Almost 12 years diabetic - 4 months on the pump, general thoughts (dislike)

I’ve heard of people having an allergy to Teflon, which is what is used in most infusion set cannulas. It’s possible this is your problem. If so, the only option for you would be steel-needle sets. Lots of folks rave about Minimed’s Sure-T infusion set.

If you end up not getting into a groove with it, no big deal. You’re just not a pumper. It’s so YMMV. But I would highly suggest keeping the CGM - this thing is really the best piece of diabetic machinery ever invented.

Some who love this technology are zealots “evangelical” re: diabetic technologies… thankfully not all who use it are all that extreme. You are quite correct and reasonable in my humble view.

Stuart

Hey M- Welcome to the site here! I found a lot of information on TuD over the past 3 years since I started posting here. I’m type 1 for 12 years.



I have a few things to mention:

  • Like others have said, do not allow someone else to push you into feeling like you “need” to change something in your life. Ultimately, you’re the one who has to deal with D on a minute-by-minute basis. Sometimes being on the pump is good, and sometimes it’s bad. The docs get bonuses and such if they sell one, so…
  • I was on the pump for 3 years a few years back. I had the MiniMed 712 in blue. I used Humalog and Levemir before that. I was allergic to Lantus.
  • It turns out that I am allergic to the pump catheters too. I had similar days when the pump would just not deliver, but often I didnt’ get the “no delivery” notification and would only notice something was wrong because my BG went up to the high 200s for no reason. That was really frustrating.
  • Ending up in ketoacidosis because the pump had a “no delivery” without an alarm while I was sleeping… TWICE… ended my relationship with the pump completely. When you’re on the pump and relying solely on the short acting insulins, the device that’s giving you your medication is required to work, else the insulin will run its course through your body in two hours and you will be left with nothing. There’s no “barrier” like with the “background insulin” Levemir / Lantus / NPH.
  • I have scars across my abdomen that look like snake skin- translucent bumps- from where the infusion sets used to go. I have been off the pump for 3+ yeasr and the marks from the pump are still across both sides of my abdomen. Proof that something wasn’t working for me.
  • When I was on the pump, I used to carry a full infusion set, an extra resevoir, an extra quickset thingy, and my vial of insulin in my purse at all times. You just never knew when the thing would fail.
  • I’ve read in a few different places and my endocronologist who studied in Texas says that Humalog swells in the heat. So, if you’re in a heated climate, it might be wise to switch to Novolog or Apidra to use in the pump, instead of Humalog- otherwise it might be the cause for the tubing clogs. I switched to Novolog for a few months before I quit the pump all together, and it seemed to help the clogging… but because of the scarring and the catheter infections from the allergy, I ended up quitting it anyway.



    So… I think you’re going about the pump thing properly in that you’re trying what seems like every option to make it work for you. Valiant effort!



    I had an A1c in the mid 8s for the years that I was on the pump… including the episodes of Dka due to pump failure.

    Since returning to the shots (I’m currently on Levemir and Apidra) I’m down to 6.8% and hoping to get it a little bit lower.

When I used to sleep nude, I just let the pump float in bed with me, and never had any problems – if I wanted to find the pump, I just followed the tubing.
HOWEVER, I had a cat who chewed through the tubing not once, not twice, but THREE times, so I started wearing pajamas with the pump on the waistband and coiling up the tubing in the pants.
Ya do what ya hafta!

The experience you’ve had & the reasons you list are why I don’t want a pump. I’ve been pressured by endos & never went back to my first endo because he insisted all his patients had to pump. My current doc brings up pumping at every appointment. I don’t find injections inconvenient & am not on a rigid eating schedule. I often skip lunch. I carry syringes & a vial in my meter case & have no issue with shooting up when needed. I’m not interested in tweaking basal constantly, though this is a decided advantage for many people.

