New here - questions about pump

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Regular Member

Date Joined Apr 2006
Total Posts : 91
   Posted 7/9/2006 4:55 PM (GMT -7)   
I've been diabetic now for 10 years. For the longest time now, my diabetes control has been very good (good for he first 6 years now I think). For the past few years though, I have gone through periods of really great control, and then not so great control. When I don't have great control, its because my pancrease decides to produce insulin once and awhile, and its hard for me to regulate my insulin intake accordingly. Sometimes I think I've taken enough insulin and my sugars will go high, or sometimes they will go low with the same amount of insulin. I've gone from taking 1.5 units of insulin per 15g of carbs, to 1 unit per 15g. Its always a guessing game, and sometimes if seems that I've either taken too much insulin, or not enough. What I'm wondering is if I would be a good candidate for an insulin pump. I've read a bit about them, but I'm not entirely too sure what requirements need to be set to get one i.e. too many low blood sugars, or too many high ones. On a pump will I have to worry more about low sugars or high ones? I'm not entirely too sure how it all works with a pump. I have an appt with my endo in a couple of months, and I'm going to bring it up with her, but I'd like as much info as possible. Also, I'm from Canada. Does anyone know if its covered by the government or insurance? Any info would be greatly appreciated. Thanks!

Regular Member

Date Joined Jan 2006
Total Posts : 101
   Posted 7/10/2006 6:23 AM (GMT -7)   

Hi there,

             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!

Veteran Member

Date Joined Oct 2005
Total Posts : 534
   Posted 7/10/2006 2:23 PM (GMT -7)   
Hi Chaser,
First off let me recommend Pumping Insulin: Everything You Need to Know to Use an Insulin Pump Successfully
by John Walsh, Ruth Roberts. You can google this book or find it on and it should answer almost any questions you have.  You definately sound like a candidate for the pump!
Let me give you a short quote from a pump user:
JG said...

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.

I did not intend this to be a "testemonial" post, but I thought that "John's" exerience with the pump might convince you to take a good hard look at this as a method for yourself.  Good Luck!
scool  Warren
It's not that some people have willpower and some don't. It's that some people are ready to change and others are not. - James Gordon, M.D.
What some call health, if purchased by perpetual anxiety about diet, isn't much better than tedious disease. - George Dennison Prentice

I can only please one person per day, today is not your day...tomorrow doesn't look good either.

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