Insulin Pump - Start to Current "how long was your process"?

I am a TYPE I Diabetic for 25 years.I am looking for some feedback on Insulin Pumps, in particular, the time frame from start to finish (i.e. from inquiring about a pump, from talking to your Endocrinologist/Internal Med/Primary Care Doctor about a pump, from concerns if any, training with nutritionist/dietitian , and then receiving insulin pump using it.)
I am not looking for personal issues. Not that detailed INFO. But, how long it took to get your pump or get placed on pump therapy. I have been literately working on getting (PUMP) for now 11 months – My Diabetic Specialist at VA Medical Center She told me on 27th of Dec 2010 I still have 2-3 months to go till I receive my pump or go pump therapy. They/She claims I can’t have any more lows (below 60) and any more HIGH HIGHs (300-400 range) I have to be in middle… I felt for 6 months I should have been on and even 10 months ago…BUT WAITING 11 MONTHS is unacceptable!!! I am looking for some feedback on Insulin Pumps, in particular, the time frame from start to finish (i.e. from inquiring about a pump, from talking to your Endocrinologist/Internal Med/Primary Care Doctor about a pump, from concerns if any, training with nutritionist/dietitian , and then receiving insulin pump using it.) I am not looking for personal issues. Well A1C’s if you have to include is fine to explain the process from when you talked to Doctor about to receiving pump and the In’s & Out’s of now using the pump vs regular injections.
Please Again, I am looking for COMPREHENSIVE and CLEAR information on “How long and the process” to get placed on PUMP THERAPY… Please you’re INPUT and FEEDBACK is very instrumental to my cause and data/fact finding mission. Again Thank You…You either can send me a FB message or Tudiabetes comments is perfect also.

(Sorry forgot to add)
Sincerely

Dean W. Jahn

A little over 3 weeks. I never spoke to my doctor (he lets me manage my own diabetes). I called the Animas rep. They talked to my doctor and to my insurance company and made it happen. The only treatment considerations was that my doctor had to put a current A1C on the form, but I got the impression that was a mere formality. I’ve heard more stories like yours than like mine. (Though people might not tend to post about things going smoothly).

About 2 months after the initial conversation with my endo where I said, “I want to go on the pump”, I was inserting my first Omnipod.



I had already called BCBS to find out if they would cover it, how much it would cost, and what they needed, so insurance was not an issue. The main sticking points were getting the necessary paperwork filled out by my endo then getting that paperwork to my insurance. I probably could have cut a few weeks if I had been a bit more aggressive about making sure everybody was in communication with each other.

It took me 3 years.

I went through your situation where I was told I wasn’t ‘in control’ of my BGs enough. I COULDN’T be on MDI, because I have insanely bad dawn phenomenon. Finally, when I was getting nowhere, I switched docs and was immediately given clearance for a pump. Smooth sailing from there.

Honestly, if I were you I’d get a new doctor. Some of them just don’t understand that for some people, using MDI isn’t enough because of very strange fluctuations - we NEED to be able to adjust our basal rates to maintain a good BG average.

From first talking to my Endo through training was 4.5 months. I had no hoops to jump through I just had to show that I kinda knew what I was doing. My A1C at inquiry was 9.3 and was down to 7.2 by the time I had my pump.

I told my Endo I wanted a pump. I saw an Adult Nurse Practitioner and told her what pump I wanted and provided BG tracking. The pump reps got a hold of me and I filled out paperwork. Had an hour appointment to get started on the OmniPod. I was slightly delayed because of insurance. Waiting for insurance approval was the longest part of the process.

Let me know if you want anything else.

My daughter is the patient. It took just a few months from start to finish. We had to attend 2 pump information classes offered by the hospital. They were scheduled two weeks apart. We contacted Medtronic and Animas and had reps come to our house. We made our decision and contacted Animas. They had me fill out some paperwork and then they took care of the doctor and insurance stuff. I wore a loner pump with saline for a week to show my daughter how it worked. Once her pump came, we had to schedule an appointment with one of the pump educators at the hospital (this is a children’s hospital, by the way) and she was started on her pump at that appointment. The rest is history!

I’m sorry that you’re having difficulties. I would definitely change doctors. I know, through the diabetes message boards, that different doctors have different opinions on treatments and what would be best for their patients. The lows and highs were some of the reasons that my daughter’s care team suggested the pump in the first place.

