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JBJMF23 Posts: 63
11/20/08 7:35 A

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Thanks everyone! I had an a1c of 5.7. But my dr. was not happy. My gycomark was 3.3 and my fruto as 274. So he is now hooking me up to a cgm for 72 hrs. to see when I am having highs and lows. He did not mention the pump, but I have to go back on wed. for him to work out a plan with me. I'm excited about the cgm. It will allow me to see what it is like to have something hooked up to me.

 current weight: 152.5 
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CAREY.LISK's Photo CAREY.LISK SparkPoints: (0)
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11/20/08 1:50 A

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You know you sound a bit like me I looked into the pump but with my very active lifestyle being military and a medic I can't see my dosing being changed I love to carb count and just shoot up with the meals I have less lows and my last couple of a1c's were below 6 as well the lantus is just wonderful as well. my doc and I decided why fix a system that is not broke so I stay with the MDI's and I have a better a1c then about 70 % of his pt's if not the same. you have to go with what works for you. I know as I exercised more I required less insulin thus helping to drop more lbs but of course all this was done under the supervision on my doc. no changes with out him. so good luck and let us know how it goes

"you CAN do ALL things through Christ which STRENGTHENS you"
phil 4:13


I don't believe in failure.

( this includes getting healthy!!)


 current weight: 178.0 
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SUPERDUPER26's Photo SUPERDUPER26 Posts: 1,553
11/18/08 9:25 P

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I would think that with numbers such as yours (an A1C of under 6, nice job!) that if you are comfortable and not having problems with your current regimen that there's no need to swap injections for a pump. I was not doing well with injections (A1C of 9ish), so my pump was a welcome addition to my life, but its not without inconveniences sometimes and its not perfect. I absolutely LOVE the freedom it gives me though and I wouldn't give it up for the world.
As for questions for your endo, you might check and see if he has a pump you could borrow for a few days and see if you can comfortably wear it of if it will get in the way of your exercise and other non-insulin delivery concerns. I have 2 different clips for mine and the only time I get mad at it is when I am at the gym playing on the weight machines because I move it from front to back to side to front to side to back etc depending on which machine I'm on. As soon as I typed that out that I realized I could merely clip it to the inside of my bra and it would no longer be an issue. There, problem solved!
There's no reason IMO to jump into a pump if you aren't ready for it, even if your endo is pushing for it. Maybe he sees things besides your A1C that could use work and a pump might help, but if its just because "everyone is doing it" I'd say hold out until you are ready. After all, it is your body.
As for the losing weight, even with insulin its still a matter of calories in vs calories out, it just takes a little more work sometimes to find a sustainable balance of ins and outs and medications and foods (if you exercise too much and have to eat to correct a low that's a bit counter productive and done poorly can add in more extra calories than you ended up burning off (which I've done a handful of times)).
Good luck with everything, let us know if your endo says anything great!

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PIXIENDAISY SparkPoints: (0)
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11/18/08 10:51 A

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I gained some weight too when I first went on insulin. It took a while but it did finally come off. Be patient and really watch what you eat for a few days! I have been on minimed pump for almost two years now and it really isn't a problem being active. I have done half marathons, yoga, pilates, strength training, etc. with the pump attached, even aquafit with it disconnected for the hour. Actually the pump has made endurance exercises easier because I have better control of the amount of insulin entering my body and the ability to slow it down or increase it as need be.

Good luck at the dr!

THINROSE's Photo THINROSE Posts: 295
11/18/08 10:42 A

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Hey!
Ask him what the best way to loose weight is...
I know that there are very good methods for healthy people, but for a diabetic type 1, the rules are a little different... :)
I am a very very active person so I would never see a pump as an alternative (I use lantus and humalog at the moment...), since I think it would be in my way all the time, but some say I am wrong about that, perhaps it is only my own stupid ideas about it :P

And wow! In Sweden we use Hba1C, I think it is the same, but mine is always above 6! My lowest has been 6.3... Perhaps you could teach me something :)
Good luck! And don't worry ;) It will go just fine!

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JBJMF23 Posts: 63
11/18/08 8:32 A

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Hi All-

I am off to my endo today. He is going to try and talk me into the pump. I am v. nervous b/c I have not made up my mind yet on what I want to do. My last 3 a1c numbers were 6 or below.

I am also concerned that I am not able to loose any weight. I have gained 15 lbs since being diagnosed last Sept. Right now I am on lantus and humalog. Any suggestions or questions I should ask him?

Thanks for your help.

 current weight: 152.5 
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