Going on the pump

I am now ready to go onto the pump, trying to firgure out which one would be right for me. I need some help with feed back about what kinds are out there?
Thanks for the help
Jody

It really is about personal preference; lifestyle; and to some extend, your ability to grasp technology to tell you the truth. There are a lot of good pumps out on the market right now. It appears that most diabetics (including myself) use Animas Ping… I am in love with my pump. it’s very easy to use and compact. Here are a couple of websites that you can eyeball…

http://www.integrateddiabetes.com/pumpcomp/pump_comparison.htm

http://www.diabetesnet.com/diabetes-technology/insulin-pumps/current-pumps/pump-comparison

http://www.diabeteswellbeing.com/insulin-pumps.html

Hope this helps…

Yogi

Hey Jody, you might want to check out the different pump groups on this site to see what the different users are saying. Here are a few of the links:

http://www.tudiabetes.org/group/animasusers
http://www.tudiabetes.org/group/omnipodusers
http://www.tudiabetes.org/group/minimedparadigmusers

I am on the OmniPod and it was a good choice for me. However, I know that there are lots of people who it didn’t work for. You might want to chat with your endo/CDE/local pump rep about demo-ing a few before you commit. Sometimes playing around with each one can help make a decision. Good luck!

I use the Omnipod. It’s a great system. Most of the time you never even know it’s there. Hasn’t stopped me from hunting, fishing, waterskiing, long kayak trips or any other activities I love. I have only been on a pump for 3 months now. I will tell you it will be a major change from MDI. But hopefully for the better. It deifantly puts you in FULL control of you BG management. Takes a little getting used to. But I believe the Omnipod makes this transition easy. I can say now after months of using a pump I couldn’t imagine what it would be like to have a “normal” insulin pump because of all the things I do in life and having that thing attached with tubing would defiantly hinder my lifestyle. ALSO I have had no problems with it either! When i was choosing a pump like you I read lots of stuff on this site where people were complaining of all the problems with Omnipod. I now know you have to take a risk to reep the reward. And it been great for me! Good luck

I’m not using a pump yet, but interested in the minimed revel. I’m mostly interested in it because of its integrated CGM, but even not using that I would probably be most interested in the revel because of the overall reviews it seems to get. I considered the omnipod but there seem to be a lot of issues people have with that one in terms of pod failure.

One thing that disturbs me about using a pump is the amount of “medical waste” that seems to be generated with each infusion set change. I’m a pretty environmentally concsious person and it means a lot to be able to generate as little trash as possible. May sound silly to some, but it’s important to me. In looking at the Minimed, there appears to be infusion sets that use very little plastic/disposable trash (the ones that you just insert yourself, rather than using those plastic thingys).

I meet with my endo again on Friday and am going to discuss the pump.

I don’t think your feelings about medical waste are at all silly, DogLady, I respect you for it; there is a lot of waste. However, you definitely want to do a trial with the insert it yourself set to make sure you can tolerate doing that before you make that choice.

I have had my Ping for 3 months now. I can’t compare it to others, as it’s my first, but I do know many women with other pumps in my type 1 group. The Ping also has metal sets you insert yourself available, and it does seem you can use sets from one company on another pump if insurance covers it. The things I like about my Ping: It is the only pump with a remote. The women in my group using minimeds all said “oh no, we have remotes too” and then they produced this thing that looked like a key chain; all it does is you can click it for a predetermined number of clicks if you are unable to access your pump at the moment. The Ping’s remote is a meter/remote that you can do all your routine functions from, and the only time I use the pump itself is when I change settings. It’s very convenient if your pump is below clothes. It is also waterproof though I haven’t had the nerve to test that, because you can just disconnect at the inset (not sure if other pumps have that too, I’m assuming they do).

Annoying things about the Ping? The damn buttons. If you hold it down to program say 30 carbs, it zooms up to 60 before you know it and then down to zero. Too fast!

DogLady,



I first looked into Omnipod, but in the long run, with the type of insurance I currently have, it would not have been economical for me. Tubed pumps turned out to be better for ME. The reason for this is, many times a infusion set can pop out, leak, snag, sometimes the cannula bends, sometimes you may get inclusions errors, etc., etc.,… In other words, s**t happens. With my Animas pump, if the problem is the cannula for example, I can simply change the head of the infusion set, without wasting the insulin still unused!! You can’t do that with an Omnipod!! (at least that I am aware of… LOL). In addition, the pods are about $360 - $400 for a pack of 10 which will last about a month. NOT including the insulin.





