Ijust joined your site yesterday, so let me introduce myself and then I will ask for your help. I have been Type I for about 21 years. I was diagnosed right before the start of my freshman year of high school. I am a civil engineer that works for a construction company. I now live in Everett, WA, about 30 miles north of Seattle. I am married with one kid and one on the way.

Now the questions. I have taken shots since I have been diabetic. In the last 20 years my A1c's have been between 7.4-8.0. I am pretty consistant. I beleive that I control my diabetes right where I want it. The problem is that is not good for my long term health. With shots, I have to plan 12-24 hours in advance of physical activity and adjust my Lantus. This has taught me to keep my bloodsugar a little high to allow for the unseen events that may occcur. In order to keep that flexabiltiy and decrease my A1c, I am starting to think that swithing from injections to a pump would be a good decision. Do you guys think that is a reasonalbe expectation?

I think that it is. Hence my second question. I have read several posts regarding which pump is best. I'll be honest, I believe they are all capable of achieveing the same basic result and I have meetings setup with all of the reps. I really like the idea of the Omnipod and I have placed a lot of the on the no hose feature. But it seems that of the people that use them, seem to have a more issues than the Medtronics and Animas. I understand that you take the internet with a grain of salt, but the Omnipod gripes have validity, to me, becasue of the sheer volume.

Thanks for your help and I appreciate any and all input.

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As a very active T1 who was on MDI for 25 years before switching to the pump I can tell you that a pump can most definitely give you much more flexibility and a much smaller window with which to make insulin dosing adjustments. However, in order to make those types of management decisions, like bsc says, you will need a whole ton more information to work with. There is already a learning curve when if comes to using a pump but if you are switching over because of variable activity, that learning curve gets a whole lot steeper.

However, based on what I went through, I really don't think you will gain much by doing a whole lot of testing while on MDI in order to figure out what you need to do while on a pump. They are just two completely different animals. I got the CGM first, mostly because the paperwork went through a lot faster. I did learn a lot about my daily, weekly, and monthly BG profile while on MDI with the CGM and it was definitely useful information, but when I went over to the pump it was like starting all over again.

The bottom line is that if you feel like you want to give a pump a try, give it a try. You have absolutely nothing to lose and, based on what you are trying to accomplish, a lot to gain. A pump will bring a whole new set of issues to deal with, however, so it will defintely not be set and forget. If you are willing to put in the time to learn how to work with a pump and how a pump can work with you, your reward will be much more flexibility without costing you BG control. If you are not willing to put in more work, there just isn't much more to gain by switching to a pump.

I would also like to add, as an Omnipod user, don't let the horror stories about the Omnipod dissuade you from getting one if you think going tubeless is your best option. I have between a 5 and 10% failure rate. If the pods that have failed, Insulet has replace 90% of them. So, I've been using the Omnipod for 17 months and have completely lost about 5. With adhesive help from Opsite, it can take a lot of abuse.

If tubes don't bother you, there are a lot more options, but I can't say anything about how they work. Other people seemed to be happy with their choices, while others don't seem to be all that happy.

Good luck!

I was on injections for 21 years and finally switched to the pump 4 years ago.Too many low blood sugar comas was the part of the reason for my switch.An insulin pump will give you greater flexibility in the foods you can eat and it will also keep your sugars within range.You still have to do some adjusting for exercise but you can do it without eating alot of food beforehand.It allows you to change your basal rate for physical activity.You can also increase it for sickdays when you aren't active at all.I think an insulin pump would be a benefit to you.I am on the Animas Ping.I liked the idea of the pump screen is illuminated and that it has the lowest basal increment of.025.

Hi thorne, I've been Type 1 on injections for 25 years and I am moving to the OmniPod in 4 days. I stayed on MDI for so long because my numbers were pretty good and it was easy for me to manage my diabetes plus I was not (and still am not) a fan of being hooked to a tube. I didn't have issues with Dawn Phenomenon so didn't really have a need for varying basal rates and I was able to exercise on Lantus with intake of carbs.

Within the last year, my diabetes has changed significantly due to female hormones. My new norm is more variability in basal needs due to fluctuating hormones, less coverage with Lantus, fast drops from Lantus peaks, and a fierce Dawn Phenomenon. These issues are difficult or near to impossible to address with MDI. So that's why I decided to try a pump.

I started with the Dexcom cgm because I'm hypo unaware now. This has been a lifesaver and also helped me learn so much about my patterns and timing of patterns. I started with the Dex first because my CDE suggested I get used to the Dex first and then add the pump.

For me, the OmniPod was it. I don't like the idea of being tied to a tube and the insertion sets scare me honestly. I'm sure it's like everything else and you get used to it but I just don't want to deal with that. When I did a saline trial of the OmniPod, I was bracing myself. It was so easy to set up and insert. I liked that the insertion is automated. You simply place it where you want it, press a button on the PDM, and it's on. I was amazed that while everyone points out as a con the bulkiness of the pod, I didn't even feel that I had it on. Actually wearing one is what sold me.

I read all the cons against OmniPod before I decided to go with it. Sure there are issues with occlusions and such with OmniPod but I've read just as many stories of similar issues with the other pumps. I think each pump has pros and cons and, for me, the pros of the OmniPod outweigh the cons.

You are the only one who can decide which is the best fit for you and you're doing the right thing by talking to each rep. Best of luck to you!

I've been on both the Minimed (522) and the Omnipod. I currently pod and love it. I rarely ever have issues (people usually don't complain about something that doesn't give them problems) and I'm sure that the majority of pod users are the same. The no-tubing changed my life, so even if I did have issues with my pods, I would probably still remain on it.

The biggest advantage of tubed pumps over the pod, IMHO, is that the tubed pumps offer multiple different infusion sets. You can get a short or long cannula, angled or straight, Teflon or metal. I personally think lots of the issues folks have with the Omnipod is that the angled cannula doesn't work very well with their bodies. And you can't change that.

Either way, I highly advise a pump. There's just no comparison. If you don't do the same exact thing every single day, a pump is really the way to go because you can adjust so easily.

Thanks for all of the advice. I really appreciate you sharing your experiences. I have met with the three pump reps. I wore the Omnipod demo for a day and didn't really like it.
Right now I am leaning towards the Animas. All three that I looked at were similar as far a features, but the Animas seemed to fit me and what I am looking for. I am sure that I will have a bunch of questions once I start using it. Thanks again for your time.

I suggest you look at a few pumps and ask them to send you some samples. I was suprised to find that I am allergic to the adhesive of one and not another,

Also something I learned is that Both Animas and Medtronic will give you a loaner pump to try out.

Pumps are big investments, I think getting a loaner would be a good thing to do, or at least try out some of the different sets.

My sugars went from 6.9% consistantly to 5.8% just recently after I added CGM to my pump !

I would never go back to injections, Once in a while I switch off to give myself a break and there is just no comparison,

I have been on the Omnipod for more than 4 years. I waited for it to be available in my area as I did not want a traditional "tubed" pump. I have been very happy with it. I have had a couple of pod failures through the years, and I'll admit that initially I ripped one or two off my arm when the doorway jumped out at me, but nothing that would make me switch. I have no trouble with them "falling off" as others have complained. I truly like the system.

If you have any specific questions, I would be happy to answer them.

Linda

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