mikeyB
Well-Known Member
- Relationship to Diabetes
- Type 1
When i was admitted to hospital with DKA as a result of a chest infection learner this year the diabetes nurse who came to see me (on the "Older person's Ward 🙄) she noted my symptoms of gastroparesis - and the main problem with that is correcting hypos. If it takes an hour or more for any effect of glucose, or Jelly Babies that you take to avoid going down to BGs of 3 or less, you end up with a latter spike of too many JB's.
The way to avoid that is never to go hypo, and the way to avoid that is with a pump that switches off insulin when going low, and, for that matter, increases insulin when going too high.
Well I finally got to see the consultant yesterday, and the first thing she discussed was which pump I would prefer, preferably making a closed loop system. The one that fitted my requirements best (and the one, she said, she would use if she had to) was the Ypsomed YpsoPump. Now, I had never heard of this pump, probably because it's fairly new, but it is well thought out machine. For a start, it can use standard insulin vials as used in Pens, so no fiddley filling insulin. It works in loop with either the Dexcom G6 or Libre 3 and the App on your phone. I will, of course, use the Dexcom G6 because it can be calibrated. (Even the best sensors can occasionally be a bit wayward). There is a button on the App that will order this - not available on the Libre 3. In fully automatic mode you simply set your upper limit (~11) and lower limit (~5) and leave it to do that. It learns if your boluses tend to be inaccurate, or whether your basal dose is too high or low. Plus all the usual tricks - extended boluses and al the usual stuff you get with a pump.
That's all I need. Even the infusion sets have 360 degrees rotation, so the delivery tube is always in the ideal position. The cases that you put the pump in that clips to your trousers have the same 360 rotation, so it's hard to find a position that would affect the pump's performance, specially being 70 and in a wheelchair!
So the next week or two will be being shown how to use it, and I will no longer have to pay for my Dexcom sensors. They will be on prescription, because the pump will only work with them. (In a loop). And being Dexcom, I know there will be excellent service.
It's worth looking at this pump when it comes to change yours - it's NHS friendly - it costs an even £1000.
The way to avoid that is never to go hypo, and the way to avoid that is with a pump that switches off insulin when going low, and, for that matter, increases insulin when going too high.
Well I finally got to see the consultant yesterday, and the first thing she discussed was which pump I would prefer, preferably making a closed loop system. The one that fitted my requirements best (and the one, she said, she would use if she had to) was the Ypsomed YpsoPump. Now, I had never heard of this pump, probably because it's fairly new, but it is well thought out machine. For a start, it can use standard insulin vials as used in Pens, so no fiddley filling insulin. It works in loop with either the Dexcom G6 or Libre 3 and the App on your phone. I will, of course, use the Dexcom G6 because it can be calibrated. (Even the best sensors can occasionally be a bit wayward). There is a button on the App that will order this - not available on the Libre 3. In fully automatic mode you simply set your upper limit (~11) and lower limit (~5) and leave it to do that. It learns if your boluses tend to be inaccurate, or whether your basal dose is too high or low. Plus all the usual tricks - extended boluses and al the usual stuff you get with a pump.
That's all I need. Even the infusion sets have 360 degrees rotation, so the delivery tube is always in the ideal position. The cases that you put the pump in that clips to your trousers have the same 360 rotation, so it's hard to find a position that would affect the pump's performance, specially being 70 and in a wheelchair!
So the next week or two will be being shown how to use it, and I will no longer have to pay for my Dexcom sensors. They will be on prescription, because the pump will only work with them. (In a loop). And being Dexcom, I know there will be excellent service.
It's worth looking at this pump when it comes to change yours - it's NHS friendly - it costs an even £1000.
