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  Back to Chat Special Pump Chat Session Transcript
On Monday, November 25, 1996, Tim and Deb from Disetronic led the following discussion about insulin pumps.


Mon Nov 25 1996 20:52:27 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Tim here.

Mon Nov 25 1996 20:55:32 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
I'm here until I get disconnected in 16 minutes

Mon Nov 25 1996 20:56:19 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
I'm here too.

Mon Nov 25 1996 20:56:54 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Hello Megan, this is Tim from Disetronic Medical Systems. How are you?

Mon Nov 25 1996 20:57:19 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Good evening Jeff.

Mon Nov 25 1996 20:57:44 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Hello Tim. Is Deb on yet?

Mon Nov 25 1996 20:58:03 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
I'm alright. I've had better. Hi Jeff, glad to see you, we had another unwanted tonight, but I told him to scram and he did.

Mon Nov 25 1996 20:58:03 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Deb will be joining us in just a couple of minutes.

Mon Nov 25 1996 20:58:56 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
This is a really good idea Jeff, thanks for setting it up. Does anyone help you with the site?

Mon Nov 25 1996 20:59:39 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.191 (www-s5.proxy.aol.com)
Hi all, Deb is on now!

Mon Nov 25 1996 20:59:50 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Megan: No, I run the whole show. Get's a bit overwhelming at times, since I have a real job (at LEXIS-NEXIS).

Mon Nov 25 1996 21:00:06 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Hi Deb -- You can ignore your page -- it was just me!

Mon Nov 25 1996 21:00:44 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
Hi Deb. Wow Jeff, that is really impressive. I would help if I could but I am next to computer incompetent.

Mon Nov 25 1996 21:00:57 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Deb, perhaps you could start by introducing yourself and telling us about your experiences with the pump.

Mon Nov 25 1996 21:02:39 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
I wonder where the others are? I'll introduce myself as well. I am 18/f/dx two year/3 injections a day/live at collage

Mon Nov 25 1996 21:04:10 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.191 (www-s5.proxy.aol.com)
Jeff: I've been using a pump for over 16 years. I've been teaching pumps for almost that long. I worked for several pump companies. I've been diabetic for over 35 years.

Mon Nov 25 1996 21:04:35 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Megan-Good point. I'm the father of Marissa, age 9, dx'd at 24 months. I also run this site. I'm interested in exploring the pump for Marissa in a few years.

Mon Nov 25 1996 21:06:07 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
I've only vaguely considered the pump so far. How does it work with swimming for extented periods (ie 8 hours in a not so clean lake)?

Mon Nov 25 1996 21:06:18 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Deb, do you have any experiences with young kids using the pump?

Mon Nov 25 1996 21:08:23 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
It works just fine! You have to keep the little red adapter in place and check it every once and while.

Mon Nov 25 1996 21:08:25 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
I'm getting disconnected, sorry if I can't reconnect, I'll try.

Mon Nov 25 1996 21:08:54 Eastern US
Denise (Denise_Dekker@bc.sympatico.ca) from 207.102.33.89 (nnim01m02-89.bctel.ca)
Evening all. I am Denise, 36 year old type 1 on two injections a day. I have a 8 year old daughter diagnosed 18 months ago also on two injections a day.

Mon Nov 25 1996 21:09:50 Eastern US
Megan () from 140.254.115.61 (ts39-6.homenet.ohio-state.edu)
Hmm, maybe it is time for more consideration...

Mon Nov 25 1996 21:09:55 Eastern US
ms () from 130.85.60.17 (alumni.umbc.edu)
Deb, are you currently on the Disatronic?

Mon Nov 25 1996 21:10:35 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Deb and Tim: My daughter hates tummy shots, and that's one of her biggest fears about the pump. Can the infusion set be placed elsewhere?

