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<blockquote data-quote="Katiel1" data-source="post: 2358477" data-attributes="member: 528501"><p>Went on the Tandem t:slim pump last October after 16 years on MDI. BEST decision I've ever made, can't believe it took me so long to be convinced to take my clinic up on the opportunity to move on to this.</p><p></p><p>I use it in conjunction with the Dexcom G6 CGM so the 2 devices speak with each other. I never knew I could see such in-range levels, typically 80-90% in range most days.</p><p>Hb1Ac is the lowest it has been in years after only 4 months on the pump. Still some tweaks to basals and carb ratios to bring this down further but for context my Hb1AC in Feb 2019 was 9.6% (81 / 12.6mmol), October 2020 the day before starting the pump it was 8.6% (71 / 11.1mmol) and today it's 7% (53 / 8.6mmol) after only 4 months!</p><p>- Nearly impossible to stack insulin since you get a real time update of insulin on board and it will warn you if you're overdosing</p><p>- Integration with Dexcom allows for insulin suspension if it predicts a hypo in 20 minutes so hypos are less sever and easier to treat</p><p>- Ability to tweak basal rates to allow for exercise / stress / hormones (on MDI I was consistently battling hypos on days where I was more active than planned yet still have same whopping dose of background Levemir on board). Can set temporary basal rates on days you're on your cycle for example where your insulin resistance might be higher.</p><p>- Hypos are few and far between once you get your basals settled (which really doesn't take much time at all and your clinic will help with). I had a really bad fear of hypos and was referred to a clinical psychologist but it's only since starting on the pump that my fears have really eased.</p><p>- If any nervousness around the fact that you're reliant on the fast acting insulin being delivered correctly since no more long acting insulin injections (which was my biggest hesitation) opt for the metal needle cannulas - insertion issues are essentially non-existent with these, it's the plastic cannulas you can hear about problems with</p><p>- Night time levels once basal rates are well tweaked and set can be pretty much a beautiful straight line of 5mmol ALL NIGHT. This alone will help with your Hb1AC hugely.</p><p></p><p>I am the biggest advocate of pump therapy now! Complete game changer for me. Hit a real low with burnout and anxiety during uni and past few years but this amazing little bit of technology has given me so much hope and freedom.</p><p></p><p>Hope it can do the same for you!! Let me know if there's any specific question you have, I'd be happy to help!</p></blockquote><p></p>
[QUOTE="Katiel1, post: 2358477, member: 528501"] Went on the Tandem t:slim pump last October after 16 years on MDI. BEST decision I've ever made, can't believe it took me so long to be convinced to take my clinic up on the opportunity to move on to this. I use it in conjunction with the Dexcom G6 CGM so the 2 devices speak with each other. I never knew I could see such in-range levels, typically 80-90% in range most days. Hb1Ac is the lowest it has been in years after only 4 months on the pump. Still some tweaks to basals and carb ratios to bring this down further but for context my Hb1AC in Feb 2019 was 9.6% (81 / 12.6mmol), October 2020 the day before starting the pump it was 8.6% (71 / 11.1mmol) and today it's 7% (53 / 8.6mmol) after only 4 months! - Nearly impossible to stack insulin since you get a real time update of insulin on board and it will warn you if you're overdosing - Integration with Dexcom allows for insulin suspension if it predicts a hypo in 20 minutes so hypos are less sever and easier to treat - Ability to tweak basal rates to allow for exercise / stress / hormones (on MDI I was consistently battling hypos on days where I was more active than planned yet still have same whopping dose of background Levemir on board). Can set temporary basal rates on days you're on your cycle for example where your insulin resistance might be higher. - Hypos are few and far between once you get your basals settled (which really doesn't take much time at all and your clinic will help with). I had a really bad fear of hypos and was referred to a clinical psychologist but it's only since starting on the pump that my fears have really eased. - If any nervousness around the fact that you're reliant on the fast acting insulin being delivered correctly since no more long acting insulin injections (which was my biggest hesitation) opt for the metal needle cannulas - insertion issues are essentially non-existent with these, it's the plastic cannulas you can hear about problems with - Night time levels once basal rates are well tweaked and set can be pretty much a beautiful straight line of 5mmol ALL NIGHT. This alone will help with your Hb1AC hugely. I am the biggest advocate of pump therapy now! Complete game changer for me. Hit a real low with burnout and anxiety during uni and past few years but this amazing little bit of technology has given me so much hope and freedom. Hope it can do the same for you!! Let me know if there's any specific question you have, I'd be happy to help! [/QUOTE]
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