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  Back to Chat Pump Therapy in Kids and Teens

Natalie Bellini, diabetes nurse educator, pump trainer, and pump user from Animas Corporation, joined us for a special chat about pump therapy in kids and teens on January 15, 2003.

For more information about pump therapy, see our Insulin Pumps section.

Chat Room Administrator Wed Jan 15 2003 20:00:00 Eastern US
The 'Natalie Bellini' chat room is now open.


Wed Jan 15 2003 20:49:17 Eastern US
Nikki (Daniel,12,dx'd @ 5) from 64.169.128.130
Hi Natalie, we don't have the pump yet, but soon. Are you an Endo nurse.

Wed Jan 15 2003 20:50:14 Eastern US
Daniel/FL (Pumper) from 4.65.196.4
Hi Nikki, (you have great taste in names) what pump is Daniel getting?

Wed Jan 15 2003 20:51:17 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Hi Natalie, Nikki and Daniel :-)

Wed Jan 15 2003 20:51:41 Eastern US
Nikki{Northern Ca.} (Daniel,12,dx'd @ 5) from 64.169.128.130
I don't even know much about any of them so need to learn

Wed Jan 15 2003 20:52:33 Eastern US
Daniel/FL (Pumper) from 4.65.196.4
you have come the right place . . .there is a link on this site that can give you links to all the pump companies sites.

Wed Jan 15 2003 20:54:31 Eastern US
Nikki{Northern Ca.} (Daniel,12,dx'd @ 5) from 64.169.128.130
Oh good I need to learn. We go in on the 18th of Feb.

Wed Jan 15 2003 20:55:25 Eastern US
Nikki{Northern Ca.} (Daniel,12,dx'd @ 5) from 64.169.128.130
What is the most common pump for his age.

Wed Jan 15 2003 20:57:07 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
We are using the minimed paradigm.

Wed Jan 15 2003 20:57:26 Eastern US
Laura B (CWD Events) from 68.43.235.39
Good evening :-) Natalie will be with us shortly!

Wed Jan 15 2003 20:57:58 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Good evening Laura :-)

Wed Jan 15 2003 20:58:22 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
brb going to put kids in bed :-) ...Quiet time for Mom!!!

Wed Jan 15 2003 20:58:40 Eastern US
Laura B (CWD Events) from 68.43.235.39
How are things in Pennsylvania? It's frigid here in MI. Coldest it's been this winter. And we're all fighting colds.

Wed Jan 15 2003 20:59:28 Eastern US
Laura B (CWD Events) from 68.43.235.39
Nikki, my son, Sam is 12 and has been wearing an insulin pump for almost 4 years.

Wed Jan 15 2003 20:59:48 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
its very cold here only about 11 right now...(knock on wood) no one here has been sick this winter

Wed Jan 15 2003 21:00:12 Eastern US
Ellars (CA) (Sam, 15, dx'd 6/00) from 198.81.27.14
Hi

Wed Jan 15 2003 21:00:12 Eastern US
Nikki{Northern Ca.} (Daniel,12,dx'd @ 5) from 64.169.128.130
I really want to get the pump to prevent highs and add more consistency

Wed Jan 15 2003 21:00:59 Eastern US
Laura B (CWD Events) from 68.43.235.39
Well... the pump helps those things (highs and consistency), but it certainly has its own set of challenges. Every day.

Wed Jan 15 2003 21:01:04 Eastern US
Nikki{Northern Ca.} (Daniel,12,dx'd @ 5) from 64.169.128.130
Thanks for sharing guys, I need to fix dinner be back later.

Wed Jan 15 2003 21:01:10 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
What pump is Nikki using Laura?

Wed Jan 15 2003 21:01:13 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Hello all!!

Wed Jan 15 2003 21:02:01 Eastern US
Red (aus) (Taylor 5 dxd 12/00) from 203.221.153.54
Hi everyone :-)

Wed Jan 15 2003 21:02:14 Eastern US
Ellars (CA) (Sam, 15, dx'd 6/00) from 198.81.27.14
Sam is going back on the pump tomorrow. We had to wait for the replacement pump to arrive.

Wed Jan 15 2003 21:02:17 Eastern US
Laura B (CWD Events) from 68.43.235.39
I know that Natalie will get into this subject, but one of the very challenging things for us has been managing the high bg's that happen with growth spurts around the teen years. They are VERY hard to control.

Wed Jan 15 2003 21:02:58 Eastern US
Laura B (CWD Events) from 68.43.235.39
Hey Red! Good to see you! :-)
Welcome, Natalie. Thank you for hosting our Pump chat tonight. Any topics in particular that you'd like to start with?

Wed Jan 15 2003 21:03:12 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
hey guys and ladys

Wed Jan 15 2003 21:03:57 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
ok i'm back....kids all in bed :-)

Wed Jan 15 2003 21:04:26 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Highs that happen with growth spurts are unpredictible and frustratng. Seeing Sam in Tucson was really helpful. He is really trying and his hormones are raging...

Wed Jan 15 2003 21:05:07 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Growth Hormones are

Wed Jan 15 2003 21:05:27 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
i'm on HGH

Wed Jan 15 2003 21:05:48 Eastern US
Nikki{Northern Ca.} (Daniel,12,dx'd @ 5) from 64.169.128.130
Back for a minute Natalie, thats my hardest hurdle now is begining PUBERTY.

