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<blockquote data-quote="Steveee" data-source="post: 92169" data-attributes="member: 12910"><p>Hi Gazza,</p><p></p><p>There is a lot of NICE guidance on who can be put on the pump. It basically boils down to the requirement that the existing multiple injection therapy is failing, e.g. rising HbA1c despite the patients attempts to bring it under control.</p><p></p><p>Using a pump does mean a lot of work has to be put in by you. :shock: To go on to a pump means you have to carbohydrate count. This means you adjust your insulin doses based on what you are eating and what you are doing. This does mean that pump candidates normally have to undertake some form of carb counting course before they can be issued a pump, e.g. Bertie or Dafne. :wink: Also it's not just about attending, you have to complete it and understand it. This is not for everyone. </p><p></p><p>I have been on a pump now for nearly 3 years. It does work for me. My HbA1c has dropped to 6.9, but it means that I have to be accurate on carbohydrate counts. Being 10gms out means my bg goes up by 3! It also means overestimating by 10gms means a hypo. I have started Diabetes Friendly Dining to try and make eating out easier.</p><p></p><p>Good luck. I have found that the pump has made life much more flexible and it really is worth the effort.</p></blockquote><p></p>
[QUOTE="Steveee, post: 92169, member: 12910"] Hi Gazza, There is a lot of NICE guidance on who can be put on the pump. It basically boils down to the requirement that the existing multiple injection therapy is failing, e.g. rising HbA1c despite the patients attempts to bring it under control. Using a pump does mean a lot of work has to be put in by you. :shock: To go on to a pump means you have to carbohydrate count. This means you adjust your insulin doses based on what you are eating and what you are doing. This does mean that pump candidates normally have to undertake some form of carb counting course before they can be issued a pump, e.g. Bertie or Dafne. :wink: Also it's not just about attending, you have to complete it and understand it. This is not for everyone. I have been on a pump now for nearly 3 years. It does work for me. My HbA1c has dropped to 6.9, but it means that I have to be accurate on carbohydrate counts. Being 10gms out means my bg goes up by 3! It also means overestimating by 10gms means a hypo. I have started Diabetes Friendly Dining to try and make eating out easier. Good luck. I have found that the pump has made life much more flexible and it really is worth the effort. [/QUOTE]
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