I have been wanting to make the jump to the Pump. My Dr has been working with me to change my MDI for about six months. He has been changing my Lantus, changing my I:c ratios and so on. How exactly does your endo make the transition? He tells me everytime, I would do better on a pump. But he is still making changes in my MDI dosages.
You should just tell him that you want to go on a pump. Ask him what you need to do to get started (i.e., which pump does he recommend, etc.). My doctor was very amenable to switching to a pump (way back when I did). Maybe he thinks that you don’t want one, which is why he hasn’t pushed it with you. It’s really up to you to tell him what you want.
Hi, how much Lantus do you take?
A common reason people will switch to pump is to be able to customize the basal to exactly match the body’s bg output but there is another reason which is not mentioned as often. Lantus is effective if the dose absorbs gradually and steadily but due to the way it works in the body, if the dose is too small it may dissolve too quickly and inconsistently. I’ve been been unable to get my Lantus doses to work consistently–sometimes the peak and bg drop are too accelerated and other times it works perfectly. I’ve getting huge swings from one day to the next. Not fun. I plan to try Levemir which is described as more consistent in its absorption but if that does not work, I will be taking a hard look at pumping. I imagine my bg would be rock steady on a pump.
With enough tweaking, yes, a pump offers the best possible insulin delivery if MDI isn’t working. It allows you to make make changes easily and you can program it to use different I:C ratios at different times. If you already count carbs and understand your I:C ratio then switching to pump is not difficult. Seems like you endo is pro-pump and knows all about them. For example, on a pump, you would use about 20% less insulin to cover your basal requirement.
If he tells you you do better on a pump he already told you what’s best for you. But you need to be the one who says I want the pump. But even with a pump you need be able to control your diabetes and make decisions on adjustments of insulin use by yourself.