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Re: [IP] mental attitude
Thank you to all who responded. There are some things I should make clear.
1. I did not change insulin when I began pumping. I had been using only R
in MDI and I used R in the pump. I've since changed to H.
2. I played conservative on all doses until I had a good idea of what was
going on. I did check almost every hour for the first two days and also on
3. I figured doses by dividing the total number of units I'd been taking of
R by three, finding rough meal boluses and using the remainder as a rough
4. I never increases my total amount of R per day, until I was comfortable
working with the pump.
5. I allowed for carbs the same way that I had on MDI.
6. I felt that this approach would be similar to what a team would do.
Keeping in mind that the initial pump efforts are mostly guesswork on
7. There were problems. The Comfort set got pulled out the first night I
slept with it. That could've happened anyway. There were bad sites and
high scores, etc. You just work on each issue at a time.
8. The CDE here was told by MiniMed that I had a pump. She called me four
weeks later. By then, I did not need any assistance.
9. The nurse from the pump dealer also called me, as did the salesperson.
Both are experienced pump users, and offered a lot of good advice.
The point of my original post was not to advocate reckless use of a pump --
it was to recognize that we have skills a doctor or CDE without diabetes
will never have.
Their bag is to make it all a seem like big mystery that we feel unqualified
to tackle. It would've been wonderful to have had this mailing list during
my first few weeks. I began attending a local support group two months
after getting the 507. That was a huge help, too.
email @ redacted