I wanted to give my initial experience after going from MDI to the Medtronic 530G and Enlite sensor.
A quick bio on me: I was Dx with diabetes when I was 25. The docs thought I was type 2, however after a honeymoon period of metformin and glymiride (sp?), about a year later, I was Dx type 1. I was on twice a day 20 units of lantus, and usually 8 to 12 units of humalog per meal shots.
So after 90 days, here is what I have experienced:
- I wish I had gone to a pump earlier. The control or at least the tools I have to help my diabetes has made me feel more at ease with having this disorder.
- For the first month I was only the pump, so I got to experience how it was "old school" before I got my CGM hooked up. Needless to say, I don't know anyone did before CGM came along.
- I have easily come to terms with pricking myself more often (8 to 10 times a day). Actually it doesn't bother me as much as the fact I tend to run out of strips before my insurance refills the script.
- I am still learning how to deal with "fatty foods" and getting the right percentage of dual wave over the right period of time.
- I have found I am waiting at least 20 to 30 minutes from the moment I give my bolus to starting to eat my meal to get better control of my sugar levels. I am on Humalog, but I am debating making the change to Novolog.
- Also I have gone from using over 60/70 units of insulin per day down to less than 50 on most days. I actually have lost weight from the pump (down about 10 pounds).
- I feel like on the pump, you have to be a master of counting carbs more so than on MDI. Which I have found the hard way, I have a long way to go.
- I find I have become almost OCD with my sensor, constantly looking at the values and trends. I am trying to break myself of this habit, but it is hard.
- Medtronic from a customer support/service experience is out of this world, and I am so happy I chose their pump. Have a tube hooked up to me just doesn't bother me that much.
I have my fist endo appointment in two weeks since I have gone on the pump. My last A1C was 7.3, and based on the reports I ran on CareLink, I should beat that, and possibly below 6.5. My goal from an A1C standpoint, is to just make sure I am going in a downward trend. While I would love to be one of those sub 6.0 people, I am happy staying between 6.0 and 6.5.
I do have a few questions for the community:
1) After being on the pump for a few months, at what point did you feel you went from "learning just to be on the pump" to "tweaking the pump" as if you were no longer a beginner?
2) If you use Carelink, anything specific you look at to see what you should be adjusting?
3) Predictive Lows/Threshold suspend...Do you use predictive lows at all (if so what are your settings) and what do you have your threshold suspend set to? I have heard because of the false alarms people get at night, they set it to somewhere in the mid 60s.