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October 27, 2016
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The Omnipod Arrives

I’m spending another Saturday in class for my EMBA today. Over the next weeks, I’ll be taking 9 graduate hours over a 6 to 8 week time period. Today, I’m finishing 3 hours which completes my 5th EMBA class. I’m looking forward to late July when things slack off again and really looking forward to August when I have a month break before classes start again.

While I’m sitting here in class, my Omnipod is sitting on the front porch at home. I made the decision to try the Omnipod a couple of weeks ago after months of deliberating over my control. My last A1c came back at 9.0%, all the way up from 7.4% in February. Splitting my Lantus hasn’t given me any better numbers, it actually raised that A1c. I’m tired of the struggle, but I’m worried that the Omnipod isn’t the right choice, even though it’s on the porch waiting for me.

Because of how much I hated the Minimed pump before, I’m fearful and anxious that my experiences will be the same even though life is different now. Many aspects have changed including my daily schedule, the fact that I’m taking Metformin now for PCOS, and my daily habits. I hope that the Omnipod is the answer to better control, stable control. I’m scared though.

When I was on the pump before, I was in college and keeping an extremely varied schedule. That schedule has changed over the years and up until a few weeks ago, my schedule was as varied as it was in school. Now I’m on the same schedule almost every day of the week and have much more control over when I eat, exercise, and the like. I know that this is the exact opposite of what people claim the benefit of the insulin pump is and it’s the exact opposite of why I originally went on the pump. But the lack of schedule was horrendous for my last round with the insulin pump. It just didn’t work for me.

Metformin, even though I’m only on 500mg daily, is also another factor that I hope will help my success with the pump. It offers me some stability because it overcomes a little of the insulin resistance I experience because of my PCOS. I’m interested in raising the Metformin but I haven’t received approval or prescriptions from my doctor so at this point, I’m trying the pump before doing that. I also don’t want to risk the tummy trouble that happens as you raise Metformin or change it. Hopefully it’s not necessary.

It’s going to be an adjustment to go back on the pump after about 5 years back on MDIs. I have too many vials of Lantus- I didn’t time this well. I have to set basals. I need to adjust to changing sets every 3 days again and timing those for when I’m available to do that and not stuck at work or on the road. I have to put together an emergency kit with pump supplies rather than just syringes and an extra vial of insulin. It’s a life change.

For my personal diabetes control, I’m looking for more stable, lower numbers that don’t put my long-term health at risk or my immediate health at risk with frequent, severe lows (the problem I had on Minimed). I’m looking for something that gives me freedom as well. Freedom for my own control looks something like the ability to exercise freely (not having to risk lows at 150), avoiding the mandatory bedtime snack to avoid an overnight low, the confidence to bolus as needed even in the middle of work, school, etc. Today, there’s a lot to do to take the next Omnipod steps and I just keep hoping it’s going to work. I keep hoping for that final(ish) answer.

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