Mon Nov 25 1996 21:10:56 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Deb..thank you for being here tonight. I am the grandmother of a six year old dx at 15 months..is there a certain point at which the pump should be considered for a child? What would be the advantage be to using the pump if reasonably good control is maintained with insulin injections alone?

Mon Nov 25 1996 21:11:00 Eastern US
ms () from 130.85.60.17 (alumni.umbc.edu)
oh, i just got my answer - the red cap gave it away thanks

Mon Nov 25 1996 21:11:04 Eastern US
Denise (Denise_Dekker@bc.sympatico.ca) from 207.102.33.89 (nnim01m02-89.bctel.ca)
Deb who makes a good candidate for the pump? My daughter has been quite interested in the past few days. She is however a bit worried about how big the pump is and whether or not it would get in her way.

Mon Nov 25 1996 21:11:40 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
to ms-Yes, Deb has been on the Disetronic pump for five years.

Mon Nov 25 1996 21:12:09 Eastern US
Melissa (POM) (jrnysend@itexas.net) from 207.22.198.59 (207.22.198.59)
Well here it is! Hi everyone!

Mon Nov 25 1996 21:12:37 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
Hello Everyone I'm a mom of two diabetic's. Ryan 11 1/2 dx'ed 1/95 and Patrick 15 dx'ed last Wed. Ryan is very interested in the pump

Mon Nov 25 1996 21:12:57 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Jeff: Lots of kids use the pump, with parental support. As young as 4 is not uncommon. Younger kids can be the pump with a strong health care team. It takes careful monitoring, but it has been very successful.

Mon Nov 25 1996 21:13:18 Eastern US
Megan () from 140.254.115.42 (ts38-3.homenet.ohio-state.edu)
Huge miricle, I got reconnected in three tries.

Mon Nov 25 1996 21:13:29 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Tim, did we lose Deb?

Mon Nov 25 1996 21:13:57 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Jeff- Yes, the infusion sets can be placed anywhere that is comfortable and does not affect absorption. Some users who have someone else place the infusion set for them even put it at the small of there back. The most common site is the stomach however because there are less nerve endings.

Mon Nov 25 1996 21:14:08 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Deb -- guess not. What about the insfusion set location?

Mon Nov 25 1996 21:14:51 Eastern US
ms () from 130.85.60.17 (alumni.umbc.edu)
isnt absorbtion dependent on site area

Mon Nov 25 1996 21:14:52 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Tim - thanks. What about using Humalog in the pump? Anyone doing that?

Mon Nov 25 1996 21:15:23 Eastern US
Nor () from 204.71.8.159 (pm159.csra.net)
Hi everyone!

Mon Nov 25 1996 21:16:10 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Denise: The pump is about the size of a deck of cards and weighs only 3.5 oz w/ the batteries. Because of its size and weight it lends itself to be worn in many different ways. i.e. in a pocket, pouch, on the belt, etc...

Mon Nov 25 1996 21:16:12 Eastern US
Nor () from 204.71.8.159 (pm159.csra.net)
I use Humalog on the pump - it works great. Oh, IDDM x14 years, pumper for 9 years. love it!

Mon Nov 25 1996 21:17:01 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
My endo wouldn't consider the pump for Ryan because he is active. Is there a high rate of problems for kids that are active?

Mon Nov 25 1996 21:17:21 Eastern US
ms () from 130.85.60.17 (alumni.umbc.edu)
nor, how long have you been using h in the pump? ive heard it is not recommended

Mon Nov 25 1996 21:18:18 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
What about it being dislodged or kinked in your sleep?

Mon Nov 25 1996 21:18:23 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Lyn: Thanks for your question. I'm glad to be here. Six year old kids can be managed successfully. You would have the same advantages for a child that you would have for an adult. Namely, the flexibility and precision that only a pump can offer. The precise control of the basal that can be shaped to counteract the dawn phenomon is a great benefit, and the ability to deliver the bolus exactly with the food is also a great benefit.

