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I'm terrified...
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<blockquote data-quote="Deleted Account" data-source="post: 2091798"><p>[USER=408077]@sjm1308[/USER] I understand you are concerned. A pump is a different way of thinking about your insulin dosing and there is a bit of a learning curve but once you get there it is great ... no more waking up for night time doses, for a start.</p><p></p><p>Here are my answers to your questions (I am sure others will have slightly different approaches or additional things to add)</p><ol> <li data-xf-list-type="ol">I notice a massive difference in my bg on stressful days. I.e a bad day at work I'll tend to struggle to come down below 12 whereas on a relaxed day off my bg is very steady around 6-8. How do I manage that on the pump? Especially that first month which I will find many stressful days. <ul> <li data-xf-list-type="ul">A pump is brilliant for this. You can have a stress day basal profile and a relaxed day profile. If you think the pump will cause stress at first, you can focus on getting the stress day profile sorted and then add your relaxed day when you are comfortable with it. </li> <li data-xf-list-type="ul">I strongly recommend making sure you ask how to add additional profiles when you get your pump: mine was fixed to one profile and I had to do some sleuthing how to add three more</li> <li data-xf-list-type="ul">If you find your BG needs are different for other reasons (exercise, holiday, monthly cycle) you can add another profile for these</li> <li data-xf-list-type="ul">If you find your basal needs are just a percentage different, an alternative approach could be to set a temporary basal. Make sure you ask about this too</li> </ul></li> <li data-xf-list-type="ol">I sometimes take on an odd night duty at work to help them out or if I'm saving for something..will I have to stop this?<br /> <ul> <li data-xf-list-type="ul">Nope. Guess what? You create a "night duty" basal profile if you find you need something different.</li> </ul></li> <li data-xf-list-type="ol">is the math a lot different? It took me a while to get my head around carb counts/ratios so am worried I won't catch on.<br /> <ul> <li data-xf-list-type="ul">You still need to carb count and you should try to be a little more accurate</li> <li data-xf-list-type="ul">But, most pumps have the ratios programmed in (they can be different at different times of the day) so you just tell it your current Bg and how many carbs you are going to eat, Then it does all the hard work for you</li> <li data-xf-list-type="ul">I think most pumps also have the option to do all the calculation and then add a "manual bolus" if you want to. This may sound silly but it is useful to remain familiar if your pump fails and you have to go back to injecting temporarily. This is very very rare so don't panic about it. </li> </ul></li> </ol><p>From your questions, it sounds as if a pump will be brilliant for you - it can control your different insulin doses depending on your stress levels and it can do the maths.</p></blockquote><p></p>
[QUOTE="Deleted Account, post: 2091798"] [USER=408077]@sjm1308[/USER] I understand you are concerned. A pump is a different way of thinking about your insulin dosing and there is a bit of a learning curve but once you get there it is great ... no more waking up for night time doses, for a start. Here are my answers to your questions (I am sure others will have slightly different approaches or additional things to add) [LIST=1] [*]I notice a massive difference in my bg on stressful days. I.e a bad day at work I'll tend to struggle to come down below 12 whereas on a relaxed day off my bg is very steady around 6-8. How do I manage that on the pump? Especially that first month which I will find many stressful days. [LIST] [*]A pump is brilliant for this. You can have a stress day basal profile and a relaxed day profile. If you think the pump will cause stress at first, you can focus on getting the stress day profile sorted and then add your relaxed day when you are comfortable with it. [*]I strongly recommend making sure you ask how to add additional profiles when you get your pump: mine was fixed to one profile and I had to do some sleuthing how to add three more [*]If you find your BG needs are different for other reasons (exercise, holiday, monthly cycle) you can add another profile for these [*]If you find your basal needs are just a percentage different, an alternative approach could be to set a temporary basal. Make sure you ask about this too [/LIST] [*]I sometimes take on an odd night duty at work to help them out or if I'm saving for something..will I have to stop this? [LIST] [*]Nope. Guess what? You create a "night duty" basal profile if you find you need something different. [/LIST] [*]is the math a lot different? It took me a while to get my head around carb counts/ratios so am worried I won't catch on. [LIST] [*]You still need to carb count and you should try to be a little more accurate [*]But, most pumps have the ratios programmed in (they can be different at different times of the day) so you just tell it your current Bg and how many carbs you are going to eat, Then it does all the hard work for you [*]I think most pumps also have the option to do all the calculation and then add a "manual bolus" if you want to. This may sound silly but it is useful to remain familiar if your pump fails and you have to go back to injecting temporarily. This is very very rare so don't panic about it. [/LIST] [/LIST] From your questions, it sounds as if a pump will be brilliant for you - it can control your different insulin doses depending on your stress levels and it can do the maths. [/QUOTE]
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