Is an insulin pump really a good viable option for me? For a while I thought oh yes this sounds great but I want to know if it really sounds ideal. I feel like my insulin needs are currently changing and it's becoming a very frustrating thing for me where I'm wavering on the pump idea a liiiiitttle bit . I've been diagnosed with diabetes since June of last year so just over 8 months now, and have been using insulin since September (I had a misdiagnosis problem) .
I want to know if I'm being reasonable about my possible pump decisions. I'm currently still looking at the Medtronic Minimed 530g and the Animas Ping.
Things I find to be a pro for pumps:
-More precise dosage. I know I can't get perfection but I struggle with how to dose my insulin sometimes. My carb counting is not the problem but on my ratio I find if I need like 4.8 units it's hard to tell what to do as sometimes going for just 4 is fine but sometimes it leaves me hyperglycemic and using any more than that makes me hypoglycemic. I also find that I have trouble correcting based on the sliding scale , there might be another solution for this than a pump but I feel like it might be better to correct the 150-199 mg/dL range with somewhere between 1 and 2 units but not 2 units? Like 1.5 or 1.6 . I've heard reusable pens can do this, but aren't as effective as a pump with half unit dosages. 1 unit of correction is often too much for me if my blood sugar is between 121 and 149 mg/dL (which is what is on my sliding scale) .
-a more long lasting constant basal dose that might be more correct for my body. I find Lantus is great but lately it hasn't been covering me very well I don't think. I know I did have a defective pen with a leak that I used on accident and gave me an absolute nightmare of a bad day but in general I feel it's less effective now. It might require a dose change on lantus but I figure it might be easier with the less than 1 unit add on that a pump can do? I'm aware I could split my dose but I don't have a regular sleep schedule where I wonder if a pump could be a better idea?
-The comfort of a CGM if I go with the 530g or can get a dexcom of some sort to go along with another pump. Not to replace finger sticks, I know those are still necessary, but I want to know if it maybe could lead me to understand my swings and figure out what to do about it? Particularly when I'm sick or near my time of the month it seems veeeeery hard to figure. Currently the idea of a pump and a cgm seems more and more appealing for the peace of mind involved with the better sounding basal dose method and the cgm combination.
-This might be a minor pro but the convenience of being able to press a few buttons and bolus when going out to eat , like I know I'd still need to test my sugar and that's not the problem here and I'm fine with that and can do that quickly, it's just when I go out to eat a lot of times I feel shooting up takes a long time compared to pressing a few buttons...unless I'm all wrong on this.
I just hope this is reasonable, and I'm not expecting perfection, I just want to maintain better health and have less obvious swings and be able to pick up on them and treat them effectively as possible . that's my main goal in all of this. Regardless, I will be bringing it up with my endo on my next appointment (valentines day) and maybe see about chatting further with my CDE over it.