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When did you last make changes to your insulin delivery method(s)? (e.g., changed insulin pumps, added inhaled insulin, began using a different brand of insulin, etc.)
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About 6 years ago when I started using Dexcom and Tandem Basal IQ and then CIQ I opened my mind to using a combo toolbox of management. Along with pump I added Afreeza for stubborn high or high carb or sugar treat and then injected Fiasp for bolus if my set was in a scarred area with low absorption. They all fit together for various situations. It sounds complicated but Iām grateful for what we have now.
Pretty good toolbox!!!
My pump warranty ends in December for my Tandem T-slim X2 but thereās nothing new (thatās available) that Iām excited about. Anxiously awaiting the Dexcom G7 and the Tandem Mobi!
Switched to Tandem tSlim X2 with control IQ in 2016. Switched to G6 concomitantly. Switched from Medtronic Harpoon started in 2006 to a much gentler Medtronic CGM. Started Medtronic pump in 1996. Started with Regular and NPH (not particularly helpful) in 1951. Next? Who knows. I’m open to suggestions. ā¬ ā¬
Years ago, before I was on the pump, I used Regular and NPH for about 21 years, and it was not pleasant. I felt that I lived in a constant fog. My mind was never clear. Once I got on the insulin pump on 1998, I switched to Humalog, and later Novolog. Things got much better for me immediately when I started on the pump.
About a year ago, I switched from the Tandem X2 Basal IQ system, to the Tandem X2 Control IQ system. It was a good decision. I am sleeping much better now with less interruptions. I also have less very high’s, and less very low’s. (Although, I did bottom out yesterday during breakfast, and needed a little help). But Control IQ is still a better system.
Weāve been with Omnipod for over 10 years but added loop over 3 years ago
I had to switch insulins because the copay for what I was using was outrageous.
changed pump 1-2 yrs ago; plan another pump insulin change next month
Quit using Medtronic pump and went back to pens. Much happier. Less stress.
I switched from Loop to Omnipod 5 about 6 days ago. A bit of a learning curve, but OK so far. The biggest negative is that while using Loo, I had a lot of data at my disposal. Now, a lot less.
We are 1.5 yrs in and still use same insulin and kwikpen as day 1.
When my husband passed away I couldnāt afford pump supplies. I switched to Insulin
Pens. 2012
In 2018 my doctor asked if I wanted to try an inhaled insulin. I was using insulin pens. I tried fiasp for about 1 month, I liked it a lot but I kept getting asthma like symptoms, which I stupidly didn’t tell the doctor. When I got bronchitis and had to get an asthma inhaler, I knew it wasn’t for me. I went back in the pen.
You mean Afrezza, right? I don’t think there’s an inhaled form of Fiasp.
Thank you William, yes I did mean Affreezza.
I just got my Omnipod 5 on Saturday. Waiting for Dexcom G6 to be shipped and then I will start using it.
I got a new pump in March. I switched from the Medtronic 530G to the 770G. Best decision I’ve made in my diabetes care!
Did the most recent upgrade to the G6 two months ago. Glad to be using a Tandem pump.
The type of insulin was changed from glargine to NPH after my kidney transplant and being on predisone, but the delivery method is still injections.
That doesn’t sound right. What was the reasoning behind that? A friend of mine had a transplant and she’s still on a pump. Can’t get as good control with NPH, that’s very old school.
Becky, I’m on lispro and was on glargine, not using a pump. When I got the kidney transplant they wanted to have a shorter, long-acting insulin; NPH versus glargine, when I was on a higher dose of prednisone. Now that the dose has been reduced and stabilized I will be able to return to glargine.
I had to change the kind of insulin I used due to insurance! Grr.
It has been many years. I tried Toujeo, but have better results on mdi lantus. Tried to switch to a pump after 40 years but doctor kept putting me off and then covid hit. Too much required of me to bother learning that now.
I think you’d like a pump once you switch. It’s not too difficult to get use to one. I put it off for years and finally decided to go for it. That was over 30 years ago.
Teri,
I waited 60 years before switching to a pump from MDI. I regret waiting that long! The past 7 years on a pump has made a tremendously positive differenced. Yes, there’s lots to learn and you’ll need a physician and Diabetes Educator who support you and have the knowledge to assist you. It’s definitely worth the effort!
Went from Medtronic pump to MDI. Switched rapid acting insulin from humalog to Lyumjev. Basal is Tresiba
With my coming change to Lyumjev, we’ll be using both of the same meds via MDI. How do you like Lyumjev?
I made a very small change last week by adding the bolus-from-phone feature to my Tandem t:slim X2 insulin pump with Control IQ. Not game changing, but nice!
I tried using a Samsung A71 5G phone with my Tandem X2, Control IQ. The phone kept losing the signal, and messed up my pump functions as well. I had to stop using my phone with my pump.
Sorry it didn’t work for you. If that happened to me, I’d be on the phone to Tandem tech support.
Lawrence S: Not even all iPhones (Apple) are compatible with App for Dexcom CM. Check with your diabetes tech team to find which brands and which models will will work with your CM brand and model. I found an older cheaper iPhone for $400 that is capable of working with Dexcom 6, but do not use it. With my iPhone I have to swipe or press the ON button, enter security password, then would have to touch the app which is 3 steps. Using the Dexcom 6 receiver I just press one button once to get current reading.
Resumed pump therapy with excellent results 6.4 A1C after adding TruSteel and Control IQ.
Between 4 & 5 yrs back I switched to using Fiasp in my pump, which I still like, and maybe a little more recently my endo tried me on Jardiance (off-label) which seems to work really well for me at attenuating excursions both high and low.