Mon Nov 25 1996 21:18:25 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To ms: The absorption depends on the site, the angle(or depth), and the length of time that the set is left at one site.

Mon Nov 25 1996 21:18:32 Eastern US
Megan () from 140.254.115.42 (ts38-3.homenet.ohio-state.edu)
Laurie, I have heard the same thing.

Mon Nov 25 1996 21:18:51 Eastern US
Nor () from 204.71.8.159 (pm159.csra.net)
ms: for over a month, now. I have no idea why it would not be recommended. The whole purpose of it is to aid in control, which works wonderfully with the pump. What have you heard?

Mon Nov 25 1996 21:19:15 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Thank you Deb.

Mon Nov 25 1996 21:20:53 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Hi Nor, nice to see you again!

Mon Nov 25 1996 21:20:54 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
How often or when would a site have to be changed and what is the procedure?

Mon Nov 25 1996 21:21:01 Eastern US
ms () from 130.85.60.17 (alumni.umbc.edu)
well, a disatronic rep said that she is not able to recommend it - minimed actually told me of problems they were aware of using humulog, and my doc wants to start me on reg when i start the pump -

Mon Nov 25 1996 21:22:15 Eastern US
Nor () from 204.71.8.159 (pm159.csra.net)
Hi Tim. Good to "see" you, again, as well.

Mon Nov 25 1996 21:22:20 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Tim or Deb: how long does it take for someone to "get used" to using a pump?

Mon Nov 25 1996 21:23:32 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
I wonder if the problems reported with Humalog are related to clogging. Don't most pumps require a special buffered Regular?

Mon Nov 25 1996 21:23:43 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Laurie: I've never had a set get "kinked" during the night. The new co-extruded tubing is almost impossible to tie a tight knot. Once or twice I have pulled the set out, but it is so rare, I'm not concerned about that. If I wake up and find that it is out, and if my BG is high, I just treat it it an go on with a new infusion set. With proper taping technique and a good safety loup, dislodging is very rare.

Mon Nov 25 1996 21:23:52 Eastern US
Denise (Denise_Dekker@bc.sympatico.ca) from 207.102.33.89 (nnim01m02-89.bctel.ca)
How much does the pump cost?

Mon Nov 25 1996 21:24:03 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To ms: We really can't answer any questions about the use of a particular type of insulin in conjunction with an insulin pump. That gets into an individual therapy issue which is best discussed with your physician and the insulin manufacturers.

Mon Nov 25 1996 21:24:12 Eastern US
Melissa (POM) (jrnysend@itexas.net) from 207.22.198.59 (207.22.198.59)
Wow! 6 year olds can wear a pump?? Isn't there a danger of them falling on the playground and breaking it or something??

Mon Nov 25 1996 21:24:27 Eastern US
ms () from 130.85.60.17 (alumni.umbc.edu)
wish i could stick around but unfortunately i have to go for now - i may be back - THANK YOU TO ALL OF THOSE PROVIDING SERVICE - good night for now

Mon Nov 25 1996 21:24:55 Eastern US
Nor () from 204.71.8.159 (pm159.csra.net)
I have never had a set kink, small knot maybe, but nothing serious. The most serious thing I had was when my cat chewed the tubing off!!!!!

Mon Nov 25 1996 21:24:58 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Laurie: typical protocols have people change their infusion site every two or three days, but the answer for you is up to your health care team.

Mon Nov 25 1996 21:26:29 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
Deb How do you change the site?

Mon Nov 25 1996 21:26:31 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Denise: The Disetronic H-Tron Plus insulin pump costs $4,295.00. This is a two-pump program which provides you with a back-up pump and carries a four year warranty.

Mon Nov 25 1996 21:27:35 Eastern US
Denise (Denise_Dekker@bc.sympatico.ca) from 207.102.33.89 (nnim01m02-89.bctel.ca)
Tim, I am from Canada. Would that cost be in US funds.

