• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Hi! I have been type 1 diabetic for 20 years amd am currently looking into getting an insulin pump.

cheryl_44

Newbie
Messages
1
Type of diabetes
Type 1
Treatment type
Insulin
Reading on the topic there are advantages and disadvantages and as a diabetic and looking for better control over my condition. Will a pump give me more freedom or will it be a case of analysing every food I eat even more. Any help and information would be greatly appreciated!

Also which pumps would be the best ones to look at?
 
Hi @cheryl_44 :)

A pump needs a fair bit of input and understanding from the user, but you get repaid with (hopefully) smoother numbers :)

I've had a pump for 13 years. I love it and it changed my life. You do need to understand carb counting though and be prepared to tweak your settings to get the best out of a pump.

As for the best pump, that's a matter of opinion. I have an Animas Vibe and love it. You could find out what's on offer from your clinic.
 
Hi there. Ive only had mine since the 15th June. It is great and get much smoother profile and numbers the difficult parts are:
1. Carb counting, more difficult at start but you become used to it what different meals contain and portion size etc so it's easier.
2. Getting basal rates requires work. Different rates for times of day and then for times of months and then for different activity levels but all worthwhile. Still work in progress for me and probably will be for some time.

Again with the positive, hypos are much rarer for me now and much easier to treat than hypos caused by long acting insulin.

I have Medtronic pump. I like it. Nothing to compare it to. Had no choices but im very happy with it. Good luck

Sent from my Pixel using Diabetes.co.uk Forum mobile app
 
Hi @cheryl_44 , I'm really excited for you!

I've always been a manic micromanager of my diabetes, and since starting on a pump a couple of years ago, I am still a micromanager BUT for the first time in three decades with diabetes I am finding that the effort is paying visible and tangible dividends in terms of my control.

I love my pump. It's an Accuchek Insight.
 
You do have to analyse food a little bit more on a pump, but only marginally more than carb counting on MDI. But there is a pay of, instead of rounding your carb intake up or down to the nearest unit, you just tell the pump what you are actually eating and in will adjust your doasge as required. So say your insulin to carb ratio is currently 1 unit for every 12gs of carbs, you might currently be carb counting by guesstimating how many multiple of 12 there are in what you're eating because you have a pen that can only go up or down by 1 unit. On a pump you can still get away with guesstimating a little bit, but if you know exactly how many grams of carbs you are having the pump can adjust your dosage by 0.025 units so the food analysis gets rewarded with a much more accurate bolus dose.

I think a pump does give you more freedom. I find it a much more discreet, easy, handy way to bolus. Setting the basal rate does take work, but again gives you more freedom because the basal rate can be tailored to give you what you need at different times of day. So if you have dawn phenomenon, instead of getting what aims to be a flat action basal on mdi so you either hypo in the night or peak in the morning, your pump basal rate can increase exactly when you need it to to deal with the dawn phenomenon. And crucially you can increase or decrease your basal rate to give you freedom to adjust your insulin to deal with life, so if you have a really stressful meeting at work you can run an increased temporary basal rate for the meeting or if you're going to the gym you can run a decreased temporary basal rate. Much more freedom and flexibility.

The best thing to do is ask your diabetic clinic 1) whether they would support you going for a pump and 2) if so, what pumps they offer. Because the best pumps to look are the ones that are actually going to be available to you.
 
I've been on my Accuchek Insight pump for a year now and although hard work initially I love my pump good luck!
 
Will a pump give me more freedom or will it be a case of analysing every food I eat even more. Any help and information would be greatly appreciated!

It will give you more freedom, being free from injections is the obvious one, but pumps are great too as they have different bolusing options so that you can handle difficult meals better (such as those that are high in fat).

There's no more analysing of food on a pump than on MDI, on both regimes it's important to carb count and to get the insulin-to-carb ratio right, but the difference with a pump is the ability to bolus in smaller increments over a pen.

Look on Youtube for video's of pump users, there some great feedback there on the various pumps available at the moment, I'm an Omnipod user and can't really fault the pump (first pump so have no experience of other makes).
 
I'm 20 years in too. I have an appointment on Tuesday for initial investigation into getting a pump. Gimme a nudge and I'll let you know how it went
 
Pros of a pump
- more control with smaller increments of insulin
- different basal settings throughout the day
- can temporary change basal at any time of the day (e.g. for exercise)
- insulin always with you (can't forget it)
- no more injections

Cons of a pump
- more to control so more complicated
- less forgiving if you get your carb counting wrong because you have no basal to "mop up the extra carbs"
- changing sets is not fun ... but you get used to it
- always connected
- diabetes becomes more public ... not true for everyone but being small, I have found nowhere to hide my pump (many women keep theirs in their bra ... but my bra's not big enough) so it is always on display which feels as if it is sending out "I've got diabetes" vibes to everyone

Overall, I think of my pump in the same way I think of the socially awkward guy in the office - very good at doing its/his job and glad it/he's in your team but not something/someone I would socialise with if I had a choice.
 
Last edited by a moderator:
I clip my Pump inside trouser waistband. Comfortable and not noticeable. If anyone sees clip they think I have mobile phone.
 
Hi. I myself will be hitting the 20 year mark myself very soon.
10 years of injections then over to pump due to other medical problems.
Without a doubt the pump is brilliant.
I use a Medtronic 640g with CGM about to be supplied within the next few weeks.
The carb counting is not an issue at all and if you keep a food diary and list the events of the day you'll soon have a very good reference if needed.
I never use a manual bolus as I can't understand why that feature is on the pump!
I always use the bolus wizard and on dual due to having Gastroparesis (delayed emptying of my stomach)
With help from the diabetic nurse and your self learning you'll never look back.
Good luck with it all and you'll soon be reaping the benefits.
 
Back
Top