Well, I finally got round to posting something. I gotta be brief/quick. Life has been hectic. Business and personal problems colliding along with many other dilemmas, some more trival than others.
Diabetes wise - I've been putting on weight - yay I guess. Been having eye checkups, cause it looks like I might need a bit of laser treatment at some point. But the main bit of news is that I'm considering going on the insulin pump. To be honest I'm quite scared, but when considering that it'll probably give me better control = better/longer life, I don't feel I got really much of a choice (and in some ways preper not to). I guess there's this litltle part of me that's sulking - After many years being told you need to have injections like so for the rest of your life, finally only now have I accepted it properly and do them, and now be told a whole new treatment. I'm not complaing about advnces in medicine/technology - just bummed that after having struggled so along with my diabetes and feeling like I might be beginning to get a grip on it, it all changes. I guess the best way I can look at it is, what I learnt/been told has at least got me to here. Without it, I wouldn't have manged to now have the chance at this pump.
So would it mean that I'll be turning into a cyborb then?

Views: 10

Comment by SF Pete on June 28, 2010 at 3:30pm
I was an MDI patient for most of my career. I've just been on the OmniPod for about a month. The only way is up, my friend. I'm finding that the pump with a CGMS is making all the difference in the world. If you've been doing MDI, you're life isn't going to be all that different. Except for the fact that you don't have to give a shot with each meal and one for the long-acting. When I realized I wouldn't be tied to the syringe anymore I nearly cried. I hadn't ever let myself consider the idea of no needles. It seems like you've had a short run of doing it right and being involved, but you are still on base. The tools change, but the principles remain the same. All your good work is not in vain.

I've got a Dexcom sensor on my back and the OmniPod on my arm. I am beginning to feel like the proto-Borg. On the pump I went from 6.8 to 6.1 for my A1C results. It really does work and is a lot easier to deal with than the MDI thing. You can still do MDI if you ever want to take a break from the pump. The world is your oyster.
Comment by Bradford on June 29, 2010 at 5:26am
I agree w/ what SF Pete said. Transitioning from shots to a pump isn't really all that different, except that you can take out the constant poking part :-) You're still going to count carbs (assuming you're counting carbs for boluses?) but instead of drawing up that amount and injecting it, you're going to push some buttons. Ta-da! Done. And as a means of better control, you can actually start dialing in the little things (like trying to bolus 7.3 units or 6.55 units instead of averaging 7 for both shots and being lower or higher than where you want to be later).
I am really glad to hear you've found the road to great control (taking steps to get shot therapy under control and working for you is a big accomplishment!). I hope that if you decide to transition to a pump, you'll do so with some optimism (b/c in my opinion, the grass really is greener on this side lol), and I know that if you do that, you'll really enjoy the benefits! :-) Good luck Dusty.
Comment by Dusty on June 30, 2010 at 11:04am
Cheers guys, I'm sure everything will work out fine.
It's gonna be quite a while still before I actually go on it. I've only had an assessment so far. I think my next appointment lined up is for my eyes.
I got some pump questions that my doctor didn't quite answer for me and perhaps you kind people could assist:
-Does it have a key/button lock? I don't want to have random doses pumped during the night from rolling over.
-What if where the infusion set is jabbed in (should phrase better), it becomes uncomfortable, itchy,rash?
-what if there's a block in the line? A kink? gets twisted - that sorta thing.
-How often am I gonna have to change my battery? Can I recharge from a wall socket?
- Will I have built in MP3 by any chance?
-Is the infusion set limited to just tummy's?
- Would magnets mess it up? How robust is it?

Thanks, I'll leave it there as I think there's a zillion more I could ask. Thanks again and have a good day everyone.
Comment by Bradford on June 30, 2010 at 11:21am
Yes I know the MM I used had a function where you could lock it. That's not really an issue w/ the Omnipod since it's a separate device. And I assume the Animas would as well.