Mon Nov 25 1996 21:27:39 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Goodnight ms! Thank you for joining us this evening. Also, stop by our website currently under construction at Disetronic.com.

Mon Nov 25 1996 21:28:08 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
Tim: Do insurance companies cover the pump?

Mon Nov 25 1996 21:28:56 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Denise: In Canada we have a distributor by the name of Auto Control Medical. I'm sure you could contact them for pricing at 1-800-461-0991. This is their main office in Ontario.

Mon Nov 25 1996 21:30:05 Eastern US
Denise (Denise_Dekker@bc.sympatico.ca) from 207.102.33.89 (nnim01m02-89.bctel.ca)
Thank you Tim, I will call them tomorrow.

Mon Nov 25 1996 21:30:41 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Tim/Deb..is there extensive training provided for the support people, parents/grandparents, when a child goes on a pump?

Mon Nov 25 1996 21:30:46 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
Will Santa be packing any pumps this year? Ryan wants to ask for one from him.

Mon Nov 25 1996 21:31:10 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Deb, what is the most significant benefit you see from using a pump?

Mon Nov 25 1996 21:31:31 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Laurie: We find that most insurance companies do cover insulin pump therapy. However, it varies greatly from company to company as to the level of that coverage. We have insurance specialists here at the office who always verify coverage before a pump is sold.

Mon Nov 25 1996 21:31:32 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Jeff: re "getting used to the pump." There are a couple of points, first the biggest change for some people is the change to intensive therapy. Intensive therapy with a pump or a syringe requires some discipline. Pump therapy itself uses a few different techniques, in that you develop a strategy for your basal profile and your bolus algorithms. In terms of the pump equipment, many people are "instantly" comfortable with a pump. Obviously, there are no rules, but it typically only takes a few weeks to master the art and science of pump therapy and pump operations.

Mon Nov 25 1996 21:33:33 Eastern US
Melissa (POM) (jrnysend@itexas.net) from 207.22.198.59 (207.22.198.59)
Jeff, are you saving this so we can read it later?

Mon Nov 25 1996 21:35:01 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Melissa: Yes, there's a transcript being created and I will create a link to it from the chat page and the insulin pump page.

Mon Nov 25 1996 21:35:04 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Melissa: Sorry it took so long... The pumps are rugged devices which can withstand the everyday use that they are subject to. Falling on a pump shouldn't pose a problem, however running it over with your car might.(belive me, it has happened.)

Mon Nov 25 1996 21:36:06 Eastern US
Megan () from 140.254.115.42 (ts38-3.homenet.ohio-state.edu)
Homework calls, Happy Thanksgiving if I don't get to chat tommarrow with you guys. Thanks Jeff. BYE

Mon Nov 25 1996 21:36:30 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Can you take a pump scuba diving? Or skydiving?

Mon Nov 25 1996 21:36:33 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Laurie: Well, it's no crazier than asking for your two front teeth! The real Santa Claus in most cases is your insurance company if you are covered at 100%.

Mon Nov 25 1996 21:37:01 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Jeff: re "most significant benefit." The reason that I went on the pump was because I needed the control. The reason that I stay on the pump is I love the flexibility and the control. I get fewer highs and fewer lows, my control is fantastic. The flexibility of the pump allows me to live a "normal" life and work around the clock if I need to, and still have my insulin precisely match my insulin needs. I can exercise when I want to, because the pump gives me the flexibility to control the insulin flow according to my needs right now.

Mon Nov 25 1996 21:37:03 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Tim..does the running over with your car get covered in the 4 year replacement policy??

Mon Nov 25 1996 21:37:16 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Goodnight Megan! Thanks for stopping by!

Mon Nov 25 1996 21:37:24 Eastern US
Melissa (POM) (jrnysend@itexas.net) from 207.22.198.59 (207.22.198.59)
Thanks Tim. Do 6 year old kids run into many problems with it?? You were talking about intensive therapy. Does that mean there are a few lows to deal with as they get used to it?

