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What reason are you on a pump?
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<blockquote data-quote="Spiker" data-source="post: 518115" data-attributes="member: 102150"><p>That's a good general point in favour of pumps, that you get past the lottery of matching the action profiles of Lantus and Levemir and trying to get them to match your actual basal rate needs. Long acting insulins are very blunt instruments for this purpose. At the absolute best case they assume you need a constant amount of basal per hour, but they don't even do that particularly well. For example, the duration of action of all of them varies according to the size of the dose. Which means an injection schedule that works for a given basal quantity requirement, will no longer work if that person's basal quantity requirements go up or down. </p><p></p><p>In other words, long acting insulins have struggled for decades yet failed to be able to provide a type of basal coverage which is literally the simplest type of basal coverage that a pump can provide - with extreme reliability and predictability. </p><p></p><p>I don't know if it's officially part of the reasons for the NHS supporting pumps, but I sense some disenchantment from HCPs with the long acting insulins. </p><p></p><p>Sent from the <a href="http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig" target="_blank">Diabetes Forum App</a></p></blockquote><p></p>
[QUOTE="Spiker, post: 518115, member: 102150"] That's a good general point in favour of pumps, that you get past the lottery of matching the action profiles of Lantus and Levemir and trying to get them to match your actual basal rate needs. Long acting insulins are very blunt instruments for this purpose. At the absolute best case they assume you need a constant amount of basal per hour, but they don't even do that particularly well. For example, the duration of action of all of them varies according to the size of the dose. Which means an injection schedule that works for a given basal quantity requirement, will no longer work if that person's basal quantity requirements go up or down. In other words, long acting insulins have struggled for decades yet failed to be able to provide a type of basal coverage which is literally the simplest type of basal coverage that a pump can provide - with extreme reliability and predictability. I don't know if it's officially part of the reasons for the NHS supporting pumps, but I sense some disenchantment from HCPs with the long acting insulins. Sent from the [url=http://www.diabetes.co.uk/app/?utm_source=sig&utm_medium=txt&utm_campaign=appsig]Diabetes Forum App[/url] [/QUOTE]
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