if you are checking your blood glucose daily at least 3-4 times and you find that the values don't match up with your previous day's readings,(what iam trying to convey is if your day to day control is erratic and off-track),then think of switching to a insulin pump.If your HbA1c is constantly above 7,then think of insulin pump.The best candidates for insulin pump are patients who are practicing diabetes self-management, that is, they are monitoring blood glucose levels often, recording blood glucose and insulin values in a logbook, visiting a medical team on a regular basis, and counting carbohydrates.Insulin pump has better insulin pharmacokinetics, less variability in insulin absorption, and decreased risk of hypoglycemia,so you have to worry more about high blood glucose values than low ones.I cannot stress how important it is to frequently visit the medical team who start you on the pump,because till one settles down to a flexible life-style with the pump,he has to have frequent access via e-mail,fax,phone etc to the doctor in-charge for various reasons.More than 50% of health professionals on insulin ,use the pump,so there you are!
After two months I must say that you could not pay me money to take shots again! It was one thing to take two shots each day, that alone was bearable. But to have poor results-high blood sugar levels while taking the shots was another thing. In all honesty I was VERY reluctant to even think about the pump, the second week of wearing the pump I even took it off one night and went to injections because I thought I had enough. That did not work any better so I sucked it up and put the pump back on and have never looked back since.
Now that I have been on both sides of the fence (injections / pump) I clearly see huge differences. I cannot say enough about how wonderful the pump is and un-complicated my life has become because of the pump. It is completely amazing to see continual blood sugar readings under 140 and usually lower than 100. Even after a candy bar! I had the lovely opportunity to be sick with the flu and again with a head cold. During this time I adjusted the pump and my blood levels stayed normal. Never did that happen before.
My mind set was the only thing that had to change and become satisfied that this was the best way to treat diabetes. I have spoken to several diabetic friends about considering insulin pump therapy. Each one of them has had the same initial reaction that I used to have and wrinkled their nose at the thought of this. I thought I could never do the same things I did with something attached to me. It seems crazy to me now to even think back and say that this would slow me down. I feel great, and I do everything I used to do with the most minimal reminder that I have a pump on my body.
I now get up in the morning and test my blood sugar and get dressed and go eat breakfast (if I want to I can skip or eat later) and go to work. NO shots. When I want to eat lunch I take off when I want to and eat what I want. Dinner can now be at anytime of the evening or can be skipped. I can control when and what I want to eat now that I am on the pump.
Well to keep the long story short- The pump is great! There are a few little bumps in the road to work out but with patience and determination and encouragement for someone already pumping they are very small bumps in the overall picture. If you or someone you know were even considering the insulin pump, I would strongly encourage you or them to get on the pump. From my experience, the quality of life will be better.