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    • 46 minutes ago
      Sue Martin likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I use an InPen. Tracts my doses and gives report just like a pump. IOB total insulin etc.
    • 2 hours, 8 minutes ago
      Kris Sykes-David likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 2 hours, 28 minutes ago
      beth nelson likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 3 hours, 15 minutes ago
      Mick Martin likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      Echo Mick Martin. Gastroparesis? Try ondonestron (sp?) one of the 10 best medicines ever invented. Also, "a forever learning curve" and "If in doubt, pull it out."
    • 19 hours, 12 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 19 hours, 19 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 19 hours, 44 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 1 day ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 1 hour ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The constant refilling and site changes...doesn't seem worth it.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Luddites just may be the most comfortable people on earth. 🙃 
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    If you have used a diabetes pump in the past, have you ever switched from pumping back to MDI (Multiple Daily Injections)?

    Home > LC Polls > If you have used a diabetes pump in the past, have you ever switched from pumping back to MDI (Multiple Daily Injections)?
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    Do you currently use any of the following insulin pumps?

    Ray Burgett

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    30 Comments

    1. Annie Wall

      I’ve mostly been pumping since 1995, took a pump “vacation” two years ago because I had so much scarring from nearly 25 years of infusion sets. I used the InPen for two years and now I’m back to pumping on the Tandem t:slim with Control IQ, using TruSteel. Much happier using fast acting insulin for basal than one shot of long acting.

      2
      2 years ago Log in to Reply
    2. Gary Taylor

      The email I received was yesterday’s question. It brought me to the site where I could answer today’s question.

      5
      2 years ago Log in to Reply
      1. AnitaS

        same here

        2 years ago Log in to Reply
    3. Sahran Holiday

      Only inject when I’ve left my Omnipod remote home or a few times in the past when multiple pods failed and blood glucose went dangerously high.

      2 years ago Log in to Reply
    4. connie ker

      Do MDI with correction doses if needed. Lantus and Humalog are the insulins. Why change what works at the senior age of 73. I do have an Abbott Freestyle Libre and scan many times a day and night. My fingers thank me each and every day, even as I type this message!

      2 years ago Log in to Reply
    5. Dave Barden

      The comment box worked for me this with my iPhone SE. But not same as Gary, received yesterday’s email and was taken to a different question, presumably today’s. New gripe: why is column for comments so narrow? It’s not even 10 characters requiring an excessive amount of scrolling and there’s all that empty space right and left😾

      2 years ago Log in to Reply
    6. Dave Barden

      Typo in my reply re. Gary’s; I meant “NOTED same…” but typed “not”. I regret the error🙀

      2 years ago Log in to Reply
    7. Lawrence Stearns

      NO WAY! The insulin pump was an extreme improvement in the quality of my life. I would never voluntarily return to multiple daily injections. My life was out of control on injections. I immediately felt and behaved 1000 percent better with the pump. And, the CGM was another significant improvement.

      3
      2 years ago Log in to Reply
    8. Sharon Lillibridge

      never have and never will

      2 years ago Log in to Reply
    9. Conniekaycox

      Been doing this for 16 months now am a novice lol love my omnipod dash but do take a break sometimes. It is uncomfortable minorly. Awesome to ditch both devices short term and shower and sleep comfortably.

      2 years ago Log in to Reply
    10. Andrea Rueff

      I received my Insulin Pump and have been on it sence December 1997. I have had the pump removed from Aug. 2013 and I had gotten a Traumatic Brain Injury August 24, 2013 and restarted in 2015. I love the pump. I have certain times that I don’t like the pump because of items that I have had to change but those item’s that I had changed are not good. All the issues that I have with my Insulin Pump, I will never give up on it. I absolutely love my pump and giving shots I don’t like tjat at all and do not want to use them.

      2 years ago Log in to Reply
    11. Janis Senungetuk

      Used MDI for 60 yrs. before getting a pump. Now 6 years later I won’t willingly go back.

      2 years ago Log in to Reply
    12. Becky Hertz

      Wish there was an “other” choice. I switched from pump to MDI for about 2 years because I was having absorption issues most likely related to scar tissue. That was years ago before one handed insertion devices and I’m back on the pump with using many more varied sites.

      1
      2 years ago Log in to Reply
    13. Amanda Barras

      It was due to loss of insurance entirely, not just because they didn’t cover my “preferred” pump.

      2 years ago Log in to Reply
    14. George Lovelace

      Spent less than 18 hours on MDI in the past 23 years

      1
      2 years ago Log in to Reply
    15. Kristine Warmecke

      Once I started pumping in Feb. 1997 I didn’t look back. I have no desire to go back to MDI.

      1
      2 years ago Log in to Reply
    16. Christina Trudo

      Like others, I have never looked back….. 30 years and counting. In the early years had one pump failure, replaced within 24 hours.

