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Hi

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johnpd

New Member
Relationship to Diabetes
Type 1
I'm new to this & do't use social media much so don't know the conventions so apologies if I offend you , it wasn't intentional. I'm type 1 diagnosed in 1980 at the age of 30. Started with pills and urine sticks and weight loss until I couldn't loose any more then insulin 4 times a day. Very little training, I don't think I learned about hypos for about a decade, always too high. Blood glucose sticks from 1990 was a big step forward but more hypos often due to Ultratard insulin dumping into my blood and similar problems more recently with Levimir.Ultimately I got so stressed that I was put on a Medtronic pump 9 years ago. Libre from the start of NHS funding again a big step forward when they introduced time in range to replace the unintelligible system they had before. For the last 9 months I've had a Medtrum Nano patch pump, very convenient but at the moment I can't get it to work reliably so I'm back to high stress levels again
 
Hi John and welcome.

Sorry to hear you are having a rough ride. I read your post about the Medtrum Nano and having a lot of failures which is a real shame considering that you otherwise seem to like having a patch pump. Could it be bad/lumpy sites causing the problem? With you having been diagnosed a good few years I imagine some of your injection sites will be a bit damaged.
Quite surprised you had problems with Levemir as I absolutely love it but I think education is a massive part of using a basal/bolus system well and if you haven't had an intensive course like DAFNE then I can understand you struggling. Maybe a DAFNE course is something you could ask about now if you haven't done it. Just spending a week in the company of other Type 1s is a huge benefit of the course but for me it improved my confidence in making decisions about my insulin doses enormously, particularly my Levemir doses.

Anyway, just wanted to say hello and wish you luck with getting your pump problems sorted and if you have any specific questions or problems, fire away with them. There is a huge wealth of knowledge and experience here on the forum and I have learned most of what I know from the good people here. If you fancy a more social aspect, come and join us on the "Group 7-day waking average!" thread, where we post our waking reading each morning and share a bit about our plans for the day, have a moan about the fickleness of diabetes or celebrate our minor successes in the battle with it as well as have a bit of chat and banter.... I will post a link below if you fancy it. We don't bother with the "average" part anymore, just each day's waking reading, so it is a bit like a virtual drop in coffee morning.... Maybe see you there tomorrow...
 
Hi @johnpd . Thank you for the tag @Inka.
Yes, I have a Medtrum Nano pump.
Unfortunately, I too have had some reliability issues.
It depends what your issues are but I have found the following helps
- occlusions are minimised by using the combo or extended bolus for a dose larger than 4 units. I think Medtrum’s recommendation is to use this when over 5 units which may be fine.
- if my skin is irritated, I am more likely to get issues. Unfortunately, my body does not like the glue used on the Nano. I use hypafix tape under my pump. As long as the pump does not touch my skin, this saves the irritation.
- when I go through a spate of patch errors, Medtrum have replaced the patch base. This seems to resolve the issues. It seems the base only last 4 to 6 months.

Medtrum are great when it comes to replacements.
 
Welcome to the forum @johnpd

We have a number of long-term T1s who will remember some of the same things as you (and earlier!)

I’m a relative newb with only 30-odd years with T1 under my belt! 🙂
 
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