Wed Jan 15 2003 21:05:50 Eastern US
Laura B (CWD Events) from 68.43.235.39
We started on Metformin (glucophage) before dinner and it has really been helping his evening and nighttime numbers. We add a morning dose on Friday. BEen turning down the evening basals by 30% every night with bg's entirely in range.

Wed Jan 15 2003 21:06:46 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
last night i went into a seizure

Wed Jan 15 2003 21:07:06 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
dad had to give me the glucagon shot

Wed Jan 15 2003 21:07:15 Eastern US
Laura B (CWD Events) from 68.43.235.39
Seizure from a low?

Wed Jan 15 2003 21:07:28 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
yes

Wed Jan 15 2003 21:07:45 Eastern US
Laura B (CWD Events) from 68.43.235.39
Do you have any idea what caused your low? How frightening for you. Glad your dad had glucagon handy.

Wed Jan 15 2003 21:07:45 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Sorry...Growth Hormones are at best a pain. Sam, for example is really woilling to admit he is frustrated and takes injections to correct as his #'s are out of wack. Teens are so nuts...Do you remember your own teen days??? Adding a hormonal imbalance of insulin swings every teen into a tough situation...A1C levels are at best 7-8%

Wed Jan 15 2003 21:07:56 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
all day today it has been low

Wed Jan 15 2003 21:08:48 Eastern US
Laura B (CWD Events) from 68.43.235.39
rhafiki, are you pumping or doing injections?

Wed Jan 15 2003 21:08:58 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Laura, I know it was a difficult decision, but I knew it would work...he is just a big hockey playing kid...amd VERY insulin resistant..are you getting liver function tests done or are they scheduled???

Wed Jan 15 2003 21:08:58 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
mine A1C was acuelly low

Wed Jan 15 2003 21:09:41 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
acuelly i have glucagon every were in the house

Wed Jan 15 2003 21:09:59 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
rhafiki...Tell us do you know what caused your hypo??? What was your A1C

Wed Jan 15 2003 21:09:59 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
in my room i have about 4 of them

Wed Jan 15 2003 21:10:12 Eastern US
Ellars (CA) (Sam, 15, dx'd 6/00) from 198.81.27.14
Sam's new endo today said that Sam should have A1C around 6.5. Being on the pump should keep him level.

Wed Jan 15 2003 21:10:43 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
no idea and i remember the bg # not what the number on the chart

Wed Jan 15 2003 21:11:08 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
mine was below 6

Wed Jan 15 2003 21:11:21 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
We want that A1C at 6.5, but during the height of a growth spurt we can expect higher #'s..

Wed Jan 15 2003 21:12:18 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Remember an A1C is an average. If you are having a lot of highs and a lot of lows your A1C may still be 'good'

Wed Jan 15 2003 21:12:37 Eastern US
Laura B (CWD Events) from 68.43.235.39
We haven't discussed liver function tests. I'll have to ask. I surprised the endo when Sam and I requested the metformin. We'd done our homework and had the data from the teen study. Sam is the first kiddo at UM on Metformin. I think they will do a larger study based on what we're seeing.

Wed Jan 15 2003 21:12:38 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
i have a shot in my backpack, one in my jacket, one on the headbord of my bead,and one on the computer taqble

Wed Jan 15 2003 21:14:02 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
We want to first eliminate all severe lows. They are dangerous. Pumping decreases severe los by ~ 6 fold...(Bode study) This is because of using only rapid acting insulin

Wed Jan 15 2003 21:14:20 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Rebecca's last A1c was 7.0 down from 7.6... 3 months ago...but we dont have crazy hormones as of yet!!

Wed Jan 15 2003 21:14:51 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
i'm on lantus

Wed Jan 15 2003 21:14:51 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Is Rebecca on a pump?

Wed Jan 15 2003 21:15:10 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
at my school there is 3 ppl who have diabetes

Wed Jan 15 2003 21:15:12 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
yes using the paradigm

Wed Jan 15 2003 21:15:15 Eastern US
Laura B (CWD Events) from 68.43.235.39
No crazy hormones, but Rebecca is still growing. Do you see "spurts" of higher bgs?

Wed Jan 15 2003 21:15:18 Eastern US
Ellars (CA) (Sam, 15 dx'd 6/00) from 198.81.27.14
I was happy when Sam wasat 7.8 in October. Why do you need liver tests?

Wed Jan 15 2003 21:15:23 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
one on pump one on mix and me

Wed Jan 15 2003 21:15:41 Eastern US
jeff from 216.26.26.217
hi

Wed Jan 15 2003 21:15:43 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
hello everyone

Wed Jan 15 2003 21:15:44 Eastern US
Shelley (Joshua's Mom, 3, dx'd @ 20 mos.) from 204.146.85.150
Natalie - Have you ever seen a pump malfunction which cause a severe hypo? I know that the risk of ketones goes up with possible pump malfunctions, but have never heard the reverse.

Wed Jan 15 2003 21:16:04 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
hi Jeff
Hi Michelle

Wed Jan 15 2003 21:16:14 Eastern US
cyndy (ben's mom) from 206.172.193.149
Is this the pump chat

Wed Jan 15 2003 21:16:21 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Yes I do

Wed Jan 15 2003 21:16:57 Eastern US
Laura B (CWD Events) from 68.43.235.39
Also with Sam - and probably with all of your kids/teens as well - ANYthing will set off that adrenaline. And then here come the high numbers. I even think that may be responsible for high bgs after a set change. Even though you have a fresh site, you have the adrenaline from the fear of the needle. As brave as the kiddo may look.

