Author Topic: Omnipod or Accu Check  (Read 651 times)

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Offline Wasy1979

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Omnipod or Accu Check
« on: 22 April 2017, 04:38:10 PM »
Hi,

Been given a choice of either an Omnipod or an Accu Check pump.

I do a manual handling job where 10 workings days are all different to each other then repeated.

I understand that the Accucheck pump has more memory settings to set up basal rates as the omnipod has only 7.

I feel the omnipod would be safer as no tubing and won't get caught but wouldn't even cover my work days let alone anything else..

Any advice would be helpful.

Offline Liam

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Re: Omnipod or Accu Check
« Reply #1 on: 22 April 2017, 06:13:27 PM »
I've never used either but having spoken to people that have used the Omnipod it can be fair easy to knock off until you get used to it. That is just with normal use. A lot of people love the Omnipod and get on great with it.

I've not used the Accucheck  but tubing wise they are all pretty much the same. I've pulled out cannulas pretty rarely (and mostly at the start of pump use). It is worth remembering that hardly any tubing is 'out'. I mean normally only a tiny amount is outside of clothes. You could have it totally under too if you used some of the pump holding pouches. Both the Accucheck pumps come with remote control features on a meter, so you wouldn't need to fish the pump out if you had it straped to say your leg or around your neck. 

I'm not sure I totally understand your basal setting question. I mean you'd need to manually pick a 'day' on most pumps. I'm not 100% on all pumps but I have to manually ask mine to change to my 'weekend' basal rates. For things that are unpredictable you would most likely use a temp basal (this changes the amount up or down by a % of your choosing for as long as it is needed) For example I lower my basal rate by 30% when hoovering. 

Hopefully some members that have used the two pumps you have been offered will see this and give you a bit of advice on them. I think you'll love either you get. The freedom a pump gives is a wonderful thing. No more being stuck with what you injected hours ago, everything can be changed.

 
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: Omnipod or Accu Check
« Reply #2 on: 22 April 2017, 07:34:24 PM »
I have only had the Accu-check and the older "combo". Firstly as Liam said, I have hardly ever pulled cannulas out because most tubing is tucked firmly into clothing.  I don't know if the newer Insight pump is different, but I can set up basals which vary from hour to hour or each of 24 hours, but there are only 5 "daily profiles".  I use temporary basal a fair bit for unexpected circumstances.  Like suddenly having a more active afternoon than I had anticipated.


 I've used Libre sensors which are stuck on a bit like an omnipod and not really knocked those off so long as I have been careful of the siting and not put them in a vulnerable place.I know everyone loves their first pump and those who use th Omnipod love it like mad!


Sorry can't be more help but welcome to the forum!
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: Omnipod or Accu Check
« Reply #3 on: 23 April 2017, 11:01:34 AM »
Yup, 5 different daily basal profiles on the Insight too.  I've only ever used 2 !  LOL
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: Omnipod or Accu Check
« Reply #4 on: 24 April 2017, 10:48:41 AM »
5 patterns on Medtronic too - not that it is on offer, but just for others watching.
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: Omnipod or Accu Check
« Reply #5 on: 24 April 2017, 11:45:54 AM »
How do you know you actually need a different basal pattern every single one of those 10 days, if you haven't currently got a pump, to find this out?

I thought a number of things about my basal requirements when I was on MDI, eg I need far less overnight than during the day, since 14u  of Levemir in a morning saw me through till mid evening and a further 4u at 9.30pm saw me safely through the night.

Bollards - I use my highest hourly rate just before midnight, when it DOUBLES !  Goodness knows what the heck my body needs that much insulin for at that time of night - the most energetic thing I usually do about then is walk into the bathroom to use the loo!

You only get to grips with stuff like this once you're pumping and basal testing - and there's a lot of that needs to be done .....
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 Chas C

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Re: Omnipod or Accu Check
« Reply #6 on: 24 April 2017, 03:18:31 PM »
I'm using the Insight, but have also trialled the Omnipod for 3 months.

For me the main issue was I needed a pump with both remote and manual control, as it just makes my life so much easier and also I didn't need to then worry about the handset failing.

I was originally on the Accu-Check Combo and after the trial decided to move to the Insight.

I did have at least two pods that failed to deploy the cannula and knocked one pod off of my arm during the three months, although these were not the deciding factors.

Make a list of what you really need from your pump (from the sounds of it its mostly deployment mechanics) then decide from there.

