To pump or not

On my next appointment with my Endo, I am going to ask for a CGM. but have been debating about going on a pump or not.

I dont want to feel like a super woman robot. (I am already a super woman, I just dont want the robot feeling! :wink:

I already have a fitbit,

I want a CGM (well my fingers really need a CGM, and I want one for easier control)

and the only reasons I would consider a pump are:

  • to micro manage (sometimes a whole unit is too much)
  • I want to get back into being (a lot more) physically active than I am now and I know a pump would be useful
  • my lantus does vary during the month, and I think it would help being on the pump
  • know what and when I gave myself insulin

but the feeling of being so connected with all these gadgets, is mentally hanging me down, Think Robot!
Im also thinking sleep time. I’m a light sleeper who either sleeps on her back or her side and thinking this would keep me up.

Am I over-reacting? are my concerns real? is it worth it?
thanks for your input!

@Emet …not robot… cyborg… totally different.

pumping will not make your diabetes great, nothing about a CGM or a pump or whatever makes it great… it makes things “suck less”. these are the incremental things I’ve seen in 40 years

along with micro management comes the ability to easily correct a 150 mg/dl something you probably wouldn’t do otherwise.

discrete bolus, right at the restaurant with people that you just…don’t…want…to …explain…things…to…

like a great property (location) with a pump it’s basal, basal, basal. having the ability to mimic only what my body needs without overdosing or running high - even when I fly to different cities in different time zones, right there is the big one for me.

you can make anything work with effort. in my head I was also “tied down” to a relentless basal shot (or lack thereof if I forgot). whatever you decide will work best for you.

Loica @Emet, somewhat like you I was deterred from using a pump by MY mental anguish about being tied down and regulated, kept “in-line”. After 47 years using shots with different devices I succumbed to a [MiniMed 515] pump mostly because I wanted 1,500 to 2,000 fewer insulin pokes and found out how wrong my conception of pumping was. I still use “old technology pumps”
but I couldn’t operate now on a background insulin, such as Lantus, with MDI and live the life I do… I call my pump “Freedom”. I just returned from the gym and was able to be free to do whatever having lowered my basal to 50% 45 minutes before my workout - it will stay at 50% for at least 4 hours. Now I could jump on my bike and ride all day without having to have “made Lantus adjustments” two days ago.

I strongly endorse a CGM. This past July I began using a DexCom G5 and I’ve drastically diminished my SD & CV [standard deviation & Coefficient of Variability] while safely nudging up my HbA1c. The best thing about my CGM is that it alerts me when I’m “falling” so I know when to suspend my pump and it wakes me during the night with vibrations so I don’t miss “drops”. After 60+ years living with diabetes I no longer recognize when my BGL is falling.

When sleeping, I keep my pump in the breast pocket of a tee-shirt and find that comfortable; my CGM is on a night-stand a few feet from my head and I hear it vibrate on the hard wood - if I don’t react to the vibration and audible alarm will sound and awaken me - or my wife.

That is exactly why I would like to get on the pump! ^^^

@joe, yes cyborg, thats what I meant! LOL

and that!! ^^^

and that!

now THAT is my kid (6 years old)

She is very protective, and every time we are in a restaurant (or at work - I work in her school) and I need to either check or inject, she comes running and blocking people’s view. Very concerned that no one notices me doing it. When I tell her its ok , she looks at me like im the child and said something completely off the wall!

That is really cute. My son (turning 9) plays with my pump all the time.

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You are probably going to live many more years. A pump might reduce the possibility of long term complications. AND, if you thought you forgot to Bolus, you could look at your pump and find out :slightly_smiling_face:.

I like being able to have different basal rates. At 4AM–when my dawn would start–my basal rate increases significantly, which keeps things stable. In the evening, my basal rate is much lower. That alone is worth the price of admission. Having different insulin/carb ratios at different times of day is also helpful. When I exercise, I suspend my basal starting about 20 minutes before I start. I tried decreasing my basal but suspending works for me. YMMV.

I have an omnipod, which I love. I like not having tubes. I look forward to Dexcom and Omnipod working together in a closed system.

