Making the switch from multiple daily injections to a pump was a little scary at first, and a whole new way of thinking about managing insulin. But within a few weeks, I got the hang of it and totally "got" what all the hype was about with pumping. The freedom and flexibility of pumping lets me live life the way I want—and on my schedule.
Here's an idea of what I might do on a typical weekday to keep my blood sugars in line, which will also hopefully give you an idea of what it's like to manage diabetes on a pump and to provide some realistic expectations. Speak to your healthcare professional about your personal treatment plan and regimen.
On a weekend, my schedule changes completely and varies depending on what I'm up to physically. Generally, I like to sleep in until my body tells me to wake up, and then I'll get on with whatever my plans are for the day. If I'm doing something active, I adjust my temp basal downwards. If I'm just lounging around and reading or watching movies, then I'll keep my normal basal rate and bolus for the amount of carbs I'm eating. With pumping, I'm the one in control of what I want to be doing, and I don’t have to schedule my meals around timing of insulin.
For me, the real beauty of pumping is having the ability to correct blood sugars with micro-doses throughout the day, and to know how much active insulin is still "on board" at any given time. Carb counting is challenging at the best of times, so a routine of "test BG, best-guess carbs, take bolus, then correct" is what works for me. And there are so many other factors that impact blood sugar levels that it's never going to be perfect, but the pump is a sophisticated tool that gives me more choices and the ability to respond quickly as blood sugars vary throughout the day.
I was less inspired to make insulin corrections on a multiple daily injection regimen because each time, it meant another needle. Now I can make insulin adjustments as needed with the push of a few buttons!
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