Today is the day, December 21st, the day that I inserted my first infusion set. It was an exciting and nervous day. I walked out of my Endo's office where I had met with my trainer free of the 5 injections a day that I had become accustomed, I was hooked up to my new Medtronic Paradigm 723 pump.
My first couple of weeks were a little bit trying, I had "No Delivery" alarms with my second, fourth and fifth infusion sets. It seems that Medtronic did not believe me when I told them that I was no longer an overweight T2. I had worked hard to lose about 40 pounds of excess weight and had become a lean person. They had sent me 9mm Quicksets which were way too long and I was experiencing bent cannulas. Following the advice of my friends here at Tud I called Medtronic asking for an assortment of different sets. I settled on using the Silhouette angled insertion set because even the 6mm QuickSets failed due to hitting muscle. I haven't had a failed set since switching. I was sent an inserter for the Silhouettes, I found that it looked like a harpoon gun and quite frankly it scared the heck out of me, I choose to insert manually after using it a couple of times. The harpoon gun now sets in a box in my closet.
At one month my brand new pump failed. I was to say the least dismayed. I called Medtronic and another pump was sent overnight. I understand that anything made by man can fail so I wasn't to upset and besides Medtronic was great to deal with.
Anyone that has started pump therapy knows that Endos always start new pumps with very conservative settings. I soon found my BG levels rising. I went from BGs in the 80 to 100 range to BGs in the 140 to 160 range on average. At my 6 week follow up visit my Endo was happy with my reads but I was not. It was then that I decided to take control of my pump settings.
It took me a few weeks of careful adjustment to get my ratio's and such dialed in but soon I was where I wanted to be. I have made few adjustments since and I am keeping my BG in the range I want with the occasional mishap that happens to us all. My TDD now is about half of what it was with MDI but is a far cry from my Endo's setting.
I started my pump with an A1c of 5.7 and have been able to maintain that level but things are different and better. I have way fewer lows and highs now. On MDI I dropped in to the low 50 and 60's frequently with a 40 or two thrown in there. I rarely drop into the 60's now.
If you haven't noticed I am very happy with my decision to pump. I would not willingly go back to MDI. As a matter of fact I would rather have my pump than all the oral medicines that I took before insulin. Unless things change the only way I will give up my pump is if I was told I was cured, I don't look for that to happen any time soon.
The last year has been great and I'm hoping for more of the same this coming year.
Thanks for listening.