Monday, February 17, 2014

untethered

Toward the end of the soccer season last year, L participated in several weekend-long soccer tournaments. It was very difficult to keep her BG in range due to the extended periods she would have her pump disconnected. Her awesome NP suggested she go on Lantus during the tournaments. This made things much better BG-wise, and L got to experience a mini pump break (though obviously she still used it to deliver insulin for her food).

Perhaps because of this brush with a pump-free life (or not) (I mean I don't know) (she is a teenager after all), L recently decided that she would like to take a break from her pump. She's been using the same one for nearly four years and we've been discussing switching to a t:slim when her warranty expires this spring. So before we pursue that, we're gonna kick it old school for a while.

I vaguely remember how tricky it was to transition from shots to the pump, and I imagine switching in the other direction will present some challenges as well. Have any of y'all gone from pump to shots? Do you have any awesome tips for us? The main thing I was worried about was having to do all those calculations again but lucky for me, they now have an app for that!

[Insert photo of L triumphantly removing her infusion site, for the last time for a while.]

[Unfortunately, I didn't actually snap such a photo.]

[So here is a picture of my cat instead.]




7 comments:

  1. Whew!
    I haven't been off my pump since the NPH days. I have never actually taken Lantus or Levemir (knock on wood!).
    Good luck!

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  2. I look forward to your update! We've never taken a break, although I've always assumed one of the boys would request one. Still waiting... Wishing you the best of luck!

    And apps? Holla!

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  3. Our DD is taking a break right now. The Lantus matched precisely to her total basal. However, I am noticing Lantus only works 22 hours (as it had when she was first diagnosed years ago). Hoping we don't have to split the dose. Basically have no choice but to use the overnight basal rate and adjust the rest. She is not one flat rate all day and night but since she is fully grown it is possible. I wouldn't have liked to try this during her early teen years. I have just been correcting the high blood sugars a few hours after the Lantus shot.

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  4. hello anon!

    we've never had to split the dose of lantus and after about 4 months on shots things are going very smoothly. sounds like your strategy is working well for you all. thanks for the comment!

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  5. We had to do this recently. B's pump broke. He was back on Lantus for about 2 or 3 days while we waited for the new pump to arrive.

    He liked it. A lot. I hope he forgets how awesome it was because I thought it was wretched. It was wretched because we still had the Dexcom so we could see every bit of badness unfold.

    So...how's it going?

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  6. Also: when I met the girl in this blog she was a tester for the Tslim! She was wearing two pumps! She is one of the people who made the TSlim even happen at all.

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  7. Just stopping by again to say: There is NO comparison between the pump and MDI, though her A1c only went up a slight amount. She just had spinal surgery to remove a hybrid rod (her back is straight now). We put pump on two days before and she is still on the pump today and will be for the rest of the week. We had temp basals of 100 plus percent plus corrections and she did stay under 200 (was scared to be more aggressive). This would have been a nightmare on MDI. I'm hoping she will be intrigued by the OmniPod eventually. She likes being free of mechanical devices and it's her body, her choice. She is not fazed by the five to six shots a day in the least..... unfortunately. She loves MDI. Maybe she can try Afrezza after some of the adults report on their experiences using it and it proves to be safe. I believe it will be safe and this will speed up corrections and take care of high postprandials.

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