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Type 1 Diabetes
Please help me understand MDI
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<blockquote data-quote="In Response" data-source="post: 2519025" data-attributes="member: 527103"><p>Welcome [USER=555263]@Marmar00[/USER]</p><p>I assume you are newly diagnosed.</p><p>Most of us started with MDI and have done lots of travel with MDI with little problem - there is no reason why you should hypo more when overseas than you do at home. I have travelled to some pretty out of the way places (Nepal, Uganda, Venezuela, ...) with MDI and not had any major issues.</p><p>At pump is not something that is given out easily in the UK - it is an expensive piece of kit so they are limited, needing justification that a pump would resolve known issues.</p><p>The advantage of the pump is that it is possible to vary the basal dose every 30 minutes to match when the body needs more or less. This is great IF you understand how, when and why to make the adjustments.</p><p>Pumps rarely fail but, as you say, there is a risk so you always need to be able to revert to MDI if that happens, But if they were always failing they would not be fit for use. Bear in mind, when a pump fails it stops - it does not give the wrong dose.</p><p></p><p>Whether MDI or pump gives a more stable blood sugar depends on the person. I use a pump because my basal needs vary greatly, especially when I exercise. But most people use MDI and travel.</p><p></p><p>If you are interested in a pump, I advise doing some further research and talk to your diabetes team. I would recommend having some well thought out justification why you think a pump would assist your diabetes management. "I'm going overseas" is not sufficient justification especially when you consider the large bag of pump paraphernalia you will need to take with you as well as the back up MDI.</p></blockquote><p></p>
[QUOTE="In Response, post: 2519025, member: 527103"] Welcome [USER=555263]@Marmar00[/USER] I assume you are newly diagnosed. Most of us started with MDI and have done lots of travel with MDI with little problem - there is no reason why you should hypo more when overseas than you do at home. I have travelled to some pretty out of the way places (Nepal, Uganda, Venezuela, ...) with MDI and not had any major issues. At pump is not something that is given out easily in the UK - it is an expensive piece of kit so they are limited, needing justification that a pump would resolve known issues. The advantage of the pump is that it is possible to vary the basal dose every 30 minutes to match when the body needs more or less. This is great IF you understand how, when and why to make the adjustments. Pumps rarely fail but, as you say, there is a risk so you always need to be able to revert to MDI if that happens, But if they were always failing they would not be fit for use. Bear in mind, when a pump fails it stops - it does not give the wrong dose. Whether MDI or pump gives a more stable blood sugar depends on the person. I use a pump because my basal needs vary greatly, especially when I exercise. But most people use MDI and travel. If you are interested in a pump, I advise doing some further research and talk to your diabetes team. I would recommend having some well thought out justification why you think a pump would assist your diabetes management. "I'm going overseas" is not sufficient justification especially when you consider the large bag of pump paraphernalia you will need to take with you as well as the back up MDI. [/QUOTE]
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