Best Insulin Pump

[NewTD2]

Which insulin pump would you say is the best and you would highly recommend?

And why?

 

[therower]

I'm not a pumper but suspect different people will prefer different pumps based on personal preferences and needs.

Why are you asking?

 

[Juicyj]

Hello @NewTD2 I can see from your profile that your a T2 on tablets - so why are you asking about insulin pumps ?

 

[NewTD2]

Hello @NewTD2 I can see from your profile that your a T2 on tablets - so why are you asking about insulin pumps ?

Because my GP suspects T1.5

 

[Juicyj]

Because my GP suspects T1.5

Are you taking insulin then ? Also are you UK based ?

 

[NewTD2]

Are you taking insulin then ? Also are you UK based ?

Not on insulin yet. Yes based in London.

I’m now preparing myself for next year so I won’t be too shocked!

 

[Juicyj]

Not on insulin yet. Yes based in London.

I’m now preparing myself for next year so I won’t be too shocked!

If you are put onto insulin then the process to transitioning to a pump will take a further 1-2 years, it's dependent on how you manage your insulin doses and whether you've done the Dose Adjustment for normal eating course through the NHS. If you are then selected for pump therapy then it will be down to what pumps are being offered through your local trust at that point in time. At present you are trying to run before you can walk so i'd suggest taking your time and seeing what your outcome is first, how are your blood glucose levels in general at present ?

 

[NewTD2]

If you are put onto insulin then the process to transitioning to a pump will take a further 1-2 years, it's dependent on how you manage your insulin doses and whether you've done the Dose Adjustment for normal eating course through the NHS. If you are then selected for pump therapy then it will be down to what pumps are being offered through your local trust at that point in time. At present you are trying to run before you can walk so i'd suggest taking your time and seeing what your outcome is first, how are your blood glucose levels in general at present ?

Fasting BG levels are reading between the 5s and 6s. Today it was 4.8. What do these numbers mean???

 

[Juicyj]

Fasting BG levels are reading between the 5s and 6s. Today it was 4.8. What do these numbers mean???

Personally I would be over the moon with these readings, it indicates your levels are well controlled and so at present I wouldn't panic, just take each day at a time, keep an eye on what's going on and that's all you can do, as soon as your BG levels start to rise then re-contact your team and review at that point.

 

[NewTD2]

Personally I would be over the moon with these readings, it indicates your levels are well controlled and so at present I wouldn't panic, just take each day at a time, keep an eye on what's going on and that's all you can do, as soon as your BG levels start to rise then re-contact your team and review at that point.

Thank you so much for your advice

 

[catapillar]

Which insulin pump would you say is the best and you would highly recommend?

And why?

It's very unusual for type 2 diabetics to get an NHS funded insulin pump. It's essentially unheard of. You can't just go out and privately buy a pump because the manufacturer won't sell you a medical device that you can kill your self with if you use it incorrectly unless they know your use of the device will be supported with appropriate medical guidance.

So, unless your team think you need a pump and would support you, there's not a lot of point asking. If they would support you the pumps that they are trained on will be a limited selection, so you would need to ask your team which pumps they support.

 

[NewTD2]

It's very unusual for type 2 diabetics to get an NHS funded insulin pump. It's essentially unheard of. You can't just go out and privately buy a pump because the manufacturer won't sell you a medical device that you can kill your self with if you use it incorrectly unless they know your use of the device will be supported with appropriate medical guidance.

So, unless your team think you need a pump and would support you, there's not a lot of point asking. If they would support you the pumps that they are trained on will be a limited selection, so you would need to ask your team which pumps they support.

I asked because I might be T1.5 or LADA
Will find out end of January
Preparing myself mentally

 

[catapillar]

I asked because I might be T1.5 or LADA
Will find out end of January
Preparing myself mentally

I don't think choosing an insulin pump is any sort of sensible mental preparation for a putative type 1 diagnosis.

You are currently being investigated for type 1 with antibody testing?

On what basis is the investigation indicated, as you seem to have very good blood sugar control without insulin, which would be unexpected in a lada misdiagnosed as type 2. The things that suggest misdiagnosis are untried for weight loss and inability to control blood sugar via diet and oral meds.

You seem to be trying to sprint before you can crawl. IF antibody testing comes back positive you will still be a honeymooning type 1 not on insulin, once you star insulin you would have to complete DAFNE and be assessed as requiring a pump. So an adult diagnosed with type 1 would be waiting 18 mths + before pump is even considered.

Wait and see what antibody tests say.

There is zero point in thinking about pumps at this stage.

 

[NewTD2]

I don't think choosing an insulin pump is any sort of sensible mental preparation for a putative type 1 diagnosis.

You are currently being investigated for type 1 with antibody testing?

On what basis is the investigation indicated, as you seem to have very good blood sugar control without insulin, which would be unexpected in a lada misdiagnosed as type 2. The things that suggest misdiagnosis are untried for weight loss and inability to control blood sugar via diet and oral meds.

You seem to be trying to sprint before you can crawl. IF antibody testing comes back positive you will still be a honeymooning type 1 not on insulin, once you star insulin you would have to complete DAFNE and be assessed as requiring a pump. So an adult diagnosed with type 1 would be waiting 18 mths + before pump is even considered.

Wait and see what antibody tests say.

There is zero point in thinking about pumps at this stage.

Understood thank you

 

[Bluey1]

As the pumps are expensive, when people swap it's normal after 4 years, so they are comparing an old model with a much newer one. In Oz you end up with what the D Educator is trained in. I'm going for a Medtronic (Blue) 640g as the 670g is years away for us.

In Oz it's quite a process, a box checking exercise and expensive. The pump is hopefully covered by health insurance, the D educator $120 per visit by at least 4. Dietician (yep even if you don't need it, you need a letter from them to tick a box) another $120, the initial Specialist referral, that is most probably an existing visit, however a shorter interval follow up visit due to the pump. I'm assuming health insurance gap of $500 ( I will find out in a few days). As someone else pointed out you will be on MDI for quite sometime first. Hopefully NewTD2, no matter what the diagnosis, your current readings will be a very long term trend. I'm going onto a pump very quickly even then it's taking almost 3 months.
If you want something HiTech go for the Libre, but honestly you really don't need one with those readings. I'm happy to swap you my new pump for a few years of those results. I assume you are on some sort of tablet and at the moment they are working really well. No matter your diagnosis in Jan you will not be put on insulin until you have to be. Out of interest what is your current dose and type of tablet?