      1
      2 years ago Log in to Reply
    17. KarenM6

      I have had multiple pump failures requiring replacements and have spent up to about 4 days on MDI while waiting, but I have not intentionally gone back to MDI since starting pump therapy in 1996.

      2 years ago Log in to Reply
      1. Ahh Life

        Identical with my experience. I even started with a Medtronic pump in 1996. Prior to that I had 35 years of MDI, probably 40,000 to 45,000 injections. The new micro-micro-micro pen needles are soooooooo good, however, that those of you doing MDI don’t realize how good you have it.

        2 years ago Log in to Reply
    18. ConnieT1D62

      I have switched to MDI for a month at a time on a few rare occasions as a pump vacation to give my insertion sites a rest – and have only done so since using Dexcom as my CGM. However, it is unlikely that I would ever go back to living life with T1D without a closed loop pump/cgm system. I like not having to do the carb ratio and insulin onboard math all the time. The Tandem X2 with CIQ keeps my TIR between 80 to 92% (~88%) most of the time.

      2 years ago Log in to Reply
    19. Carol Meares

      I put “yes” #1 because I just went to MDI because I had a my tslimx2 go down and had to stop using it until I could get hold of someone at the company so I decided to go MDI for a couple weeks to determine if I wanted to go back to MDI and also further develop and refine my backup plan. I get frustrated with my tslim control iq. I wish I could go back to basal iq on which I did so much better: I am now back on the pump because I rely on the iob algorithm in my daily insulin calculations and also need the ability to give small amounts of insulin to adjust my bg.

      2 years ago Log in to Reply
    20. M C

      The only time I might do an injection will be on one of the days thinks are going wonky with the pump… Otherwise, no. Although I am tired of being attached to the contraption, the amount of control the pump has provided me is the factor that will keep me continuing to use a pump.

      2 years ago Log in to Reply
    21. PamK

      I would switch back to MDI, but my doctor told me not to. She did not believe me when I told her my control was better on MDI. I’ve got a different doctor now, and he understands that sometimes MDI is better. We’re working together to try to get the pump settings to work for me, but if he can’t he will let me go back to MDI. So, time will tell!

      2 years ago Log in to Reply
    22. Britni

      I tried using the Omnipod for 11 months and then went back to MDI. It malfunctioned often enough that I went over 500 more in that one year than in all the rest of my life. My blood sugars were such a mess that my A1c actually came down but my time in range decreased, too. And on top of all that I was often in physical pain from the pod. The insertion sites almost always became inflamed and painful, a couple times so badly that I had to remove the pod early. And if I wore it on my stomach the corners would often jab into me every time I had to bend over or carry something heavy (I work outdoors, constantly moving, bending, twisting, lifting, carrying, etc.). I actually have a new scar from the corner of a pod cutting into my skin. I started using the Omnipod thinking a pump would give me more flexibility and peace of mind while at work, but instead I was in pain and sick all the time. It wasn’t worth it.

      2 years ago Log in to Reply
    23. Mary Dexter

      Bubbles, bubbles caused lots of troubles. Figured if I was going to need to take multiple corrections with a syringe to compensate for the bubbles blocking the tubing, I might as well just take my insulin with a pen.
      Both my CDE and the Medtronic rep observed my technique (which had been working) and couldn’t figure out why the bubbles kept forming. Pump never did alarm. Instead, I would notice I had been sitting in the 300s and it was still rising despite dialing in several corrections. I will never use a pump again.

      2 years ago Log in to Reply
    24. Ken Raiche

      Lacking more options, I tend to alternate between pump and MDI every so often. It’s all a question of how I feel.

      2 years ago Log in to Reply
    25. Phyllis Kaplan

      I went on my first insulin pump 21 years ago and have not switched back. The first pump I had didn’t have many features besides basal and bolus (no bolus wizard!) but it afforded me so much flexiblity even then. Now my pump has more features and does more, and I have no plans to go back to MDI, or even a pump vacation. Though, I do of course realize there have been new insulin’s since 2000 that may offer some of the flexibitly those in 2000 didn’t.

      2 years ago Log in to Reply
    26. NAK Marshall

      I’d LIKE to use a pump (probably the Omnipod) but my skin cannot tolerate more than 1 adhesive, so I choose the CGM.

      2 years ago Log in to Reply
      1. NAK Marshall

        Also I now have the InPen that gives me the same lovely data and does the math that the pumps users get. It’s the best thing for my bolus insulin EVER, and requires much less brain power because it tracks everything! ALL MDI-ers should check it out.!!!

        1
        2 years ago Log in to Reply
    27. Cheryl Seibert

      I would never go back to MDI unless forced. I was on 5 shots a day and my poor, thin body couldn’t stand being touched because I was a pincushion. Love my pump even with the frustrations of tweaking the technology to match my brittle diabetes (T1D 55 years)

      2 years ago Log in to Reply

    If you have used a diabetes pump in the past, have you ever switched from pumping back to MDI (Multiple Daily Injections)? Cancel reply

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