I undertake a lot of activities wearing my pump, swimming, white water kayaking, caving, climbing and I've never pulled out a cannula by accident.
Type 1 since 1970.
Pumping since Jan 12, using Accu-Check Insight with Novorapid since Jan 16.
CGM since Nov 12, using Dexcom G4 (self funded)
Hba1c: Jan 12 8.4, Apr 12 7.6, Jul 12 7.8, Oct 12 7.8, Dec 12 7.5, Sep 13 7.0, Feb 15 7.0, June 16 6.1

Offline Pattidevans

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Re: Omnipod or Accu Check
« Reply #7 on: 24 April 2017, 03:19:26 PM »
Wasy

Thinking about it I am assuming that you think you will need 10 different basal patterns because your work patterns are different on each of your 10 working days, but actually your basal needs depend more on your body's rhythms and hormonal needs than on your activities for the day... though obviously your activities do have a bearing because more active days will need less basal than more sedentary days.  However, those fluctuations can be managed with temporary basal rates.

For example on Friday I had quite a sedentary day, going out for a meal at lunchtime and sitting around chatting all afternoon and then home and sitting down, the only exercise being a bit of housework in the morning and walking to and from the restaurant.  On Saturday I did a fair bit of walking and on Sunday I went for a long extended walk.   So 3 quite different days, but I still needed more insulin in the morning than in the afternoon/early evening, that didn't change over all the 3 days.  Plus, some times exercise "accumulates" which meant that I needed less on Sunday than I would have on Saturday even for the same amount of walking, but I used a temporary basal reduced to 80% for a few hours on Sunday to cover for the exercise.

I don't know if I've explained this well, if not please ask and I'll try to make it plainer.
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 Wasy1979

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Re: Omnipod or Accu Check
« Reply #8 on: 24 April 2017, 03:54:32 PM »
Thanks for all your responses.

I generally find mondays doesn't have a knock on affect my diabetes too much except for first thing then from Tuesday onwards all the way through sometimes until Saturday afternoon hell breaks loose. Getting more and more hypos due to work. I want to becable tobset it up my basal rates that it feeds less and less as the and week goes on.

I'm eating at work 6 or 7 slices of bread a day and crisps along with up to 2 litres of coke and a couple of bottles of Lucozade with no insulin and i still hypo all day. Its got to the point of no hypo awareness. Evenings are better can carb count 1 unit of novorapid to 35g of carbs which is not a lot considering how many carbs I've eaten but i can still hypo unaware of it. It does depend on what days work it is how much i hypo sometimes it is easier than others.

Maybe I'm expecting too much and trying to get it perfect when with diabetes its not possible.

Offline Pattidevans

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Re: Omnipod or Accu Check
« Reply #9 on: 24 April 2017, 04:26:18 PM »
Wasy

Quote
I'm eating at work 6 or 7 slices of bread a day and crisps along with up to 2 litres of coke and a couple of bottles of Lucozade with no insulin and i still hypo all day. Its got to the point of no hypo awareness. Evenings are better can carb count 1 unit of novorapid to 35g of carbs which is not a lot considering how many carbs I've eaten but i can still hypo unaware of it. It does depend on what days work it is how much i hypo sometimes it is easier than others.
When you say "no insulin" do you mean no rapid acting insulin or no basal either?  I'd be guessing without knowing all the circumstances, but I'd hazard two things, one being too much basal and the other might be that you are going really high after the carbs and then crashing in response.  I can see how difficult it must be though if you have lost hypo awareness.  Have you thought of getting something like the Abbott Libre system which could help no end?
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 Wasy1979

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Re: Omnipod or Accu Check
« Reply #10 on: 24 April 2017, 04:48:03 PM »
Wasy

Quote
I'm eating at work 6 or 7 slices of bread a day and crisps along with up to 2 litres of coke and a couple of bottles of Lucozade with no insulin and i still hypo all day. Its got to the point of no hypo awareness. Evenings are better can carb count 1 unit of novorapid to 35g of carbs which is not a lot considering how many carbs I've eaten but i can still hypo unaware of it. It does depend on what days work it is how much i hypo sometimes it is easier than others.
When you say "no insulin" do you mean no rapid acting insulin or no basal either?  I'd be guessing without knowing all the circumstances, but I'd hazard two things, one being too much basal and the other might be that you are going really high after the carbs and then crashing in response.  I can see how difficult it must be though if you have lost hypo awareness.