Having diabetes is bad enough without fighting over treatment options! You stick to your guns!! :slight_smile:

I haven’t ever had a Pump. I can’t see how a line of tubes, clumbsy me, and having to make sure its with me is just one more thing I don’t want. And the mere thought of a Needle staying in me, to just cause be a Infection, Nah… And for goodness sake, were do you put it when your playing,Honey hold on, need to put the pump some where~~~ OH gosh, I can here him making a song for that~~~ I am not unhappy with needles, they have been my choice for since 1972.

Thanks, Natalie!

I know that most people remove the pump when “playing”. We have to remove our clothes anyway, my pump comes off then. It’s important to remember to reconnect though.

I’ve been T1 for exactly one year and I’ve been on the pump now for 9 days (Spirit). I had a terrible day yesterday morning insulin delivery failed (?), very high bgl and then I noticed bubbles in the tubing and replaced my infusion set still having high BGL and realised in the late afternoon the new crannula was not inserted and found insulin dripping out of infusion site. Replaced infusion set and good bgl by bedtime. I also found my test strips were contaminated. All in all a terrible day on the pump. Today has been better and I will battle on. I am committed to give this a good try for about 6 months. All the issues you talk about are completely understandable and exactly what I am thinking. Good luck!

Making sure its with you is not an issue - it’s always with you… always. The tubes are only an inconvenience when you are doing something that makes you take off your pants (or wherever you clip the pump): which is more than most people probably think: showering, changing, “playing,” using the bathroom. The tube part is pretty-easy to overcome though.

Granted, I started this thread, and I do currently dislike the pump. However, if I was having good results with it some of these things I dislike about it may be ignored.

I remember quite a few times when I was pumping that I’d be in the dressing room trying on new clothes in the store, and I’d forget to unhook the pump. Then, when I went to change my top (I kept my pump clipped in my bra), the pump would inadvertently fall out and dangle from me. Boy, that hurt when it just fell like that. haha. But, like you said, if it was working for me and control was better, I would ignore those minor inconveniences.

I didn’t even need to remove it. He was used to it being there, so it would just lay on the bed. Even if we moved around a lot, the pump was second nature to just come with me. I slept naked a lot too. Never really had an issue with that part of pumping.

I was diagnosed almost 9 years ago and I started the pump about 3. I have to admit…I wasn’t a fan either. It made me gain about 60 lbs, I had the infusion tube kink on me once before as well. Its not easy and is definitely an adjustment. However the pump ultimately just wasn’t for me. I’ve dropped 30lbs since April (that I’ve taken it off) and althought my sugars have NEVER been stable I feel much better. I just need help learning how to balance my levels and keep them under 200. I can’t go to sleep with it under 250 bc it always drops. I guess I’ve never mastered the art of “maintaining proper levels” but I definitely want to make that change. So if anyone has ideas…it would be a great help! :slight_smile: Hope everything works out for you MPetrick

I think a large degree of your disappointment has to do with two main things:

  1. Your expectations of pumping are dramatically different than the reality of pumping.

  2. Most of your problems have a lot to do with poor pump-management skills.

You can’t just translate what you know for MDI and expect things to work perfectly on a pump… without any long-acting basal insulin in your system, it just doesn’t translate… it’s both one of the biggest benefits, and largest drawbacks of pumping. You can adjust your insulin on the fly, based on your actual needs rather than adjusting your activity or food to the insulin you’ve already taken, but on the flip side, when something goes wrong, you have mere hours to fix it, or you end up in big trouble. The fact that you ended up in the hospital with DKA is clear evidence that you’ve tried to translate how things work on MDI to pumping, without really considering what makes a pump different, other than offering you a CGM in the same package… I’ve been pumping for 6 years of the 10 years I’ve had D, and I’ve never been in DKA once in that time. Why? I don’t “wait and see” with highs that don’t come down… I correct by injection (in fact I always correct via injection for anything over 300), and change out the set. It’s simple, and it’s obvious. I had a ton of trouble with infusion sets kinking in the beginning, and it’s frustrating, but there are a variety of infusion sets out there for a reason - everyone is different, and certain sets work better for each pumper than others.

