I have been a Diabetic for 9 years now, but I havent actually taken it seriously. I dont check my sugar and I sometimes forget to take my insulin. I went to my family doctor and then he sent me to an Diabetes Specialist. I have always wanted a pump but didnt know if it was affordable or even the right thing for me. I asked him if I could get one and he told me it would be pointless for me to have it. My A1C is 12 and I really do want to lower it. Im newly married and want to start a family but not till im healthy. I figure if I cant take care of this for myself i'll do it for my husband. Im looking into the Minimed Pump, but right about now anyone with suggestions about which Pump would be the best or just even if its good for me would be helpful.
I applaud you for facing the issue. With an A1C of 12 you have lots of room for improvement. That is high enough that you can look forward to feeling noticeably better with every drop in A1C. It is tedious but I fingerstick before every meal and I write down what I eat and place a check mark next to the insulin dose, so I know I took it. It is so worth the effort! I would set myself an A1C goal to stay motivated. If your Diabetes Specialist could see a solid record of fingersticking and never skipping a shot, it will be a snap to convince him you are ready for a pump!
Kaytea,My doctor (endo) only precribes pumps to diabetics who have a 3-month log of blood glucoses, daily food journal, and basal/ bolus adjusments( for kids, their parents are responsible). I think most endos do this... The pump requires a lot of concurrent learning of multiple skills sets, but is well- worth it. Read the books Think like a Pancreas and Using Insulin and start with Small steps. :If you skip shots for lunch , say "I will bolus for lunch 5/7 days" then move up. I am assuming you kknow how to count carbs, and adjust your dosages. the books I mentioned will rereally help. The doctor just wants to see if you have the motivation and skills needed to pump Before he prescribees one If you wanT to start a family, you HAVE to do a lot to have a healthy pregnancy and a healthy baby.
Kudos to you for working towards better health: FOr your husband, your future child.. and ,especially, FOR YOU!!
Well said Brunetta!! My insurance also wanted a 30 day log like AR's. U just said what I would have said. YOU GO GIRL!!!
A lot of insurance companies will demand a log, mine was 30 days, to approve funding a pump? My first thought was "#$%& that! I'll make it up" but, once I sat down to do that, it seemed harder than just writing the IRL numbers down. The pump has been very useful for me but it doesn't relieve you of the duty/ responsibility/ challenge of keeping track of things. If you aren't doing it now, the hardest thing about a pump may be to change "the nut behind the wheel" to conceive of it as something you can tame, rather than pulling the lever on the slot machine every time you test.
Hi Kaytea, good for you for wanting to put more effort into managing your diabetes. I went through a period of time where I tried to ignore my diabetes and all it did was eat away at my body and peace of mind. The ever-wise AcidRock has said on multiple occasions that it takes as much work to ignore diabetes as it does to take care of it and I agree.
When I decided to finally turn things around, I found the whole task overwhelming. What helped was picking one time of day to master at a time. I started with getting up in the morning. I decided that I would not put my feet on the ground before I tested. I then realized that I couldn't do that well unless I had tested (and corrected, if need be) the night before. It created a chain reaction of better management.
I agree with Don that showing the specialist that you are willing to put in the effort to make the necessary life changes should help him open up to the idea of you and a pump. I got my pump about a year ago and I love it! I could not imagine going through my pregnancy without it. However, pumps are hard work. They require more management than shots. It is really easy to think that the pump will automatically take care of all the issues, but can lead to big problems if not taken seriously.
Whatever you and your medical team decide, I hope that you find the desire and means to improve your control! Good luck!!!
I'm not sure how in the hell anyone with type 1 can forget to take their insulin. I feel death coming on real quick just from a high sugar, Not taking a shot for one day the way I eat and I'd imagine my brother would be making funeral arrangements. Not testing is one thing but skipping insulin is essentially asking for death. FWIW the pump is just a tool. It has no idea how to regulate your sugar. You still need to do the same things with a pump as opposed to injections. That being said many feel its an improvement over shots. I'm diabetic nearly four decades and will continue with shots until a cure is commercialized.
I understand, Gary. But when I was in college, I was trying to be so like all my peers that I would delay giving insulin in order to "keep having fun" with my peers or to not have to stop and think about it. It lead to bad habits and honest forgetfulness to test and cover food with insulin.
I didn't say it is right or that it leads to any sort of well being. It just is what it is. I just wanted to OP to know that she is not the only one who has struggled with letting bad habits creep into daily routine.
If it's any consolation, I used to do exactly the same thing. After so many years, most folks don't even develop symptoms at higher BG levels, especially if they are running high for quite some time. There was a point when a BG of 300 wouldn't elicit a single symptom in me. Once I got my control tighter, I would have symptoms with anything over 200.
When you're young, you just want to be normal. Living with diabetes can make you feel so abnormal at times that it's easy to let your care slip.
I think anyone who has lived with this disease through childhood or adolescence has experienced periods where habits like this developed. I actually have realized that it's a very normal thing to go through.
amnen!!! I think alot of us from "The Dark Ages" have done very much the samethings.
Thanks, ladies! I know that the OP and I are not the only ones :)
And the good news is that tighter control is achievable with hard work. It just takes a lot to break old, bad habits.
I'm not sure I'd say that having looser control isn't a lot of hard work too? I think that it's more about focusing one's work to make it more productive? Just a theory?
Ar sorry just now gettting back here. Back when (The Dark Ages as I call them) when at 1st it was alot harder to urine test and such b/f the bs meters came out it was Now that I understand more and can test my bs's at home instead of every 6 months at the drs office. It is easier to me. I totally ignored alot of issues back in my teens and early 20's. (sometimes I catch myself doing it now but a whole other story there)