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T:Slim Pump
- Thread starter Tom1982
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- Type 1
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I susoect their caution might be related to the algorithm being designed around the profile of something like NR or Humalog?
Different clinics seem to refer to “crystallising in the tubing” as a reason to switch from one insulin to snother… but over the years I’ve heard that either NR or Humalog does or doesn’t ‘crystallize in the tubing’ according to different clinics, so my internal jury is out about that really!
My experience was that the TSlim algorithm often acted a little late, so perhaps you could ask if you could stick with the insulin you are familiar with for 3-6 months and then review with them after that and switch if everyone agrees that seems best?
Different clinics seem to refer to “crystallising in the tubing” as a reason to switch from one insulin to snother… but over the years I’ve heard that either NR or Humalog does or doesn’t ‘crystallize in the tubing’ according to different clinics, so my internal jury is out about that really!
My experience was that the TSlim algorithm often acted a little late, so perhaps you could ask if you could stick with the insulin you are familiar with for 3-6 months and then review with them after that and switch if everyone agrees that seems best?
Tom1982
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- Relationship to Diabetes
- Parent of person with diabetes
Sounds good to me. They did mention the crystallisation line to us too but I’ll take that with a pinch of salt and if given the option I think we’ll stick with Fiasp for now. One less variable when trying something new.
Flower
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- Relationship to Diabetes
- Type 1
I use Lyumjev in my TSlim and it’s working well for me- I had to swap when Humalog was in short supply last year.
It’s a similar faster acting insulin to Fiasp .Apologies I wrote this assuming Fiasp could be used in the same way as Lyumjev. Just looked up Fiasp & it’s not approved due to potential blockages. Lyumjev is now approved in the EU, All you can do is ask at the clinic.
I was allowed to use a faster insulin off licence as in it hadn’t been trialled with the pump. There may be other considerations if you're in a paediatric clinic.
It’s a similar faster acting insulin to Fiasp .Apologies I wrote this assuming Fiasp could be used in the same way as Lyumjev. Just looked up Fiasp & it’s not approved due to potential blockages. Lyumjev is now approved in the EU, All you can do is ask at the clinic.
I was allowed to use a faster insulin off licence as in it hadn’t been trialled with the pump. There may be other considerations if you're in a paediatric clinic.
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@Tom1982 are you asking about TSlim is stand alone manual mode or as part of HCL?
I ask because there may be an issue with the HCL algorithm with faster acting insulins like Fiasp.
I am only speculating because I have neither TSlim nor HCL but it is certainly something I would ask if HCL were on offer.
I ask because there may be an issue with the HCL algorithm with faster acting insulins like Fiasp.
I am only speculating because I have neither TSlim nor HCL but it is certainly something I would ask if HCL were on offer.
Tom1982
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- Parent of person with diabetes
That’s a good point, it would be a HCL set up so that’s definitely a consideration. Shame to add another variable into the equation but at least it makes sense now.
Thebearcametoo
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- Parent of person with diabetes
If your team haven’t out and out said no then try it. If you find she’s getting more hypos because of the faster acting insulin then you could bolus 10 minutes later or change the insulin.
Tom1982
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- Relationship to Diabetes
- Parent of person with diabetes
How does your son get on with it all? Does he still use a G7 & T:Slim?
Thebearcametoo
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Yeah T slim and G7 with the metal cannulas. He’s basically doing fine and the algorithm works to an extent but he’s doing more of his own carb counting and that can be underestimated a lot
He was resistant to the pump for a long time but the numbers have been great on it even when the day to day can be higher than perfect.
Tom1982
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- Relationship to Diabetes
- Parent of person with diabetes
I think that’s the set up we may end up with as the Teflon cannulas seem to be causing an issue. Is the application of the steel cannulas okay? She’s a bit weary about that I think.Yeah T slim and G7 with the metal cannulas. He’s basically doing fine and the algorithm works to an extent but he’s doing more of his own carb counting and that can be underestimated a lot
He was resistant to the pump for a long time but the numbers have been great on it even when the day to day can be higher than perfect.
Thebearcametoo
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- Relationship to Diabetes
- Parent of person with diabetes
It’s fine now he’s decided he wants to do it. We said for years that he would prefer them but he was too stubborn to listen. He does all his own cannulas and much prefers them. It may feel different for you if you’re the one inserting.
