How do I choose a pump and CGM?

[blankit]

Hello,

I'm really keen to get a pump... my control's not been great for quite a long time and I'm prepared to self-fund if necessary. I'm actually feeling really scared about my years of poor self-care and want to try and look after myself better while I still have the opportunity.

I've a few questions - first, how do I go about choosing a pump and CGM? What are the main differences between them, and what should I look for? Are some better and worse, or is it more about personal preference?

I'm currently using Humalog / insulin lispro and Lantus preloaded pens, do I need to look for a pump that works with lispro? (I realise I wouldn't use the long acting lantus on a pump).

Also I get the impression that getting funding from the NHS can take ages and lots of fighting - would you say this is accurate? I'm meeting my doctor next week and planning to go to the hospital diabetic clinic as soon as possible. If they won't fund everything, do you think they'd make any contribution to the costs or is it usually all or nothing?

Thanks.

 

[josie38]

Hi blankit,

Choosing a pump is all about personal preference (it was for me). You wouldn't need a Continuos Glucose Meter.

If you self-fund there would be an outlay each month or so for the consumables which would be the cannulaes, tubing and cartridges which,when you get pump on NHS, they pay for. So i think its a case of all or nothing.The insulin you use is ok for a pump.

It depends on where you live as to whether its a fight. If you haven't had good control of your diabetes and really want one then go to the NHS. Have a look for the NICE guidlines and see if you think it is possible to meet the criteria.

I used to get crashing hypos and after i had my children i got scared because i didnt want one of them to find me unconscious so my consultant recommended me for one. The only reason i found that it took so long was all the waiting for appointments and it only took the PCT 2 weeks to decide if i could have one.

If you go to the hospital diabetic clinic then talk to them about it so you have some facts before you decide.

Hope all goes well

Josie