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New to Omnipod Dash & seeking advice
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<blockquote data-quote="Bluemarine Josephine" data-source="post: 2617591" data-attributes="member: 213188"><p>Hello dear friends,</p><p>I hope this email finds you really well.</p><p></p><p>Please, may I ask you regarding my further investigation relating to the Omnipod pump.</p><p></p><p>You may recall that I was recently approved for pump therapy and was offered my first consultation on how to use the Omnipod Dash, which, admittedly, I have not started yet as I continue the study of the manual and research on the pump.</p><p></p><p>I have a few more questions and I was hoping to receive advice from your experience.</p><p></p><p>1. My insulin requirements change dramatically during the month. Is there any training provided for me to be able to convert my current insulin basal regime or to create new regimes with a good level of accuracy? I am refering to the basal scheme (not the bolus carbs to units ratios). For example, at the moment, a 0.55 or a 0.45 Novorapid per hour is not clear to me in comparison to 13 units of Levemir… Therefore, if I wanted to adjust the 0.55 to lower or higher, I wouldn’t know how I should adjust the dosage calculation.</p><p></p><p>Or, for example, how do I convert 13 units of Levemir during daytime into Novorapid requirement per hour from? In case I need to raise or lower my Novorapid intake (as a basal insulin), what calculation method do I use to make the adjustments?</p><p></p><p>2. I also want to ask how the pump works with exercise and how sensitive Novorapid can be when used as an only insulin. This is because I am very active every day, considerably more active than most people. I walk everywhere (even long distances), I am up and down flights of stairs at work every day (I don’t take lifts), and I have my daily household, grocery shopping, and Pilates/Yoga class or treadmill training. I don’t have a sedentary day during the week, not even on weekends. I fear that I will have to either suspend or reduce my insulin intake every so often?</p><p></p><p>3. When I met the nurse at the hospital for my first training course, she told me that there is a security limit when it comes to the insulin that can be administered and which she set to 80 units (which puzzled me because at the time, I didn’t understand why she asked me this question). In my research, I came across several articles. I am indicatively sending these:</p><p></p><p><a href="https://www.independent.co.uk/news/uk/nhs-type-1-diabetes-police-scotland-paul-massachusetts-b1984584.html" target="_blank">Independent Article</a></p><p></p><p><a href="https://www.fda.gov/medical-devices/medical-device-recalls/medtronic-recalls-remote-controllers-used-paradigm-and-508-minimed-insulin-pumps-potential" target="_blank">FDA Article</a></p><p></p><p><a href="https://medicalxpress.com/news/2018-11-insulin-high-injuries.html" target="_blank">Medical Express</a></p><p></p><p>I want to ask you about the safety assurance provided by the NHS or the Omnipod manufacturer regarding the use of insulin pumps for diabetes management. As someone who will rely on an insulin pump, I want to ensure that I am receiving the best and safest care available.</p><p></p><p>Throughout my 13 years as a Type 1, the idea of having a pump was promoted to me by my doctor and nurses as a heavenly panacea to my diabetic management. I was never, even remotely, received as mush as a hint by my doctor or the nurses about the safety standards or failings (fatal or not) of pump therapy.</p><p></p><p>Safety Standards: Could you please advise me if you have received information about the safety standards and regulations that the NHS has in place concerning the use of insulin pumps? I am interested in understanding the measures taken to ensure the safety and reliability of these devices.</p><p></p><p>Regulatory Oversight: Is there a specific governing body or regulatory authority responsible for overseeing the safety and efficacy of insulin pumps within the NHS? If so, could you provide me with the name or any relevant information regarding their role and responsibilities?</p><p></p><p>Evaluation and Approval Process: How does the NHS evaluate and approve insulin pumps for use? Are there specific criteria, such as clinical trials, risk assessments, or certifications, that must be met before a device is considered safe for use within the NHS?</p><p></p><p>Monitoring and Reporting: Does the NHS have mechanisms in place to monitor the safety and performance of insulin pumps once they are in use? How does the NHS handle adverse events or reports of malfunctions associated with these devices?</p><p></p><p>Patient Education and Support: Are there educational resources or support programs available to patients using insulin pumps within the NHS? I would like to learn more about any initiatives aimed at ensuring patients are properly trained, informed, and supported in the safe use of these devices.</p><p></p><p>Thank you for your time and attention to my inquiry. I greatly appreciate your expertise and guidance in this matter.</p><p></p><p>Pleased to hear.</p><p></p><p>Josephine</p></blockquote><p></p>
