and now I'm questioning whether I need to take my levemir before the appointment. I split the dose three ways, morning, afternoon, and night. My appointment is not until 11am, and I don't know if she's going to start the pump today or whether she is going to muck around with saline or what is happening because this is my first pump. Any thoughts? I know it's short notice, but until yesterday, I was going school full throttle, and so I haven't had time for thinking about this until this morning when I was drawing the levemir and stopped and wondered.

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Usually they will tell you if you need to stop taking it. If they didn't say anything, I'd call and ask. That way you know exactly what to expect. Mine was started the first day, no saline but she told me when I set it up to not take my lantus

Call the person doing your training. I split my lantus morning and evening. My CDE just had me take my evening dose, skip the morning of my pump start and just use Humalog until my appointment for any bolusing or correction. Also you really do need to find out if you are starting with saline or with insulin. Depending on how long you've been diabetic for and how good of an understanding you have of carb counting and correction goes a long way I think in making that call. Personally in my opinion unless the person just seems really struggling with the technology aspect of using the pump, I think saline is a waste of time, because your blood glucose levels ARE going to be off for a bit when starting a pump and getting your settings tweaked. Saline isn't going to HELP that one bit. Saline to me is more just to get used to the technical aspect of pumpping. BUT if you have a good handle on that, I played with my pump a LOT between the time I got it and start day. In my opinion you should be good to go. But you really need to call and ask what the plan is.

Thank you for your input. She hadn't said anything when we set up the appointment--so that's why the semi-panic.

I'm all set and started. I did take the levemir, and she just had me do a 0% tem basal until tomorrow that I can turn off if I start to run high. She was going to do a 50%, and then I took my blood sugar, and she panicked because I was running at 86. I tried to tell her I like the 80s, but . . . ah well. Eating lunch was weird--it felt like I was missing a step because I didn't take out a syringe.

lol glad it's working out. It can take a bit to get all your rates set right, and I find no sooner than I figure out rates that work, lol something happens and things change again, but thats the beauty of a pump, you can quickly make those adjustments in small increments. It is kinda strange isn't it, but you'd be surprised at how fast you get used to it.

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