Baseball season is coming up and I want to make sure I have considered all of our options.
Background, my son is 14, plays competitive baseball and is currently wearing a pump and CGM. He is not a large kid and doesn’t have a lot of extra spots to put infusion sets. We have failed with a few thigh placements and so we currently rotate left belly, right belly, arm that doesn’t have the CGM, then left upper buttocks and right upper buttocks. An important note, he is a catcher and will have to perform a considerable amount of blocking (two of his pitchers throw a lot of balls in the dirt).
We were considering keeping the pump on him in a padded belt with the pump rotated behind his back when catching and turned back toward his rear hip when hitting. But this would require keeping his sites just to the non-sliding upper buttocks and non-CGM arm, and the season is long (4.5 months) and that doesn’t seem like a recipe for good site rotation. Also, in our preliminary tests sometimes the tubing impinges his ability to throw with the arm site, and that won’t work well for the season.
So, we talked with another family that dealt with this, whose son is now in college and they suggested going “untethered” by using long acting insulin for his basal needs and the pump only for meals. We aren’t looking forward to this because he has very different basal needs throughout the day. Currently we have four basal settings that differ by more than 0.04 units per hour. Quite high at night to deal with growth hormone, much lower from 11-4, then lower still until dinner. This arrangement has worked well, and kept his A1c in an ok range, I cringe to think what his A1c would be if we go back to just Lantus for his basal needs.
So I am turning to this wonderful group to see if anyone has any other ideas. We would be most comfortable with the pump not being on him during the game, but are willing to consider anything.