Should I ask for an Insulin change?

[everydayupsanddowns]

4 year contracts on pumps are pretty common @MollyBolt

That’s the usual length of the warranty on the pump itself (for tubed pumps), Omnipod is a bit of an outlier in allowing people to just try it out for a few months.

 

[MollyBolt]

I’ve been wearing the Dexcom G7 for a couple of days now. Love the fact that it doesn’t seem to disconnect (whereas in the last year there has been no Libre that didn’t do so several times a day). This has made me much more relaxed. Is this just luck, or a delightful feature of Dexcom? What was noticeable was that it was about 3mmol out for the first 36 + hours (as in too high) till I calibrated. Is this usual? Lots of the online chat seems to be that they are v unreliable during the first 24 hours. Is this worse than Libre or have I just been blissfully unaware? Some people seem to insert early - is that recommended? I am conscious that I will need to tell the hospital in the next 36 hours ish if I want to switch to Dexcom (apparently they post by DPD instead of getting via GP).

Meanwhile I have found myself bizarrely nostalgic for Novorapid after a couple of days of Fiasp. Obviously this is no time at all though I did start wondering if it was worth the adjustment if I am likely to get a pump in 3-4 months? If it is, any advice on how to safely experiment would be good. On NovoRapid I am v black and white and inject 30 mins beforehand if I possibly can and then just wait…

 

[everydayupsanddowns]

I’ve been wearing the Dexcom for a couple of days now. Love the fact that it doesn’t seem to disconnect (whereas in the last year there has been no Libre that didn’t do so several times a day). This has made me much more relaxed. Is this just luck, or a delightful feature of Dexcom? What was noticeable was that it was about 3mmol out for the first 36 + hours (as in too high) till I calibrated. Is this usual? Lots of the online chat seems to be that they are v unreliable during the first 24 hours. Is this worse than Libre or have I just been blissfully unaware? Some people seem to insert early - is that recommended? I am conscious that I will need to tell the hospital in the next 36 hours ish if I want to switch to Dexcom (apparently they post by DPD instead of getting via GP).

I had 4 good years on Dexcom G6. It almost always tracked really well for me from the off, with the factory calibration, but I had a one which started off a bit wonky in my first year - so after that tried to remember to cross-check with a BG when my BGs were stable fairly soon after start-up.

Mostly my G6s needed no calibration (though they were often fairly determinedly 10-min-laggy, so there often seemed to be big differences where my BGs were moving quickly)

 

[Natalie123]

Meanwhile I have found myself bizarrely nostalgic for Novorapid after a couple of days of Fiasp. Obviously this is no time at all though I did start wondering if it was worth the adjustment if I am likely to get a pump in 3-4 months? If it is, any advice on how to safely experiment would be good.

Just thought I'd point out that you can use Fiasp in the Ypsopump (but not the Omnipod) so it's not necessarily a waste of time if you get on with it. I switched from Novo Rapid to Apidra and then Fiasp many years ago so I can't really remember what the transition was like, only that I was much better with the faster acting insulins because they didn't last as long which meant I had more flexibility with exercise timings, I also found that the fast acting insulins fitted my metabolism better - I used to spike and then hypo about 2 or 3 hours after meals on Novo Rapid, I don't have that problem anymore.

 

[nonethewiser]

Just thought I'd point out that you can use Fiasp in the Ypsopump (but not the Omnipod)

Been using Fiasp insulin in my Omnipod pump for last 5 years, it was my pump clinic who suggested change.

No issues whatsoever using it in pump so far, it's slightly faster acting than novorapid which is reason for changing to it.

 

[Natalie123]

Been using Fiasp insulin in my Omnipod pump for last 5 years, it was my pump clinic who suggested change.

No issues whatsoever using it in pump so far, it's slightly faster acting than novorapid which is reason for changing to it.

That's good that they're happy for you to use Fiasp in in your Omnipod. I was told that it wasn't licensed so I'd have to switch to Novo Rapid if I chose the Omnipod so I opted for the Ypsopump so I could continue with Fiasp. I think it depends which Omnipod pump you have (some are licensed for Fiasp and some aren't) and whether your diabetes team are willing to use Fiasp off licence.