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what helps you decide what pump?
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<blockquote data-quote="kitedoc" data-source="post: 1959314" data-attributes="member: 468714"><p>HI [USER=454444]@Cobia[/USER], Glad you have all the latest information.</p><p>Whilst I am not out in the heat most days, I do live in Adelaide and so am used to ensuring my insulin stays cool enough. </p><p>So cooler blocks for the spare kit carried around, ice brick inside the shirt if need be or the pump carried in a bag strapped to my waist with a block inside it.</p><p><em>I also fly kites in summer</em>, so have had to cope with standing, walking, running on the sizzling beach sand for hours at time. The <em>ability of the adhesive patches</em>, used on pumps or infusion sets, <em>to withstand the heat and sweat </em>is a real issue, too.</p><p>One thing that was reassuring for me was that my new pump, the Tandem Slim. has an<em> alarm </em>to indicate if the insulin in the cartridge of the pump is nearing maximum safe temperature (= 30 degrees C) ( and also when getting to 2 degrees C ), plus an <em>alarm</em> if the pump itself is reaching a temperature at which the electronics are likely to fizzle out. </p><p>I am not sure if other pumps brands have these temperature alarms but they sound like a good idea for those in Oz.</p><p>With <em>exercise</em>, the beauty of the pump is that usually (there is never an always) adjusting the basal rate of the pump down say 20, 30, 40 % at a specified starting time and finishing time around the exercise time<em> plus </em>perhaps repeating this at a ? different % for part of the night when exercise has occurred in the afternoon, early evening as well - helps to prevent hypos due to exercise (BSL drops near after the exercise time and the later BSL dip ? 6 to 12 hours later) and is actually easier and usually much more accurate than trying to do it with adjusting doses of the multiple insulin injections.</p><p>The main reason I was put on a pump was t<em>o prevent night hypos,</em> that 8 plus injections of insulin per day could not cope with and probably contributed to!.</p><p>So preventing hypos, particularly at night was a big deal for me.</p><p>Please do take your time and keep asking questions!! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><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="kitedoc, post: 1959314, member: 468714"] HI [USER=454444]@Cobia[/USER], Glad you have all the latest information. Whilst I am not out in the heat most days, I do live in Adelaide and so am used to ensuring my insulin stays cool enough. So cooler blocks for the spare kit carried around, ice brick inside the shirt if need be or the pump carried in a bag strapped to my waist with a block inside it. [I]I also fly kites in summer[/I], so have had to cope with standing, walking, running on the sizzling beach sand for hours at time. The [I]ability of the adhesive patches[/I], used on pumps or infusion sets, [I]to withstand the heat and sweat [/I]is a real issue, too. One thing that was reassuring for me was that my new pump, the Tandem Slim. has an[I] alarm [/I]to indicate if the insulin in the cartridge of the pump is nearing maximum safe temperature (= 30 degrees C) ( and also when getting to 2 degrees C ), plus an [I]alarm[/I] if the pump itself is reaching a temperature at which the electronics are likely to fizzle out. I am not sure if other pumps brands have these temperature alarms but they sound like a good idea for those in Oz. With [I]exercise[/I], the beauty of the pump is that usually (there is never an always) adjusting the basal rate of the pump down say 20, 30, 40 % at a specified starting time and finishing time around the exercise time[I] plus [/I]perhaps repeating this at a ? different % for part of the night when exercise has occurred in the afternoon, early evening as well - helps to prevent hypos due to exercise (BSL drops near after the exercise time and the later BSL dip ? 6 to 12 hours later) and is actually easier and usually much more accurate than trying to do it with adjusting doses of the multiple insulin injections. The main reason I was put on a pump was t[I]o prevent night hypos,[/I] that 8 plus injections of insulin per day could not cope with and probably contributed to!. So preventing hypos, particularly at night was a big deal for me. Please do take your time and keep asking questions!! :):):) [/QUOTE]
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