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Pump Referral Appointment
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<blockquote data-quote="Deleted Account" data-source="post: 1552979"><p>Thankfully, I did not have to jump this hurdle to get my pump. </p><p>However, if I did, I would arm myself with knowledge about the benefits of the pump and why I believe one would help my diabetes control. "I'd rather not inject", "I keep forgetting to take my insulin out with me and it would be good if it was attached", "why can't I have the latest tech?" and "I need better control" (without defining what this means) are not great reasons. </p><p>I would consider the value of </p><p>- changing basal throughout the day to match your body's needs. If you have some evidence your basal needs vary (such as frequent morning/night time hypos), this would be good. </p><p>- changing basal for short periods of time to account for ad hoc variance for exercise or stressful meetings. This was the main reason I qualified for a pump - I would often hypo after exercise. </p><p>- need to spread out bolus with your food. Instead of multiple injects for something like pizza (although saying you need a pump in order to eat pizza is probably not a great idea!), the pump provides the flexibility to spread the dose over a few hours. </p><p></p><p>The other thing to consider is that a pump does not come for free. You need to invest time understanding how to control the pump and you need to be more accurate with carb counting. For this reason, my local team insisted anyone going on a pump must attend a DAFNE-type course. So think about how you can prove you are willing to invest the time and effort to get the best out of a pump. </p><p></p><p>Sorry if this all sounds a bit much ... I am just speculating. But I have read about people thinking pumps are the saviour to all their diabetes problems and, although it helps a lot, it still requires effort from the patient.</p></blockquote><p></p>
[QUOTE="Deleted Account, post: 1552979"] Thankfully, I did not have to jump this hurdle to get my pump. However, if I did, I would arm myself with knowledge about the benefits of the pump and why I believe one would help my diabetes control. "I'd rather not inject", "I keep forgetting to take my insulin out with me and it would be good if it was attached", "why can't I have the latest tech?" and "I need better control" (without defining what this means) are not great reasons. I would consider the value of - changing basal throughout the day to match your body's needs. If you have some evidence your basal needs vary (such as frequent morning/night time hypos), this would be good. - changing basal for short periods of time to account for ad hoc variance for exercise or stressful meetings. This was the main reason I qualified for a pump - I would often hypo after exercise. - need to spread out bolus with your food. Instead of multiple injects for something like pizza (although saying you need a pump in order to eat pizza is probably not a great idea!), the pump provides the flexibility to spread the dose over a few hours. The other thing to consider is that a pump does not come for free. You need to invest time understanding how to control the pump and you need to be more accurate with carb counting. For this reason, my local team insisted anyone going on a pump must attend a DAFNE-type course. So think about how you can prove you are willing to invest the time and effort to get the best out of a pump. Sorry if this all sounds a bit much ... I am just speculating. But I have read about people thinking pumps are the saviour to all their diabetes problems and, although it helps a lot, it still requires effort from the patient. [/QUOTE]
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