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March 12th, 2010
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I really cannot believe that the year is already coming to a close. When I look back, I feel so old...wondering where the time has gone and knowing that I'll never get it back. It seems like just yesterday I was enjoying the feel of the summer months with its easy going and warm nights. Now, 2009 is at its end and we're starting an entirely new decade. So where did 2009 go?

 

In January, I got my wisdom teeth removed and learned that letting go of my diabetes wasn't the end of the world. at least when into the hands of trusted doctors with type 1 themselves. Little did I know that having my wisdom teeth removed and undergoing that sedative would prepare me for what would come in November.

 

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I was really hoping for magic when I started this new routine. I wanted an easy transition from the pump to MDI's. I wanted an "out" from the pump...a way to say that it really isn't working and it's all the pump's fault. I really don't even want to be putting these words to paper.

 

But I am. I'm confessing. Lantus and Humalog are not working out any better than the pump. The week before I went off the pump, my averages were at 140 (and that was with pizza on two occasions). I wasn't having as many lows as before, although I was still having them.

 

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Right now, I'm a complete bundle of nerves. Last night, I suddenly decided that today I would go off the pump. I know that I've been talking about it, but I assumed that I'd get it all straightened out and be back into "normalcy" before April 1st came around.

 

But you'd be surprised to find that poor control is actually NOT the reason why I'm going off the pump. In the past two weeks, I've had some highs and far fewer lows (which is just amazing). My averages are still in the 150 range though, which is what I'd settle for to get down to the 130 range (slowly, without lows).

 

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I started using a pump back in October of 2007. It was a rough and terribly rocky start. The pump company wasn't helpful and left me stranded in the dark with this new technology. There were moments that it left me sobbing over the phone to my mother, claiming that I was seconds from throwing the expensive device against the wall. My A1c climbed from 6.9 to 7.6.

 

After about six months of that and some help from the online community, I finally got the pump closer to being stabilized to my life. It still wasn't pretty. My A1c plateaued around 7.3 and 7.4. I couldn't seem to make the pump fit with my life, despite what everyone was saying. Apparently, I wasn't as stable as I needed to be with my schedule.

 

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This morning I needed to change my infusion set for my pump.The infusion set is what goes into your body that allows the insulin from the pump to get to you. I change mine every 3 days.

 

I usually always put my sets in on my thighs. I have plenty of fat there and then I can stash the pump in my sock and it leaves belts feeling less like Batman's and keeps my pocket free. 

 

As of late I have noticed that I hurts more then it used to when I put the infusion set in. Also I have been pulling out more sites due to bad absorbtion. 

 

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I try to change my infusion site every 3 days. Generally, I hit the mark almost perfectly at 72 hours. Lately, I've been running the pump all the way to the last drop of insulin so my infusion sites go a little longer (only about 5 hours). I've just gotten lazy in changing them out.

 

Even before I started doing that, my pump supplies started piling up. I would get shipments for 3 months before I was anywhere near being out. I have a 3-month supply just sitting in my closet while I still use the current supply I have (about 1 month). My next shipment will probably be here within the month.

 

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Elizabeth commented on yesterday's Pump Nostalgia post, saying she has been type 1 for 38 years and has in the past resisted the idea of going on a pump. She wants to know what I find so thrilling about it.


For starters, and probably the biggest things for me, it's the precision and the convenience. As for precision there are a couple of aspects: I don't have to conform to a certain number of carbs to match my insulin:carb ratio. For example, like many people, I am more insulin resistant in the morning, so my insulin:carb ratio is lower. So if I'm having 45 carbs and my insulin:carb ratio is 1:12 and my sugar is within target, I can't take 3.75 units with an insulin pen. So I either have to decrease or increase the number of carbs or the amount of insulin and deal with the consequences later.

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I woke up this morning about 30 minutes before my alarm to answer a call from nature. I stumble to the restroom and as usual I set my insulin pump on the sink counter. I should explain that I have a relatively small bathroom so the sink is pretty much half of the room. Well, no sooner do I set my pump down that it slides off and slams on the floor.
Ouch!
I have had my pump fall before but this one sounded extra hard. I leaned over and picked up my poor pump to see if it was okay. It was not. The screen was blank and even though I closed my eyes and wished for it to be fixed, it did not work. (READ MORE)


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I've never been a trendy person. In junior high when Bass loafers were all the rage, I didn't get a pair until they were almost out of style. There's a lot of that in my life. (READ MORE)


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As I sat in the lower level of the on-campus trolley stop I thought about the injection I just took and the maze of shots I take every day. How many more shots will I take in my life? How many more times will I have to stutter-step, looking for a good place to shoot-up some insulin? How drastically might an insulin pump change my routine? (READ MORE)


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Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
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