There can be some sensitivity/allergy issues, either w/ the adhesive or w/ the canula material itself. If that's the case, there are several remedies including the use of creams/ointments, etc. I don't have any personal experience w/ this issue (not on a large scale at least), but I know there are discussion posts over this topic and what to do to remedy the situation. And I think maybe you're just looking for the word "inserted" ;-)

The tubes on tubed pumps are constructed so that the likelihood of there being a kink in the line is minimal. The canula may have issues though. The pumps all have some sort of mechanism in place for occlusion detection, and will likely start alarming if this occurs.

The batteries will depend on what pump you have, how much you press the buttons and/or use the backlight, and what type of batteries you use. Typical alkaline usage is 3-4 wks. Lithium is longer. I think they all use AAAs, but I'm not positive. Rechargeable batteries in these devices are not recommended (again, I think, but not positive).

If you find one w/ a built in mp3, let me know!! ;-)

No the infusion sets are pretty versatile. Some insert at 90* angle, some at 30*ish, etc. Most come w/ either a 6 mm canula (shorter) or 9 mm canula. If you're thinner/leaner, I'd go w/ a 6. That's something to talk about w/ the pump specialist or CDE. The ability to place them in other places has to do w/ the user-functionality of applying them (does it take a special inserter or can you do it by hand? If so, how does the needle dislodge i.e. can you do that one-handed or not?).

Magnets (like an MRI) will definitely mess it up, and they are not permitted inside the room w/ the magnet. Small hand magnets may mess it up, but I've not tried to experiment or anything (and I don't regularly play w/ magnets, so I don't really have any first hand experience w/ it :)

All of the models are pretty robust. Maybe not quite as robust as some cell phones today (which is sad to say, since we rely on these devices for our life...). But most of the pump companies offer a skin or case of some sort to protect/hold it. I've dropped my omnipod on a couple of occasions on the floor w/ the skin on it, and never had an issue. I've dropped the minimed off of my belt before and had it hit the floor w/ no issue. But I think that's a case-by-case basis probably, b/c I know others have had problems.

Hope that helps some!
Comment by Dusty on July 7, 2010 at 4:20pm
Cheers again for answering my questions :) Mucho Appreciated. Things have been a little hectic again lately. I've got an appointment with the nurse to discuss my diet. No real diabetic news. Mainly been busy with work and family trivia. Meh...Hopefully next update might be a bit more exciting.
Comment by Dusty on July 30, 2010 at 6:23am
Gotta be brief, rushing around busy with work. That nurse appointment was great, nagged at me to do more blood tets, but that's cool and I have - even writing them in the little book. She lloked at my injection sites and was leased that there was only one slight bump on my tummy. She suggested I try more round the sides and near above my butt. I was like 'Jeez', don't like the idea of my side/rear. I'm quite a skinny and twitchy person. She also gave me her number so I can call anytime and told me that if I do go on the pump, she'll be calling me daily to check on me (like coaching). But it won't be until Oct sometime as she's got other patients currently and there's a waiting list and other delays but I'm not worried yet. I got lots of studying/revision to do.
Although my times are up in the air at the moment and diet is pretty bad. Not getting much sleep either. These things are due to the other life factors that surrounds me.
Got that eye appointment on Thursday.
Comment by Dusty on August 23, 2010 at 6:03pm
Eye appointment got cancelled cause doc got called away to another patient(?). A bit annoyed as I think I could do with new glasses but I was told to wait until after I've had any treatments done (if I need them).
Had a nurse appointment - Revising carb counting. But my note taking wasn't detailed enough. I was good i that I did blood tests and wrote them down in the book, just I didn't write the dose of insulin or at what time, and maybe should of included and exercise done. Damn those books are so tiny to write in. So I've tried to take pictures of my dinner to save me writing out what it is and how many carbs I think it might have. When I get loads, I'll upload it and you'll be able to see my cooking.
So my homework now is to look at my cubboards and labels and make a notes of the carb contents, perhaps make it into a big poster on the kitchan wall.
Other than diabetes, erm...Work? Been :( oh well, back to it I guess....Toodles


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