Wed Jan 15 2003 21:16:59 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
Hi Cyndy yes it is

Wed Jan 15 2003 21:17:03 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Hi everyone. Just as I signed on, Marissa called, "Mom, I'm 48." She has treated herself, but I will have to go make sure she re-checks in 15 min.

Wed Jan 15 2003 21:17:14 Eastern US
Bliss from 152.163.189.201
Hi everyone

Wed Jan 15 2003 21:17:20 Eastern US
Laura B (CWD Events) from 68.43.235.39
Hi Cyndy - yes it's the pump chat. Welcome.

Wed Jan 15 2003 21:17:22 Eastern US
jeff from 216.26.26.217
Hi room, I'm new so I will sit back and learn.

Wed Jan 15 2003 21:17:28 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
Laura I get those highs when I change my site

Wed Jan 15 2003 21:17:28 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
There were problems in the first pumps. The current pumps have a stop gap mechanism that does not allow over deliver in the Anmas pump. You need to check with individual manufacturers for their 'official statements'...

Wed Jan 15 2003 21:17:35 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
Brenda tell i said hello

Wed Jan 15 2003 21:18:03 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
hi Jeff

Wed Jan 15 2003 21:18:13 Eastern US
Laura B (CWD Events) from 68.43.235.39
We should average Marissa and Sam. He's 302. The first number over 250 in a week. Yay! (Not that that is good - it's just that he always had them multiple times daily before). He's got a bad cold today. :-(

Wed Jan 15 2003 21:18:27 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Marissa doesn't seem to have highs just after getting a new site. Guess I overestimated the carbs in the choc. cake she ate around 8.

Wed Jan 15 2003 21:18:27 Eastern US
Shelley (Joshua's Mom, 3, dx'd @ 20 mos.) from 204.146.85.150
Natalie - You use the Animas?

Wed Jan 15 2003 21:18:44 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
I do.

Wed Jan 15 2003 21:19:51 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
does anyody's kids here acuelly are able to count the carbs insead of the thing where 15 carbs is one count?

Wed Jan 15 2003 21:20:00 Eastern US
Laura B (CWD Events) from 68.43.235.39
Well, remember Sam always had those high? 300's for 3-5 hours after a set change? He doesn't have them anymore with the metformin. Very even-keeled numbers. The metformin suppresses glucose release from the liver - which adrenaline triggers. Adrenaline from a set change maybe???

Wed Jan 15 2003 21:20:09 Eastern US
cyndy (ben's mom) from 206.172.193.149
Give me some good lines to use to convince the clinic tomorrow to put Ben on a pump

Wed Jan 15 2003 21:20:19 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
When you are pumping, you still have diabetes. The quirks of your childs BS are different, but they still exist.

Wed Jan 15 2003 21:20:29 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Shelley, that is what Marissa uses and it works well for her/us. I would not be surprised to see her high in about 6 hours; that choc. cake was supposed to have 74g in 1/16 of the cake (tried to estimate a piece about 60g in size), and 20g fat.

Wed Jan 15 2003 21:21:30 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
Cyndy more freedom, better numbers and less needles

Wed Jan 15 2003 21:21:32 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
The benefits are that you gain the flexibility of your eating and exercising life back.

Wed Jan 15 2003 21:21:34 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Cyndy: "Give us a pump NOW!" How about: "we're having problems with Ben's BG's and would like to try a pump since we've heard lots of good things about it."

Wed Jan 15 2003 21:21:37 Eastern US
cyndy (ben's mom) from 206.172.193.149
What will a pump do to help regulate Ben's numbers

Wed Jan 15 2003 21:21:55 Eastern US
cyndy (ben's mom) from 206.172.193.149
Tried those

Wed Jan 15 2003 21:22:01 Eastern US
Shelley (Joshua's Mom, 3, dx'd @ 20 mos.) from 204.146.85.150
Brenda - Do you use the square bolus for the "fat" in foods like pizza & cake?

Wed Jan 15 2003 21:22:06 Eastern US
Sue (Steve,10,dx'd at 8..pumping w Novalog) from 131.109.68.112
Hi everyone..Steve's been pumping 4 months but just started Novalog 2 days ago.We change set every 2 to 3 days and endo said it would be good to keep the third day numbers level.What else is different about Novalog?

Wed Jan 15 2003 21:22:12 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Let's talk extended bolusing

Wed Jan 15 2003 21:22:28 Eastern US
Ellars (CA) (Sam, 15 dx'd 6/00) from 198.81.27.14
Great chatting have to go. :-)

Wed Jan 15 2003 21:22:36 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Who is using an extended bolus for high fat?

Wed Jan 15 2003 21:22:39 Eastern US
cyndy (ben's mom) from 206.172.193.149
Ben is having alot more lows now than before. I am worried that he will be harder to regulate with a pump.

Wed Jan 15 2003 21:22:41 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
cyndy how about a new doctor

Wed Jan 15 2003 21:23:05 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Who is using extended bolus for high complex carbs?