Mon Nov 25 1996 21:38:07 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
Thanks for the info it's now back to Eastern Maine Medical Center where my 15 year old is being educatated.

Mon Nov 25 1996 21:38:31 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Lyn: I'm afraid running the pump over falls under misuse and abuse. Therefore, it is not considered damage from normal wear and tear and is not covered.

Mon Nov 25 1996 21:38:44 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
good night and good luck Laurie.

Mon Nov 25 1996 21:39:39 Eastern US
Laurie (LANewell@aol.com) from 206.28.128.104 (mast6.ainop.com)
Thanks Lyn

Mon Nov 25 1996 21:39:55 Eastern US
Nancy/Kevin (kean@quancon.com) from 205.148.237.49 (s49.quancon.com)
Deb/Tim - what about children that are active in sports - how does the infusion site withstand abuse from any type of sports contact? Like sliding into a base, tackling, checking, sudden blow to the infusion site etc.

Mon Nov 25 1996 21:40:04 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
My daughter Marissa just stopped by and wants to know exactly what you do when you want to go swimming or take a bath.

Mon Nov 25 1996 21:40:47 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Jeff: I'm afraid not, due to the rapid pressure changes encountered while doing either of those activities, the plunger in the cartridge(syringe) can move unexpectedly.

Mon Nov 25 1996 21:42:16 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Tim - so I guess when you want to scuba or sky dive, you disconnect from the pump and cover with Regular or Humalog? Is that easy to integrate into pump management?

Mon Nov 25 1996 21:43:02 Eastern US
Nancy/Kevin (kean@quancon.com) from 205.148.237.49 (s49.quancon.com)
Hang in there Laurie, our thoughts an prayers are with you. Drive safely!!!! Bye.....

Mon Nov 25 1996 21:43:55 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Nancy/Kevin: Our new infusion set, the Tender, allows the user to temporarily disconnect from the pump while participating in "contact" sports. Plus, because it is made with a flexible catheter, it moves along with the body. Or, if the site is jarred or bumped, that flexibility gives you greater comfort.

Mon Nov 25 1996 21:44:52 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Lyn: You and your health care team will decide what training you need on pump therapy and pump operations, but we'll support you as much as possible. We have video tapes, reference book, quick start manual, certified trainers, and a 24-hour help line. You might ask you health care team if the whole family could attend the initial pump training, or if they could get you a copy of the tape and books. For more info about our materials, call (800) 688 4578 during regular business hours.

Mon Nov 25 1996 21:45:52 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Jeff: Adjustments prior to such activities or adjustments after that activity can be done with the pump by use of a bolus.

Mon Nov 25 1996 21:46:19 Eastern US
Denise (Denise_Dekker@bc.sympatico.ca) from 207.102.33.89 (nnim01m02-89.bctel.ca)
I also must leave. Tim and Deb thankyou for all the info, and the Canadian phone number.

Mon Nov 25 1996 21:46:21 Eastern US
Nor (nlvhaus@csra.net) from 204.71.8.163 (pm163.csra.net)
Tim/Deb: I have a question about the Tender.... I have had a few Tenders that have disconnected when not supposed to. Most of them work fine and fit snugly, but several in the past few months have done this. Is this common?

Mon Nov 25 1996 21:46:37 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Lyn: You and your health care team will decide what training you need on pump therapy and pump operations, but we'll support you as much as possible. We have video tapes, reference book, quick start manual, certified trainers, and a 24-hour help line. You might ask you health care team if the whole family could attend the initial pump training, or if they could get you a copy of the tape and books. For more info about our materials, call (800) 688 4578 during regular business hours.

Mon Nov 25 1996 21:47:29 Eastern US
Nancy/Kevin (kean@quancon.com) from 205.148.237.49 (s49.quancon.com)
Deb/Tim, our 13 yr. old son, Adam, is in great control (latest AlC 6.3), however, we would like more flexibility in his and our lives. Does a person have to be not in good control for the insurance company to justify or is it by choice? Do you need a letter from your doc.?

