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Starting pump therapy and I'm stuck
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<blockquote data-quote="MisterMints" data-source="post: 2104126" data-attributes="member: 382507"><p>Good news! I've been offered a switch from MDI to pumping.</p><p></p><p>Bad news! I have no idea where to start.</p><p></p><p>My consultant has said I can pretty much have whichever pump I want, which is awesome, but I just don't know what to choose and why. They seem to be pushing the T-Slim and Medtronic 640g models, but I'm not too keen on these. Whatever pump I decide on, I'm stuck in a 4 year contract (with the exception of Omnipod) and this is why I'm hesitant to choose. They've now sent me away to read reviews, learn about the pumps on offer and come back to them once I've made up my mind.</p><p></p><p>I've thought about what I want from pumping:</p><ul> <li data-xf-list-type="ul">More flexibility in lifestyle (e.g. going for a run takes a reasonable amount of planning at the moment on MDI, I'm hoping a pump will make spontaneous exercise easier to do)</li> <li data-xf-list-type="ul">More flexibility in eating (I'm hoping that issuing a corrective dose when I've miscalculated that pizza will be easier with a pump than it is on MDI)</li> <li data-xf-list-type="ul">Reduce the huge fluctuations in BG I'm getting from MDI</li> <li data-xf-list-type="ul">Reduce/remove the dawn effect and all the late night corrections I'm currently having to complete</li> <li data-xf-list-type="ul">Being able to finally get some sleep!</li> <li data-xf-list-type="ul">Have the option to move to a loop system in the future</li> </ul><p>And about me:</p><ul> <li data-xf-list-type="ul">I'm 37 and been T1 since I was 14</li> <li data-xf-list-type="ul">I work a pretty standard, 9-5 office job</li> <li data-xf-list-type="ul">Pretty active (regular 5k to half marathon distance runner, 3-4 times per week)</li> <li data-xf-list-type="ul">Get pretty rapid BG climbs and spikes after running which need 2-3 units to correct</li> <li data-xf-list-type="ul">Don't have a huge insulin requirement (I have an I:C of about 1:12 to 1:14 depending on the meal/time of day) and 16 units of basal</li> <li data-xf-list-type="ul">Despite the above, my A1C is 50 (6.5% in old money) and my care team think I have pretty good/tight control</li> <li data-xf-list-type="ul">Currently using NovoRapid and Tresiba</li> <li data-xf-list-type="ul">Insulin resistant at night (my glucose often starts rocketing at about 10pm, and I end up taking quite large corrective doses of NovoRapid to stay within range at night - 4 or 5 units is not uncommon just to prevent a further rise and slowly bring me down)</li> <li data-xf-list-type="ul">Not insulin resistant at any other time of the day</li> </ul><p>Its the looping desire that has eliminated a lot of the pumps on offer, but has also restricted me to the following, as I'm on Android and don't use or can't afford to use the Dexcom G6 system, and the NHS won't fund it for me (I'll be using Freestyle Libre + MiaoMiao as my CGM - already on that and like it!):</p><ul> <li data-xf-list-type="ul">Accu-Chek Combo</li> <li data-xf-list-type="ul">Accu-Chek Insight</li> <li data-xf-list-type="ul">Dana RS</li> <li data-xf-list-type="ul">Omnipod</li> </ul><p>I realise the Omnipod is currently only loopable on Android with a Raspberry Pi and RileyLink, but that work is being done to get RileyLink and Omni working with AndroidAPS. But I've included it as pumping is new to me and there's no 4 year contract so I could try it for say 6 months, decided pumping isn't for me and then give it all back - I can't do that with the others.</p><p></p><ul> <li data-xf-list-type="ul">Which would you choose and why?</li> <li data-xf-list-type="ul">What's good/bad about each of the pumps listed?</li> <li data-xf-list-type="ul">Which ones work well or not so well?</li> </ul><p></p><p>I'm not intending to start looping straight away. I really need to get my head around life with a pump and what works for me, but I don't want to be stuck and have to wait another say 3 years, before I can switch to a new loopable pump.</p><p></p><p>Thanks for reading that much longer than expected post, and thank you for any help, advice or reviews you can give me. Looking forward to hearing them! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="MisterMints, post: 2104126, member: 382507"] Good news! I've been offered a switch from MDI to pumping. Bad news! I have no idea where to start. My consultant has said I can pretty much have whichever pump I want, which is awesome, but I just don't know what to choose and why. They seem to be pushing the T-Slim and Medtronic 640g models, but I'm not too keen on these. Whatever pump I decide on, I'm stuck in a 4 year contract (with the exception of Omnipod) and this is why I'm hesitant to choose. They've now sent me away to read reviews, learn about the pumps on offer and come back to them once I've made up my mind. I've thought about what I want from pumping: [LIST] [*]More flexibility in lifestyle (e.g. going for a run takes a reasonable amount of planning at the moment on MDI, I'm hoping a pump will make spontaneous exercise easier to do) [*]More flexibility in eating (I'm hoping that issuing a corrective dose when I've miscalculated that pizza will be easier with a pump than it is on MDI) [*]Reduce the huge fluctuations in BG I'm getting from MDI [*]Reduce/remove the dawn effect and all the late night corrections I'm currently having to complete [*]Being able to finally get some sleep! [*]Have the option to move to a loop system in the future [/LIST] And about me: [LIST] [*]I'm 37 and been T1 since I was 14 [*]I work a pretty standard, 9-5 office job [*]Pretty active (regular 5k to half marathon distance runner, 3-4 times per week) [*]Get pretty rapid BG climbs and spikes after running which need 2-3 units to correct [*]Don't have a huge insulin requirement (I have an I:C of about 1:12 to 1:14 depending on the meal/time of day) and 16 units of basal [*]Despite the above, my A1C is 50 (6.5% in old money) and my care team think I have pretty good/tight control [*]Currently using NovoRapid and Tresiba [*]Insulin resistant at night (my glucose often starts rocketing at about 10pm, and I end up taking quite large corrective doses of NovoRapid to stay within range at night - 4 or 5 units is not uncommon just to prevent a further rise and slowly bring me down) [*]Not insulin resistant at any other time of the day [/LIST] Its the looping desire that has eliminated a lot of the pumps on offer, but has also restricted me to the following, as I'm on Android and don't use or can't afford to use the Dexcom G6 system, and the NHS won't fund it for me (I'll be using Freestyle Libre + MiaoMiao as my CGM - already on that and like it!): [LIST] [*]Accu-Chek Combo [*]Accu-Chek Insight [*]Dana RS [*]Omnipod [/LIST] I realise the Omnipod is currently only loopable on Android with a Raspberry Pi and RileyLink, but that work is being done to get RileyLink and Omni working with AndroidAPS. But I've included it as pumping is new to me and there's no 4 year contract so I could try it for say 6 months, decided pumping isn't for me and then give it all back - I can't do that with the others. [LIST] [*]Which would you choose and why? [*]What's good/bad about each of the pumps listed? [*]Which ones work well or not so well? [/LIST] I'm not intending to start looping straight away. I really need to get my head around life with a pump and what works for me, but I don't want to be stuck and have to wait another say 3 years, before I can switch to a new loopable pump. Thanks for reading that much longer than expected post, and thank you for any help, advice or reviews you can give me. Looking forward to hearing them! :) [/QUOTE]
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