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Who are pumps best for?
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<blockquote data-quote="Julian_Hands" data-source="post: 1434154" data-attributes="member: 324327"><p>I've just started on a pump due to having a quite active lifestyle that MDI regime didn't allow flexibility for the control.</p><p>For a few years I was getting very frustrated as my doctors said I had superb control due to my HB1AC always being in target around 6.8%, but what the HB1AC result doesn't detail is how that result is getting achieved.</p><p>I spent 6 months BG testing every hour to detail exactly what was going on when I did activity and also proved the basal (Lantus) dosage was spot on when I didn't do the activities by fasting.</p><p>The spikes I was achieving were out of control and I did all I could with adjustments to my injection times and compensations that ended up with me taking 8 jabs a day of small doses but this was the only way I could try to maintain my BG levels between 4 & 8.</p><p>The spikes can have a significant factor on your long term health with retinopathy etc, so what every you do you need to ensure you minimise this as much as possible.</p><p>For me I couldn't from one day to the next predict 24 hours in advance what activities I would be doing with either hill walking or cycling which if I had to much Lantus the night before would leave me fighting to keep above 4 and constantly eating and drinking lucizade and digestive biscuits.</p><p></p><p>Pumping isn't for everyone, but my lifestyle requires flexibility in my dosage levels to vary my daily activities. This is where the pump comes into its own and you can change your dosage levels within an hourly window to compensate for what your doing, it is life changing if you are fighting the MDI.</p></blockquote><p></p>
[QUOTE="Julian_Hands, post: 1434154, member: 324327"] I've just started on a pump due to having a quite active lifestyle that MDI regime didn't allow flexibility for the control. For a few years I was getting very frustrated as my doctors said I had superb control due to my HB1AC always being in target around 6.8%, but what the HB1AC result doesn't detail is how that result is getting achieved. I spent 6 months BG testing every hour to detail exactly what was going on when I did activity and also proved the basal (Lantus) dosage was spot on when I didn't do the activities by fasting. The spikes I was achieving were out of control and I did all I could with adjustments to my injection times and compensations that ended up with me taking 8 jabs a day of small doses but this was the only way I could try to maintain my BG levels between 4 & 8. The spikes can have a significant factor on your long term health with retinopathy etc, so what every you do you need to ensure you minimise this as much as possible. For me I couldn't from one day to the next predict 24 hours in advance what activities I would be doing with either hill walking or cycling which if I had to much Lantus the night before would leave me fighting to keep above 4 and constantly eating and drinking lucizade and digestive biscuits. Pumping isn't for everyone, but my lifestyle requires flexibility in my dosage levels to vary my daily activities. This is where the pump comes into its own and you can change your dosage levels within an hourly window to compensate for what your doing, it is life changing if you are fighting the MDI. [/QUOTE]
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