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pump approved

phil169

phil169

Well-Known Member
Messages
203
Type of diabetes
Type 2
Treatment type
Insulin
hi all
the pump as now been approved. I speak to the pump nurse on Monday, this will be to discuss which pump and to get a start date?. I would appreciate any help and advice that you can give on the type of pump I should look at.
thanks
phil
 
The answer is whichever you feel comfortable with. You should trial all that the clinic offers.
 
Pick from the ones you are offered. Ask the nurse which one she thinks is the best option for your needs and why. What ever you have you will like it as have no comparison from previous pump use.
 
Most clinics will probably offer 2 or 3 pumps to choose from.
its a difficult decision as there is more to a pump than just it's size and colour. Infusion sets and how well they are designed, play a big part in pumping and a pumps menu system and ease of use also matter, so lots to think about.....
 
As CarbsRok says do ask the DSN which pump they think would serve you best, also Google the pumps on offer to get some user feedback.

Good luck @phil169
 
Agree with what everyone else says Phil but also going by your previous posts re very high insulin requirements, assuming you still require the same level (unless you're on u500 as well now?) as you would be changing sets daily I would take into consideration cannula comfort. In my area we only get the medtronic pump with mio sets so no choice at all, one of my friends cannot get on with the mios at all as like yourself she takes a lot of insulin requiring daily set changes. Perhaps ask if you could try some different cannulas to find what is most comfortable.
 
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I had a choice of 4 pumps,but I went with what my DSN recommend for me and,as usual,she was 100% right.
 
Don't forget Phil (if you're anything like my T2 friends who have their test strips severely limited), as you will be testing frequently on the pump you may need to request your pump nurse to contact your GP to get your testing strips increased.
 
hi
thank you all for your advice will take it all on board when I speak to her tomorrow.
 
up date pump start is 2 weeks today minimed 640g due to large amount of insulin that I take.
any opinions on this pump????
thanks
 
It's a good pump Phil, I'm on a medtronic and am switching to the new 640 next week too, I've been very pleased with Medtronic but the 640 has even more flexibility and I feel more user friendly The reservoir size is still only 300 units maximum though. What cannulas are you having? I use the Mios small and large, depending on site, but I don't take nearly as much insulin as your goodself, have you had a look at the more traditional needle style, I'm just thinking the plastic cannula size may not be able to tolerate all the 100's of units of insulin you take each day.
 
I find the 640g a great pump,but saying this it is my first pump and I have no experience with any other pump.You will Medtronic customer service is very good and nothing is to much problem for them.Good luck when you start pumping.
 
@Minnie45
thanks for your help I will discuss this with the pump team next week as i am booked to see them once again thanks
and thanks to all for your help
 
Minnie45 said:
Agree with what everyone else says Phil but also going by your previous posts re very high insulin requirements, assuming you still require the same level (unless you're on u500 as well now?) as you would be changing sets daily I would take into consideration cannula comfort. In my area we only get the medtronic pump with mio sets so no choice at all, one of my friends cannot get on with the mios at all as like yourself she takes a lot of insulin requiring daily set changes. Perhaps ask if you could try some different cannulas to find what is most comfortable.
Click to expand...
As long as the cannula is working I don't see any reason why you couldn't just change the reservoir daily rather than the whole thing. I know medtronic expect you to change the whole lot but I think maybe £ comes into play a little as I believe people on accuchek change the cannula and reservoirs at different times. I certainly do the opposite, I fill one reservoir with enough to last me about 4 days and I am on steel cannulas which need changing every 2, saves on waste and time!
 
xAoifex said:
As long as the cannula is working I don't see any reason why you couldn't just change the reservoir daily rather than the whole thing. I know medtronic expect you to change the whole lot but I think maybe £ comes into play a little as I believe people on accuchek change the cannula and reservoirs at different times. I certainly do the opposite, I fill one reservoir with enough to last me about 4 days and I am on steel cannulas which need changing every 2, saves on waste and time!
Click to expand...

Maybe you're right re £, wouldn't surprise me. The one thing I hate about the pump is filling reservoirs, no matter how careful I am I always get air bubbles, drives me mad lol
 
Minnie45 said:
The one thing I hate about the pump is filling reservoirs, no matter how careful I am I always get air bubbles, drives me mad lol
Click to expand...
What "technique" do you use when you fill your reservoirs? Oddly enough, this seems to be as personal a choice for many as what clothes to wear. The basic approach of getting insulin from the vial and into the reservoir is similar, of course. But everyone has their own twists on it.
 
irrationalJohn said:
What "technique" do you use when you fill your reservoirs? Oddly enough, this seems to be as personal a choice for many as what clothes to wear. The basic approach of getting insulin from the vial and into the reservoir is similar, of course. But everyone has their own twists on it.
Click to expand...

I'd be grateful for any tips as it really does drive me mad. I don't tend to get any problems the first few hours after filling a reservoir, it tends to happen later the same day or overnight. I always ensure the insulin is room (preferably body) temperature, move the plunger up and down a few times, then back and inject air into the bottle, hold the plastic/needle on the reservoir quite tightly and turn over, let the plunger move down gently by itself to allow it to fill the reservoir and when it stops I then gently (and slowly still) move the plunger down myself, tap (with a pen) any air bubbles pushing them back up into the insulin bottle, then when the reservoir is full and no visible air bubbles I gently remove the needle/bottle. I'd say probably around 8-12 hours afterwards I quite often will see lots and lots of small bottles, not just a few champagne (normal) bubbles but lots of them. So I then clear them manually by detaching from myself and flushing through. I must be doing something wrong mustn't I? Any thoughts?
 
Have you made sure the tubing is connected tightly to the cartridge?
 
CarbsRok said:
Have you made sure the tubing is connected tightly to the cartridge?
Click to expand...

Yes always check :) It's really odd but there has to be something I'm doing wrong, or alternatively can it be the way I wear my pump (probably sounds stupid I know), I always wear a little pouch and let's just say it's very close to my body.
 
Have you tried leaving a small gap between the top of the piston and the bottom of the cartridge when you insert the cartridge into the Veo and then by advancing the piston through load cartridge or prime, that should then allow the piston to engage with the bottom of the cartridge to push insulin through the tube. This might work as I had similar problem with the Combo even with getting the bubble out of the cartridge before loading it in the pump.
 
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