Wed Jan 15 2003 21:23:25 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
Natalie I do but only incertain things at certain times of the day

Wed Jan 15 2003 21:23:59 Eastern US
rhafiki (16/m/al/dxed 1 1/2 yr) from 209.214.109.223
i gotta go
ttyl

Wed Jan 15 2003 21:24:03 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Laura, Sam needs liver fcn tests because Metformin is metobolizes in the liver..

Wed Jan 15 2003 21:24:29 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Michelle, How do you decide when?

Wed Jan 15 2003 21:24:36 Eastern US
cyndy (ben's mom) from 206.172.193.149
Ever since I found out about the pump I have been bugging to get one. Our clinic is very new and has only had 4 people start the pump they are waiting to see how those people do.
We start with a new Dr. TOMORROW

Wed Jan 15 2003 21:24:49 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
bye rhafiki

Wed Jan 15 2003 21:25:04 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Shelley, I don't use the square wave or extended bolus. Natalie, how do you know when to do the extended bolusing? I thought about it for the cake with its 20g (maybe only 18g). It is my understanding that it is just as easy to do a basal increase, but I would like to know when we should do this. Marissa doesn't eat pizza.

Wed Jan 15 2003 21:25:13 Eastern US
Tim (Dad of Sara) from 67.113.84.1
I know I should be using the extended bouls but I am afraid of Sara going low

Wed Jan 15 2003 21:25:27 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
pizza, oreo at night and egg nog. Trial and error

Wed Jan 15 2003 21:25:29 Eastern US
jeff from 216.26.26.217
Natalie, explain what you mean? extended bolus? I think I know what you mean but not sure.

Wed Jan 15 2003 21:25:36 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Cindy, How are yopu treating his diabetes now? How maninjections? BS checks?

Wed Jan 15 2003 21:25:50 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Is the same true of Amylin (metabolized in the liver)?

Wed Jan 15 2003 21:26:53 Eastern US
cyndy (ben's mom) from 206.172.193.149
6 to 10 blood tests a day. MDI

Wed Jan 15 2003 21:26:55 Eastern US
Daniel/FL (Pumper) from 4.65.196.4
back . . had a phone call.

Wed Jan 15 2003 21:27:26 Eastern US
cyndy (ben's mom) from 206.172.193.149
up to 6 shots a day, a minimum of 5

Wed Jan 15 2003 21:27:57 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Extended bolus is for high fat foods or longer meals.. It is mostly by trial and error but there is a science for those of us who teach it...Who is using it now? and how??

Wed Jan 15 2003 21:28:35 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Cyndy, Lantus?? Insulin to carb ratio? Sensitivity or correction factor??

Wed Jan 15 2003 21:29:46 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Cyndy, You are on a 'poor man's' pump. If you are recording BS, carbs and activity you should not have to convince anyone..your doc should be suggesting it..

Wed Jan 15 2003 21:30:14 Eastern US
Laura B (CWD Events) from 68.43.235.39
I can't say that we use extended bolus. We use repeated boluses. Two hours after the meal, if he's high, we add some. It's mostly gut feeling how much to add based upon what type of food - from experience. I guess that's not very scientific, is it?

Wed Jan 15 2003 21:30:29 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Tim, Tell us why you put sara on a pump

Wed Jan 15 2003 21:31:18 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Have you tried the Deltec pump Natalie?

Wed Jan 15 2003 21:31:34 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Well, we can do better...we try to not chase repeated or predictible highs and treat up front...

Wed Jan 15 2003 21:32:04 Eastern US
Tim from 67.113.84.1
I put Sara on a pump because I needed to be more flexable. I hated H and being tied to a schedule

Wed Jan 15 2003 21:32:29 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
I have not tried Deltec..It is very new. I have worn all other pumps

Wed Jan 15 2003 21:32:35 Eastern US
Daniel/FL (Pumper) from 4.65.196.4
I have a friend who is 15. He has never had control . . .A1C always in the middle teens. Doc tells him and his mom that he won't consider a pump until he takes better care of him self and gets his numbers down. . . .what do you think of that Natalie?

Wed Jan 15 2003 21:32:49 Eastern US
cyndy (ben's mom) from 206.172.193.149
What changes will a pump make for Ben?
We have had 3 lows in the 50's today

Wed Jan 15 2003 21:33:08 Eastern US
Laura B (CWD Events) from 68.43.235.39
Treat up front... but what if the high doesn't occur for a couple of hours. If you treat up front (like, for a steak), then you stand the risk of going low in the first hour to make up for the high that is going to happen later. We wait until that high actually happens (because we don't know whether it will be 2 hours or 4 hours down the road) and then we bolus again.

Wed Jan 15 2003 21:33:22 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
What about sports? Is anyone worried about taking a pump to the pool??

Wed Jan 15 2003 21:33:23 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
I guess we really do the same as Laura. I admit that I do not think that much about fat content at meal times. I do consider it at evening snack, if Marissa eats one. It helps me decide what I need to do at a 1:30 a.m. BG check. We sometimes have evenings that Marissa eats a very low carb dinner and may skip snack; the next night she can pig out. How can anyone know exactly what to do with someone like this?

Wed Jan 15 2003 21:34:45 Eastern US
cheryl (mom of Kaylee, 5 pumping animas 1 yr.) from 205.201.8.113
Hi all! this is my first chat experience. I'll admit that I do what Laura does because I'm afraid to dump kaylee.

Wed Jan 15 2003 21:34:45 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Laura, I guess if you can anticipate the high from the steak you could do the extended bolus or increase his basal rate (maybe 30%) for 2 hours. Marissa eats no more than 1-3 oz. of steak, so I don't worry about this with her.

