Bring out cake, candles, streamers and booze! My pump – Englebert Pumperdinck – is a year old today. Technical he’s not, I’m not actually sure how old my pump is. But I have now been pumping for a whole year, so I imagine that amounts to pretty much the same thing.
So what are my observations of pumping one year on, I hear you cry? Well:
- Pumps are not a panacea
Despite having a pump I still have type one diabetes. I still have crappy days with high blood glucose and I still have hypos – some worse than others. Despite the hype they sometimes get, pumps are not a cure. They’re just different from injections. In my view, some people might actually fair better on injections than pumps as injections are a hell of a lot more simple. Horses – as they say – for courses. This leads me on to the next observation.
- Pumps are a pain to set up
With injections you shove in your long-acting and you shove in your short acting at approximately the correct time. A pump gives you the ability to adjust nearly every aspect of your insulin delivery. The possibilities are almost limitless. Take, for example, your background insulin – instead of one injection a day of Lantus my pump automatically injects the following amounts throughout the day:
00:00 – 1.95 u/h
01:00 – 2.25 u/h
05:00 – 1.65 u/h
07:00 – 1.70 u/h
10:00 – 0.70 u/h
16:00 – 0.275 u/h
23:00 – 0.70 u/h
As you can see, it’s a hell of range and it took me forever to work out through a lot of trial and error. I also have ;