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Type 3c (Pancreatic) Diabetes
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<blockquote data-quote="GavinL" data-source="post: 1020948" data-attributes="member: 98243"><p>Happy New Year</p><p></p><p>For me the pump has been an amazing liberation in relation to exercise AND everyday life. I did have what I would call very good control prior to the pump (6% A1c) and using MDI and never thought I'd be offered a pump at all. However, due to being under diabetic Consultant care at my local hospital and them seeing me needing the 'control' to push my endeavours further it was recommended to me, I didn't even have to ask in the end. I was using a large single Lantus (basal) which would need reducing heavily the night before any planned exercise and I could never just do anything adhoc without eating whacking amounts of (unneeded) carbs to offset and so found that very restrictive. </p><p></p><p>With the pump, I could play with basal rates, effectively tuning on the fly, if I find myself running a little low, just back off the basal, sometimes down to as little as 30% with no boluses at all which can sometimes feel a little odd. The magic of exercise <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> However, the moment you stop, BGs do tend to sky-rocket, but knowing where the end of the ride is I personally need to resume a full 100% basal for a good period of time, and also pop in a good bolus to get things in check. But this is all very easy with the pump, whereas MDI just makes it a painful chore trying to achieve control with full/half units.</p><p></p><p>I would say the pump take a lot of work and commitment, importantly getting your everyday basal rates sorted, and even then, they change without warning if you're having a fallow couple of days, or you're feeling under the weather, but when things are ticking along nicely, the pump really does help keep a lid on everything.</p><p></p><p>Even now on the pump I do have the odd hypo/hyper, but for me that usually goes hand-in-hand with trying to deal with too much carbohydrate in my diet - a prime example has been Christmas and wanting to have a little normality and the odd mince pie with family. I'm generally a LCHF person and that really does work. Getting the 'acting time' of rapid acting insulin to match the digestion/absorption rate of carbs is the killer bit of science, especially with the compromised digestive system and needing Creon to digest it into useful fuel. Bloody minefield. I've certainly not had anywhere near the amount of nocturnal hypos I used to have when MDI though.</p></blockquote><p></p>
[QUOTE="GavinL, post: 1020948, member: 98243"] Happy New Year For me the pump has been an amazing liberation in relation to exercise AND everyday life. I did have what I would call very good control prior to the pump (6% A1c) and using MDI and never thought I'd be offered a pump at all. However, due to being under diabetic Consultant care at my local hospital and them seeing me needing the 'control' to push my endeavours further it was recommended to me, I didn't even have to ask in the end. I was using a large single Lantus (basal) which would need reducing heavily the night before any planned exercise and I could never just do anything adhoc without eating whacking amounts of (unneeded) carbs to offset and so found that very restrictive. With the pump, I could play with basal rates, effectively tuning on the fly, if I find myself running a little low, just back off the basal, sometimes down to as little as 30% with no boluses at all which can sometimes feel a little odd. The magic of exercise :) However, the moment you stop, BGs do tend to sky-rocket, but knowing where the end of the ride is I personally need to resume a full 100% basal for a good period of time, and also pop in a good bolus to get things in check. But this is all very easy with the pump, whereas MDI just makes it a painful chore trying to achieve control with full/half units. I would say the pump take a lot of work and commitment, importantly getting your everyday basal rates sorted, and even then, they change without warning if you're having a fallow couple of days, or you're feeling under the weather, but when things are ticking along nicely, the pump really does help keep a lid on everything. Even now on the pump I do have the odd hypo/hyper, but for me that usually goes hand-in-hand with trying to deal with too much carbohydrate in my diet - a prime example has been Christmas and wanting to have a little normality and the odd mince pie with family. I'm generally a LCHF person and that really does work. Getting the 'acting time' of rapid acting insulin to match the digestion/absorption rate of carbs is the killer bit of science, especially with the compromised digestive system and needing Creon to digest it into useful fuel. Bloody minefield. I've certainly not had anywhere near the amount of nocturnal hypos I used to have when MDI though. [/QUOTE]
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