I don't take any rapid acting insulin at whatsoever. None fron 5am until about 6.30pm ish.

I have a libre bern using it since september last year it does help a lot.

It is too much basal but as work comes out if me if there's not enough basal my sugar will rise so i need to slowly bring it back in line ans then the next day start over reduce as i start work and when i finish slowly bring it back to normal but less and less basal at work as the week goes on.

Work can affect my diabetes up to about 9 hours after I've finished its only by the time i go to bed it levels out more. I do take less basal during the week than i do weekends but too little and I'll be on correction doses all th cway through to when i start work.


Offline Liam

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Re: Omnipod or Accu Check
« Reply #11 on: 24 April 2017, 05:46:16 PM »
I'm sure a pump will be a huge help. Being able to change right down to say 0.05 an hour means you can hopefully stop the hypos without going too high. You should also be able to tailor your hour rates much closer to your needs than you can with Lantus or Levemir. You can then use temp basal rates to deal with more activity or a hypo. I mean I treat hypos with rapid acting carbs but I also normally use a -50% temp basal for an hour after. 

If you can't get enough basal rates on a pump. Maybe you could have a long minus temp basal each day. So say -10% for 12hrs Monday, -15% Tuesday etc Just picked random numbers for the example but I'm sure you can see how you could do it. I very rarely drink heavily but if I do I set a -50% basal over night to stop the chance of a hypo while drunk. Just an example of when a long temp basal could be used. 
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 sedge

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Re: Omnipod or Accu Check
« Reply #12 on: 24 April 2017, 05:58:03 PM »
Slightly changing the chain, I'm coming back to an Omnipod 'not covering' the 10 days.

No pump covers 10 days though - even if it had 100 different basal rates in its memory - because you are supposed to change the cartridge and tubing every 6 days anyway - although I must admit though I did change the tubing on my Combo every 6, I did often use the same cartridge until it just ran out - bout 10 days.

I use even less insulin now, so the 1.4ml prefilled Novorapid cartridges the Insight uses, last me 5 ish days.  Cannulas only last me two days each - sites go rapidly 'off' (ie stop absorbing properly) after 48 hours - and how long they last you is anyone's guess until you get going - 3 days each is the max anyway - so I use two without tubing then one with, the same as I did with the Combo.

Finally back on the current tack of 'are you sure you need 10 different patterns' - I still say 'No you aren't!' because as I say, you get all sorts of surprises when you are pumping and find out all sorts of things about your body which you don't actually have a clue about while you are on MDI.

For instance - when you first change - do you know that more or less the whole first week is taken up with 'firefighting' because for starters it takes at least 3 days for your existing basal insulin (whatever it currently is) to stop having any effect on your body - so it's impossible to have a clue what you actually need when, until after that at least.

Then because if you need an increase or decrease in dose at eg 8am, you need to change your basal at 6am if not 5am to achieve that, you have to take this slowly and methodically because if you change your BG to take effect at  8am that then has a knock-on effect on what it is for the next 3 hours too, so you can only change one thing at a time really ....  it is flippin tedious!   But - you eventually do get there, providing you're prepared to well, frankly - plod !

Use your Libre too - if the arrow starts pointing down, always whack a TBR on of less for an hour or two or vice versa when it points up.  It won't have an immediate effect obviously, but it should help making whatever it's doing worse and that could be sufficient to ward off a hypo - but might not be.

As we've always said on this forum since we started it  - diabetes is a marathon, not a sprint .....

Just seen Liam's post - you can easily set down as far as a Nil percent basal on the Insight if you need it.
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: Omnipod or Accu Check
« Reply #13 on: 25 April 2017, 09:46:41 AM »
Quote
o pump covers 10 days though - even if it had 100 different basal rates in its memory - because you are supposed to change the cartridge and tubing every 6 days anyway - although I must admit though I did change the tubing on my Combo every 6, I did often use the same cartridge until it just ran out - bout 10 days




Yes, but surely the programming is in the handset with the omnipod, unlike the Accucchek where it's i in the pump itself, so you wouldn't have to reprogramme just because the cartridge needed changing.
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: Omnipod or Accu Check
« Reply #14 on: 25 April 2017, 12:54:06 PM »
Well yes, you don't have to reprogram the Accu Chek or other pumps either when you change a battery or cartridge - but the point was - they never last 10 days without having to do something !
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