Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Type 1 Diabetes
Insulin Pumps
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="jopar" data-source="post: 270602" data-attributes="member: 11712"><p>Pumps are only has good as the user!</p><p></p><p>Pumps and their various wizards only do what we tell them to! The bolus wizards will only calculate our bolus dose based on information we've told it, such as insulin sensitivity, insulin duration period, percentage of adjustment required for exercise, then our carb-insulin ratio at that point of time! </p><p></p><p>So dependant where control issues are then this will determine what a pump can do, if the user is aware what is causing their problems, such as insulin sensitivity which means that under or over dosing is pretty easy feat to do, perhaps they know that their basal profile is so over the place, that 2 injections of background insulin isn't going to stabilise it to a working profile or perhaps because of your lifestyle being active etc, and being limited to injecting insulin causes all sorts of problems, because you inject to do one thing, but then need to do something else! The pump is likely to make a big improvement in control...</p><p></p><p>Yes, some to find that they reduce their insulin needs with a pump, but this is more based on the ability to deliver the exact amount of insulin for your needs, biggest saving being if any is normally on the basal insulin!</p><p></p><p>But if the issues is based on lack of knowledge, and inability to carb count, or actually take any actions to manage your condition then the pump will become a very expensive usual piece of kit!</p><p></p><p>As to clinic's providing pumps, well to be honest you gets and who doesn't if you have to jump through hoops or not, will purely be based on what your clinic policy is... It's a pretty inconsistent state of affairs even with NICE guidelines... Best place to find out what your clinic is like is to contact <a href="http://www.input.me.uk" target="_blank">www.input.me.uk</a></p><p></p><p>As to GCM's</p><p></p><p>There is no NICE guidelines or any push from any of the organisations such as DUK/INPUT to get the ball rolling on them, because it's felt that it's more important to improve insulin pump access enforcing PCT's to provide CGM's will only reduce the access to insulin pumps!</p><p></p><p>But are they as magical as they seem?</p><p></p><p>Not really, you still have to take regular BG's just to calibrate and maintain it's calibrations throughout the day (how many times will be dependant on make) they work on a lag time, and if they sound a warning these have to be doubled checked to ensure that information it's given is correct..</p><p></p><p>Yes, if you've got hypo unawareness they handy gadgets for warning that BG's are dropping, they also pretty good an giving patterns of controls, but with the latter it won't tell you which is basal, quick or a combination of both insulin that's effecting control...</p><p></p><p>Again they are a piece of kit which only ever going to be as good as the user!</p><p></p><p>I suggest, yep ask your clinic about a insulin pump so you find out the lay of the land, but also look at your control know, try to work out whether your control problems are based in lacking knowledge of knowledge of 'how to control' as there's many things that can been done with learning carb counting, investing in a book that tells you about MDI therapy, and how to work what you need to know out etc..</p></blockquote><p></p>
[QUOTE="jopar, post: 270602, member: 11712"] Pumps are only has good as the user! Pumps and their various wizards only do what we tell them to! The bolus wizards will only calculate our bolus dose based on information we've told it, such as insulin sensitivity, insulin duration period, percentage of adjustment required for exercise, then our carb-insulin ratio at that point of time! So dependant where control issues are then this will determine what a pump can do, if the user is aware what is causing their problems, such as insulin sensitivity which means that under or over dosing is pretty easy feat to do, perhaps they know that their basal profile is so over the place, that 2 injections of background insulin isn't going to stabilise it to a working profile or perhaps because of your lifestyle being active etc, and being limited to injecting insulin causes all sorts of problems, because you inject to do one thing, but then need to do something else! The pump is likely to make a big improvement in control... Yes, some to find that they reduce their insulin needs with a pump, but this is more based on the ability to deliver the exact amount of insulin for your needs, biggest saving being if any is normally on the basal insulin! But if the issues is based on lack of knowledge, and inability to carb count, or actually take any actions to manage your condition then the pump will become a very expensive usual piece of kit! As to clinic's providing pumps, well to be honest you gets and who doesn't if you have to jump through hoops or not, will purely be based on what your clinic policy is... It's a pretty inconsistent state of affairs even with NICE guidelines... Best place to find out what your clinic is like is to contact [url=http://www.input.me.uk]www.input.me.uk[/url] As to GCM's There is no NICE guidelines or any push from any of the organisations such as DUK/INPUT to get the ball rolling on them, because it's felt that it's more important to improve insulin pump access enforcing PCT's to provide CGM's will only reduce the access to insulin pumps! But are they as magical as they seem? Not really, you still have to take regular BG's just to calibrate and maintain it's calibrations throughout the day (how many times will be dependant on make) they work on a lag time, and if they sound a warning these have to be doubled checked to ensure that information it's given is correct.. Yes, if you've got hypo unawareness they handy gadgets for warning that BG's are dropping, they also pretty good an giving patterns of controls, but with the latter it won't tell you which is basal, quick or a combination of both insulin that's effecting control... Again they are a piece of kit which only ever going to be as good as the user! I suggest, yep ask your clinic about a insulin pump so you find out the lay of the land, but also look at your control know, try to work out whether your control problems are based in lacking knowledge of knowledge of 'how to control' as there's many things that can been done with learning carb counting, investing in a book that tells you about MDI therapy, and how to work what you need to know out etc.. [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Type 1 Diabetes
Insulin Pumps
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…