If you can work through some of the problems, you might find you like pumping, or you may choose to go back to MDI. I went back to MDI for a while after pumping for several years - I don’t personally feel like my control is any better on the pump than MDI, but I do like the flexibility that pumping offers over MDI, which is really the biggest benefit for me.

I find this post somewhat condescending/accusatory in attitude, my apologies if I have misinterpreted it, but I will reply to a few points.


“Your expectations of pumping are dramatically different than the reality of pumping.”

-possibly true, but I never believed it would be a miraculous improvement, doctors and others seemed to never stop trying to convince me. I didn’t want the pump for a long, long time.

“Most of your problems have a lot to do with poor pump-management skills.”

I’ve been at this 4 months, with one large problem one-month into usage. I fail to see how bad infusion sites are poor pump-management skills. If I have to change a site every 12-24 hours and know that’s the problem, I think I’m managing pretty-efficiently.


“The fact that you ended up in the hospital with DKA is clear evidence that you've tried to translate how things work on MDI to pumping, without really considering what makes a pump different, other than offering you a CGM in the same package.”

It’s not that different. Blood sugar is high = bolus to correct. I ended up DKA because nobody ever told me bolusing though the pump could sometimes “not work” for various reasons. In the DKA incident, I switched to injections as soon as I could – but it was already too late. I didn’t carry backup insulin with me during that first month, I assumed I had all the insulin I could need in my pump.

“I correct by injection (in fact I always correct via injection for anything over 300), and change out the set. It's simple, and it's obvious. “

Which is what I’m doing now. However, I fail to see the convenience of the pump, while still having to carry around the supplies, plus an extra infusion set.

“I had a ton of trouble with infusion sets kinking in the beginning, and it's frustrating, but there are a variety of infusion sets out there for a reason - everyone is different, and certain sets work better for each pumper than others.”

I see the Medtronic guy tomorrow, to get samples and instruction on alternative infusion sets. I haven’t quit this yet. Hopefully I find one that works well for me. I/insurance paid way too much money for this thing to go sit in a drawer, unused.

Basically sounds to me like you have your head on straight! :slight_smile: It’s possible that you didn’t get adequate training, and that your pump trainer didn’t consider what set might be best for you – thin people have different needs than “fluffier” people! Also, I was told as part of my initial training to bolus with a syringe in case of high BG – don’t know why you weren’t told, but that’s a big boo-boo on the part of your trainer! Makes me wonder if other important concepts were omitted! I was also told to call MiniMed at any hour if I was having trouble I couldn’t solve myself – only did it a couple of times, but it was very helpful. (I’ve been pumping 12 years)

Whether you stay on the pump, or go back to MDI, I just want for you to have as comfortable a life as possible, with minimum frustration! :slight_smile:

I’m not sure, I do know I was never told about bolusing with a pen/needle for adjustments. My trainer himself wears the same Paradigm pump that I was issued, perhaps his comfort with the pump made him overconfident in others abilities with it? I’ll ask him about that (bolusing for high BG without the pump) tomorrow. Thanks for your input!

M…You are right. And bottom line: Some love it and some don’t. I’ve had the pump 10 yrs and can’t help but roll my eyes when people eagerly ask “Oh, is that the pump? Has it changed your life for the better and made your diabetes easier?” I can’t help but burst their bubble and simply say, “Uh…no”. The hype is baloney. There are some benefits to wearing it but there are drawbacks as well.

I correct a high with my pump and check in about 1.5 hours to know the direction of my blood sugar. If it has not decreased, THEN I bolus with a syringe/pen and change my infusion set.

I also was taught this at my training. You should recommend that your trainer emphasizes this with all new pumpers. It is a pain to carry around extra insulin and an extra infusion set, but I think it is part of the deal. I have a small 9 by 3 inch pack that I throw in my bag, but I take a bag with me almost everywhere. I know for guys it can be a bigger inconvenience.

If I have an extreme high, I will check for ketones. If I see ketones, then that is a sign that I have not been getting insulin via the pump and I change the infusion set (and usually the insulin) immediately. If I don’t have ketones, then I correct with the pump.