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Message: <blockquote data-quote="Deleted member 527103" data-source="post: 2691986">All pumps use short acting insulin ... only short acting insulin.They provide basal by dripping the short acting insulin.Then, when you need bolus, you tell the pump how many carbs you are eating and what your current BG is. The pump will then calculate how much short acting insulin you need.Do you know why your consultant is considering a pump for you? The usual reason is varying basal needs. By dripping short acting insulin, the pump can change the amount of basal every 30 minutes to cater for Dawn Phenomenon, for example. Or, in my case, adjust my basal when I exercise.The Hybrid Closed Loop systems work out how much basal you need based on the readings from your CGM.Unfortunately, injected insulin does not work as fast as the stuff a healthy pancreas produces. Therefore, a pump cannot detect when you have eaten and predict far enough in advance to give you your bolus. You still need to carb count.This varies greatly. Some people can wait 12 months. Others can only wait 2 or 3 months. Some clinics build up a "class" of people so they can all start pumping at the same time.For me, it was about 4 months from when I expressed an interest. During that time, I was required to attend the local equivalent of DAFNE. I think that was for a few reasons - to check I could carb count, to check I had the ability to deal with the additional complexity that pumps can cause and to check I was willing to invest the time and effort into learning how to use a pump.As for the title of your thread, the important question is "what pumps does your clinic offer?" There is little value in knowing what pumps I use and why I think it is great if it is not available at your clinic. Some clinics offer lots of pumps but some, like mine give a choice of one or two.I recommend researching pumps and making a list of what is important to you. Do you want a remote control? Do you want a phone app? Do you care about size? Do you want the option for hybrid closed loop? Do you want tubed with a choice of cannula or patch pump? How much insulin (basal and bolus) do you use in 3 days? A pump cartridge needs to be changed every 3 days so it needs to be big enough.I am sure there are more things to consider when you start researching.When you meet your consultant, I suggest asking what your options are so you can limit your research to the pumps on offer to you.</blockquote>

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