Wed Jan 15 2003 21:35:20 Eastern US
Tim from 67.113.84.1
Sara takes off her pump in the pool, and we try to remember to make up for her lost basal

Wed Jan 15 2003 21:35:25 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Sometimes a teen will not take great control of his/her D because there is no motivation...If I check my BS there is always something I can do about the # as opposed to waiy=ting for it to come down or up...

Wed Jan 15 2003 21:35:52 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
Adam goes swimming quite often but his pump is not waterproof. It stays close by but his bgs go way up after swimming

Wed Jan 15 2003 21:36:08 Eastern US
cyndy (ben's mom) from 206.172.193.149
Sorry I need to go. I need to go to bed long day tomorrow

Wed Jan 15 2003 21:36:10 Eastern US
Daniel/FL (Pumper) from 4.65.196.4
not me mine is waterproof . . . .I'm not a teen, I just act like one often :-) I wear my pump in all the sports I participate in . . it has been a great help in keeping the numbers under control no matter what I do.

Wed Jan 15 2003 21:37:15 Eastern US
Laura B (CWD Events) from 68.43.235.39
Good luck, Cyndy. Let us know on the parents list how things work out tomorrow.

Wed Jan 15 2003 21:37:25 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Sometimes adults don't take great control of their diabetes too.

Wed Jan 15 2003 21:37:59 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Rebecca has swam with her pump on but she rather disconnect

Wed Jan 15 2003 21:38:27 Eastern US
cheryl (mom of Kaylee, 5 pumping animas 1 yr.) from 205.201.8.113
We disconnect Kaylee to swim because she usually goes low - no need to make up for lost basil. She has worn it in the ocean and has had no problems and on another vacation her pump malfunctioned but I had a back-up

Wed Jan 15 2003 21:38:43 Eastern US
Laura B (CWD Events) from 68.43.235.39
Sam disconnects to play hockey. Not comfortable wearing it with all the gear.

Wed Jan 15 2003 21:39:24 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
If you do not replace the basal or part of it ever hour or so when swimming your #'S will be perfectly in the 100's and then suddenly spike when the in sulin is out of your systen in ~ 2-4 hours...

Wed Jan 15 2003 21:39:39 Eastern US
Daniel/FL (Pumper) from 4.65.196.4
bed time for me as well . . .thanks for having this chat Natalie, it is a great help to a lot of people . . .thanks to all the people that help in this site . . .see you all later. :-)

Wed Jan 15 2003 21:39:40 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Rebecca wears hers at gymnastics does the bars and everything with it on

Wed Jan 15 2003 21:39:53 Eastern US
Sue (Steve,10,dx'd at 8..pumping w Novalog) from 131.109.68.112
Steve disconnects to swim and play most sports..works out well.

Wed Jan 15 2003 21:40:25 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Zack stops the basal almost 2 hours before karate, and takes only half his bolus for his meal before karate, disconnects during the class...this way he doesn't go low during karate.

Wed Jan 15 2003 21:40:41 Eastern US
Tim from 67.113.84.1
I would not let Sara were her pump in the ocean! She is always droping it and I would be afraid that we would never find it.

Wed Jan 15 2003 21:40:48 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
we give his basal every hour but we still get the spike after swimming. That is the only time he disconnects. He even wears it for soccer

Wed Jan 15 2003 21:41:19 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Then he checks after and and gives himself any correction and some of what he missed for basal for th ehour.

Wed Jan 15 2003 21:41:19 Eastern US
Sue (Steve,10,dx'd at 8..pumping w Novalog) from 131.109.68.112
Didn't realize that Natalie..I'll track the numbers 2-4 hrs later..just worry about the lows with extreme activity.

Wed Jan 15 2003 21:41:21 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Ellen (FL) Aldults now did not have the care or the psych support that kids do now...lots of adults do not take care od theri D and do not even know ow or why they should.

Wed Jan 15 2003 21:41:45 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Tim, I'm with you, I don't want my son's pump sailing across the high seas!

Wed Jan 15 2003 21:42:08 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Sue..the hgh is just an indication that all the insulin on board is gone..try it an email me results

Wed Jan 15 2003 21:42:11 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Marissa's pump is waterproof, but she prefers to disconnect.
Just rechecked her and she's 61. She thinks I never set up the extended bolus feature on her pump because I asked her to do one for the 29g Caramello she ate while I was sitting here chatting! I will look into that tomorrow. In the meantime, she did a 10% increase for 30 min., I think. We were debating about this; I voted for 20% for 1 hour. I just dread seeing her BG later when all that fat kicks in. She just smiled and said, "Just do a bolus later." What do you expect from a teenager???

Wed Jan 15 2003 21:42:41 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
A pump in the ocean is a 5,000 dollar rock

Wed Jan 15 2003 21:42:57 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
And some, Natalie, do know, and still choose not to do it. I just don't want anyone to think that every adult with type 1 out there has excellent control and that it's just teens with poor control. BTW, my son's doing great - last two A1C's were 6.3 and 6.5. So not every teen is very rebellious either.

Wed Jan 15 2003 21:44:16 Eastern US
Sue (Steve,10,dx'd at 8..pumping w Novalog) from 131.109.68.112
I will Natalie and LOL the rock!

Wed Jan 15 2003 21:44:16 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Brenda, just that. We will talk- she and I in Orlando and I will explain why 1 hour is not righ and she will do it for me as I am not he rmother..now, can you ge t=mine to clean her room??

Wed Jan 15 2003 21:44:28 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
My last a1c was 6.5 and I am not the greatest at controlling my bgs either. We just do the best we can for both of us

Wed Jan 15 2003 21:44:47 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
Hi all,I know this is late, but we are in the process of getting a pump, how do you decide which sets to use?

Wed Jan 15 2003 21:45:43 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
No, my teen is easy and not rebellious...most, biut not all teens with D have some rebellion because they are angry, it is not fair that they have d and they have a hard time expressing it.

Wed Jan 15 2003 21:46:01 Eastern US
Laura B (CWD Events) from 68.43.235.39
Wow, Ellen - those are great A1c's for Zack!

Wed Jan 15 2003 21:46:45 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Amy, what is your child's body build and where will he/she wear them? Stomach or hips? arems or legs?

Wed Jan 15 2003 21:47:38 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Oh I agree, diabetes stinks and venting is part of surival.

Wed Jan 15 2003 21:47:45 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
survival.

Wed Jan 15 2003 21:48:05 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
The angled sets have a longer introducer needle, but better hold and MUCH less crimping.

Wed Jan 15 2003 21:48:10 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
She is a bigger girl, she is about 5'9". 170 pounds and I think that she would wear it in her stomach area

Wed Jan 15 2003 21:48:31 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Do we want to talk about sets?

Wed Jan 15 2003 21:48:55 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Natalie, I can't get Marissa to clean hers either. What SHOULD I do (about the basal change for tonight)? I am thinking that she should be fine until 1ish, then I'll see higher BG's. Now, I should point out that her BG is usually its highest from 12-2 a.m., then drops. She has very wacky basals from 1 from 10-12, 1.1 from 12-2, then dropping off to .45 from 4-6 or something like that. Her latest A1c was 7.0, higher than the past year, but including a 5 day trip out of town w/o me, the testing nag and carb estimator.

Wed Jan 15 2003 21:49:14 Eastern US
Slayer (13 year old (girl) dx 4~22~02) from 65.163.236.96
Hi I'm 13 and I will be getting a pump soon. What is the hardest thing about getting a pump

Wed Jan 15 2003 21:49:28 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Marissa uses the Comforts/Tenders and always has.

Wed Jan 15 2003 21:49:52 Eastern US
Michelle(RI) (Adam 8 dx'd 2/00 and pumping) from 68.9.4.48
Good night everyone

Wed Jan 15 2003 21:50:06 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
I agree that the angled set is great - less crimping...(although daunting to look at and insert the first few times)

Wed Jan 15 2003 21:50:21 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Rebecca uses the quicksets

Wed Jan 15 2003 21:50:33 Eastern US
Laura B (CWD Events) from 68.43.235.39
Sam uses Quick-Sets. Had trouble for about a month with crimping, but now that he's switched to his outer thighs, it's working really well.

Wed Jan 15 2003 21:51:21 Eastern US
Laura B (CWD Events) from 68.43.235.39
Hi Slayer. For our family, the hardest thing initially was how much there was to learn and how little sleep we all got. You have to test a LOT.

Wed Jan 15 2003 21:51:44 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
How do you determine which depth to choose for the quick set or ultraflex? Should you have different depths to choose from depending upon where on your body you insert?

Wed Jan 15 2003 21:51:51 Eastern US
Slayer (13 year old (girl) dx 4~22~02) from 65.163.236.96
So I've heard

Wed Jan 15 2003 21:51:57 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Brenda, I am not allowed to give direct medical advice. For this time you should check and correct after. Email me and we can discuss individually. Fat takes several hours to raise BS...4-5 hours...

Wed Jan 15 2003 21:51:58 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Marissa uses her abdomen and hips for her sites, depending on whether or not it's swimsuit season.
Speaking of the sun, Ellen, please send some of your FL warmth north.

Wed Jan 15 2003 21:52:13 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
I can look at all of the different pictures and I am totally lost. I have no idea what the difference is in all of them.

Wed Jan 15 2003 21:53:07 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Chilly tonight Brenda 59 degrees. That's winter coat weather for us :-)

Wed Jan 15 2003 21:53:25 Eastern US
Laura B (CWD Events) from 68.43.235.39
And then the testing and monitoring doesn't stop. You always have to be on top of it because as you grow and change, your insulin needs change. And with the pump, you can change things quickly according to what your body needs. So, you have to learn all about that to use the pump for maximum benefit. It's a great device. As frustrating as it is some days, Sam says he would never go back to injections.

Wed Jan 15 2003 21:53:40 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Natalie, first thing I need to do is get out the manual and figure out the extended bolus. Then, when I try it, I will see if I need more help. In the meantime, I am sure things will work out.
Ellen, it was 15 last time I checked.

Wed Jan 15 2003 21:53:40 Eastern US
Slayer (13 year old (girl) dx 4~22~02) from 65.163.236.96
What is the best set to choose first when getting a pump?

Wed Jan 15 2003 21:53:49 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Ellen in Fl One doc told me micros -6 mm - are for professional athletes or anorexics only....Very thin ot VERY muscular

Wed Jan 15 2003 21:54:05 Eastern US
Nikki{Northern Ca.} (Daniel,12,dx'd @ 5) from 64.169.128.130
Hi All, Our Endo said that my husband and I will wear the pump first for 24 hrs. the Dan will get it. Has anyone done that?

