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New pump concerns

I have been using ypsomed pump for a couple of years now with fiasp insulin cartridges and fill your own reservoirs and it's the best pump I have had its brilliant .
 
hi Natalie i have been using fiasp for years on medtronic pump and have been using fiasp on my ypsomed for nearly 2 years now so your nurse is talking rubbish unless you plan to go on a loop system that i am not shure about ,hope this helps.
 
trophywench said:
@Natalie123 - have you now got your new pump etc? - due to get mine on 20th Jan.
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Hi, sorry for the slow reply, anxiety and depression took over again! I haven't got my new pump yet, I got really anxious about it and decided to keep my current one for a bit longer. I'm speaking to the consultant next week so hopefully they can help ease my anxiety! I hope yours went well today?
 
Natalie123 said:
Hi, sorry for the slow reply, anxiety and depression took over again! I haven't got my new pump yet, I got really anxious about it and decided to keep my current one for a bit longer. I'm speaking to the consultant next week so hopefully they can help ease my anxiety! I hope yours went well today?
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Sorry to hear about your anxiety and MH challeges @Natalie123

Choosing a new pump can be so daunting can’t it? When I switched last summer Omnipod was an option for me. I’m not sure if Ypsomed is the same but my clinic told me that Omnipod didn’t tie you in to a full 4 year contract - so that I would have been able to try it out for 3-6 months without getting stuck for 4 years if it didn’t suit me.

Might be worth asking if Ypsomed operates the same system? I found that helped reduce my worries about considering a pod-based option. Though in the end I opted for Medtronic as I’d used their pumps twice previously.
 
everydayupsanddowns said:
Sorry to hear about your anxiety and MH challeges @Natalie123

Choosing a new pump can be so daunting can’t it? When I switched last summer Omnipod was an option for me. I’m not sure if Ypsomed is the same but my clinic told me that Omnipod didn’t tie you in to a full 4 year contract - so that I would have been able to try it out for 3-6 months without getting stuck for 4 years if it didn’t suit me.

Might be worth asking if Ypsomed operates the same system? I found that helped reduce my worries about considering a pod-based option. Though in the end I opted for Medtronic as I’d used their pumps twice previously.
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That sounds good. The 4 or 5 year contract does worry me because I'd be a bit stuck if I really didn't get on with it. I'll add that to my list of questions for the consultant! They're going to love me (not!)

To be honest, I'm mainly worried the the HCL system might not be able to cope with my high correction rates and high carb to insulin ratios. I also eat a relatively low carb diet (nothing extreme but I do find that my energy levels are better with protein and fats rather than carbs) which might confuse the system slightly. My final issue is with fasting basal tests - for reasons I can't explain on here, I have panic attacks if I have to miss meals, so fasting has never been possible for me. So far, my nurses have managed to adjust my basal without fasting (I just eat no carbs and we accept that it's not going to be perfect). I wouldn't be able to have a system that required fasting basal testing as part of the set up for this reason. Unfortunately none of the nurses seem to know anything about how the pumps work which isn't helpful!
 
Natalie123 said:
To be honest, I'm mainly worried the the HCL system might not be able to cope with my high correction rates and high carb to insulin ratios. I also eat a relatively low carb diet (nothing extreme but I do find that my energy levels are better with protein and fats rather than carbs) which might confuse the system slightly.
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Do you know how many grams of carbs you are generally having in an average day?

Some T1 members have mentioned that they experienced significant increases in insulin resistance when they cut back on carbs slightly too dramatically. Upping their carb intake a little helped to reduce insulin resistance and made things much easier. I believe @Tdm has shard about this in the past, as has @Inka
 
everydayupsanddowns said:
Do you know how many grams of carbs you are generally having in an average day?

Some T1 members have mentioned that they experienced significant increases in insulin resistance when they cut back on carbs slightly too dramatically. Upping their carb intake a little helped to reduce insulin resistance and made things much easier. I believe @Tdm has shard about this in the past, as has @Inka
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If I'm eating well probably about 20 - 40g a day. At the moment (mental health struggles makes eating well harder) probably 40 - 60 or more which isn't really low carb at all! Today I had a few berries, one small slice of bread and half a jacket potato. I'd like to go back to lower carb if possible once my mental health stabilises but it's more about finding a balance between freedom to enjoy my food / have a healthy, balanced diet which probably should have some carbs in it, and feeling well enough to enjoy life. My carb ratios have always been a little high - 1 unit for 3g carbs or 1 to 4g depending on the time of day.
 
That’s still very low carb @Natalie123 and, as @everydayupsanddowns mentioned, is possibly contributing to your insulin resistance.

You don’t have to say, but if your MH struggles are wholly or partly due to an ED, then there is hope and the possibility of recovery. I found once I pulled away from it, its hold was reduced.
 
I agree with @Inka

You are running in the very low carb / keto range, which can give rise to insulin resistance, which ironically can make T1 much harder to manage.

