Author Topic: I could cry sometimes!  (Read 2088 times)

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Offline Liam

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Re: I could cry sometimes!
« Reply #30 on: 30 November 2016, 02:30:33 PM »
I now my nurse said when my pump was up for renewal that they'd likely have the new generation of pumps out. I'd be looking to have a 3ml / 300u pump if I could (even 250 might be okay) I often run out of insulin in my Vibe at 2.5 days rather than 3.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: I could cry sometimes!
« Reply #31 on: 30 November 2016, 03:42:28 PM »
It will be interesting to see if the new version of the Animas has a handset.  I have decided over the 3 years I have had my Combo that I could not live without a handset on certain occasions e.g. when dressed in a dress and the pump is residing in my bra (usually at formal occasions).  Though I would like the waterproof feature.

Christine I did a report on my Libre trials here http://diabetes-support.org.uk/diabetes_forum/index.php/topic,6915.msg102024.html#msg102024
and here http://diabetes-support.org.uk/diabetes_forum/index.php/topic,6929.msg102709.html#msg102709
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: I could cry sometimes!
« Reply #32 on: 30 November 2016, 11:42:03 PM »
Yup Patti - I'd sorely miss the handset as a remote control - and I'd get annoyed having to test my blood and then put the meter aside and tell the pump what the result was searately,  in order to enter the carbs, calculate and deliver the bolus, instead of it just being a 'one stop shop'.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline everydayupsanddowns

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Re: I could cry sometimes!
« Reply #33 on: 01 December 2016, 08:22:38 AM »
It will be interesting to see if the new version of the Animas has a handset.  I have decided over the 3 years I have had my Combo that I could not live without a handset on certain occasions e.g. when dressed in a dress and the pump is residing in my bra (usually at formal occasions).  Though I would like the waterproof feature.

MM640G is waterproof and has limited bolus ability from the paired BG meter (Contour Next Link 2.4). It's not a full remote, lacks a bolus wizard, but you can deliver straight boluses as needed and/or predefined fancy boluses. Might be just enough for occasional handset use when dressed up smart (those occasions always involve more finger-in-the-air guessed boluses for me!), but certainly not up to what you are used to I would think.

Omnipod has a full remote of course, though I have heard eyebrow-raising things about dose variability that put me off those (let alone that I don't fance the size of the pod itself.

Cell Novo and Kaleido are semi-tubeless so have full remotes, but I'm not sure if they seem like the best of both worlds or a clunky compromise and worst of both to me!

As you say... it will be interesting to see what the new Animas (2017-2018??) and/or MM670G bring to the party when they finally arrive. I wouldn't hold my breath for full remote on either though, as a hunch.
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline everydayupsanddowns

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Re: I could cry sometimes!
« Reply #34 on: 01 December 2016, 08:25:21 AM »
Yup Patti - I'd sorely miss the handset as a remote control - and I'd get annoyed having to test my blood and then put the meter aside and tell the pump what the result was searately,  in order to enter the carbs, calculate and deliver the bolus, instead of it just being a 'one stop shop'.

That's what I like about the paired meters on Medtronic. Test BG, and by the time you've got the pump in your hand the BG has already been transmitted over and the pump is prompting with a "do you want to bolus?" screen ready and waiting
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline Pattidevans

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Re: I could cry sometimes!
« Reply #35 on: 01 December 2016, 01:34:55 PM »
I think my choice for the next pump is Animas or Medtronic.  The hospital has apparently done bulk purchase deals with Medtronic and Animas.  I am due a replacement a year last month... so I guess I'll be offered the older Medtronic from what you say Mike.  Which means I suppose that whichever I choose I will have to fish the pump out of my bra on occasions.  I'm currently sitting in a public place wearing a pair of trousers and jacket, neither of which have pockets so pumpy is once again parked in my undies....grrrr....


However I have a bright idea for pocketless trousers.  I will make a pouch from something washable, like a hanky, and pin it (or sew some velcro)on to the inside of my trouser waistband so the pump sits in the same place as it would in a pocket, rather than clipped on the waistband where it inevitably falls off every time I bend over, and also makes a bulky lump in clothes.


So does the Medtronic have full bolus calculation facility on the actual pump Mike?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline everydayupsanddowns

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Re: I could cry sometimes!
« Reply #36 on: 01 December 2016, 03:18:03 PM »
So does the Medtronic have full bolus calculation facility on the actual pump Mike?

Yes it does. And if you were eating out and guesstimating doses I would think the remote bolus would be absolutely fine in a "Well this is probably somewhere between 40 and 50g CHO and even though my usual ratio is 1:11 I'll just guess at 4.4 u for now and see how it goes" kinda way.

And you never know the new Animas may well be out by then and could offer a remote. Not heard that as a rumour, but neither have I heard that it def isn't (though having said that the Vibe has no paired meter at all).
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline sedge

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Re: I could cry sometimes!
« Reply #37 on: 01 December 2016, 05:20:54 PM »
Is this right - that even though the handset/meter has calculated it and told the pump - you STILL have to fish the pump out from wherever to say YES!  ?   :eek:

Patti - I quite regularly use the bra pouch attached to the waistband so only the Perspex clip is outwardly visible but since the colour of the garment shows through it is very nearly invisible - in EXACTLY those circumstances.  Yes it takes some fishing out if ever you need to - but with the Combo or the Insight - we don't ever need to !  I do not possess eg leggings with such a flimsy structure that the pump is too heavy - and of course the Insight is a deal less chunky than the Combo.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline everydayupsanddowns

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Re: I could cry sometimes!
« Reply #38 on: 02 December 2016, 11:04:08 AM »
Is this right - that even though the handset/meter has calculated it and told the pump - you STILL have to fish the pump out from wherever to say YES!  ?   :eek:

No, sorry Sedge... I have confused you!!

