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Re: [IP] pre-pump protocol

        One way to get more info is to contact the companies themselves 
and ask for videos and other info.  I was very nervous about starting a 
pump, but after seeing the videos, and seeing how small* and wonderful 
it was I changed my mind.  There are also videos about different 
catheters, etc.
* small was important to me:-)

        I went to my endo a thursday, and was put on the pump with 
saline over the weekend.  On monday I met with my endo and a rep. from 
disetronic.  I started that day and have been fine with my preparation.
        I, of course, had many talks with everyone involved(family, 
docs, myself) before considering the pump.  I think the hospital is 
overdoing it.

17 -- maybe why pump was fairly easy transition
dx'd 1987

>On 20 Nov 98 at 20:06, Neal & Kara wrote:
>> My endo won't put me on the pump until I see his diabetes educator 
>> specialist AND a psychiatrist he uses for prospective pump users.  He 
>> this protocol of his has great results because 95% of his patients 
>> ultimately go on the pump, stay on the pump.  Has anyone heard of 
this?  I
>> think he's overdoing it a bit.   He also wants me to go into the 
hospital for
>> two days when I first go on the pump but says this is "negotiable."  
Do most
>> people spend the first 2 days on the pump in the hospital?
>Many doctors want you to have as much information as possible before 
you get 
>going on the pump.  The diabetes educator should be able to give you 
>startup-type information about the changes in your protocol, diet etc.  
>shrink is probably just a check to make sure you can handle things.  
The change 
>to the pump is like many other significant life events and can cause 
>stress.  If it's really for your benefit the team (doctor, educator and 
>psychiatrist) should help you get a better understanding of some of the 
ups and 
>downs of pump therapy so you can make an informed decision.  The 
investment in 
>your time is a good indicator of your desire and willingness to handle 
>Hospitalization is more questionable - I only missed a couple of hours 
of work 
>the day I started my pump.  I left the office, went to the pump 
>office, reviewed the information, hooked up the pump, talked about 
>times, pager numbers and cell phone numbers I'd need for the next week, 
then I 
>went back to the office.  I talked to the CDE and consultant several 
times each 
>day for the next week, phoned my doctor after a week, and then 
maintained daily 
>contact with the CDE and consultant for several weeks while we tinkered 
>the basal rates...  this is definitely a case of YMWV - depending on 
>experience your doctor and CDE have had with pumps.
>> 1 more question -- I read the Pumping Insulin book by Walsh and 
Roberts but it
>> doesn't talk about Lispro and the pump.  This seems significant, 
>> for setting nightinme basal rates because the onset of lispro and R 
is so
>> different.  I have the 2nd edition of this book.  Is there a more 
>> version that incorporates Lispro?  Or does anyone know of similar 
pump books
>> that incorporate the quicker acting insulins?
>The basic concepts are the same for Lispro and Regular, as far as 
setting basal 
>rates goes.  You just adjust the timing slightly to accomodate the 
>onset if needed.  It's all done by trial and error anyway...
>Randall P. Winchester
>* The views expressed here are mine and do not necessarily *
>* reflect the official position of anyone in particular.            *
>* There's no guarantee on anything said here...
>* If I say I understand something completely the only thing
>* we can both be assured of is that I must have completely
>* misunderstood something. 
>Insulin-Pumpers website http://www.insulin-pumpers.org/

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