Mon Nov 25 1996 21:47:56 Eastern US
lebingert@mem.po.com () from 204.178.220.30 (proxy1.po.com)
I would like to know how long you can "disconnect" from the pump without having the insulin clot and what is the lowest basal rate you can run without having the insulin clot

Mon Nov 25 1996 21:48:09 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Thanks Deb.

Mon Nov 25 1996 21:49:19 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Goodnight Denise! To Nor: Yes, disconnection can occur. What is recommended is that you give just a slight tug after connecting to the tubing so that you can ensure that it has "snapped" into place. Also, sometimes giving a second push after the first "click" will ensure that both sides have latched.

Mon Nov 25 1996 21:51:50 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Jeff: re "swimming and bathing." She can use the little red adapter that keeps water out of the pump. If she wants to take the pump off, we have infusion sets that disconnect at the infusion site. Call our 800 688 4578 number and ask for more information.

Mon Nov 25 1996 21:51:53 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Nancy/Kevin: Your son doesn't necessarily have to be out of control to get an insulin pump. There are other life-enhancing features which could make the pump a viable option. This is best illustrated in the Letter of Medical Necessity which must be written by the doctor to the insurance company.

Mon Nov 25 1996 21:53:01 Eastern US
Melissa (POM) (jrnysend@itexas.net) from 207.22.198.59 (207.22.198.59)
Well, I have to go. This was very interesting. Thanks Jeff and I'll be looking for this chat later. I think I'll ask our doctor about the possibility of putting Kristina on a pump. I never realized such young children could wear one. Thanks Tim and Deb! Goodnight everyone!!

Mon Nov 25 1996 21:53:19 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Tim: Have you ever had an insurance company deny coverage when a doctor has written a Letter of Medical Necessity?

Mon Nov 25 1996 21:53:23 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Jeff: re "swimming and bathing." She can use the little red adapter that keeps water out of the pump. If she wants to take the pump off, we have infusion sets that disconnect at the infusion site. Call our 800 688 4578 number and ask for more information.

Mon Nov 25 1996 21:54:41 Eastern US
Deb (pegasus402@aol.com) from 152.163.233.55 (www-w5.proxy.aol.com)
Jeff: re "swimming and bathing." She can use the little red adapter that keeps water out of the pump. If she wants to take the pump off, we have infusion sets that disconnect at the infusion site. Call our 800 688 4578 number and ask for more information.

Mon Nov 25 1996 21:54:58 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Lebingert: Like all things dealing with diabetics, it is an individual thing. Some people can go for long periods of time without the insulin crystalizing. For example: People in hot climates will have insulin breakdown more often than people in milder climates. We have found people on our pump using basal rates as low as none for period of time to some with .1 unit per hour.

Mon Nov 25 1996 21:55:34 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Goodnight Melissa!

Mon Nov 25 1996 21:55:43 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.165 (www-m5.proxy.aol.com)
Jeff: re "swimming and bathing." She can use the little red adapter that keeps water out of the pump. If she wants to take the pump off, we have infusion sets that disconnect at the infusion site. Call our 800 688 4578 number and ask for more information.

Mon Nov 25 1996 21:57:34 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Jeff: Unfortuneately, yes. Some insurance companies simply do not cover insulin pump therapy. Other times the doctor needs to write a second, stronger, letter to illustrate necessity. Because of this unpredictability, we have a staff of insurance coordinators who do nothing but deal with insurance companies all day long.

Mon Nov 25 1996 21:57:35 Eastern US
Nor (nlvhaus@csra.net) from 204.71.8.163 (pm163.csra.net)
Tim: even with low basal rates, doesn't the Disetronic pump deliver every 3 minutes or so, so clogging risk is extremely minimal???

Mon Nov 25 1996 21:57:43 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Deb..have you ever encountered a problem with the pump itself malfunctioning?

Mon Nov 25 1996 22:00:13 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To Nor: Yes, the pump does deliver every three minutes. However, you can have your basal rate set to zero.

Mon Nov 25 1996 22:00:54 Eastern US
Nor (nlvhaus@csra.net) from 204.71.8.163 (pm163.csra.net)
I had several malfunctions with another pump brand, but have not since I switched. Beside, there is always a back up - I feel much better knowing this...

Mon Nov 25 1996 22:01:47 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Thanks Nor.

Mon Nov 25 1996 22:02:53 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Jeff- How long would you like to carry on this session this evening?

Mon Nov 25 1996 22:03:03 Eastern US
lebingert@mem.po.com () from 204.178.220.30 (proxy1.po.com)
What is the thinnest catheter needle that can disconnect?

Mon Nov 25 1996 22:03:15 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Jeff- How long would you like to carry on this session this evening?

Mon Nov 25 1996 22:03:49 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To lebinger: As far as we know, 27gauge.

Mon Nov 25 1996 22:03:59 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Jeff, Tim and Deb: Thank you for an informative evening. Good night.

Mon Nov 25 1996 22:04:18 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.165 (www-m5.proxy.aol.com)
Lyn: re "malfunctioning." Personally, I've never had a pump malfunction in over 16 years of pumping. The Disetronic has a very sophisticated alarm system. It has a dual microprocessor system that really protects the pump. It checks itself 20,000 times an hour and has very reliable software.

Mon Nov 25 1996 22:04:25 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Goodnight Lyn!

Mon Nov 25 1996 22:04:59 Eastern US
Lyn (snafu@wilmington.net) from 199.72.96.66 (pdial66.wisedial.wilmington.net)
Thank you Deb that is very reassuring.

Mon Nov 25 1996 22:06:03 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.165 (www-m5.proxy.aol.com)
Lyn: re "malfunctioning." Personally, I've never had a pump malfunction in over 16 years of pumping. The Disetronic has a very sophisticated alarm system. It has a dual microprocessor system that really protects the pump. It checks itself 20,000 times an hour and has very reliable software.

Mon Nov 25 1996 22:06:08 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Tim: It's time for me to sign off, but you're all welcome to stay as long as you like. The room will be "open" until tomorrow morning, and I will post the transcript tomorrow evening. Thanks Tim and Deb for your time -- I learned a lot about using the pump. Goodnight all.

Mon Nov 25 1996 22:06:49 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.165 (www-m5.proxy.aol.com)
Lyn: re "malfunctioning." Personally, I've never had a pump malfunction in over 16 years of pumping. The Disetronic has a very sophisticated alarm system. It has a dual microprocessor system that really protects the pump. It checks itself 20,000 times an hour and has very reliable software.

Mon Nov 25 1996 22:07:05 Eastern US
Brenda (bbechard@eau.net) from 207.67.50.127 (eau27.eau.net)
Hello...

Mon Nov 25 1996 22:07:19 Eastern US
Wendi (wtaylor@eac.cc.az.us) from 198.60.152.131 (EACMEDIA31.EAC.CC.AZ.US)
If you are still there, I have one question.

Mon Nov 25 1996 22:07:25 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Goodnight Jeff! Thank you for this "unique" opportunity, maybe we can do it again sometime. For those of you still here, any further questions??

Mon Nov 25 1996 22:07:48 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.165 (www-m5.proxy.aol.com)
Lyn: re "malfunctioning." Personally, I've never had a pump malfunction in over 16 years of pumping. The Disetronic has a very sophisticated alarm system. It has a dual microprocessor system that really protects the pump. It checks itself 20,000 times an hour and has very reliable software.

Mon Nov 25 1996 22:08:46 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Still here...go ahead.

