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Would using a pump be safer for me?
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<blockquote data-quote="catapillar" data-source="post: 1559868" data-attributes="member: 32394"><p>1)it would be highly unusual for a type 2 diabetics to have an NHS funded pump. So if it's at a stage where you aren't sure what type of diabetes you have it's probably a little early to be thinking about a pump. Type 1 diabetics aren't usually considered for a pump so early in diagnosis as honeymooning makes setting basal rates in a pump and knowing what your insulin to carb ratio is difficult.</p><p></p><p>2) it certainly is possible to bolus an unintentional amount when using a pump. I've definitely managed to unintentionally bolus when hypo when on a Medtronic. Apparently I just like pressing buttons when hypo, I feel much safer back on omnipod when the buttons can be not actually on my person 24/7.</p><p></p><p>You can set most pumps with maximum levels, so they can have a maximum basal dosage that you can turn it up to and a maximum bolus dosage. A maximum level won't stop you potentially overdosing to cause a hypo, but it will limit the amount of the overdose. No pumps have minimum cut offs, so there's no way to stop under-dosing. I suppose at least the pump would have an infallible record of what has been given so you can follow up with appropriate correction.</p><p></p><p>An alternative solution would be to just get a syringe, draw out the correct lantus dose for you and have that set aside so you can only inject the pre-drawn maximum of your lantus dose with no dialling up faff necessary.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1559868, member: 32394"] 1)it would be highly unusual for a type 2 diabetics to have an NHS funded pump. So if it's at a stage where you aren't sure what type of diabetes you have it's probably a little early to be thinking about a pump. Type 1 diabetics aren't usually considered for a pump so early in diagnosis as honeymooning makes setting basal rates in a pump and knowing what your insulin to carb ratio is difficult. 2) it certainly is possible to bolus an unintentional amount when using a pump. I've definitely managed to unintentionally bolus when hypo when on a Medtronic. Apparently I just like pressing buttons when hypo, I feel much safer back on omnipod when the buttons can be not actually on my person 24/7. You can set most pumps with maximum levels, so they can have a maximum basal dosage that you can turn it up to and a maximum bolus dosage. A maximum level won't stop you potentially overdosing to cause a hypo, but it will limit the amount of the overdose. No pumps have minimum cut offs, so there's no way to stop under-dosing. I suppose at least the pump would have an infallible record of what has been given so you can follow up with appropriate correction. An alternative solution would be to just get a syringe, draw out the correct lantus dose for you and have that set aside so you can only inject the pre-drawn maximum of your lantus dose with no dialling up faff necessary. [/QUOTE]
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