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Urgent pump advice please

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Hi Bev

I am back using the pump now. Yes its been tough at times and to be honest there were times where I literally wanted to throw the thing out the window!! I have a good team and actually tell them what I think the problem is and it ususally ends up being that what I say!! My nurse says I could work for a pump cpmpany as I know the pitfalls but then they might not want to hear them? I have tried 3 pumps including a patch pump but it either fell off or had delivery problems. I am back to a medtronic as this is the most reliable apart from not being water proof but unless you get in the shower with trunk shorts on where would you put a water proof pump anyway?! I have extreme insulin sensitivity which menas even 0.1 unit error could mean 30 or hypo it is as simple as that and as such pump therpay is the best option but bad days are a fact of life that I have gradually accepted but everyday gets better. Being realsitic is what keeps you safe on a pump. I don;t think that education necessarily comes into it as I think that most people who 'fail'on a pump fail because they have unrealistic expectations that are fuelled by miracle claims by companies and the lucky diabetics who do have over night success (and they are right to celebrate who wouldn't?)
Many clinics now advocate the use of pen injections after 1 high BS reading and this is a reality for some people who like me have diffiuclties that the pump can't always handle. This doesn't mean the pump is negative rather its just not totally reliable in every situation. To be honest since I have listened to my body, my readings and my instincts about what the pump can and can't do my diabetes and life has been much improved. My consultant has a saying - 'it might be unusual but if it works for you it works for you' and this is what I would say to anyone about a pump. I have to have 4 times my usual basal between 5am and 9 am and this goes against theory but it works for me. I also have to count fat and protein as well as carbs because if I eat cheese my BS goes up - now in Poland diabetes doctors tell diabetics to count cheese so although it may be against protocol in the UK its not necessarily as mad as it sounds! I test my BS 8 times daily and adjust as needed - no 2 days are ever the same and this is why patterns don;t always work either. I have had diabetes for 28 years since childhood and this is the best solution I have had so far. Its not perfect but life never is and you have to make the best of what you have. We hate Lantus when we get on a pump but I remember Lantus being a miracle compared to the insulins we had, and we may hate it when blood sugar meters give error signs in the middle of the nigth but I remember when you had to read the test strip against a colour strip at 4am - it wasn't actually that long ago so we have to be garteful for what we got?
Are you a pump user? What's your experience?
 
Thank you everyone and welcome Liam. Well I can't say that it was fun yesterday afternoon/evenafter it everything eventually improved after changing the cannula and priming the tube and a full set change - I managed to go to bed on a reassuring 11. I woke at 3am at 11 and the recommended correction brought me down to a lovely 4.4. Thanks to all of you I won't panic if these problems happen again🙂
 
Thank you everyone and welcome Liam. Well I can't say that it was fun yesterday afternoon/evenafter it everything eventually improved after changing the cannula and priming the tube and a full set change - I managed to go to bed on a reassuring 11. I woke at 3am at 11 and the recommended correction brought me down to a lovely 4.4. Thanks to all of you I won't panic if these problems happen again🙂

I think you've done terrifically well Amanda, and it's really lovely to see how helpful forum members can be in these situations 🙂
 
Thank you everyone and welcome Liam. Well I can't say that it was fun yesterday afternoon/evenafter it everything eventually improved after changing the cannula and priming the tube and a full set change - I managed to go to bed on a reassuring 11. I woke at 3am at 11 and the recommended correction brought me down to a lovely 4.4. Thanks to all of you I won't panic if these problems happen again🙂

Hi Amanda, glad to hear you are ok now. It's normal to panic the first time it happens :D

Earlier this year my pump started to alarm very loudly and persistently in Boots of all places.
Panic set in as I'd never had an alarm like that before (been on the pump over 4 years 🙄) Pharmacist was having fits of giggles over it and the look on my face.
She very kindly showed me to a private room to sort it out as cannula was on lower thigh and I needed disconnect and reprim the pump plus change the battery. I could laugh afterwards but not at the time. 🙂
 
Hi Bev

I am back using the pump now. Yes its been tough at times and to be honest there were times where I literally wanted to throw the thing out the window!! I have a good team and actually tell them what I think the problem is and it ususally ends up being that what I say!! My nurse says I could work for a pump cpmpany as I know the pitfalls but then they might not want to hear them? I have tried 3 pumps including a patch pump but it either fell off or had delivery problems. I am back to a medtronic as this is the most reliable apart from not being water proof but unless you get in the shower with trunk shorts on where would you put a water proof pump anyway?! I have extreme insulin sensitivity which menas even 0.1 unit error could mean 30 or hypo it is as simple as that and as such pump therpay is the best option but bad days are a fact of life that I have gradually accepted but everyday gets better. Being realsitic is what keeps you safe on a pump. I don;t think that education necessarily comes into it as I think that most people who 'fail'on a pump fail because they have unrealistic expectations that are fuelled by miracle claims by companies and the lucky diabetics who do have over night success (and they are right to celebrate who wouldn't?)
Many clinics now advocate the use of pen injections after 1 high BS reading and this is a reality for some people who like me have diffiuclties that the pump can't always handle. This doesn't mean the pump is negative rather its just not totally reliable in every situation. To be honest since I have listened to my body, my readings and my instincts about what the pump can and can't do my diabetes and life has been much improved. My consultant has a saying - 'it might be unusual but if it works for you it works for you' and this is what I would say to anyone about a pump. I have to have 4 times my usual basal between 5am and 9 am and this goes against theory but it works for me. I also have to count fat and protein as well as carbs because if I eat cheese my BS goes up - now in Poland diabetes doctors tell diabetics to count cheese so although it may be against protocol in the UK its not necessarily as mad as it sounds! I test my BS 8 times daily and adjust as needed - no 2 days are ever the same and this is why patterns don;t always work either. I have had diabetes for 28 years since childhood and this is the best solution I have had so far. Its not perfect but life never is and you have to make the best of what you have. We hate Lantus when we get on a pump but I remember Lantus being a miracle compared to the insulins we had, and we may hate it when blood sugar meters give error signs in the middle of the nigth but I remember when you had to read the test strip against a colour strip at 4am - it wasn't actually that long ago so we have to be garteful for what we got?
Are you a pump user? What's your experience?

Hello Liam,
a big welcome to the forum. Sounds as if you have had an eventful journey with your diabetes.
I find it interesting you have to count fats and protiens as well as carbs.
Like you I have to do this as well.
Just a tip for you, it's very rarely the pump that's at fault it's 99% of the time user error or cannula problem. If you are getting blood sugars that do not corrispond with your normal control and you have basal tested correctly then look to your cannula. More often than not it's a cannula problem as in wrong length type or angle.
 
So pleased things settled for you Amanda.

Once thing did cross my mind when you mentioned about 'no insulin coming out of the tubing' which I don't think anyone has suggested...

When I moved onto a pump I was using Humalog (I'd switched from NovoRapid to be able to use the only available pen with a dose memory at the time). The pump nurse told me they were moving me back to NovoRapid in a pump as Humalog "had a bit of a reputation for crystallising in pump tubing". I was a little concerned about switching back as I'd got used to Humalog in the meantime, but the nurse suggested that since everything was different on a pump anyway this was a good time to switch.

I know several people do pump Humalog successfully, but when she mentioned the crystallising I did have a bit of a look around and found there were mentions to it on various forums.

Might be worth bearing in mind/asking about if you have any more similar issues over the next 6-8 months?
 
Hi Mike thanks for that very good suggestion, it's amazing me how many things that have to be thought about with a pump. Sue I don't know what to say about what happened to you but that sounds like a panic, I hadn't thought about having spare batteries with me all the time until they stopped on my remote yesterday.
 
So pleased things settled for you Amanda.

Once thing did cross my mind when you mentioned about 'no insulin coming out of the tubing' which I don't think anyone has suggested...

When I moved onto a pump I was using Humalog (I'd switched from NovoRapid to be able to use the only available pen with a dose memory at the time). The pump nurse told me they were moving me back to NovoRapid in a pump as Humalog "had a bit of a reputation for crystallising in pump tubing". I was a little concerned about switching back as I'd got used to Humalog in the meantime, but the nurse suggested that since everything was different on a pump anyway this was a good time to switch.

I know several people do pump Humalog successfully, but when she mentioned the crystallising I did have a bit of a look around and found there were mentions to it on various forums.

Might be worth bearing in mind/asking about if you have any more similar issues over the next 6-8 months?

From reading posts over the years in this case I suspect bubbles were the problem some but not all pumpers using the combo have a problem with them. I came to the conclusion a long time ago that there was a design fault with the cartridge or way of filling the cartridge.

If Amanda runs her tubing over a dark background she should be able to see any bubbles and just prime them out. 🙂
 
Hello Liam,
a big welcome to the forum. Sounds as if you have had an eventful journey with your diabetes.
I find it interesting you have to count fats and protiens as well as carbs.
Like you I have to do this as well.
Just a tip for you, it's very rarely the pump that's at fault it's 99% of the time user error or cannula problem. If you are getting blood sugars that do not corrispond with your normal control and you have basal tested correctly then look to your cannula. More often than not it's a cannula problem as in wrong length type or angle.

Hi Sue

Thanks for the welcome - it looks like a great place for support and encouragment of which we both need lots of both!! Yes I have had an eventful journey with diabetes but it does get better because your ability to cope improves. Its funny what you say about the pump canular etc as my DN has concluded I need to change sets now every 2 days not 3 which is now something that is being recommended by consultants for some people. My consultant is fab but said to me recently - 'we struggle with about 10% of people like you on pumps because of how little insulin you need because this makes it so difficult to cope with any error.' My DN confirmed that most of the children she has worked with take more insulin than I do!! The clinic I use is great because I guess other clinics would have given up and said the pump doesn't work for you but mine has let me try 3 different pumps with no hassle. I have gone from nightly hypos, DVLA saying I couldn't drive etc to HbA1c of 8 (I have had 11 before now) so you have to have perspective about things. I can cope with the odd day where the pump has a bad hair day by remembering how well it does most of the time. Thanks again for your guidance its much appreciated.
 
Thank you everyone and welcome Liam. Well I can't say that it was fun yesterday afternoon/evenafter it everything eventually improved after changing the cannula and priming the tube and a full set change - I managed to go to bed on a reassuring 11. I woke at 3am at 11 and the recommended correction brought me down to a lovely 4.4. Thanks to all of you I won't panic if these problems happen again🙂

Hi

Thanks for the welcome and glad it came good in the end.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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