About a month from request to first day pumping. My NP was over the moon when I first requested the pump and was more than happy to do things as soon as possible. The only requirement was that I be testing 4+ times per day, which I already was. There was absolutely no conditioning on numbers. In fact, at the time, I probably had 1 low a day and at least 1 >250 each week.

You have every right to be p***ed because your CDE will have you running in infinite circles, trying to get you to level things out while at the same time denying you a tool that will make that easier. Don’t get me wrong, the pump is no magic bullet. It requires the same diligence that MDI does to get good control. In fact, the first few weeks will require a lot more work to get things programmed right. BUT it makes that diligence less cumbersome in the end.

My A1c at inquiry was somewhere around 7-7.5. My A1c after was at 7 or a little below. Once I committed to putting in a little extra work, I was below 6.5 and now stand at 5.9. I can’t imagine my current regimen without the pump. I would almost certainly be low carb rather than put in that much work on MDI.

Just a couple weeks for me, actually it was a surprise when my first shipment arrived! I think it really depends on your insurance. I literally did nothing, just spoke with an Omnipod rep and they took care of everything. Next thing I know, 3 months supply at me door. Insurance has changed (for the worse) now I need to get another pump, had to go today for blood work, get prescriptions etc. so we’ll see.

Sounds like my experience, barb! I’m used to making decisions and then acting on them pretty quickly but I was a bit surprised too. And I should add that my experience included applying for and being granted a waiver of my 20% share of cost by Animas so I had to fax them all my income data. One reason it might have been so quick is it was the end of the years. My rep told me lots of people apply for pumps at that time as they have already met their deductables so maybe they have extra staff and are used to a more rapid turnaround in December. I feel bad for the OP and others who have had to wait months once they’ve made the decision!

It took me, from the time I first asked about the pump to actually getting it was 5 years! He kept leading me on saying “oh just a couple more months” but I got fed up with him and pretty much said Pump or I leave. I start pumping in 20 day :slight_smile: Best of luck to you getting your pump.

I finally said yes Dec of 2007, Doctor’s office handled paperwork, had to work with insurance with reports, etc, rec’d pump end of Jan 2008, pumping shortly thereafter. About a month and a few days from start to pumping!
My endo wanted me to begin pumping long before I did. Now I question why did I wait???
Good luck.

If “he” is your doctor, that is such an alien concept to me. To me, my doctor is providing a service to me, the consumer, just like a plumber or an electrician (only with a lot more years of schooling!). I can’t imagine my doctor having control over what I could or couldn’t do for my own health! Maybe I have just been lucky in having doctors that are in accord with that view. I’ve been thinking lately that I might want to switch to Kaiser now that I am semi retired and on a limited income. But I’ve heard horror stories of people having doctors who wouldn’t listen to them and having trouble negotiating the system to switch docs. But I know that the traditional view of doctor as “god” or at least “boss” is still very common in some places. Good for you for putting your foot down and for starting pumping soon. I have been on my new Ping for one week and already wonder why I waited so long!

The day of my Type 1 diagnosis, my primary care physician told me I should get an insulin pump. I knew very little (almost nothing) about them. I got a call from a Medtronic rep the next day. They contacted my insurance company and handled all the paperwork. My pump was at my endocrinologists office within a month of diagnosis. My endo is also Type 1 with a pump. His office does its own training, rather than using the pump reps. They only train on Fridays and require a follow up visit on Monday. I had to wait another 3 weeks because of my schedule. So, less than one month from day of diagnosis until I could have started, another 3 weeks between the pump being available and being able to come in on a Friday and the following Monday (one of those was Labor Day and their office was closed, another was taking my son to college, which is a 3 day round trip). Best of luck to you.

i don’t know but i’m about to find out…i just started the process of getting a pump yesterday…i’m a little nervous about waiting so long and i can’t believe you’ve had to wait so long!!

Basically it took about a week after talking to my PA at my Endo’s office that suggested I go on a pump. I took a couple of months, three in fact before I decided. I went on a vacation and had my usual three month appointment when I got back. I told her that day and by the time I got home I got a call from Medtronic requesting my signature on the form authorizing them to contact the insurance company. I got the pump a week after that and had my pump training and started pump that same day a week and half after getting the pump.

Thank you to everyone so far on their replies on "Insulin Pump - Start to Current “how long was your process” and encourage more feedback from other Type I’s and their PUMP EXPERIENCES if possible… Again, Thank you for sharing

Dino!!! (aka: Dean :slight_smile: )

Thank you very much for sharing experiences :slight_smile:

Thank you very much for sharing experiences :slight_smile:

Thank you very much for sharing experiences :slight_smile: