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The Question
09/18/09 01:21 PM

"has anyone switched from the pump back to injections? I'm feeling the need to have a technology break."
Asked By:  
Category: Type 1

Background Info Hide
Type 1, been fiddling around with changing basal rates for 10 years and would like to try something else.

Expert Answers (1)

09/29/09 10:26 PM

Pumpers are certainly known to take "pump vacations". Some go off temporarily, as they find they really do prefer the convenience of a pump, while others feel multiple daily injections (MDI) is for them! When you decide the time is right, you should speak to your doctor for his/her guidance regarding this change. However, as you probably were initially started on 25% less insulin than you were taking on injections (as pumping is a more efficient use of insulin), the typical return to injections will include looking at your total daily dose of basal insulin (see "Basal Review"), adding approximately 25% to that, and then taking that amount in your long acting (Lantus, Levemir), insulin, either all at bedtime, or by dividing it -- usually in relationship to what worked before, or, by how your basal rate changes from night to morning, etc. For example, if you typically need a higher basal rate in the morning, then you may need to split the dose. Typically the bolus insulin remains the same, hence, if you were using a certain carb/insulin ratio and a certain correction ratio, that will remain consistent. I hope you enjoy the "freedom". It really doesn't matter HOW you take your insulin, as long as your BG remains consistent and stable, and you do not experience an over-abundance of hypoglycemia. (Certainly not more than twice a week). Hang in there!
Answered By: Anne Carroll
Accreditations: RN, CDE
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