Today is the day, December 21st, the day that I inserted my first infusion set. It was an exciting and nervous day. I walked out of my Endo's office where I had met with my trainer free of the 5 injections a day that I had become accustomed, I was hooked up to my new Medtronic Paradigm 723 pump.

My first couple of weeks were a little bit trying, I had "No Delivery" alarms with my second, fourth and fifth infusion sets. It seems that Medtronic did not believe me when I told them that I was no longer an overweight T2. I had worked hard to lose about 40 pounds of excess weight and had become a lean person. They had sent me 9mm Quicksets which were way too long and I was experiencing bent cannulas. Following the advice of my friends here at Tud I called Medtronic asking for an assortment of different sets. I settled on using the Silhouette angled insertion set because even the 6mm QuickSets failed due to hitting muscle. I haven't had a failed set since switching. I was sent an inserter for the Silhouettes, I found that it looked like a harpoon gun and quite frankly it scared the heck out of me, I choose to insert manually after using it a couple of times. The harpoon gun now sets in a box in my closet.

At one month my brand new pump failed. I was to say the least dismayed. I called Medtronic and another pump was sent overnight. I understand that anything made by man can fail so I wasn't to upset and besides Medtronic was great to deal with.

Anyone that has started pump therapy knows that Endos always start new pumps with very conservative settings. I soon found my BG levels rising. I went from BGs in the 80 to 100 range to BGs in the 140 to 160 range on average. At my 6 week follow up visit my Endo was happy with my reads but I was not. It was then that I decided to take control of my pump settings.

It took me a few weeks of careful adjustment to get my ratio's and such dialed in but soon I was where I wanted to be. I have made few adjustments since and I am keeping my BG in the range I want with the occasional mishap that happens to us all. My TDD now is about half of what it was with MDI but is a far cry from my Endo's setting.

I started my pump with an A1c of 5.7 and have been able to maintain that level but things are different and better. I have way fewer lows and highs now. On MDI I dropped in to the low 50 and 60's frequently with a 40 or two thrown in there. I rarely drop into the 60's now.

If you haven't noticed I am very happy with my decision to pump. I would not willingly go back to MDI. As a matter of fact I would rather have my pump than all the oral medicines that I took before insulin. Unless things change the only way I will give up my pump is if I was told I was cured, I don't look for that to happen any time soon.

The last year has been great and I'm hoping for more of the same this coming year.

Thanks for listening.

Views: 167

Comment by marty1492 on December 21, 2013 at 3:48pm

Congratulations on your anniversary and thanks for sharing your pump adventure!

Best wishes for a very good next year!


Comment by Sensorium139 on December 21, 2013 at 3:49pm

Congrats on the year with the pump! While I'm not a type 2 (I was misdiagnosed as one though and had the displeasure of using Metformin)  , I find it interesting to read about type 2's with pumps as that's not really talked about often? I'm enjoying reading people's experiences with pumps though as I'm debating getting one. I'm starting to understand why people would probably prefer it to MDI. I'm still researching it though.

Comment by jrtpup on December 21, 2013 at 3:58pm

Happy pumpiversary Gary! I agree, it's a life-changing tool ;)

Comment by Doris D on December 21, 2013 at 4:22pm

Congrads Gary and Happy Pumpiversery!!!

Comment by Stoner on December 21, 2013 at 4:41pm

Happy Pump Anniversaty! What a difference a year makes!

Comment by Stemwinder (Gary) on December 21, 2013 at 4:50pm

Its true Sensorium. You do hear very little about T2 pumpers because we are kinda rare. Most T2 if given enough time will need insulin and if the time is great enough will produce little or no insulin. The cause for the deficiency is different but the effect is similar.

Comment by shoshana27 on December 21, 2013 at 5:03pm

happy pumpversary dear gary & happy new year

Comment by rick (aka: #blankieboy) on December 21, 2013 at 8:10pm

it is lie changing, congrats one year in Gary, maybe we cna celebrate 50 years in some day? I am betting so. Good luck

Comment by Trudy on December 22, 2013 at 5:33am

Hi Gary. Best wishes for your next year on the pump, and an all around great 2014. I'm curious, though--with all this new D technology available, are you still winding that stem?

Comment by Brian (bsc) on December 22, 2013 at 7:06am

Thanks for sharing your experience. I've continued to think about a pump. I know that I would probably get better control and use less insulin with a pump. But I worry about all the hassles in getting approval and the added expense. It is good to know that other T2s have been successful.


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