Hello - i was just wondering if there is anyone out there who has gone on the pump and then gone back to shots? I was diagnosed at 10 years old and took shots. Then I switched to a pump at 18 before I went away to college. I have been on a pump ever since. This means that I've been using a pump for about 14 years and I am really getting tired of it. I starting bleeding a lot the last time I took out a site and the next site really hurt when I put it in. My skin itches from the adhesive. Sometimes the tubing becomes untucked from my clothes and it gets caught on a doorknob or something and pulls. It's a constant reminder 24/7 of the fact that I am diabetic... etc. However, I am not relishing the idea of going back to shots either because of the strict schedule, more lows, etc...

I was just wondering if anyone has done this or if I am just going through one of those "I hate diabetes" phases (which happens occasionally) and I will realize that I was crazy for even thinking about going back to shots.

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Thanks for the advice, Alan.

Hello Brianna.

There are MANY of us who have returned to shots, and will never look back having doing so.

There is nothing magical about pumps... they have two sole benefits. The sine wave bolus feature and micro-dosing that's it. There is nothing more special about them. Pumps so called magic rests solely in the shortest acting insulins which they use period. If we exclusively use the same short acting insulin, and watch our numbers the identical amount of times you do with a pump, poof, we get the same results (ie the poor mans pump).

To answer your question directly, pumps cause all kinds of problems which are exclusive to pumps. Site infections, dosing delivery screw-ups, skin problems caused by reactions to adhesive tapes, severe costs, DKA when/if separated from said pump for short periods... crude artificial pancreas malfunctioning, or separated from them tends to generate serious problems. There are all kinds of issues, make no mistake.

If you want to walk away from it, or need to, put it in a lock box with your supplies and do not be afraid. You have learned an incredible amount using a pump for however long. Take the information and go forward... its not going anywhere, want to try it again, you can break it out of the lockbox and reattach it.

Mines been locked away since the last century, no plans to reattach until they are entirely closed loop and their marketing matches the results promised-advertised. When I used a pump I stopped using NPH. Returning to shots later on, I went with Lantus and all the issues/problems I had before the pump went away. Turns out it was the NPH, not me, my awareness, or anything else.

On one, i did solely what i was told and had nothing but severe problems long term.Off the pump, I am doing just fine thanks! Dont tell minimed...lol.

No matter how you slice it diabetes sucks beyond. That being said if you are willing to inject 6-8 times a day you can have more or less the same control and flexibility as on a pump without all the other headaches the pumps offer. The only real advantage of the pumps IMO goes to the manufacturers and people that sell them.

I'd consider variable basal rates a MAJOR benefit of pumps, too (at least personally). But some people (if they have relatively flat basal needs throughout the day) really don't need that.

To the OP, if you haven't been on shots in 14 years, A LOT has changed. There really is no longer any strict schedule or meal plan. It's pretty much the same strategy as using a pump, just with a tad less flexibility (no micro units, no variable basal rates, no extended/combo boluses, but that's pretty much it). For some people the pump makes a huge difference in control ... for others, shots work better.

I've been on injections for 25 years and am moving from Lantus/Humalog to OmniPod today because I need the variable basal rates right now. The shots really don't bother me and I find them painless because the needles are so small now.

I'm looking forward to getting rid of the Lantus though. The last year or so I've been having sudden drops at night with Lantus peaking and my Lantus isn't covering me 24 hours anymore. I've also developed DP, which I never had before.

For these reasons, I'm going with OmniPod. I don't think I want to go with a tubed pump at this point. If the OmniPod doesn't work for me, I may rethink it but I just look at it like at least we have different tools to try to see what works for us in different phases of life with diabetes.

Hello Jen: Let's kick this one around a little bit please? The strict schedule routine is from the "dark ages" (and even before) when many of us used a single shot (1) per day, and urinated on things.

The STRICT aspect (feed every 2 hours) was to keep our blood sugar elevated so there was no "crash and burn", in effect a thick glass floor provided by our food you'd have to work to crash through. Feed often and at the end of the day we ate a certain basic amount, not eaten the entire crate so to speak, nor the single grain of rice routine either (i.e. don't starve ourselves). But that is/was the concept of meal planning...

It was not a whip and chair idea. It was building a habit of portion awareness and intelligent eating. There was always the ability to barter for the cheesecake, the ice cream (whatever food) if, if we were aware of what we could trade in order to eat "X" and what exchanges/carbs were being eaten. If we got that right, nothing was off the table, un-eatable... was it?

Has that truly changed ever, technology or not?

Hmm. I was on NPH when I took shots also. Maybe that was my problem too. I'm not sure that I will actually switch back to shots or not, but sometimes I really just want to throw this thing out of the window...

Did it this morning - took off my Omnipod and started on Lantus and Humalog again. I was just sick of something on me all the time! I'm sure I'll have a few days of "tweaking" to get my doses right, but right now I feel "free"! (and I also feel like I'm "forgetting something" because I don't have anything on me!...ha!)

Oh wow. Yes, I think I would constantly feel panicked about not having my pump on me until I got used to it. However, the idea of not having a little machine attached to me 24/7 is so appealing!

Hello Putertech. I identified with Steve Austin (6 Million Dollar Man character aka actor Lee Majors) big time when attached...

And I too felt spooky free when I was detached at various times. You think mandatory detachment should be some aspect of pump usage/protocol and the psychology of using one whether long/short term? I was stunned at how strongly (when detached) I felt that freedom.

When I locked mine away "permanently", I eventually realized it was not a tiny issue for me at all. Never have dissected it well what's your take re: "feeling free" ?

Stuart

When I took my Pod off, I had it off for a week - my numbers were not good. I put my Ping back on, but only for 4 days - going back to tubing sucked! Went back to Lantus and Humalog again, but started taking my Lantus at noon instead of in the morning. I've been doing great! Better than when I was on either pump! At this point, not sure I'm going to "hook up" again with my pump (either one). Maybe after Insulet comes out with their smaller pods, I may try it again. But right now, I'm feeling good! And I don't have an electronic attachment on me anymore.

I occasionally talk about giving up the pump, but I've never done it. Now that I use the Dex CGM which is a separate device from my pump, I am a bit overwhelmed with carrying two devices and the itching from so many infusion sets/sensor sites. But the convenience is too wonderful to give up pumping.

What I have done occasionally is to start using the "untethered" regimen where I use Lantus for most of my basal and then the pump for a small amount of basal and for most boluses. This way I can leave my pump at home if I go to the beach, but use it for most of my meals, etc. It's a great tool for vacation.

With insurance, I never want to stop using the pump and my Dex for fear that they won't get covered if I want to start using them again. But I am amazed at how painless injections are compared to infusion set/sensor insertions....

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