That is the question! When you disconnect your tubing from your site, for whatever reason, do you suspend the pump or not? I used to suspend, but then I read that some people don't suspend. They want to keep the basal going so as not to have an interruption problem with the insulin flow, or something like that. I've also read (and experienced) that it is easy to forget to Resume pumping when you reconnect. What do you do?
I suspend and my pump, the Revel, reminds me to start it up again. I don't do it often because I don't disconnect often, but if I'm at the doctor's office and they need it, I'll suspend it and restart it once I get it back.
I don't suspend mine, since usually it will be disconnected for minutes and my rate is 2 u/hr, there will not be much wasted insulin! Also it will prevent from having air in the tube.
Just me, but I never, ever, have suspended my pump. A person can get distracted for just a second or two......and two hours later, whoops! As Ahmed mentioned, better to lose a few units than forgetting you shut the pump down. Keep the pump on all the time, especially when you disconnect to shower. That's just me.
my CDE told me not to suspend my pump. i had problems when i did suspend it not to restart it.
I don't suspend either. It's very little insulin that is lost then, as I disconnect for less than 15 minutes most times (maximum one hour).
I used to suspend when I used the Cozmo because they had the feature that calculated the missed basal and you could give it easily as a bolus when you reconnected. Also then the pump beeped and reminded me to reconnect.
I guess with the MM the one reason that I can think of that suspending is good is that the pump will beep or vibrate to remind you that it is suspended and if you are worried about remembering to reconnect, then that could be helpful!
I don't suspend either for the reasons Ahmed stated
I don't usually suspend my Minimed, but it depends on the situation. I will suspend when I am low. I went low in the movies yesterday, and I suspended and kept hearing the beep. I hoped no one else was...When I workout I usually go pump-less and I do not suspend. I have forgotten to resume before :-)
rather than suspend when you go low, why not do a temp basal for a certain amount of time? like .01 units/hr? just a thought
I could do that, But the reason I have my pump off is when I do hard workouts. Lots of jump rope etc... So it is mostly about the pump flying off my body, falling out of my bra etc.. But yeah, I do have to either pump a few units ahead of working out, or test and catch up when I get back to my pump. Its pretty hit or miss, but I am in better shape :-).
I don't suspend. With a basal of about half a unit per hour, I really have no need to. Even when the endo takes my pump to download info, I remove the reservoir so I don't need to disconnect the tubing, but I don't suspend the pump. (Of course, the Medtronic Carelink software will suspend automatically when you do a data transfer).
I suppose if I were to be disconnected for a LONG time, maybe if I had an MRI or surgery or something like that, I'd suspend, but my well-being would be in the hands of medical professionals at that point. From what I've heard of the risk of air-bubbles being introduced, (not to mention the risk of forgetting to resume), there's really no reason to do it on a regular basis.
I think if you see the answers it comes down to why and for how long. I take 2.5 units per hour.
I do suspend for a soaking bath but for other reasons, including a shower I do not.
I do a lot of swimming in Ocean and pools in Puerto Rico and at those times I calculate the lost Basel and pre-hit with a bolus before swimming.
I don't suspend anymore even for exercise. When I need to unhook (shower) it's easier to just let it pump since I'm not unhooked for long.
My DE suggested that for exercise that instead of suspending basal rate during heavy activity, esp. if increased activity not planned because you hit the treadmill earlier than planned is to set temp basal at 0 if needed instead of suspending the pump. That way you don't forget to restart it!