Pump holiday

[EGHSnr]

Hi again all,
I got some handy advice a couple of weeks ago from yourselves about the mixed bolus regime.
Now my son has decided he still wants to be done with the inconvenience of getting out of classes earlier to do pump as he is at a stage where he REALLY hates T1, and has a heavy complex and yesterday a teaching Assistant pulled him away from his pals to ask if he was allowed to eat chips and m&ms and drink fizzy juice.
So spoke to diabetes specialist dr craigie and we will trial fiasp and tresebo sorry if misspelled,
Are these like an upgraded version of levermir and novorapid?
As the routine with pump was causing spikes and making him irritable and then being pulled by teachers.
As always any band all advice and info greatly appreciated.
Ed

 

[Antje77]

we will trial fiasp and tresebo sorry if misspelled,
Are these like an upgraded version of levermir and novorapid?

I'm on Tresiba and Fiasp. Tresiba has a much flatter profile than Levemir, for me it's very stable even if I don't take it at the same time every day. Levemir works shorter, so timing is very important, and many people need to take it twice a day to cover the whole 24 hours.
Both have it's advantages: With Levemir you can adjust your basal dose based on what you're planning for the day, like lowering the basal if you'll have a very active day. This won't work with Tresiba because changing the dose will only have much of an effect 2 to 3 days later.
But Tresiba is very forgiving to timing, and for me very stable in its action over the day, I'm very happy with it!
So for some Tresiba will work better and others will prefer Levemir.

Fiasp is quicker to act than NovoRapid, so you should see less post meal spikes on it than on NovoRapid. I like it much better.

 

[NicoleC1971]

Great advice from @Antje77
All I can say is that the TA shouldn't be interfering as I imagine he would have felt pretty humiliated being told off in front of his mates and in any case he needs to work out how to handle his own condition. It is a little ignorant of the TA who doubtless meant well, not to get that type 1s don't die because they eat junk food!
Whatever regime enables him to put the minimum effort in without letting him damage his health seems very sensible.
As a mum and a former terrible type 1 teen, I feel for you so wish you luck with the pump free regime. When he's ready hopefully he will get a system that is less fiddly as the tech is coming on in leaps and bounds. For now his young body can get away with a certain amount of erratic control.

 

[Antje77]

All I can say is that the TA shouldn't be interfering as I imagine he would have felt pretty humiliated being told off in front of his mates and in any case he needs to work out how to handle his own condition. It is a little ignorant of the TA who doubtless meant well, not to get that type 1s don't die because they eat junk food!

But only if the TA was aware of it. If so, a sound reason for a complaint. If not, I can see how this could happen.
My father taught drama in different primary schools, 5 weekly lessons around a play the children would see halfway through the lessons, so he didn't know the children he taught.
He called out a little boy for eating a sandwich during class, which was very rude from my father's point of view. The class was quick to explain the boy's diabetes to my dad, but that was only after my dad had reacted in a way you would if a kid acted this out of order without a good reason.
Exactly the same situation if the assistent was unaware.
My dad felt he should have been informed, so he'd have known to ignore the eating kid and prevent the kid from being singled out and himself feeling sorry for his reaction.

 

[MeiChanski]

Hello tresiba is good in a sense that it’s one injection lasting much longer than levemir, but my concern is your son is quite young - sorry if I’m assuming, his hormones and growth spurs might require more insulin at different times of the day or night. Tresiba is again one injection, and it cannot be adjusted like levemir.

If he is spiking before meals, you need to take into consideration prebolus timing.

Even with injections, he still needs to leave class early to do it? I feel the pump is more discreet if he knows what to bolus for his meals. I remember attending DAFNE, and my nurses were blousing via their pump and we never noticed.

The entire school needs to be made aware of his condition, and look out for signs of hyper or hypo.

My lecturer had a similar reaction to when I had an issue with my essay, he kept asking why, and I was too afraid to say diabetes, knowing that he has a list of students names and details - including my diabetes, up until I explained my self, his tone changed.

Diabetes will always cause a minor inconvenience, your son just needs extra support right now to overcome it. I went through several years of therapy to come to peace with it so I’m sending hugs to your boy!