Thank you for that I'm pretty accurate at carb counting so won't be something I'd worry about to much. I do worry about tubing as he is already conscience about his libre sensor.My experience in terms of my blood sugar management has been great.
I exercise a lot and find my basal requirements vary significantly during workouts. The ability to adjust and suspend my basal has really helped me avoid hypos. And the ability to dose a bolus in 0.05 units has avoided highs too.
The better management through pumping does not come for free. It takes some time to set up the first time to get basal rates correct and learn your way around the pump. It requires you to carry more diabetes paraphernalia with you when you go out (if you are not close to home) as you should carry stuff for a pump set change and back up if the pump fails (very rare but possible). I just carry a syringe as my backup. Whilst bolusing with a pump is quicker and easier than attaching a needle to a pen, injecting and sorting out sharps, that comes at the cost of set changes every 3 days which take 5 or 10 minutes each time. In addition to all of that, you need to be more accurate with carb counting or watch and correct more diligently because you have no "spare basal" (MDI assumes basal requirements are the same 24/7 but they are not so we often have extra basal on board).
Despite all that, I would fight hard if I my pump was taken away from me. It has helped me a lot.
I have had two pumps
- Animas Vibe. This is no longer available but as an introduction to pumping it was great and did everything it said on the tin. As a tubey pump, it was flexible.
- Medtrum A6 (soon to be replaced by Medtrum Nano). This is a patch pump. It is smaller and more discrete which as a petite female is wonderful (I found it difficult to hide the Animas so it was as if my diabetes was on display all the time). I love that it has a phone app to it is really easy to set up and tweak.
Tubing is hidden under clothing so no issues at at all I class my pump as my pocket pancreasThank you for that I'm pretty accurate at carb counting so won't be something I'd worry about to much. I do worry about tubing as he is already conscience about his libre sensor.
My current pump (the Medtrum) has no tubing.Thank you for that I'm pretty accurate at carb counting so won't be something I'd worry about to much. I do worry about tubing as he is already conscience about his libre sensor.
Do you mean CGM rather than CCG? Or is CCG a closed loop acronym?See - I could have had a Medtronic 640, OTOH as they will NOT supply CCG (hoops to jump through) I spose there's little point in offering pumps that work hand in hand with CCG, so very surpised I could have had a T slim.
(Bean counters to Cov & N Warks ...... )
It’s where the pump will link with sensors and adjust basal continually in line with blood glucose measurements, so you only have to enter carbs at mealtimes. We have the Tslim which links with Dexcom G6 sensors, we aren’t using it fully closed loop at the moment though. It knows constantly what blood sugars are and if my daughter is dropping too low it will turn the basal off, which depending how fast she is dropping will either prevent a hypo altogether or at least make it less severe. It also acts as the reader for the sensors so you get the low and high alerts on the pump and don’t need a separate reader, there are also phone apps. If we upgrade to the full system it should also make adjustments when blood sugars are high, by doing tiny boluses or increasing basal rates. We haven’t got round to doing the extra training required yet though, daughter likes the pump how it is and is a bit scared of changing it I think. I believe it would help her a lot though so shall try and encourage her when we get to the school holidays and have nothing to do!!What is a closed loop system?
Hi Claire,This sounds amazing I wish we could try all of them. He's 8 years old. He's currently on a waiting list which I'm told will take three months so want to find out about them as much as I can from people who actually live with them rather than someone who doesn't.