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Re: [IP] To be or not to be
Just my 2 cents but your concern strikes me as quite reasonable. I've had a pump for a long time so I am sometimes a little less enthusiastic than all these guys. I wouldn't trade it for shots for a moment. However, it is not a miracle, it is faulty, it doens't always work and what's more, even when it does work it still is only as good
at controlling your bg as you are at using it. Despite all the endorsement here there are people who get frustrated and give up. It may be a fantastic choice for you. You sound intelligent enough to use it well. But it seems unfair to me to go into it without knowing that it will not work faultlessly and what's more, you may
ocassionally forget a bolus or whatever -- all recoverable problems but ones that will need to be dealt with. Its good to clear up any misconceptions (negative and positive) so you go in with a clear picture of what's ahead.
Aaron Michelson wrote:
> Sometimes I don't express myself well, I'm certainly no shakespeare. Here I have re-expressed my ideas. I've left the responses in. The response to the last question had a lot in it that was good. I only included the part I wish had been left out. I need to remember that I am loved too, so no more attacks please, well delivered or not.
> >I'm sory if my questions are disturbing but I'm trying to think through pump therapy.
> Gosh, you must be a quick study... and somehow I sense an agenda somewhere in
> the text here...
> >"poor man's pump" therapy is more flexible than NPH.
> After several years of this therapy I was taking six to eight shots a day and still having problems with unpredictable highs and lows... Of course I was only on it for about twelve
> > The claims of pump accuracy seem meaningless to my needs.
> And some of it leaks back out when you remove the needle... so the accuracy can
> vary considerably... and you forgot about the band-aids for the needles. I've
> ruined many shirts from injection sites in my arms or stomach...
> > Ultralentin is supposed to have no peak and it seems to work that way for me.
> Designed for and actually having are the problems here - U does have a
> pronounced peak at around 7 to 8 hours. Problem is that the onset varies
> between 5 and 10 hours - and you'd better have either a pre-programmed life to
> handle the schedule or a big box of sugar tabs handy.
> > How is the pump better?
> It works - you can set your basal rates to match your actual requirements. You
> can vary those basal rates as needed to match your activity level. You can
> bolus very discretely in very small increments - try to get that 1/10th unit in
> a syringe or pen injection device.
> > Multiple basal rates is a big deal but I can't accept the "accuracy" concept.
> Non-sequitor here - accuracy is part of the "pump forte" because it works. You
> cannot include accuracy with a needle either because you cannot control
> absorption rates, backflow leakage and burrs on the needle...
> > I calculate 2% accuracy with syringes and that would be good enough. The big change with a pump is all those small doses. What if I miss one during the day?
> Sounds like you need to go into politics because these statistics don't
> apply... a missed pulse "error" cannot be spread over three hours - it is a
> missed event and not a statistical probability. If you remove the pump you
> "pre" or "post" load by taking a small bolus... Also if you use the Disetronic
> the stats are different because of the difference in the way it delivers the
> insulin. Missing a pulse isn't a 17% error - it's a missed event that should
> either be corrected for or ignored. Ignoring a 1/10 unit pulse doesn't cause
> that big of an effect. Removing the pump for a few hours does, and people have
> developed strategies to handle these events...
> > Would the pump really make my diabetes more predictable?
> So you'd rather go with multiple unknowns instead of a single variable?
> It looks like you are trying to build some kind of pseudo-medical/technical
> case against the pump. Don't waste your time on it. If you are happy with
> what your are doing and are one of the .1% of people with diabetes who can
> maintain perfect control and maintain flexibility with six shots a day go for
> it... just don't try to build a case against those of us who tried it and
> found that it just didnt' work. if you don't like a pump, don't want a pump, or
> otherwise have an axe to grind then you really don't have to have a pump.
> Insulin-Pumpers website http://www.insulin-pumpers.org/
Insulin-Pumpers website http://www.insulin-pumpers.org/