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[IP] Re: suspending when low
It's good that you are addressing concerns about pumping. Best to
know as much as possible up front.
In Noah's case, I wasn't concerned about the pump malfunctioning to
the point of no delivery and causing DKA. I was much more concerned
about him having a severe low while on MDI, especially during the
night or when away from home. This is just our experience, but I had
many more fears with MDI than the pump about reliability and quality
of care management.
We are still using the same MiniMed 507C that he got at the outset in
July 1999. We have never had any problems with it except once when I
was changing batteries and put them in backwards. It shorted and
wiped everything out so we had to re-program basals. But that was an
operator error, not a pump problem. He has had a couple of times
when we didn't realize the reservoir was almost empty and he got an
alarm on a bolus. Again, operator error. No problem, just change
the set and re-bolus. This problem can easily be avoided by keeping
track either on the calendar or checking the reservoir each day for
how much insulin is there. We get complacent and too relaxed at
times since his sites last four days and would last longer if he
didn't run out of insulin! He has also had a couple of times when
the tubing got kinked or torn due to rough-housing with friends.
Only one of those times did his number climb high before it was
caught but after a site change and bolusing to correct, he was back
to normal within a couple of hours. We have never had any situations
that weren't easily corrected.
Noah was 12 when he started the pump. Prior to that, he was doing
fairly well A1C-wise on MDI. His endos thought he was doing
exceptionally well. In Noah's case, his bg's would fluctuate and I
felt his A1C's weren't really indicative of how good his control was.
Plus, puberty was beginning to kick in and I knew management was
going to get more difficult with MDI.
If Gabe's control is as good as his A1C's suggest and he is happy on
MDI, maybe this isn't the right time for him. As I said before, Noah
wasn't sure about pumping since he never minded doing injections on
MDI, but he just loves the increased energy level and overall
convenience and benefits he experiences with pumping. After pumping
a couple of weeks, he never looked back and didn't want to!
Keep us posted on how things are going.
Cindy, mom to 15 y/o pumping Noah, dx at age 9, and,
Micah, age 11
wife to Steve
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