[QUOTE="Bluemarine Josephine, post: 2617591, member: 213188"] Hello dear friends, I hope this email finds you really well. Please, may I ask you regarding my further investigation relating to the Omnipod pump. You may recall that I was recently approved for pump therapy and was offered my first consultation on how to use the Omnipod Dash, which, admittedly, I have not started yet as I continue the study of the manual and research on the pump. I have a few more questions and I was hoping to receive advice from your experience. 1. My insulin requirements change dramatically during the month. Is there any training provided for me to be able to convert my current insulin basal regime or to create new regimes with a good level of accuracy? I am refering to the basal scheme (not the bolus carbs to units ratios). For example, at the moment, a 0.55 or a 0.45 Novorapid per hour is not clear to me in comparison to 13 units of Levemir… Therefore, if I wanted to adjust the 0.55 to lower or higher, I wouldn’t know how I should adjust the dosage calculation. Or, for example, how do I convert 13 units of Levemir during daytime into Novorapid requirement per hour from? In case I need to raise or lower my Novorapid intake (as a basal insulin), what calculation method do I use to make the adjustments? 2. I also want to ask how the pump works with exercise and how sensitive Novorapid can be when used as an only insulin. This is because I am very active every day, considerably more active than most people. I walk everywhere (even long distances), I am up and down flights of stairs at work every day (I don’t take lifts), and I have my daily household, grocery shopping, and Pilates/Yoga class or treadmill training. I don’t have a sedentary day during the week, not even on weekends. I fear that I will have to either suspend or reduce my insulin intake every so often? 3. When I met the nurse at the hospital for my first training course, she told me that there is a security limit when it comes to the insulin that can be administered and which she set to 80 units (which puzzled me because at the time, I didn’t understand why she asked me this question). In my research, I came across several articles. I am indicatively sending these: [URL='https://www.independent.co.uk/news/uk/nhs-type-1-diabetes-police-scotland-paul-massachusetts-b1984584.html']Independent Article[/URL] [URL='https://www.fda.gov/medical-devices/medical-device-recalls/medtronic-recalls-remote-controllers-used-paradigm-and-508-minimed-insulin-pumps-potential']FDA Article[/URL] [URL='https://medicalxpress.com/news/2018-11-insulin-high-injuries.html']Medical Express[/URL] I want to ask you about the safety assurance provided by the NHS or the Omnipod manufacturer regarding the use of insulin pumps for diabetes management. As someone who will rely on an insulin pump, I want to ensure that I am receiving the best and safest care available. Throughout my 13 years as a Type 1, the idea of having a pump was promoted to me by my doctor and nurses as a heavenly panacea to my diabetic management. I was never, even remotely, received as mush as a hint by my doctor or the nurses about the safety standards or failings (fatal or not) of pump therapy. Safety Standards: Could you please advise me if you have received information about the safety standards and regulations that the NHS has in place concerning the use of insulin pumps? I am interested in understanding the measures taken to ensure the safety and reliability of these devices. Regulatory Oversight: Is there a specific governing body or regulatory authority responsible for overseeing the safety and efficacy of insulin pumps within the NHS? If so, could you provide me with the name or any relevant information regarding their role and responsibilities? Evaluation and Approval Process: How does the NHS evaluate and approve insulin pumps for use? Are there specific criteria, such as clinical trials, risk assessments, or certifications, that must be met before a device is considered safe for use within the NHS? Monitoring and Reporting: Does the NHS have mechanisms in place to monitor the safety and performance of insulin pumps once they are in use? How does the NHS handle adverse events or reports of malfunctions associated with these devices? Patient Education and Support: Are there educational resources or support programs available to patients using insulin pumps within the NHS? I would like to learn more about any initiatives aimed at ensuring patients are properly trained, informed, and supported in the safe use of these devices. Thank you for your time and attention to my inquiry. I greatly appreciate your expertise and guidance in this matter. Pleased to hear. Josephine [/QUOTE]
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