Author Topic: I could cry sometimes!  (Read 2087 times)

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Offline everydayupsanddowns

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Re: I could cry sometimes!
« Reply #45 on: 05 December 2016, 10:11:18 AM »
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?

Yes of course! All that is on the pump with the bolus wizard, but not on the comparatively meagre BG meter remote bolus facility. Which is what I was trying to explain (apparently in a very confusing way!!). The bolus wizard is fully functioning and very configurable on both Roche and Medtronic pumps. There are a handful of differences in terminology etc but they work very similarly. The main difference is that Roche allow you to do that ALL on the handset if you want to, whereas for Medtronic the remote bolus is more 'special occasion' and you primarily use the pump itself.

If you had to move from Roche to Medtronic, Patti, the biggest differences you'd need to get used to (as far as wizards are concerned) would be the following I would think:

1. Roche wizard allows you to set a range and aims to get you to the midpoint of what you set by adding or removing insulin according to BG. Medtronic wizards do exactly the same except that they would correct up the the bottom number of the range and down to the top number of the range. You can use this to advantage if you are cautious about corrections by setting a narrow range (say 5.5 to 7.0) and let the pump allow you to run at the edges of that rather than risking overshooting in either direction. Personally though I just prefer the Roche way so I set a single midpoint target (eg 6.0-6.0) and allow corrections to draw me towards that. You can have different target ranges for different times of day, of course.
2. Assuming the Roche bolus wizard is still like it was on the Expert... Medtronic don't have 'health event' modifiers for boluses. That thing where you can apply 'illness' or 'exercise' to a bolus to increase or decrease it by a percentage. I always found it handy on the Expert, but it's not on Medtronic. You can have as many bolus ratios though the day as you like, of course, but there's no way of automatically doing that handy 20% reduction in meal bolus because you are off out for a long walk in the afternoon (or whatever).
3. The way 'active insulin' is displayed is different. The way the calculation works is very similar, but the way the numbers are display is different. Roche only tracks/displays active *correction* (at least it did on the Expert), but the Medtronic tracks the full dose. Both wizards ignore insulin previously set against carbs when calculating future boluses, so there's no real difference in practical terms, but you'd need to get used to 'active insulin' looking like a much higher number after meals.
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 #46 on: 05 December 2016, 02:26:43 PM »
Quote
Yes of course! All that is on the pump with the bolus wizard, but not on the comparatively meagre BG meter remote bolus facility. Which is what I was trying to explain (apparently in a very confusing way!!). The bolus wizard is fully functioning and very configurable on both Roche and Medtronic pumps. There are a handful of differences in terminology etc but they work very similarly. The main difference is that Roche allow you to do that ALL on the handset if you want to, whereas for Medtronic the remote bolus is more 'special occasion' and you primarily use the pump itself.

No MIke, it was me being dim!  Evidently Lucy got it first time.  Thanks for explaining again!

I shouldn't miss the health bolus function as I don't think I have ever used it.  I tend to use a TBR instead.

I'd definitely have to watch the IOB function.  At first I hated the way Roche do it, but I've got used to it now.
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 #47 on: 05 December 2016, 02:43:23 PM »
Bra pouches available to purchase from the Roche pump website - in the UK.   https://www.accu-chek.co.uk/gb/pumptherapy/insight-pump-cases-underclothing.html#top


No idea about the States Kathy.
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 Pattidevans

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Re: I could cry sometimes!
« Reply #48 on: 05 December 2016, 02:57:14 PM »
Kathy

Just try googling "Bra pouches for X variety insulin pump" X variety being whatever your pump is.  I came up with a number of them, some on Amazon.

I just stuff mine into the cleavage under the bra.
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 #49 on: 05 December 2016, 02:58:53 PM »
I guess it depends on how 'ample' a cleavage you have if you can get away with that or not :)
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 #50 on: 05 December 2016, 03:10:40 PM »
I think the answer to that is "ample enough" Liam!
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 #51 on: 05 December 2016, 06:59:26 PM »
.... and as Patti also knows - I can't !  LOL

Both my sis and my mum could have done - I'm more me dad's side of the family-shaped.
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 Liam

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Re: I could cry sometimes!
« Reply #52 on: 05 December 2016, 07:06:20 PM »
The sad thing is my cleavage is more than ample. Time to diet and hit the gym in the new year.
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 #53 on: 06 December 2016, 10:47:24 PM »
Kathy

Just try googling "Bra pouches for X variety insulin pump" X variety being whatever your pump is.  I came up with a number of them, some on Amazon.

I just stuff mine into the cleavage under the bra.

Thank you Patti & Sedge.  I don't know why these bra pouches are not used more often here.  I found one that has snaps on the pouch and you can put it on the bra strap - which may or may not work better during the cold winter months because one has more layers of clothing.  The 'google' search was most helpful.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G4 CGM Sep 2007
A1C 6.5%~ Sep 2017