Mon Nov 25 1996 22:09:22 Eastern US
Wendi (wtaylor@eac.cc.az.us) from 198.60.152.131 (EACMEDIA31.EAC.CC.AZ.US)
I am wondering about "impulsive" kids--I would feel a loss of control if my daughter did all the shots. Any comments?

Mon Nov 25 1996 22:09:47 Eastern US
Deb (pegasus402@aol.com) from 152.163.231.165 (www-m5.proxy.aol.com)
Good night, Jeff. What a great show. Thanks for the opportunity to participate.

Mon Nov 25 1996 22:12:27 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Wendi...Deb is typing away with an answer.

Mon Nov 25 1996 22:14:53 Eastern US
lebingert@mem.po.com () from 204.178.220.33 (proxy2.po.com)
I'm still "listening" but you don't have to stay on for me. I don't have any more questions. Thanks for the info.

Mon Nov 25 1996 22:16:08 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
To lebingert: Thank you for joining us this evening, this has been an exciting opportunity to explore the "latest" method of communication, the internet.

Mon Nov 25 1996 22:17:57 Eastern US
Deb (pegasus402@aol.com) from 152.163.237.9 (152.163.237.9) Wendi: you may be right about "impulsive kids," and it is an issue of maturity. The pump is controlled by the user, however, the Disetronic has several special features that let you keep some control. For example, you can lock-in the basal rates; or you can set a limit on the maximum bolus size or the maximum bolus total in a day; you can set a limit on the time that the pump is "inactive." It really gives you an opportunity to keep the control you need and to give a mature child the responsibility that they can handle.

Mon Nov 25 1996 22:18:40 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Any other questions anyone??

Mon Nov 25 1996 22:19:04 Eastern US
Deb (pegasus402@aol.com) from 152.163.237.9 (152.163.237.9) Wendi: you may be right about "impulsive kids," and it is an issue of maturity. The pump is controlled by the user, however, the Disetronic has several special features that let you keep some control. For example, you can lock-in the basal rates; or you can set a limit on the maximum bolus size or the maximum bolus total in a day; you can set a limit on the time that the pump is "inactive." It really gives you an opportunity to keep the control you need and to give a mature child the responsibility that they can handle.

Mon Nov 25 1996 22:20:50 Eastern US
Wendi (wtaylor@eac.cc.az.us) from 198.60.152.131 (EACMEDIA31.EAC.CC.AZ.US)
Deb and Tim--That is good to know. Until now, I had just assumed a "pump" was not for my child. I can be more open-minded now.

Mon Nov 25 1996 22:24:50 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
Are there any more questions before we let Deb and Tim retire for the evening?

Mon Nov 25 1996 22:26:05 Eastern US
Wendi (wtaylor@eac.cc.az.us) from 198.60.152.131 (EACMEDIA31.EAC.CC.AZ.US)
Guess that's it!! Thanks for staying back a while for me...and thanks to Jeff, too!

Mon Nov 25 1996 22:26:06 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
If there aren't any further questions I would like to thank everyone for showing up tonight. I hope that we will have another opportunity in the future to provide information about insulin pump therapy. If you should have any further questions, you can visit our webpage at Disetronic.com and leave an e-mail or call us at 1-800-280-7801. Thanks again! and Goodnight!

Mon Nov 25 1996 22:26:36 Eastern US
Jeff Hitchcock (jeffh@castleweb.com) from 206.112.197.131 (www2.castleweb.com)
You're right Wendi -- looks like that's it. Thanks Tim and Deb for your time. We all appreciate it.

Mon Nov 25 1996 22:27:29 Eastern US
Nor (nlvhaus@csra.net) from 204.71.8.163 (pm163.csra.net)
Goodnight Tim and Deb! Hope you both have a great Thanksgiving!

Mon Nov 25 1996 22:28:09 Eastern US
Tim (twenner@ix.netcom.com) from 205.186.81.193 (min-mn12-01.ix.netcom.com)
Goodnight Nor! Happy Thanksgiving to you too!



                 
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