Advantages And Disadvantages Of Pumping Insulin

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Advantages And Disadvantages Of Pumping Insulin


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Old 10-20-2008, 07:59   #1
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Default Advantages And Disadvantages Of Pumping Insulin


Advantages And Disadvantages Of Pumping Insulin

Here are most of the Good and Bad points of pumping Insulin. Keep in mind that ALL of these Pros and Cons will not happen to or for ALL Diabetics. For example: Not ALL Diabetics' Insulin doses will be reduced. Example: Not ALL Diabetics will gain weight. These are generalized Pros and Cons that have the possibility of happening. Some Diabetics say that they have experienced no problems at all, which is Terrific.

PROS:

*Injections Are Less And Easier since they are only applied every 2 or 3 days and the
other doses are push button.
*More flexible sleep/wake/meal times and not having to plan exercise, outings, etc.
*Less problems with health due to better control.
*More freedom with food since it is easier to eat exactly what you want, when you want.
*Insulin Reduction is found by most People.
*No long-acting insulin is used which is a plus.
*Better control for the majority using the pump.
*Suspension of insulin delivery is possible if the Person has bolused too much Insulin.
*Most Dawn Phenomenon Can Be Remedied.
*Hypo Unawareness can be lessened on the pump or reversed for many People.
*A couple of pumps are controlled by remote, not tubing. They also can have the
CGMS/meters attached which are assets.
*Some Diabetics will experience improvement or reversal of some Complications
(depending upon the stage of) due to better and more consistant blood sugars
levels/A1c's.

CONS:

*Increased risk of DKA due to pump malfunction or other problems. Some also suffer
from hypoglycemia due to improper carb counting, incorrect bolusing, etc.
*Unhealthy eating and weight gain can occur due to ease of pump use.
*Some People forget to bolus.
*Painful sites, irritations, infections, poor absorbtion can occur.
*Gushers and bruises occur occasionally.
*With many Diabetics bumps, scar tissue and poor absorption does occur at the site.
*Changing a set is more of a nuisance than syringe injections.
*Pumps, infusion sets, etc. are a bit expensive if the Person does not have coverage.
*More Frequent testing of blood glucose is required.
*A percentage of People carry pump accessories with them plus syringes/pens and
Insulin in case a pump/site problem occurs.
*Some Medical professionals are not informed about pumps and will request that the
Diabetic remove the pump or will do it themselves if the Patient is unconscious or
unable to cooperate.
*A small percentage of Diabetics are not able to stay attached to a pump 24/7.
* The tubing from most pumps can get caught on door/drawer knobs and
other objects. They can become disconnected sometimes when a Person is sleeping,
etc. Tubing can get chewed up by pets. It can also become kinked or an occlusion
may occur so that Insulin cannot be delivered to the Diabetic.
*The outer field of pumps can crack and get wet inside if submersed in water. Screens
can get scratched.
*Some People may disconnect to take a shower/go swimming, etc. and then forget to
reconnect their pump.
*Sometimes blood or bubbles collect in the tubing. That may or may not be a problem.

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Last edited by Terrie; 10-21-2008 at 22:49.
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Old 10-03-2010, 03:04   #2
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Quote:
Originally Posted by Terrie View Post
Hypo Unawareness can be lessened on the pump or reversed for many People.
I wonder how that one works? Can't understand how that could happen. Hypos are super sneaky.

It might not be important anyway. Pumps totally baffle me and seem like the dark ages compared to syringes. I was just going through the info here wondering if I'm missing something important about them. It's like an injection but you just leave the needle in. They are going to have a hard time selling me that.

That reminds me of another part of the post which I already deleted, but I'll just quote it here. '*No long-acting insulin is used which is a plus.'

Compared to leaving something through your skin permanently, I'd say a longer acting insulin is an incredible plus. The pump would be the minus.

Of course there is room for a lot of individual opinions and experiences and I haven't even tried one, so I'm not trying to be a source of info here.

I work weekends and it has been a long day. Think I'm going to change my forum user name to 'baffled' then make friends with , then turn in for the night.

sincerely,
baffled

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Old 10-22-2010, 23:55   #3
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I used a pump for 6 years and had all sorts of pros and cons. the info that Terrie posted is correct, obviouslly there is some room for opinion on some of the points.
the pump is a 24hr worn device, but you can always take it off and go back to needles thats fine.
the hypo awarness thing i got no opinion on that.
the pump can work very well. you do get used to it pritty quick. most people have a cell phone on them everyday and night, so its not to out landish in that regard. having a tube stuck to you is a little different but still really easy.
one problem which is big for me is i have a fairly lean body. i dont got much space. the pump sites leave a bigger damege area then needles do. so i have stopped using it for the time being.
for anyone who is lean be very proper with site changes. you dont want to get resistive areas it will drive you mad.
all in all thou i do recomend it.

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Old 10-23-2010, 01:34   #4
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I respectfully disagree with the hypo unawareness point. I have hypo unawareness and have been on a pump for almost two years - the hypo unawareness has not changed one iota. I believe my problem stems from two sources: 1) chronic high blood glucose levels and 2) side effect of high blood pressure medicine. If my doctor would ever give me a different BP medicine, then maybe my hypo unawareness would get better.......until then.....no such luck.

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Old 10-23-2010, 03:18   #5
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I did MDI for 36 years before I got a pump and the whole time I was on MDI I felt more tied down than I ever have on a pump. I can now eat when I want to eat not when some peaky basal insulin says I need too. I would dread the ever having to go back on MDI. As far as hypounawareness I know mine is never going to come back no matter what I do but thats whole other story all in itself.

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Old 10-23-2010, 15:24   #6
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I told my husband they were going to have to pry my pump out of my cold dead hands

I love the flexibility! I can eat when I want. I can dose for what I eat..not eat to match my dose. If I dont want to eat three meals a day I dont have to...if I just want to graze and have small snacks all day I can do that too. To me...the benefits far outweigh the negatives.

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Currently taking:

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Neurontin 300mg three times a day
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Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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Old 10-24-2010, 00:09   #7
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Good post Pam! I agree with all that you said. I love the fact that we pumpers can schedule varying basal rates throughout the day and night. Doing that completely eliminated my DP problem. How about you?

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Old 10-24-2010, 22:58   #8
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Quote:
Originally Posted by Richard157 View Post
Good post Pam! I agree with all that you said. I love the fact that we pumpers can schedule varying basal rates throughout the day and night. Doing that completely eliminated my DP problem. How about you?
Oh yes, I struggled for years with DP...once I got on the pump and my basal rates sorted out...its gone.

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Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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Old 11-23-2010, 00:08   #9
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Question 2 weeks and counting

Two weeks into the pump we are still tweaking basal rates, sensitivity and carb ratios - all very daunting! My trainer started me off super low as I am highly sensitive to insulin, but it was too low (basal rate 6.5) and I have been experimenting since to reach a workable level. In addition, my BG does not act the same way every day - some days and periods run higher than others. So far I'm finding it challenging and somewhat depressing. DO NOT like being tethered with tubing! How long before we enjoy the 'flexibility' promised? Any other pump newbies out there? How long does it take to get through tweaking?

Please share your stories,

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Old 11-23-2010, 00:28   #10
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Welcome to the active board, Vasuzie . . . you've been a member for a long time without ever posting. Good to hear from you & you have all my best wishes for a smooth transition to your pump.




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