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RE: [IPp] Saline Start

I completely agree with Catherine.  I didn't ask my
child if she wanted to take shots.  There was no
option.  Our job as parents is to do what is best for
our kids future and health.  I never ask my kids if
they want to take a bath, brush their teeth, eat their
vegetables, look both ways before crossing the street,
stay away from strangers...on and on...

The pump is the best thing for their health and
future.  There is no question or debate about doing
it.  I guarantee you I never asked my daughter if she
wanted to start a pump.  I took a few months (during
the approval period and insurance paperwork hassle) to
thoroughly explain what a pump was and what it meant
to her everyday schedule.  When we finalyy got it and
started the hook up procedure, she had reservations
and flat out said that she was not going to wear it. 
We then talked about her fear and I told her she had
no option.  AFter a few days, she realized she could
eat when and what she wanted with absolutly NO shots! 
At that point, she was in love!  Her pump is part of
her now.  

I think the biggest hurdle for new pumping families is
not the child's fear but the parent's.  Starting a
pump is very unnerving.  Let you child know that you
are nervous and scared of the unknown.  But there is
one point to get across:  Pumping offers the most
incredible life for diabetics.    

Good luck!

--- Catherine Schulz <email @ redacted> wrote:

> But again, you used the saline start to get used to
> the pump, not to
> determine whether or not you should get one.  A
> child who is told,
> "Here's what it's like, what do you think?"  will
> get a misguided
> impression if they are still getting shots.  The
> shots in combination
> with being attached were what turned Emma off to the
> pump.  Once we
> overrode her (and our concerns), we found we were
> all thrilled with the
> freedom of the pump, something you can't truly
> appreciate until you are
> actually pumping insulin.
> Catherine, mom to:
> Madeline - 10  Austin  - 8
> Emma  - 5  (dx 10/9/02 - pumping Cozmo)
> Abigail - 4  Genevieve & Gracie - 2
> -----Original Message-----
> From: email @ redacted
> [mailto:email @ redacted] On
> Behalf Of Doug Kealey
> Sent: Thursday, December 02, 2004 10:26 AM
> To: email @ redacted
> Subject: [IPp] Saline Start
>  I have to say that I disagree with the comment that
> a saline start is a
> waste of time for an 8 year old. My daughter is 8
> and we just started on
> the pump in September. We, too, did a saline start.
> There were several
> helpful aspects:
>  1. Even though we had the pump in our possession
> for two months, having
> my daughter wear the pump and enter all blood sugar
> information into the
> pump and also bolusing whever appropriate helped her
> and I learn to
> manipulate the pump much better than we had been
> able to prior to the
> saline start. This experience gave both of us quite
> a bit more
> confidence in our ability to utilize the pump prior
> to the actual pump
> start. This confidence was invaluable.
>  2. During the saline start, we were put on a rigid
> meal plan that was
> based on my daughter's normal eating habits. Since
> we were entering all
> blood sugar information into the pump - and bolusing
> (correction and
> otherwise) with saline as well - CDE/pump trainer -
> was able to down
> load this information (both blood sugar and insulin
> usage) and use it to
> help set basal and insulin to carb ratios. I think
> this information
> helped give Jennifer a very smooth pump start.
>  3. I think there is a 3rd reason the saline start
> is important. When
> kids pump
> - they enter all snacks...even a 2 gram snack...into
> the pump. That is a
> big difference from having several 15 gram freebie
> snacks on lantus. The
> saline start helped get Jennifer used to entering
> the grams into the
> pump prior to eating a meal or snack. I have read
> that one of the
> reasons some children have higher a1c readings post
> pumping is that they
> periodically forget to bolus for a snack or meal. I
> believe the saline
> start helped get us into the routine of bolusing
> even for snacks.
> This is just my opinion - so take it for what it's
> worth. 
>  Also, Jennifer never once complained about the
> saline stinging. She
> has, however, said that the insulin stings when the
> bolus is too big. We
> have adjusted her bolus time to help alleviate this.
> Would adjusting the
> bolus time help reduce any feeling of stinging
> someone may experience
> with saline?
> Beth Kealey
>  Mother to Jennifer (8 yr old) - diagnosed 12/16/03.
> Pumping Cosmo since
> 9/13/03.
> My opinion is that a saline trial for an 8yo is a
> waste of time. There
> is 
> no positive feedback for the work involved and
> saline "stings".   
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