I'm fine with hijacks - puts the community in support community, and that's what keeps me going!
So, 4 weeks on! I've done a full row of sites across the upper abdomen (above the navel) and am partway through doing a row across the lower abdomen. Sites on the lower abdomen are healing a lot quicker (still have the adhesive issues to deal with, starting by ordering some Cavilon spray next time we buy something off Amazon). I dunno if that's my body getting used to things, maybe my technique is improving, or - I'm leaning towards - the upper abdomen was always a more "bruisy" site for me on MDI and lower abdomen was always more comfortable, probably lower abdomen is just better suited to this sort of thing overall. I'm also curious to see if not bolusing over 5u at a time will help the sites feel and look better too - the current pod will be the first one where I've instituted that policy from the beginning of the site. Interested to see if it gets less sore by the end!
Still waiting on reimbursement cheque from ADP (province of Ontario's Assistive Devices Program) which provides $600 per quarter. Then I can submit the remaining $300 or so to my insurance which has said they will cover 80%, leaving me out of pocket for only $60 for 3 months-ish of pods. But currently am out $900 til that cheque comes in. They did say at my pump start appointment that ADP was quite slow-moving so I'm not terribly concerned, but if I've heard nothing from them by the time my next appointment rolls around I'll mention it to my CDE. Of some concern is the newly-elected conservative government in Ontario which is looking to roll back some of the policies of the previous liberal government; as far as I know the ADP is not on their radar (fingers crossed!) but any kind of shakeup in policy or staff higher up can create delays downstream.
Pod changes still take me 15-20 minutes - I thought I might pick up some speed with practice! But I am getting more confident, at least. I no longer drag out the quick-start guide to remember all the steps!
I've had some good results with extended boluses and am starting to feel like I have some useful predictive intuition again ("oh I bet this meal will need a good 4-5 hours of extension, but not so much up front"). I'm also feeling a bit less vulnerable - less paranoid that every high BG means the pump is failing or is about to fall off or the insulin has gone bad or... When you start out, and even before that, just reading people's posts about their pumps, there really is an overwhelming number of points of failure and you feel very fragile, like anything could go wrong at any time. In practice I find that while that is technically true, the reality is that most of the time things work fine and you can put it out of your mind.
I still feel that my correction factor needs to be a lot tighter and there is definitely still work to do on overnight and morning basals. But I really need to get my evening eating under control to be able to see more clearly what's going on overnight and in the morning, i.e. what is and is not food-related. I need to do that anyway, because I have something like 50 lbs to lose now - this is getting ridiculous! The trouble is that the month of June is full of occasions to celebrate, which for us means FOOD! My birthday, then the Quebec national holiday (not a holiday in Ontario, but still a long weekend for our family as OH's work is based in Quebec so he gets a day off), then Canada Day...all in a span of 3 weeks. It is so hard to buckle down and eat reasonably in between!
Looking back, I can see that I'm past the point of bargaining with myself ("just stick with it for the 3-month trial, and then see how you feel"). I'm no longer thinking I might need to give it back or it might not be for me. I feel like I have yet to reap the full benefits though, but I think getting the correction factor in line will make a big difference to that (because one of the main struggles I have right now is that when I do miscalculate and end up high, it still takes hooooours and multiple rounds of corrections before it comes down). My CDE reminded me last time I saw her that "you know, an A1c of 7.0 means an average BG of about 9" - her point being that I don't have to achieve perfection in order to see significant improvement. Trying to keep that in mind for now!
I have to say, at this point I'm kind of looking forward to not being under such close surveillance by my clinic. Of course I appreciate their support and the amount of contact they have with me as it has been SUPER helpful. But I feel confident enough to make changes on my own now, like bringing down that correction factor, but I kind of don't want to do it because I know they will see that I've done it and maybe will think that I've gone rogue? Haha! But I know that they are starting to stretch the times between check-ins and appointments, with an eye towards putting the whole thing in my hands eventually, so I feel it's best to be patient for now! But I think it's a good sign that I'm starting to get restless and wish they would just leave me to it!