a pump for about a year, and I still have lows, but thanks to a steady feed of insulin it might be once a day instead of 3-4 times a day. Instead of trying to eat snacks to match the peaks of your long-term insulin, the basal dose the pump feeds you can be adjusted to flow with your highs and lows if you have a regular pattern of them. If you can get access to a Continuous Glucose Monitor as well for a few tries, that would help you find the patterns of when your sugars are spiking and dipping throughout the day. Many of those are missed by regular blood tests. I really like the results I've had with my pump, and wish the CGMs weren't so infernally expensive, or I'd rely on them a lot more!

Gracieinez
Gracieinez 2010-10-28 10:41:44 -0500 Report

Thanks, I know it is so hard to figure out how much you need to eat. I hate eating when I am not hungry.Is it easier to lose or maintain your weight with a pump? I have gained 20 pounds in the last 2 years after going on insulin would love to get it off or at least some of it.

Crashnot
Crashnot 2010-10-29 18:46:17 -0500 Report

If your sugars tend to run high and you correct it with insulin instead of change in diet, you'll continue to gain weight. Insulin converts sugar into either energy or fat, so that will continue to be a challenge for you until you moderate your carb intake. But with the pump and it's constant basal dosage, you won't need to eat the regular snacks and can even skip meals. So that in itself may be a help for you. Just be sure to work with your doctor or nurse on figuring out your pump dosages.

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