On the MM640G you have two options (well... two and a half, but first things first).

Option 1 - Standard bolus wizard option on pump
Test BG with paired NextLink meter*. BG is automatically transmitted to pump which offers a 'Do you want to bolus' screen. By the time you've put the meter back on the table and unclipped the pump it's ready. Add carbs, press OK choose if you want standard or dual/square (if enabled) and Bob's your uncle.
* You don't have to use the Contour meter. You can manually input BG values from any other meter, inc Libre if you want to, on the first screen of the bolus wizard. This is particularly useful if wanting to use a calculated/iob aware correction from Libre (or if you simply prefer another meter).

Option 2 - Direct bolus from meter (no wizard)
If your pump is buried within clothing and you don't want to fish it out - eg fancy frock event - you can test BG, guess carbs, work out approx dose in your head, then choose 'Bolus' on the meter and deliver a straight bolus of whatever units you want.

Option 2a - Fancy bolus from meter (no wizard)
The direct bolus (variable units) is all delivered in one go. If you want a dual/square style fancy bolus you have the option of setting up to 5 presets in the pump than can be selected and delivered from the meter without fishing the pump itself out from within clothing. Presets include the amount of insulin as well as the distribution and length of the fancy bolus. Sadly for me this makes them rather less useful. I'd prefer it if I could set up a 60:40 2 hour pattern and then choose the number of units at the time, but the way the system works for fancy boluses is you have to know it's 6u (or whatever).

As a result if I were ever spending a day in a suit of armour etc and needed to use the BG meter to bolus I'd probably just use a sequence of simple boluses rather than faff about with DW/SW. After all, for those kind of events I'm usually making wild guesses about food/doses anyway so the precision of the wizard becomes less important.

I can see that if you regularly wear the pump somewhere inaccessible then these probably aren't enough, but I'm more than happy to have them as options as Threepio is always hanging on my belt and easy to get to.

Hope that explains it a little better?
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline Pattidevans

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Re: I could cry sometimes!
« Reply #39 on: 03 December 2016, 08:23:20 PM »
Well sorry, I have got confused now.  I don't need a calculator to calculate 1u:6g but what I rely on (and I suppose have got lazy about) is the fact that pumpy (through the handset) calculates for me any IOB and takes into account current BG and factors in any corrections and adds/subtracts from my dose.  That I cannot do in my head!  So does the Medtronic pump do that for you Mike?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline Lucy

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Re: I could cry sometimes!
« Reply #40 on: 03 December 2016, 08:59:39 PM »
Isnt that only for correction doses that iob is important patti? If you were about to eat and bg was in range and you guessed the carbs as 30g couldnt you just bolus 5u for it without worrying about iob / correction doses, or just by going oh i'm 5.0 and that correction dose wont have finished yet i'll round my carb guess down a bit? Obviously its not as accurate a dose but given its guessed food in mikes scenarios anyway does it make much diffrence?
Type: Lucy. A1C 44 / 6.0% Jan17.
Lantus, Victoza and Apidra. Metformin XR, Bisoprolol (for SVT). Dexcom G4 with xdrip and nightscout.

Offline Liam

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Re: I could cry sometimes!
« Reply #41 on: 03 December 2016, 10:19:37 PM »
You know without checking my pump and don't even remember my ratios? I guess things would really need to be wrong with the pump without me being able to at least check that. I could always login to diasend too on my phone to check.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline GrammaBear

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Re: I could cry sometimes!
« Reply #42 on: 04 December 2016, 04:44:09 AM »
sedge -

Could you tell me where you purchased the bra pouch you mentioned in your earlier post?  I have several pair of trousers that have no pockets and this 'bra pouch' sounds downright handy.

tia
Type 1
Tandem Tslim pump Oct 2015
Dexcom G4 CGM Sep 2007
A1C 6.5%~ Sep 2017

Offline Pattidevans

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Re: I could cry sometimes!
« Reply #43 on: 04 December 2016, 11:21:46 AM »
Isnt that only for correction doses that iob is important patti? If you were about to eat and bg was in range and you guessed the carbs as 30g couldnt you just bolus 5u for it without worrying about iob / correction doses, or just by going oh i'm 5.0 and that correction dose wont have finished yet i'll round my carb guess down a bit? Obviously its not as accurate a dose but given its guessed food in mikes scenarios anyway does it make much diffrence?


Well yes, of course, if you re totally unsure of the actual carb count then anything is a guess isn't it.  But the point is, I have a pump that does all that for me now, why would I want to go backwards and have one that doesn't?  Also the point is that when out and about - or even at home you can often know the exact carb count of something if it's out of a packet and don't forget the pump delivers doses in 0.1 of a unit and the whole idea of that is to be spot on accurate, not like delivering a dose from a pen where it's only a whole or at best a half unit.



Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline Liam

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Re: I could cry sometimes!
« Reply #44 on: 04 December 2016, 02:20:05 PM »
sedge -

Could you tell me where you purchased the bra pouch you mentioned in your earlier post?  I have several pair of trousers that have no pockets and this 'bra pouch' sounds downright handy.

tia

Hopefully Sedge will get back to you but I'd guess the pump rep might have given it to her or left some at her clinic. You can buy loads of different ones for the vibe (well I can in the UK but you need to have a Vibe and NHS funding to even get into their site over here) 
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg