Insulin pumps and cgm's

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Insulin pumps and cgm's


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Old 04-18-2013, 20:43   #1
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Default Insulin pumps and cgm's

My Endo has recently brought up the idea of going to a pump and I just want to get y'all's opinion on them and cgms. What pump do you use and why do you like it? How is the pick in comparison to the needle pick in insulin pens?

On cgms do you keep that on you like the pump? Or is it a temporary thing? Does it replace finger pricking? How do they work exactly.

Thanks for you for your input.

Jj

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Old 04-19-2013, 05:04   #2
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I use the Animas Ping Pump and I like it quite well. The meter uses One Touch Ultra Strips, and the meter and the pump communicate by remote control. You can check your blood sugar, and if a correction is needed, or you are going to eat and want to bolus for carbs, you can do it right from the meter without having to mess around with taking the pump out and doing it. Also has some other really nice features that I felt were great for me.

As far as CGM's, I had one for approximately 4 days in order to find out when my blood sugar rises during the night because of dawn phenomenon, but yes they stay on all the time and you don't necessarily have to prick your fingers for testing. You can also have a CGM that sends the reading directly to your pump or meter. All very electronic. I do not have a CGM, but I might look into it.

There are many different pumps and CGM's out there, and they all have their own special features. Do a search and compare. That is the only way you will know for sure which one will fit your lifestyle and work for you.

Good Luck.

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Old 04-19-2013, 09:31   #3
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JJ, I'm using an Omnipod pump which has no tubing. The entire pump mechanism and there-day supply of insulin are contained in a small pod attached to my body. That's controlled by a mobile phone size unit that doubles as a glucometer.

The only pump I know of that has a CGM connection built-in is Medtronics, otherwise you'll have another phone-size box to carry. With any CGM, you'll have another sensor stuck on you. The CGM detects trends not so much specific readings so it will alert you to impending hypos if, for example, you're asleep or driving and don't notice.

Keep us posted on your decision, if you would be so kind.

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Old 04-19-2013, 10:58   #4
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I'm seriously considering the Omnipod. How is that working out for you? Does it stay on or is it easy to come off? How about the auto injection of the cannula? How much does it hurt in comparison to the injections

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Old 04-19-2013, 15:08   #5
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Quote:
Originally Posted by JJDax View Post
I'm seriously considering the Omnipod. How is that working out for you? Does it stay on or is it easy to come off? How about the auto injection of the cannula? How much does it hurt in comparison to the injections
I have the Omnipod. I don't think the prick hurts. Plus with that it is 1 prick every 3 days vs. 8 per day (for me) with insulin pens.

I have a Dexcomm 7 cgm. The sensors are worn for 7 days at a time. It does not replace pricking your finger to bolus etc. i still check my BS 7-10 times per day. The CGM can have a lag time of 5-10 minutes on your actual reading. At the very least you must prick your finger every 12 hrs to calibrate it. I wouldn't trust it to bolus insulin. It can help with trending such as going up slowly, quickly etc. same for dropping. It will alarm if you go low in the night and is great for getting your basal rates set correctly. It is very small compared to the pump and is worn on the abdomen.

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Old 04-20-2013, 09:19   #6
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I like the freedom of the tubeless Omnipod. The cannula prick can be startling at first, but not painful

It's soooo much easier to give bolus and calculations much more accurate.

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Old 06-12-2013, 03:55   #7
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Hi y'all long time no see... Well I went to my pump class today thinking one thing and coming out thinking a lot more things. I'm am stuck between two different pumps. The Omnipod and the Animas Ping. Right now I have the Omnipod sample on. It's not the saline vs. it's just a pod to stick on my body to get a feel for how it feels. And to be honest I'm surprised that I literally forgot I had put it on not long after doing so.

I like the idea of the Animas Ping because I am going to try and get the Dexicom (sp?) CGM and the two companies are in a working relationship....my main concern with the Ping is sleeping. Does the tubing become an issue? Also the infusion site and injecting of the canal...Seemed a little cumbersome....I like that you don't even see the needle on the OmniPod.

Feedback is welcome! Also just a sidebar...my mom is worried about the pump malfunctioning and emptying all of the insulin into my body all at once...has anyone heard of that happening?

Thanks,

Jj

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Old 06-12-2013, 15:26   #8
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The pumps are made with alarms and such to not allow "dumping" of all the insulin in the cartridge. Please go to the websites for the pumps you are considering and have your Mom watch the demo's.

I have an Animas Ping and I love it. I do not find it cumbersome...I sleep quite well with the pump and tubing and all, and I usually don't even feel it at all unless I walk into something and accidentally tug on my tubing. You will experience a few times of catching the tubing and ripping the infusion site cannula out, but then you learn. I would imagine a tubeless infusion site would be nice, but the Ping is what I chose.

Good Luck with it all. I love my pump. It has helped me to gain better control of my blood sugars.

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Old 08-22-2013, 03:06   #9
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I absolutely love the CGM component of my Medtronic pump. It can be temporary but I wear mine 24/7. It keeps my control large margins better than it otherwise would be although the sensors are costly which can be hard. My husband and I want to have a baby so we are being particularly sensitive to keeping sugars well controlled and the CGM helps me do that.

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Old 08-22-2013, 08:57   #10
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I started on a Medtronic August 1st & cgm on the 13th stopped them on the 20th.
The pump was ok but I found the cgm to be unreliable @ night, it lost the sensor a few times & had a lot of weak signal notifications.
The reason I went with the Medtronic was because of the free upgrade when the new one with the suspend feature when it gets FDA approval but no sense if I can't rely on it.
I'm going to call Animals because their next generation pump has cgm with dexcom sensors but was only submitted to the FDA in the spring.

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