Yogi

Thanks for this info. Very helpful. I am probably leaning towards the Animas ping or the minimed. My biggest issue at this time is that I seem to be very insulin sensitive, so I need to be able to bolus in small increments. I often find that a 2 unit bolus isn’t enough, while a 3-unit bolus at a meal is too much. Right now, I’m often splitting my shots to prevent a post-meal spike (so I might give 1-2 units before I eat, and then another unit about an hour after I eat). This seems to work the best for me, but it also means twice the number of shots. Doing this, I have managed to stay almost 100 percent in range (below 140) and have not experienced any lows. I’m still not on a basal insulin because I’m producing some of my own insulin, although my fasting blood sugars can be as high as 140 some mornings (and other mornings they are right around 85 or 90, go figure!) Anyway, I go back to my endo on friday to try and straighten all this out.

Not sure you would want to go on a pump while you are still not using basal! But anyway, I forgot to mention that the Ping has the lowest amount of increment you can use which is .025. I’m still fairly insulin sensitive (though not as much as I was), and for dinner my I:C is 1:18 so I know what you mean about 2 not being enough and 3 too much. I love the pump for the ability to hone in on exact dosages.

I agree that the waste produced with diabetes can be substantial - regardless of what management system is used! OmniPod offers a recycling program where they take the pods and strip the metals/batteries for recycling and pulverize the rest so that it does not take up as much landfill space. While perhaps less than perfect, I think it’s a step in the right direction.

You are also correct that there are lots of posts on the OmniPod page about people who are having issues. I have had a few issues (many of them were user error/learning curve related, some were not). However, I think that Insulet’s CS reps are fantastic and often go above and beyond the call of duty. My local reps are also great and have let me know that if I ever have any issues, all I have to do is call. I love being tubeless and insertion is a breeze!

All that being said, I also understand other people’s love for their own pumps. Are any completely ideal? nope. :slight_smile:

Yeah, I think that’s typical for most insulin dependent people. somedays my numbers are absolutely beautiful, and other days is like… AAAAHHH What happened!!! LOL…

The animas as the ability to bolus as low as 0.05, and basal as low as 0.025 per/hr. Animas has a 4 program Basal programing, and a temp program if you need to go higher, or lower for a couple of hours… Very cool…

yogi

I think your last comment sums it up perfectly - ironically, I’ve seen quite a few posts today from people who have switched from pumps back to MDIs. To be honest, the MDIs don’t bother me that much. My ONLY significant complaint is that I can’t give myself fractions of a unit. I personally like the idea of not being connected to something 24/7. Carrying pens around isn’t that big of a deal for me and the shots themselves don’t bother me. Another concern I have about the pump is the amount of “stuff” I’ll have to carry around with me. Because I have a long commute and am frequently away from the house for long periods of time, I’m guessing I would have to carry around an extra infusion set, as well as back-up humalog pens, just in case my pump conks out. Maybe I’m being paranoid, but I don’t see any other way around it.

The Diabetes Mall web site has a lot of good information comparing Insulin Pumps.

site is: www.diabetesnet.com

Select Diabetes Technology & then Insulin Pumps.

Another consideration is what your insurance will pay for, do they have a set list of pump manufacturers or suppliers.

My issue is that I am planning on getting pregnant this fall. My endo says that I will definitely need a basal by that time, and I am worried about the learning curve of using a pump. I figured that if I can get it now, I can start that learning process, which would make pregnancy adjustments easier.

I felt the same way at first DogLady, but it boils down to lifestyle changes… One thing that helped me is that I started wearing pajamas. Pajamas allowed my to conceal the tubes so that they don’t get caught on anything. The Animas is small enough that I don’t even notice it’s there when I sleep.

And no your not being paranoid, you should always have a backup system. I have insulin, syringes, infusion sets at my job and home. Its called being smart…

Yogi

I want to start out by saying I really don’t know what I am talking about, but aren’t there pens for “kids” that have smaller increments (half units?)? Maybe it’s the novolog one? googling it didn’t help…

You know more than you realize… LOL… Yes there is, it’s called NovoPen Junior





http://www.childrenwithdiabetes.com/d_06_367.htm

yogi

whew! thanks for bailing me out! :slight_smile:

As far as carrying things around, I’m retired now so only carry my meter-remote and glucose which is always in my purse. I did take a set change and insulin when I went away. I think if I were still working, though, rather than having to pack things daily I would just leave a set change in my desk at work and a vial of insulin in the refridgerator in the office there (after telling people about it, so it wouldn’t get tossed when someone did a fridge clean!

Zoe, actually the Revel now matches the Pings doses so they are no longer the lowest.