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December 1st, 2008
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One of the first "cons" I had when I thought of pumping was that I didn't want something attached to me all the time. That doesn't even graze the Top 10 Problems With Pumping. What happened to me today is by far the No. 1 thing I hate about pumping: equipment malfunction, especially when you're coasting along enjoying everything going right.

I got so mad at diabetes and my pump and my meter after lunch. I was so mad that I was fighting the urge to cry. I tried a hip site the other day because I was running out of room on my abdomen. That morning my post breakfast was 250 for a meal that I'd normally be under 100 for. I briefly considered changing my site, but my BS went down with a correction. I haven't been running high since then, but I have been higher than usual after meals that I'm normally in range for.

Today I disconnected mid-morning to upload my pump numbers to MiniMed's CareLink web site so my endo and CDE can have fresh information before my appointment on Monday. I reattached and even went down to 71 right before lunch. Sometime between 11 a.m. and noon something freaky happened with the plastic housing that is part of the canulla.

The Mr. and I went to Taco Bell for lunch and I even looked up what I had in my Calorie King book so I could bolus right for it (because I usually completely miss the mark when I guess at Taco Bell). I checked at two hours and I was 348!! So the big, honkin' bolus I gave for lunch never made it! I was so pissed. I used the bolus wizard on my pump to correct (1.7 units wasn't going to do it, though). Twenty minutes later I checked my BS again and I was 401!! I was beyond mad and did a manual bolus of four units.

I got even madder and decided I had had it with my site and was changing it. So when I reached into my pants to disconnect I realized I wasn't even connected!! I tried to reconnect and realized that the ring at the end of the tubing won't even attach to the site. At first I thought it was just that it was at a weird angle and I couldn't get to it right. So I changed my site and pulled the old one ready for a blood spew or something. When it was off I tried to reattach the tubing to the site and it wouldn't go. Somehow the notches that guide the ring on the tubing had shifted and I couldn't even move them with my fingernail.

I continued to check my BS and continued to climb into the mid-400s. I was so angry that I wanted to go for a walk just for a change of scenery, but with my BS so high, I didn't want to "exercise" and make things worse. I rage bolused another four units, drowned myself in water and tried not to devour every last bite of chocolate I could find. Within an hour I was into the 300s and getting less angry.

Today I hate diabetes.



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the pump is a mechanical device and as a device, It can and does have malfunctions. This scene you described has happened to me quite more than once. I try to carry an extra infusion set change with me , but I can't say that I mto do it every day. I do always have an extra bottle ofu insulin with me. An injection will drop my blood sugars quicker than a correction bous thorgh the poump, and who likes lingering in the 300 and 400's? I know I don't. Yes, this is just one thing you have to deal with the pump. But I do not miss multiple daily injections.....


This happened to me last week. My site was also near my hip b/c I still can't resist the urge to stare at the site for no reason. Being new to pumping (2 weeks as of next Tues) it didn't occur to me to change the site so I woke up in the 600's. I can totally understand your frustration, having high BS and dealing with mechanical failures isn't fun!


Your story sounds familiar & it's very frustrating.

I've been pumping 10 months and this has happened to me numerous times.

My advice after changing the site: Test, Test, Test.

I also carry a bottle of insulin & extra supplies in my gigantic purse & give myself a trustworthy shot when I'm over 400. I usually change my infusion site when my number is that high and this seems to work.

Pumping is a "learning experience!"


PLEASE READ:

does anyone know of a pump that administers insulin while it manages blood sugar....?


Hi Missy. In theory, all insulin pumps administer insulin while managing blood sugar. You still have to tell the pump what to do, though, you still have to be its brain by telling it how much insulin to give you and when. You may be asking about a continuous glucose monitoring system, which is separate from a pump, but can be integrated into your management plan. MiniMed's pump and CGMS are integrated. There are several separate CGM systems available that you can use in conjunction with your pump to help you more precisely manage your blood sugar. You still have to tell your pump what to do, it won't act based on what a CGMS reads out.


I have been using a mimimed 722 for about 3 years now and have had not problems. The only place I use for sites is my right side, just above the belt line in the fatty tissue.
I am only 132lbs so there is not much fat!!
In the begining the canula they started me with was too long and it kept kinking inside me. The bolus warning would come on during delivery or I would not get my normal delivery throughout the day and my BS would go up. This was the only problem I have ever had. It sure beats the 10 injections a day I was doing!!!
And Yes Michelle, this disease does SUCK!!!!
I hate it!!!
John


I have been pumping for over 14 years and I could count the number of times I have had a site malfunction on one hand. We were without coverage for my supplies at one point for almost 9 months and I paid cash for them rather than go without my pump. I was without my pump for 3 month a couple years ago because of insurance reasons when replacement time came around and it was the most miserable time. Having to keep track of multiple injections with the spikes and valleys drove me crazy. I will never voluntarily give up pumping - unless they find a cure.


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Michelle Kowalski
Michelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)

Latest Posts: Waiting Impatiently for CGMS OK | Back to the Find-A-Doctor Drawing Board | A Day in My Life

Nicole Purcell
Nicole has lived successfully with type 1 diabetes for 25 years. She hopes that by writing about her experiences, she can help others to face diabetes - and its challenges - head on.(Read More)

Latest Posts: Family Onslaught | You Can't Always Lose... | From the Shore

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