Less insulin on pump?

DOn't quote me on this, but I understand it's due to the continuous infusion and hence continuous absorbtion of quick acting insulin only vs the big dollop of slower acting basal.

REmember it's only QA - novorapid or similar in a pump, so the action is different as well as delivery.

 

What an absolute PITA. I don't get the idea that it's an industry rule. I've been in contact with an offshore doctor in Abermed to try adn get clearance for one of my clients and she did not categorically state no on the basis of pump, just that she doesn't know of many.

To be honest I think that may be a rule of your company being overreactive to their history rather than taking a managed risk approach.

Do you have any risk/HSE/Environment experience? My company has an Aberdeen office and may still be recruiting - it's HSE and risk consulting

 

Hmmm they said they just follow the industry guidelines. There is 1 guy who has a pump. Apparently he just injects a long acting during the day and leaves his pump in the accommodation and then reconnects at night. I told her that was absolutely not an option!

No experience other than pencil pushing for TARs for the last 2 years. Started fresh out of uni and diagnosed a few months later!


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Is another reason less insulin is needed on a pump that we have much finer control over the adjustments - no longer only whole or half units at a time. If the basal & ratios are right we get much nearer what the correct dose is compared with mdi. Just my thoughts.

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I was told it was the way that insulin is absorbed...the whole continuous thing - it does take a month for the doses to settle down which was an interesting fact from the nurse (though mine still changes - and with the recent bowt of warm weather I am finding I can eat anything without blood sugar spikes - I do love the temporary basal for days like that and the fact that you can play with the basal for the different times of day - one of my favourite pump features). Also from a practical point of view - the doses can be really fine tuned, you don't get any insulin leaking out (however long I left the needle in me I would invariably get a little pool of insulin after an injection)

 

Speaking to the OH person at this week's client, they have no problem as long as pass the medical and the stability criteria etc, they have several T1 offshore and even one on a pump.

Seems to depend on the operator