Hi caddiecat. While it takes a while (a month or so) to get your settings right, learning to actually use the pump is a no brainer. If you can use a bank machine, you can use a pump. In the meantime, a small investment in some books might help you. "Think Like a Pancreas" is great and so is "Using Insulin". If you do decide to pump, the book "Pumping Insulin" is also a big help.
If you don't mind my asking, what are your numbers running? Everyone's concept of "shooting up" is different. Especially if you read a lot of posts from type 2s (no offense folks). Some I have seen get hysterical if they go over 140. To a type 1 on insulin, you can't expect that sort of control.
And yes, no matter what age you are, you want the best control possible in order to live your life to the fullest. Best of luck and feel free to ask me questions.
I agree with Dave. She needs to see a doctor. It appears she does have a glucose problem but it could be either type 1 or type 2. Obviously in the early stages if her a1c is normal. More testing needs to be done and a specialist is in order.
Luckylyn, not all diabetics are created equal. Many believe that Type 2 is actual a spectrum of disorders. If you have found something that works for you, great! But don't expect everyone to be identical. Many have different levels of beta cell function and have other medical conditions. There is no such thing as a one-size-fits-all treatment regime for diabetes.
And almost 40 pounds in 80 days?Many medical professionals would not consider that either safe, or sustainable for the long term. Best of luck maintaining it.
Lynn, how often you are recommended to change out the CGM varies with manufacturer. I believe Medtronic suggests about every 4 - 5 days (that may have changed as it was a downer for many) but Dexcom users often get about 2 weeks out of it.
And while the cgm can be useful, I am one of those that had a bad experience. My meter was always within 2 - 3% of the lab value and my cgm was off from my meter by about 30%. So I ended up testing more often. And they still recommend that you not correction dose based on the cgm.
Sorry, I've forgotten. What type of D do you have?
Hi Mulberry. I don't mind questions at all. First, I have to tell you that transplants are not a cure. They are (always) another form of treatment. Eventually they fail. But in the meantime, I have been insulin free since April 27, 2008. For the month prior to that, all I was taking was about 6 units of lantus per day. That was basically to rest the new organ. Since then, my highest a1c has been 5.4% and my blood sugars are incredibly stable. It's fantastic!
So, on to your questions. My a1c did drop from mid 7s to mid 6s. I was happy with that. I could have gotten it lower, but it would have taken a level of obsession that I wasn't willing to put in. Granted, you do have to put the work in. Basal testing takes some time, and also some deprivation. Skipping meals and also on some nights, getting up every hour or so to check your blood sugars. I would highly recommend the book "Pumping Insulin". It's a terrific guide and you might even be able to take it out of your local library or buy a used copy on Amazon.
As for helping with vision, any betterment of control will help. Just don't do it too fast because your eyes don't like that.
Also, don't expect instant results. It takes some time to figure out all your basals and once those are set, you then need to figure out your insulin to carb ratios, as those can be different at different times of day too. I found that my control improved significantly and I was happy/comfortable with my pump by about the 4 - 6 week mark. Not a long time in the big scheme of things.
Hi there. I pumped for 5 years before my pancreas transplant. I didn't want to really (hated the thought of being connected to something) but wanted the best control possible for my kidney transplant.
First off, I will warn you that pumping is a LOT of work. You really do need to test 8 - 10 times per day. At least most of the time. But the freedom and flexibility is awesome. While many get better control, it's not a guarantee.
The pros: For me, the microdosing was fantastic. I was very insulin sensitive. Also, you can fine tune your basal rates to various times of day to combat varying insulin sensitivities and the dawn phenomenon. Most pumps allow about 15 or more different basal rates. You can turn off/dial down your pump for exercise. Sleeping in and not worrying about a morning shot is great. Adding a dessert or snack and simply adding a bit of a bolus without an extra shot is excellent. I went from 4 - 5 shots per day to one every 3 days (insertion). You can skip meals and not have to "feed" any insulin.
Is wearing it a bother? Not any worse than wearing glasses. It takes no time at all to get used to it.
I didn't find any cons. Yes, it is expensive, but the freedom is wonderful. Some folks feel embarrassed wearing it, but I didn't care. I always found a way to incorporate it into my wardrobe and if it was clipped to my belt, most thought it was an electronic device. You do need to rotate sites.
One other downer is that if you have a problem with a site or become disconnected you can go into dka pretty quickly. That's part of why frequent testing is so important. Pump problems are rare though.
Feel free to ask me any more questions. I know I'll think of more reasons why I liked it.
Hi and welcome. I see this is your first post. Maybe you could introduce yourself? I also see from your picture that you are wearing a lab coat and stethoscopy. Are you WebMD staff or specialize in diabetes? Welcome.
Metformin does not work that way. It doesn't lower your blood sugar fast like insulin. it takes time to build up in your system, and once effective it prevents your liver from releasing glucose. While I'm not a doc, I do take a variety of pills for other issues (including transplant) and my directions have always been to simply take my next dose at the appropriate time. That is what I would do with the met.
There haven't been a lot of studies, but I know of a couple of folks who feel like you do. That they have lost function and don't remember as well. I do remember one guy who posted on a number of boards a lot was proud of the fact that he ran very low all the time. His spelling got worse and worse and his coherence decreased significantly too and eventually he stopped posting.
I suspect that damage is as possible from low blood sugar as from high blood sugar.