Within the last 6 months. New pump in June. Went from humalog to lispro due to Medicare. Thanks to Walmart pharmacy for working with Medicare on that.
I’m not familiar with Lispro. Medicare covers Novolog for me. But, I have a $55 copay after my secondary insurance covers some.
Thanks to the desire of my PBM, I am changing the brand of my fast acting insulin within the next week. Continuing with MDI, I am changing from FIASP to Lyumjev. We will see what happens.
However I’ll be changing from the OmniPod to Tandem slim x2 next week
On Medicare. Can’t change pumps for 5 years.
Anytime I hear about anything new that might work better I make a change. 2019 switched from Humalog to Fiasp, then switched to Talim from Medtronic in 2021, then after realizing Fiasp canāt be used in TSlim, switched back to Humalog, then asked for U-200 6 months ago due to high insulin usage.
I have only had t1d for 7 months and havenāt made any changes yet.
No recent changes. Got a new Medtronic pump 3 years ago. And started Fiasp in my pump about 4 years ago.
July, 2020 started Tandem t:slim X2 with Control IQ and Dexcom G6 CGM after using my first pump, an Animas Vibe, for 3+ years.
Medicare made me change from Humalog back to Novolog last month
Never. Started with one shot a day in 1961, then in 1992 my brother passed away because of complications of t1. At that time l decided to take better care of myself, I found excellent endo and started on multiple shots a day and still on that treatment although I have changed types of insulin and number of shots a day.
After a two year pump vacation on MDI using Dexcom and the InPen, I returned to a Tandem pump, this time with Control IQ. Though it was nice being free of pump paraphernalia, I didnāt have the glucose control I desired and hoped that my body had recovered from years of infusion sets. Iām using the TruSteel sets and thatās seems to be going very well. Just started bolusing from my iPhone too which I like a lot.
I had been on a Medtronic pump for 18 years, until the sensors started failing, which I thought was due to poor quality control and Covid. I switched to the same pump and sensor. I am relatively happy again and looking to upgrade my system to be able to give blouses on my phone. I never thought I would make it this far, 53 years of DM.
Switched from standard Omnipod DASH program to Loop_Dev. Reduced/elimnated need for PDM, using primarily iPhone. Not having to carry two devices is a great relief.
Around two years or so ago, I started the Control-IQ software on the current Tandem pump and Dexcom G6 CGM being used. I had been using different pumps for quite some time.
No longer needing to use finger sticks was nice and the automatic updates to my insulin delivery has definitely helped myself and my doctor determine my insulin sensitivities and control the hypoglycemia.
I began using the tandem pump last fall after 62 years os t1d. I always did well on mdi (and before that, twice a day mph and regulation and before thatā¦. One shot a day of Lente), I consider myself a lucky diabetic that I havenāt had a lot of complications. The pump is nice but not really a whole lot easier than the control I had with mdi. Just more convenient.
Jan, I keep wondering why some of us long timers are not having complications…. 70/90 years…
Geezā¦..nph and regularā¦.dang auto correct!
Today!!! Sort ofā¦ I pick up my Omnipod 5 G6 Intro Kit (gen 5) this afternoon. First change from all the Medtronic pumps since 2006. I liked them. Medicare didnāt cover Medtronicās cgm so had to switch to Dexcom some time ago. Tubeless will be an adventure.
So many things have changed in the 70 years I have been at it….. but not for me!!!
Started Afrezza almost 2 years ago. Using it, along with MDI. About 8 years LADA T1D.
In June I switched from the Tandem TSlim X2 with Basal IQ to the Omnipod 5 pump system.
In February I switched from my Medtronic 723 out of warranty pump to the tandem T slim X2 pump with control IQ. I was very anxious to be able to take advantage of a hybrid closed loop system and have been very pleased with a lowering of my hemoglobin A-1 C from about 6.8 to 6.4 and an increased time in range. Also improved quality of life especially being able to sleep through the night without alarms most of the time and waking up with a blood sugar in the normal range.
I’ve been on a pump over 41 years (why isn’t anyone studying long term pumping?)
I change from a Medtronic pump to Tandem X2 in November 2020
Insurance determines what insulins I use and the monitoring device(s) I use and the method of delivery. I tried to get on a pump more than once but was denied by medical insurance. Even if I finally get approved, thereās a additional copays for pump and pump accessories. I copay about $65 each month for a vial of glargine and a vial of lispro. My blood glucose (One Touch) is free, but I copay for the strips. For my Dexcom 6 I must copay $127.85 every two months to Byram. I pay $83 per month for the cheapest Medicare plan I can get. My total prescription out of pocket costs for the first 6 months of 2022: $418. For lab tests, hearing test, eye exam, tech visits, doctor visits I paid $485 out of pocket. If I ever reach $5,800 out of pocket costs this year, I will no longer pay out of pocket Medicare Part A and Part B services. I pay out of pocket for dentist every 6 months, and expect to pay over $4000 for new pair of rechargeable in-the-ear hearing aids with Bluetooth capacity. (Costco members pay half as much for hearing aids.) Medicare has paid for extra depth shoes and orthotics, but that requires a $100 copay. Iād rather pay $200 per pair and see a guy who really knows about foot-care, than the Medicare approved podiatrist who prescribed shoes that fit too tight. Needless to say, I try to keep my medical costs down by taking responsibility daily for healthcare.
Upgraded to Omnipod 5 in the last 6 months
I changed pumps just over 2 years ago from MEdtronic to Tandem
I was diagnosed 2 years ago and am using insulin delivery methods and brands that were prescribed then.
I just got the Omnipod 5 and a couple years ago switched my insulin to Fiasp.
I just started using Lumijev in my pump. So far, it’s not much better than the Humalog I was using. Oh well…