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Insulin pumps and cgm's

7989 Views 23 Replies 9 Participants Last post by  Tamagno
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.

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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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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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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'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. :)
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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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 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 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?


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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.
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.
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.
I'm using the new Omnipod system and Dexcom CGM.

I really like both and have become particularly addicted to the Dexcom CGM which is usually quite accurate.

Now, when I get in the car, a quick glance at the Dexcom tells me if I'm too low to drive.

Saves a lot of strips and finger pricks!

I found a small canvas bag at Staples made by Targus intended to carry one's iPad that conveniently and compactly contains both Omnipod and Dexcom monitors along with other supplies as well as cell phone and the aforementioned tablet.

An armband I found on-line holds the Dexcom monitor during various physical activities.

The only drawbacks to Dexcom I've found so far are some software OS limitations and difficulty with sensor application. Neither is anywhere near a deal breaker.
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I have had the Dexcom G4 since the end of June and the Animas Ping since the end of August. The Dexcom has helped greatly in alerting me to the lows that I am sometimes unaware. I spent 36 hours in the hospital after seizing from low blood sugar. I use it not as a substitute to the finger sticks but as a monitor on the direction that my blood sugar is heading.

It is true that the Animas Pumps and Dexcom are working together and will be introducing a new Pump later on this year or the beginning of next year depending on the FDA. I am not sure that I would like the all in one unit for the same reason that I do not like DVD/VCR combos. When one craps out . . . .

I have had zero problems sleeping with the Ping Pump or the Dexcom sensor. I sleep in an inside-out pocket t-shirt. I put the pump inside the pocket. The tubing stays under the t-shirt. I am currently alternating between 23in and 43in infusion sets. I actually sleep better now that I am on the pump. I do not go to bed sore from the Lantus and wake up sore from the Lantus.

I thought about the Omnipod, but like the idea of being attached to the pump. The remote is great with the Ping because I got everything on the pump that I can do on the remote except take a blood sugar reading and change the basal rates.
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Ronnie started on the Medtronic pump on Wednesday. The Endo has us sending him BG'S EACH MORNING. Ronnie's bg's are near 200 or higher with one in the. 300's and my son is getting really upset because he told the doc that the blouses and basal rates are to low to start with. We asked the Endo to call us but we made our request over e-mail. We are accustomed to controlling the bg's a Lot closer to 100. What to do??????
I really like pump. It's the cats meow. So much easier to use. Now to get better control of the bg,s
We are trying to get the cgm but the insurance is asking for more justification.
Pumpers are almost always started conservatively to prevent lows since you are now using fast acting exclusively. I too ran higher when I started pumping. It'll get better :)
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If you are able to talk to your endo regularly and he or she can see the readings from the pump and cgm, then let this go for now.

I went from bouncing from extreme highs to extreme lows resulting in seizures when I was taking injections. My first month on the pump I was still running low. My endo team wanted me to be high and then they bring me into the right zone.

Three months after starting the pump, my A1C is 7.1 with a narrower range between my lows and highs. I am now eating much more crappy food (cake, Reese's, Milk Duds, and the like). The difference is now I am using the pump to take the insulin that I need to eat the carbs that all of this represents. I can do it ANY time I want. If I need to correct, I correct. Easy as pie. Speaking of which, I think I will have a piece.

Trust your doctor.

Ride out the highs and life will get much better.
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Unfortunately, the insurance company is holding us up on getting the CGM. They want more justification even though the company is supposed to fully cover the CGM and supplies. I guess since we have kept his BG in control and caught up with his hypoglycemic episodes before he got into trouble, they say it is not medically necessary.
Ronnie hasn't gone over 200 today but it is maddening to see his BGs higher than 150 all day. No lows at all.
Perhaps your endo can help with the insurer?

Some manufacturers don't like users under the age of 18 as well, so if that's the case, so you may need more push from your doc.
Ronnie is 66 but has had a brain hemorrhage so I am his voice. He has expressive aphasia.
I'm so sorry! Such aphasia must be a terrible burden for you both...
We are having some problenscwith the Medtronic, quickest infusion sets. .... we have been pumping 2 weeks. Ronnie's bg's have been high most of the time and we found air in the line yesterday and twice we have found the cannula, out of the injection site.
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