Wed Jan 15 2003 21:54:24 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
Our pump rep was going to order us quick sets, I believe, but I am still not sure if they would be right for us or not.

Wed Jan 15 2003 21:54:26 Eastern US
Laura B (CWD Events) from 68.43.235.39
Sam's using the 6mm. :-)

Wed Jan 15 2003 21:54:47 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
ALL PArents should wear saline.

Wed Jan 15 2003 21:55:03 Eastern US
Laura B (CWD Events) from 68.43.235.39
ACtually, maybe that's why it works. Sam has very muscular legs from hockey.

Wed Jan 15 2003 21:55:32 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Nikki, I wore the pump with saline for 36 hours - my husband was too chicken. I think it was a very good experience.

Wed Jan 15 2003 21:55:39 Eastern US
Tim from 67.113.84.1
Natalie would not put Sara on a pump unless I wore one first

Wed Jan 15 2003 21:55:42 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Rebecca uses the 6mm...shes just a little thing and they work well for her

Wed Jan 15 2003 21:55:44 Eastern US
Jeanne (Emily,10) from 66.191.202.121
Emily uses the 6mm. Wished we had started with the sils, though. The quicksets don't seem to work as well on thin kids.

Wed Jan 15 2003 21:55:45 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Amy, the thing you should do is have your pump rep get you samples of various sets and have Brianna try them and see what feels best for her.
I wore a pump for about 24 hours; it was painless to insert and easy to get used to.

Wed Jan 15 2003 21:55:59 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Sets should match the child/family situation, not the rep's opinion..is he or she a sales person or a clinician???

Wed Jan 15 2003 21:56:02 Eastern US
Laura B (CWD Events) from 68.43.235.39
I wore on for a day as well. Neal's site fell out (actually I think he picked at it because it itched)...

Wed Jan 15 2003 21:56:43 Eastern US
Tim from 67.113.84.1
I thought she wanted me to understand how the pump worked...but what I got was an understanding of how it was to wear a pump 24/7

Wed Jan 15 2003 21:57:02 Eastern US
Laura B (CWD Events) from 68.43.235.39
Brenda - did you use elamax or just stick the needle in? We didn't use a numbing agent, but I think the needle would be very scary, especially on a tender without an inserter device.

Wed Jan 15 2003 21:57:34 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
OK,thanks, we are still trying to get approval from my husband's insurance, I just got a new job and have insurance on the 27th so we are going to wait a little longer if his approves it. Seems to be taking forever.

Wed Jan 15 2003 21:58:14 Eastern US
Jeanne (Emily,10) from 66.191.202.121
Emily won't hear of trying the sils now after seeing that needle. But we've had problems with crimping with the quicksets.

Wed Jan 15 2003 21:58:15 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Marissa had problems like that, Laura. We eventually decided she was allergic to the IV preps and haven't used them since.
I used nothing on myself. Marissa still uses Ela Max. I would like to wean her off it, but...

Wed Jan 15 2003 21:58:46 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Do you all know some companies pay the rep and or encourage the rep to sell you a certain set? Get the one that is best for you/ your child. Ask to see a clinican...

Wed Jan 15 2003 21:59:34 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
Is it a good idea to use the Ela Max when you start?

Wed Jan 15 2003 21:59:35 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Z still uses EMLA with the Tenders, although he'll insert without it when he uses the Ultraflex

Wed Jan 15 2003 22:00:16 Eastern US
Slayer (13 year old (girl) dx 4~22~02) from 65.163.236.96
What is the best insulin for a pump, right now I take injections of Novolog?

Wed Jan 15 2003 22:00:48 Eastern US
Bernice (PA) (Mom of Rebecca, 6 1/2, dx'd at 3 1/2.....pumping 8 months) from 198.77.40.61
Rebecca used the emla at first now she doesnt

Wed Jan 15 2003 22:01:01 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
No, I wasn't aware of that! This is going to sound VERY dumb but what exactly is a clinician?

Wed Jan 15 2003 22:01:01 Eastern US
Jeanne (Emily,10) from 66.191.202.121
I think that is what happened to us, Natalie. Even after the cannulas were bent at almost 90 degree angles, they kept pushing the quickset.

Wed Jan 15 2003 22:01:16 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Amy, our kids would say yes! LOL I don't mean this as an insult, but it sounds like Brianna might have enough fat to not need it. (I had/have plenty to spare and think that's why I could go w/o it; Marissa was very thin when she got her pump.)

Wed Jan 15 2003 22:01:31 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Is there a slide or presentation somewhere on the web that shows an graphic of an infusion set that's in too deep and up against muscle and therefore doesn't allow the basal to be delivered properly to subcu tissue?

Wed Jan 15 2003 22:01:33 Eastern US
Laura B (CWD Events) from 68.43.235.39
I need to put the kids to bed. Natalie - thanks for leading the chat. This room will stay open for awhile longer. Feel free to continue the discussion. G'night everyone! :-) Happy pumping!

Wed Jan 15 2003 22:02:15 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
I love Novolog in pumps..I have noticed better~ more stable~ #'s in myself and my A1C is 5.5-6.0. I think I get a faster peak~40-50 min as opposed to 30-90 with Humalog...and my sites last longer

Wed Jan 15 2003 22:02:35 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
Good Night Laura, over here on the west coat we tend to forget how late it is! Night!

