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[IP] Re: Insulin pump use-Reply
I currently I am on the Minimed 507c pump. If my memory serves me correctly
this is my fifth pump. The first was a loaner and had to give it back to the
doctor, I quit using the second pump when the company stopped servicing
pumps. I am now on my third Minimed pump. Only one of the pumps ever needed
servicing and that was when it was almost 6 years old. All of the Minimed
pumps were because new technology had made pumps with more sophisticated
features. I have been on a pump for over 16 years.
Prior to that I had been on NPH and Regular, two shot a day therapy. The
beauty of the pump is that you are not a slave to that NPH (in your case the
Lente). The pump has allowed my life to be so much more flexible in that I
am no longer have to plan my life around a strict eating schedule.
I originally went on the pump to iron out my 300 to 50 swinging blood sugars
and to have a healthy pregnancy. I now have two boys and am just now getting
into the swing of good control. I am sad to admit that a pump is only as
good as your testing, documenting and communicating with your diabetes
"team". It is not a cure all.
About a year ago I was shocked to find out that after 31 years of diabetes, I
had micoralbuminaria and had to make a decision about my health. Keep doing
what I had been doing--basically being extremely lax on testing, documenting
and communication and possibly face severe kidney problems in the near
future. Last summer I turned 40 and as best as I could estimate (from
surfing the net, etc.) dialysis would be here by the time I was 45.
Or get in my diabetes in better control. This is what I chose. With the
help of better blood sugars and 5 mg of an Ace Inhibitor, my hemoglobin A1c
is now 6.5 from my March 1999 reading of 9.0. My 24 hour albumin tests are
now normal. I initially gained 7 lbs but now have lost that plus another 15.
I still have about 25 more to go before I will be willing to stop. I am
hoping to get there by Christmas 2000.
I have had some problems getting use to Humalog insulin in the pump since my
doctor switched me from Velosulin (Regular) about a year ago. I recently
went on the Minimed Continuous Blood Glucose Monitor for 2 1/2 days and it
was discovered that if I took my bolus insulin over a 30 minute period rather
than NOW, it covered my meals better.
I also have learned Carb counting this year. Took awhile but I had a great
RD who helped me transitionally with the switch from exchanges to carb
Funny thing, about two years ago I thought I was pretty knowledgeable about
diabetes and have I changed my mind. If I can come as far as I have in one
year, I really believe if the patient was motivated, they can do most
anything. Weird but I was taking so much unnecessary insulin that I was
feeding insulin therefore could not lose weight. I will say that the 22 lbs
I have lost that there was very little effort as far as hunger, denying
myself food, that whole thought process.
I have now felt hunger, generally now I eat when I want, what I want rather
than eating because of a low blood sugar (one of the worst concepts with
diabetes is eating when you would rather not, but you have to because of a
low blood sugar). I also savor the flavors in foods more. This year, I have
delightfully discovered that raw carrots in a salad are sweet. This is just
one wonderful observation I have made about food this year.
As I finished this answer to your e-mail the thought occurred to me that
others might benefit from my response. Please do not be upset that I am also
sending this to the Pumpers message board. If you have any further
questions, please e-mail me and I will try to respond.
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