I agree with the other pumpers. I was on shots for 35 years and after having 2 children switched to a pump. A few things to remember:

  • you can get tubing in various lengths - so when sleeping you don’t necessarily have to keep the pump right on your person
  • you run your schedule not the insulin. Skip a meal, eat late, exercise when you want, etc.
    You’re only changing the infusion site every 3 days so fewer skin pricks and finger sticks
    It did take me a good 6 months to get use to wearing a pump but now it’s just there. There can be a lot of alarms so be prepared for that but you’ll have so much more control over your glucose levels which is mentally freeing.

I love my omnipod. Read my posts lol and you’ll see why. 27 years - mostly shots. Found a fantastic ending who was known as an awesome pump md. Did shots for a few more years. I’ve aleays had difficulty controlling my diabetes due to changing hormone levels. I was at 12 shots a day - She said to me one day, would you like to try a pump ie something else to do the math I was doing all-day long. I was finally ready (several years after I found my endo). Started with Medtronic due to insurance-switched to omnipod plus Dexcom cgm - love it! I don’t like wires and tubes, so omnipod’s tubeless pods were the perfect choice!

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Hello Emet, I, like you was nervous about tubes and gadgets on my body.
I started using Omnipod some years ago and love it. It is a small device that’s is changed every 3 days and is quick and easy. It is small and sticks to your body (arms, legs, abdomen). A product called Skin Tac has helped keep stuck during hotter temps and workouts. It’s discreet and can be worn without creating a bulky feel, even in skimpy dress or bikini. The benefits include adjusting basal when needed, and using “bolus extend” for certain foods when quick acting bolus shots are too regimented.
It took a little while to adjust to a pump, personally I’ve found it worthwhile.
The only hiccup is when flying, however this can cause a few blips for many T1D’s. With the help of many on this site, I am getting closer to resolving these.
Since using Omnipod, my control is so much tighter.
I’d suggest speaking to your dr, and insurance carrier to see which pumps are an option for you, should you consider taking a step closer to using a pump.

Good luck Superwoman!

I’ve been a Type 1 diabetic for 63 years now, and have used insulin pumps for over 26 years of it, started in December 1993. Reason I started was because they had just released the DCCT (Diabetes Control and Complications Trial) 1 year early. Main thing in that was that by gaining tighter control, particularly with an insulin pump, could not only stop developing diabetes complications, it could in many cases reverse them. So after the first 6 months when I felt confident that I knew how to use it my control started improving markedly, and my A1c reflected it.
I’ve ALWAYS used tube pumps, starting with Minimed, then Animas, and now my new Tandem t:Slim X2. I was concerned about using a pod pump for 2 reasons: expense can be tremendous since the entire pump is replaced every few days, and that can really add up if it doesn’t work right when you mount it. A REAL problem if I lost my medical insurance , which happened at times since.

The other thing is that I worked around machinery, sometimes needing to squeeze thru tight places where the pod might stop me cold. A hose could be worked through anywhere, and the pump could be pulled free to get thru somewhere if needed.

Also people worry about catching the hose on something and ripping out the infusion set base if it catches on a handle or something. I had quite an experience with that 1 day early on. I was standing on a frame taking the top off a material tank but didn’t realize that the hose had looped around the clamp in front of me. When I jumped a foot or so down I found myself facing 2 vibrating white lines, my 43" hose, which had just stretched to about 49" long.

After looking at it, finding no leaks, and still able to pump insulin through it I just kept working the rest of the day, then went home and changed it. So will it ALWAYS rip out the base, NO.

Another note, I always get the longest 43" hose so that it won’t restrict me, particularly when doing my daily tactical maneuver in the smallest room in the house. I can just drop what I need to and not worry about it, since the pum can rest on the floor with no problem. You would probably do that maneuver rather more often, for obvious reasons.

It can also get interesting in the summertime, when I wear shorts. THEN I need to run the hose all the way around my waist to avoid having the hose hand down by my knee with no cloth to keep it trapped, which could get very confusing, and rip out the base before I realized what was happening.

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