Replies to This Discussion

Permalink Reply by Mikey on February 25, 2013 at 9:28am

Congrats, you will love the tSlim. Aside from what comes with tSlim cartridges (syringe/needles) and the inset, you do not need anything else except alcohol swaps to prep the site.

You may also consider a dexcom CGM, it really has helped me.

BTW, please post how you like the Comforts....I am on a 9mm but think I am having problems with absorption.

Permalink Reply by JiMMy on February 25, 2013 at 9:31am

I will let you know how they work out as I run about 25miles a week and needed an inset that worked well.

I assume they ship no insulin with the tSlim. So I figure that I need to get a request to my Doctor this week for it. But I need to know what amount to request.

Permalink Reply by JiMMy on February 25, 2013 at 11:09am

OK - Didn't realize that I could just keep using my Novolag pens as my source of insulin. Awesome. So I think I just need syringes. So I'll ask my Doc for some. Don't know how much I'll be loading the pump with though. I do 15-16 units of Levemir in the morning. And 3 Novolag per carb choice. I eat fairly low carb. Usually no more than 15 per meal. And I eat alot of Veggies (Salads). I also run about 4-8 miles every other day. Sometimes 3 days in a row. So if I'm setting up the pump for a 3 day change then I would fill with....??? I'm thinking 150units worth to start. Wonder if that's correct.

Permalink Reply by Janice L Cotton on March 1, 2013 at 7:53am

You'll love the fact that you can adjust your basal rate when you run. You can actually name it. That's a major advantage of pumping. With those long acting Insulins, once you've injected, there's no way to put it on hold. With a pump you can even opt for a temp basal of your choice, including no basal at all for a period of time of your choice, as well.

Permalink Reply by Janice L Cotton on February 25, 2013 at 11:32am

I used 32u of Levemir prior to starting the OmniPod then the t:slim. You'll have to establish a basal. Hopefully your GP can figure that out. When I started pumping, my GP wasn't proficient in pumping insulin. I have three basal rates....from .95-1.05u/hr. total daily basal around 25 units. I have the same 1:7 I:C ratio. The first question that I asked on Tu was about using far less total daily insulin. You can expect that, as well.

By the way, I initially used Humalog and used the rest of my pens as my insulin source. Then I switched to vials. My insurance insisted that I switch to Novolog; and I continued with vials.

The pump comes with a Verio IQ meter. Pretty cool and very easy to read!

Please note...no need for syringes except for use in case of pump failure or to sort out unexplained highs.

Permalink Reply by JiMMy on February 25, 2013 at 7:23pm

I'll use up my Novolog pens as well then switch to vials. The Levimer I guess is there as just a backup. I have about 4 pens left.

I plan to start at .50u/hr and test every hour throughout the day. And will check overnight at 12am, 2am, 4 am and 6am. That way I can figure out if any night change needs to be made.

My Doc doesn't due pumps and I don't think he wants to. But I like him and I've taken total control of my disease anyway. I don't really care to see and Endo at this point.

Thanks for the info

Permalink Reply by Mikey on February 28, 2013 at 1:53pm

Wow, 15g carbs per meal...impressive....I do 60 - 75...time to restart thinking my diet...I love salads, but am a carb addict.

Permalink Reply by Janice L Cotton on March 1, 2013 at 7:43am

This might be helpful. You're going to have to have numbers to plug-in to set up your pump. Please confer with your doctor.

Normal Basal Rates (These are mine)

12:00-8:00 AM. 1.05U/Hr. Correction Factor. 1:74mg/dL. How much 1U will drop BG

8:00 AM-8:00 PM. 1.10U/Hr.

8:00 PM-12:00 PM. 1.05U/Hr. Correction Factor. 1:37mg/dL


Insulin to Carb Ratio. 1 unit of insulin to 7 grams of carbs consumed or 1:7

t:slim will also "ask" for target BG goal for each time slot.

Permalink Reply by JiMMy on March 2, 2013 at 7:49pm

This is what I've figured out so far. And will finalize values with the Nurse that's doing my tSlim training on Monday morning.

I'm going to be using 0.5u per hour as my Basal. Will need to figure out what I need overnight from 12:00 - 8:00am yet.

Insulin to Carb Ration. 1 unit for 5 carbs (1:5)

Thanks for letting me know what you use. It's helpful to see how other are using for their settings. Do you only use one profile? I"m planning on a Travel day - Running - Weekend - Work set of profiles. For instance on Travel days I prefer to be a bit higher on my BG. But when I run I need to cut back to 30% or even suspend for a few hours.

Permalink Reply by Janice L Cotton on March 2, 2013 at 9:06pm

I forgot that you'll Also need to know duration of action...mine 4 hrs. Since I'm no longer working, I have just the above. I do temp basals of 50% when working out. If I'm able to rev it up, I suspend.

Make sure that you come away with an action plan in case of hyperglycemic episodes and for potential pump failure.

Permalink Reply by sherims1 on March 25, 2013 at 1:07pm

How are you liking your TSLIM? I am to get it next week. ;)

Permalink Reply by sherims1 on March 25, 2013 at 1:08pm

Also, my ratio is a bit low than most. I am 1 unit nuvolog per 15 carbs. Is the TSLIM still a good choice?

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