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#insulinpump

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I contacted my #endocrinologist about potentially using #fiasp in my #Tandem #tslim #insulinpump to help mitigate the issues I have balancing bolus response times & unpredictable #gastroparesis occurrence & duration. She’s not outright opposed which is nice, but she mentioned a different pump that is supposed to approximate how a pancreas works: #BetaBionics. I hadn’t heard of it. Does anyone have experience with this pump?

betabionics.com

Beta BionicsMakers of the first and only fully automated bionic pancreasThe iLet Bionic Pancreas is improving lives of people living with type 1 diabetes by helping to reduce data and decision-making overload.

sonen m typ 1 diabetes ska testa pump. Vet ju inget om sånt här. Har fått fyra olika förslag, vi tycker Omnipod (5) verkar bäst? Finns det nån här som har nån erfarenhet... eller det är väl bara att testa antar jag. De är väl rätt dyra oxå så gissar att avdelningen inte skulle förskriva saker som inte funkar

So Control-IQ+ has 2 main changes that, not only is discussed in press releases, but is part of the update training.

First, the ability to set a temporary basal rate while CIQ is enabled. Previously, this required turning off CIQ.

Second, the ability to do an extended bolus up to 8 hours instead of just 2 hours.

But there were also notes of nebulous “algorithm adjustments" with no details. I think I've run into it being a bit more aggressive to basal rates in response to BG climbing. My BG tends to climb many hours after having some wine (alcohol effect on liver, etc), usually while I'm sleeping, and sleep mode doesn't allow automated correction bolus, so only allows basal rate adjustments. I noticed in the visualization that basal rates looked more aggressive and the high BG didn't last nearly as long as it had in the past.

Hm, sender seems to be working fine, yet the receiving end acts as if nothing was reaching it... So either it's transmission issue somewhere along the way, or something is wrong at the receiving end, I guess it would be with processing...
Oh, it's just me dealing with #diabetes and figuring out whether it's my #InsulinPump that's the issue, the infusion site, or whether for whatever reason my body decided to forget what it should do with the #insulin.
#LifeWithDiabetes #t1d

So I’ve had this arm insulin pump site for bit over a day. Yesterday, it got around 5 door frame knocks. Today, just 1.

Last night I had 1 CGM disconnect. I shifted position and that didn’t happen again.

Absorption has been good. I had to switch to a lower profile, in fact. I think my last site was a tad leaky or absorption was bad, though.

I’ve enjoyed not having to fiddle with it to go to the damn bathroom.

I think I like this more than expected. Might have to order more pump patch sleeves and leave this set in my orders for now.

I’m still going to be using leg sites. This is more a case of having more places to use to allow other places longer periods of healing before I use them again. But the short set with pump patch sleeve might help alleviate some stress on the legs as well.

This actually makes me look forward, even more, for the Mobi Tubeless patches.

Continued thread

The first drawback I'm finding: The ticking when it does its thing is now much closer to my head, so it's much more audible.

I have another site I want to try with the short set that is more in line with my normal sites. That should keep the ticking away a bit.

But I have a few days of this for now.

Humalog and Lyumjev are both lispro insulins. The difference is the acid used in Lyumjev to stimulate blood flow at the injection site for faster absorption.

Often, this is not noticed with pen injections. But in a pump, where there’s a relatively continuous infusion and occasional bolus infusions at the same place, Lyumjev can become painful.

Some people adjust to it. I have not.

Those who like the performance of Lyumjev but find it too uncomfortable to use in an insulin pump might try mixing Humalog and Lyumjev to reduce the bite. I know of one person that does a 1:1 ratio of the two, and another person who does 3:1 Humalog to Lyumjev (25% Lyumjev).

I am using a 3:1 mix right now. It feels like full strength Lyumjev.

My first go with Humalog was just 100% Humalog so I could assess how I respond to it. There was no pain. In fact, I didn’t feel boluses at all. I did notice the difference in timing, but it was super minor and easy to adjust to.

Even though I am now no longer planning to mix Lyumjev and Humalog, this was still a successful experiment because I learned something. And that’s good! I now have a path forward with my insulin use, and honestly, keeping it simple with something I’m pretty sure will work fine feels a bit better anyway.

One thing I’ve learned in the management of my illnesses is experimentation to find the best management is part of it.