Low carb is anything under 130g a day, so you have lots of ‘room’ to experiment with adding carbs to see if you can find a balance where your insulin sensitivity is substantially improved. <3
 
Yup i had insulin resistance when i was low carb. Then i was ill with kidney stones and turned to comfort eating just to get some food in me, and in no time at all i went from about 3 or 4 carbs to one insulin, to 20 to one. And i could have bread again! And potatoes etc.
 
Thanks @Inka, I don't think mine is classified as an eating disorder, I did have one appointment with the ED clinic but they said it was a trauma response. I'm better than I used to be, a few years ago I couldn't go without food after dinner for more than 30 minutes so I'd eat dinner at 8pm, then need to eat again at 9, 9.30 and 10 before finally going to bed! As soon as I understood what was happening, the panic attacks faded and now I only have a cup of tea and maybe a small snack after dinner.

I don't think I'll ever be able to eat over 130g of carbs in a day! I'd be asleep all day. I have chronic fatigue and the only thing I've found that helps me is eating less carbs. Maybe I'll stick with my slightly relaxed, higher carb diet that I'm doing at the moment (which is really because I'm miserable and can't be bothered to cook low carb!). I'll see if it helps at all.
 
I had my consultant appointment yesterday and they're ordering me the Ypsomed pump to be used with Libre 3 sensors. Should be getting the training and the pump in about 2 months time. Thankfully the consultant managed to reassure me that the pump will be a good fit for me and hopefully will give me better control and maybe a little less diabetes related stress.
 
Getting mine tomorrow so will report back as soon as I know its working. A lady called Louise from Ypsomed doing my training - husband will be with me as I can't get there unless he takes me! (I don't have enough strength in my wrists to unscrew the Libre 2 in order to apply them so goodness knows whether I will the Libre 3s or flick pump cannulas to try and get rid of air bubbles .) - hence were he not alive and functional I'd have had to revert to MDI already long since.
 
trophywench said:
Getting mine tomorrow so will report back as soon as I know its working. A lady called Louise from Ypsomed doing my training - husband will be with me as I can't get there unless he takes me! (I don't have enough strength in my wrists to unscrew the Libre 2 in order to apply them so goodness knows whether I will the Libre 3s or flick pump cannulas to try and get rid of air bubbles .) - hence were he not alive and functional I'd have had to revert to MDI already long since.
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My OH still puts in my sensors.
I hope that it goes well tomorrow.
 
trophywench said:
Getting mine tomorrow so will report back as soon as I know its working. A lady called Louise from Ypsomed doing my training - husband will be with me as I can't get there unless he takes me! (I don't have enough strength in my wrists to unscrew the Libre 2 in order to apply them so goodness knows whether I will the Libre 3s or flick pump cannulas to try and get rid of air bubbles .) - hence were he not alive and functional I'd have had to revert to MDI already long since.
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My husband puts my libre sensors on too. I still haven't got over my fear of the insertion mechanism, makes me jump every time! Is the air bubble flicking thing just for some pumps? I was never told to do it for my Medtronic pumps but I remember doing it for my first pump.
 
It's for anything that you need to fill a cartridge (or a syringe) for so I just use a Novorapid pumpcart - you will need to fill cartridges as you use Fiasp. You can pre fill them in advance so you have them ready in your fridge to just use when you need a new one - but the clinic will take you through all of that. Ypsomed can even supply a plastic box to stash home filled cartridges in, in your fridge.

I'm hooked up and looping. Turned out that CamApps hadn't downloaded correctly onto my phone so I had a bit of difficulty to begin with, so a youngish chap who now works as part of the Pump Team at St X had to sort it out for me so there was me the ancient technophobe, two young pregnant ladies and one 40-ish(?) partially sighted lady so they just concentrated on the important things for me and I'm going to have to go back next week to get more 'into' it.

None of it's rocket science, its just gradually getting used to what you press for what etc. And the one thing she said right at the start was 'sit on your hands for the next week and don't try to do the Closed Loop job manually - let the algorithm do it!

Not certain for how long the algorithm does it but certainly 'at first' it learns what your BG and insulin doses do when/after you eat food and resets itself every 24hys at midnight, so will have to see how I get on.

Not keen on the stainless steel cannulas she brought for us all (for the reason they're the recommended ones for pregnancy) - never used a stainless steel one in my life until today, ruddy thing dug in when I had my bag on my lap, and don't feel the 45cm tubing is long enough. Oh, and must remember to turn pump off, before changing each cannula. We'll see!
 
Have to say, I was a tad concerned at teatime in that we had a fry-up for tea and for such meals and pizza I'd have an extended or multiwave bolus rather than it all upfront. However, both of these were considered 'advanced training' so see how you get on without that, first. So I had just one slice of unbuttered toast cos there would be frying oil on the egg plus I have my yolks runny so would both lubricate the toast plus I had my half a tin of baked beans right next to the toast and egg. Hence carbs were the bread plus the beans so bolused upfront for both, later it warned me my BG was 5.6 and I thought OK, lets just see abd it gradually levelled off about high 7's however from 11.30 ish it started increasing and I'm now 14+ but at least I'll sleep damn well soon, so let's see what if anything it does for me overnight. I have got their emergency number so I can easily dial it in the morning if I need to.
 
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