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[IP] Does the pump really change anything...Kinda long

Does the pump really change anything?  

In my case?  Here are the facts:

1) In 1998 my A1c's were all 8.6 (all 3 of them).  These were all ordered by
my PCP.  I did not have an endo due to frustration of many in the past.

2) In Apr 1999 I was introduced to this list and carb counting.  By using
Pumping Insulin and faith that I knew what I was doing :)  I started carb
counting.  When I met with an Endo in June, my A1c was down to 8.2.  The
endo thought a pump was a good idea for me, but his support staff (CDE,
nurses, etc) were very out of date and I was teaching them stuff at our
meetings.  Since this was a big endeavor for me, I decided to find another
new endo.

3) In late Sept. 1999 I saw a new endo, who is now my current endo.  She
right away had me meet with the CDE and nutritionist to figure out what my
carb ratio, correction ratio, and insulin needs should be, and to make sure
I was counting carbs correctly.  It turned out that I hadn't been far off.
She gave me a month to really get things down and then she approved the
pump.  My A1c in early Nov. at that appt. was 7.8!

4) In late Nov. I started pumping Saline for a week.  Dec. 6, 1999 I started
pumping, the wait was mostly getting an appointment with the CDE.  My first
A1C was 7.6 after pumping and has stuck there since.

So you might ask...what has changed?  I will answer EVERYTHING!

1) I can skip breakfast, I can skip lunch or eat it at 2pm, I can eat dinner
at 4pm or 9pm or 11pm if I want.  

2) I can do my job a LOT more effectively.  I am a consultant for a
integration company that helps companies update and create their websites.
My clients vary from being located in San Francisco to London, while I am in
the Boston area.  We work on their time so flexibility for meals is a must.
Plus travel and eating is never an easy thing.

3) My average day before pump was between 25-350 and I spent a lot of times
bouncing between the extremes.  My bgs before meals weren't bad, but the
in-between was awful.  My bgs now are between 50-250 with most of them
between 100-150.  Remember that an A1C is an average!  

4) I feel so much MUCH better with my bgs more consistent.   I have actually
forgotten to eat meals while wrapped in work and came out with 100s.  While
before pump I would be reminded by a crashing bg and a trip either to the
kitchen for a regular soda or a trip to the ER. 

5) I can get my bgs down so much faster and tweak my boluses as needed for
exercise.  High bgs were always a pain to treat between meals because of the
unused insulin factor, where now it is a lot more straight forward with only
H in the system.  Also exercise was such a pain.  I always had to eat as
many if not more calories when I worked out, then I burned off.  Made
exercise seem like a waste of time.

6) Spontaneity, Spontaneity, Spontaneity!  I don't have make plans around
picking up my supplies.  If my husband and I go shopping at the mall and it
takes longer then planned it isn't a problem.  If we decide we want to stay
and grab dinner and a movie it is doable.  I don't know how I ever
functioned before the pump.

Frankly, I don't think you would be able to pry it out of my cold dead
hands.  I think my body my want to keep one of its permanent appendages. ;)

-- Sherry
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