So tomorrow I go for pump training on the OmniPod. I've already done the saline trial so I'm familiar with what to expect. I've also set up my PDM with my current ratios and such...although I mentioned this on the phone to the trainer and I could tell by her reaction that she wasn't happy that I had taken it upon myself to set the PDM up.

My question is: How did your doctor instruct you to transition from Lantus to short acting insulin only (Humalog)?

When I asked my endo this question, he told me not to do anything differently to transition. But how can that be?

I currently take 15 units Lantus at 8:30pm. If I have active Lantus in my system at 1 p.m. the next day when I start on the pod, how will that work? I expected them to tell me to cut back the dosage or something...

I'm so looking forward to getting off the Lantus :)

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I'm not a pumper; I can't help you. However, I am very excited and happy for you. I hope your transition to the pod is smooth and that it really helps you get your numbers where you need them to be. Good luck!

When I win the lottery (ahem!) I think I'll give the OmniPod a try, too.

Thanks Jean, I really appreciate the good vibes! I'm excited and ready to give this my all to make it work. Thanks to my insurance, I had only a very small out of pocket cost for the PDM and the pods are completely covered as supplies for me. If I had to pay out-of-pocket for the pods, I'd be out-of-luck!

If I'm remembering right, cause I was on Lantus too, I took a split dose one shot around 800 AM and the other around 800 PM, If Im remembering right I took the evening one as usual...and that morning of starting my pump, I just bolused with my Humalog for food and correction but did not take my AM Lantus and it worked out well. No problems. If concerned double check with your Endo and/or pump trainer. Maybe they might recommend decreasing your Lantus some or taking it a little earlier. Sorry I can't be a lot more help, it's just been a while now.

You can also do a temp basal of 0% until your next Lantus dose is due at 8:30 PM-so you can do a 0% basal for the next 7 1/2 hours. So the Lantus will cover your basal needs until then and then the pump can pick it up. That is how I transitioned.

That makes more sense, especially if you are one of those people who can do Lantus in one dose. I never could, if I took more than 20 units at night, I was bottoming out in the AM, BUT 20 units wasn't enough to cover me for 24 hours. Split doses worked much better for me, so in my case by 1030 or so the next day only taking the PM dose and not the AM dose, the Lantus was definately wearing off.

You're right, Christy. The weird thing is that all these years on one dose of Lantus, I never had a problem until lately. Now, my Lantus is wearing off about 1 1/2 hours before my injection time, a steady increase up into the 200's, even when I don't eat. If I raise my Lantus dose, I drop too far at night. If I weren't going to the pump, I would be having to try the split dose because one just isn't working anymore.

This really helps, Jennifer. When I asked my endo, he said "We'll make adjustments that day to take care of it". Of course, I didn't think fast enough to ask him to clarify. Your explanation makes his comment make sense. Thanks so much!

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