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The Question
Tue Feb 21 19:15:46 UTC 2012

What does your A1c have to be at to get an insulin pump? If your A1c is 9.5 can you be put on a insulin pump?
Asked By: jessenia  
Category: Type 1

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Felmale-age 13- 5'9" - 168 pounds- Type 1 diabetes- Onset was 5 years ago. She has celiac disease, and gastroparasis also. Onset of this was 2 years ago.
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Expert Answers (1)
2012-02-25 01:05:09.0

There is no magic number the A1c must be at before considering a pump, and the pump companies do not dictate where one's BG levels should be before pump placement. That being said, many doctors set their own criteria before "allowing" their patients to get a pump. It is important that the person with diabetes, as well as the entire family, realize that pumps are not a cure, and that the positive results seen from changing to pump therapy are directly related to the amount of effort put into the use of the pump. A minimum of four BG checks per day (preferably 7 or 8), meticulous carbohydrate counting and regular exercise are still needed for a positive outcome. My counsel would be to proceed carefully. I think pumps are an excellent tool and I love mine, . . . I just wouldn't want you to be disappointed if it doesn't turn out to be everything you had hoped for. Good luck to you both - and hang in there!
Answered By: Anne Carroll
Accreditations: RN, CDE
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Community Answers (2)
2012-03-02 14:32:56.0

All that being said, your insurance co. will determin what it takes & your Dr will have to get you in touch with the one that it approves. At that point the person to get your answer will be from the company making the pump. My insurance couldn't care less about A1C, wanted to see an defined amount of tests before they approved mine
Answered By: auto1355999827645

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2012-03-02 11:25:08.0

I agree with Anne's answer 100% You've got to count carbs carefully, and it's not an exact science, and you've got to test frequently. Before I went on the pump 10 or 12 years ago, I hated testing so I first had to go several weeks of intensive testing each day to make sure I could do it because it's veery important. Today, it's a bit easier because new meters use little blood and you can prick the arm nearly painlessly. I now use a continuous glucose monitor, but still check manually 4 to 8 times a day because the CGM can be off. My last A1c was 5.7, a bit lower than I'd like. Doc's happy, but when you miscount carbs and the BS soars over 250, you've got to have lots under 50 to offset it and that's not comfortable. I'm quite a bit older, now using Medicare, but I'm still an active, top rated high school soccer referee, often running in two 80 minuted matches a night. I couldn't do it without the pump and CGM. During a pause in the action, during a throw in or goal kick, I can check my BS in an instant with a quick glance to my pump display where a BS reading is calculated every 5 minutes, but at each halftime and between matches, I get the manual meter out to double check where I'm at, and keep GatorAid nearby. On the field, I keep a bag of skittles in my pocket. It's hard to blow the whistle while eating skittles, but they're quick and can keep me on the field. The pump's not for everyone, but most who use the pump highly recommend them. I love mine.
Answered By: wah0205

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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