The "how" is very easy -- just fill the reservoir with 1/5 or 2/5s or 1/1 or whatever ratio you choose of the two kinds of insulin (like you fill a syringe with 2 kinds of insulin for a regular shot).
I am not trying to sound down on pumping or pesimistic. However, despite the cheering section around here, as someone who spent my teenage years on a pump, I have to say that the long term site problems can and do get problematic -- sometimes they are painful, sometimes annoying, and sometimes try after try and they don't quite work. If you have little kids pumping, you may need to think about long term tolerance so that 10-15 years down the road they will still have someplace left to put their sites (not to mention having a stomach that doesn't look like WWI happened there). I go through long periods of finding the pump easy and painless. I also go through periods of finding it hard to sleep with, hard to wear certain clothes, finding that I keep rubbing my sites when I carry things etc. These do get better with some thoughtful problem solving. I've found that any fantastic solution is good for a few years but then needs to be recreated (I think because you grow and your clothes change and perhaps b/c in subtle ways your physical relation to the world changes). I did find that since I got to be about 25 everything suddenly got much much easier and more of the suggestions of grown up pumpers have begun to apply to me in these last 7 or so years.
That's a place to start anyway. Hope that helps a little.
John Bowen and Nancy Morgan wrote:
Several of us moms with newbie pumping kids have noticed that sugars start rising in less than 3 days, and are only cured by changing sites. All the kids are using Humalog, most are using Sils/Tenders, but a couple are using rapids. We vaguely remember posts about this problem, and hope you veterans wouldn't mind going over it again. What do you do about this? How many of you have to change sites more often than every 3 days? How many of you have found a Velosulin/Humalog mix works (my endo, and at least one of the others, don't support this because there isn't any "scientific evidence" that it works). Thanks, Nancy Morgan, Jenna's mom, 9 years old and pumping for 3 months.