Wed Jan 15 2003 22:02:37 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Good night Laura.

Wed Jan 15 2003 22:03:00 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Ellen, can you e-mail that idea to Jeff? Of course, he may laugh and/or suggest that "I" volunteer to wear the sets in improperly. I am the guinea pig and usually try everything we get.

Wed Jan 15 2003 22:03:13 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Ellen (FL) Not that I know of.

Wed Jan 15 2003 22:03:39 Eastern US
Jeanne (Emily,10) from 66.191.202.121
Natalie, we have had the same experience. Started with humalog and sites only last 1 day. We asked to change to Novolog and now we get 3 days.

Wed Jan 15 2003 22:04:03 Eastern US
Tim from 67.113.84.1
Sara learned how to put sets in me

Wed Jan 15 2003 22:04:29 Eastern US
Sue (Steve,10,dx'd at 8..pumping w Novalog) from 131.109.68.112
What do you mean by sites last one day?

Wed Jan 15 2003 22:04:34 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Jeanne- there is nothing in the literature about why this would happen, but my pts have loved it...

Wed Jan 15 2003 22:04:52 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
I thought Diabetes Interview had an article once with terrific graphics on subcu ....but I don't recall what issue. I don't think it pertained specifically to infusion sets. My son's ped endo has explained that the set can be in just too deep to allow the basal to trickle in, but a bolus can get through. Is that your experience too Natalie?

Wed Jan 15 2003 22:05:43 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
How often are you all changing sites?? I still recommend every 2 days to save on scar tissue build up..

Wed Jan 15 2003 22:05:45 Eastern US
Jeanne (Emily,10) from 66.191.202.121
Even our endo couldn't believe it.

Wed Jan 15 2003 22:06:36 Eastern US
Jeanne (Emily,10) from 66.191.202.121
We do 3 days. I had never heard that, Natalie. 2 if numbers run high.

Wed Jan 15 2003 22:06:49 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
We are having a lot of problems with the Lantus lately, she has huge bruises or has marks for days. We really want our pump! Is there less tissue damage with a pump?

Wed Jan 15 2003 22:07:06 Eastern US
Slayer (13 year old (girl) dx 4~22~02) from 65.163.236.96
When you start using a pump is it better to change sites more or less often?

Wed Jan 15 2003 22:07:09 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Ellen There was an issue of D Interview...try to find it online is my only hope ...

Wed Jan 15 2003 22:07:28 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Marissa is much happier with Novolog, likes that she doesn't need to change sets as often. She was scheduled to do one tonight, but opted to wait since her last 2 BG's (since 7:35) have been 52, 63, and 61. Reminds me I should go make sure she's not still low. Still only 2 hours since those 5 units for that cake and milk.

Enjoy the remainder of the chat. Thanks for being here Natalie.

Wed Jan 15 2003 22:08:05 Eastern US
Sue (Steve,10,dx'd at 8..pumping w Novalog) from 131.109.68.112
Usually 3 but endo wants 2..we had a lot of problems with kinking in the beginning and when we had a good set didn't want to change. Manual insertions have helped a lot with Silhoutte.

Wed Jan 15 2003 22:08:08 Eastern US
Brenda H. (mom of Marissa, 15, dx'd 9/89) from 216.68.227.14
Ellen, I will try to remember to see if I have any back issues that have that story. I will e-mail you if I find it. BYE

Wed Jan 15 2003 22:08:29 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Slayer, We tell our pts 2-3 days. After 72 hours your absorption of insulin decreases and your scat tissue build up increases

Wed Jan 15 2003 22:08:44 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Jeanne, canulas were stained and showed precipitation in the canula from Humalog and caused clogging.

Thanks Brenda

Wed Jan 15 2003 22:09:09 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Slayer are you on a pump

Wed Jan 15 2003 22:09:38 Eastern US
Slayer (13 year old (girl) dx 4~22~02) from 65.163.236.96
no but I will hopefully be on one soon.

Wed Jan 15 2003 22:09:40 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Ellen are you using Novolog/

Wed Jan 15 2003 22:10:20 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Are there any other questions any of you have?

Wed Jan 15 2003 22:10:57 Eastern US
Jeanne (Emily,10) from 66.191.202.121
Natalie, we only use upper hip and buttocks for sites as Emily is so thin. Will they eventually "wear out".?

Wed Jan 15 2003 22:11:39 Eastern US
Jeanne (Emily,10) from 66.191.202.121
She only weighs 60 pounds and the tummy is not an option.

Wed Jan 15 2003 22:11:41 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Humalog, but my son doesn't have a problem with it. I wonder if insulin stays more stable in glass cartridges than in plastic. My son uses the old HTRonV100 and the insulin seems stable in there.

Wed Jan 15 2003 22:12:18 Eastern US
Sue (Steve,10,dx'd at 8..pumping w Novalog) from 131.109.68.112
I'm good..glad to learn that you like the Novalog..Thank you:-)

Wed Jan 15 2003 22:12:20 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
If any of you want to email me directly and ask questions in the future, my email is nataliebe@animascorp.com and my cell phone # is 484.435.5666.

Wed Jan 15 2003 22:13:36 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Jeanne, be sure to rotate sites . I teach use the same side and move the size of the tape ove and make ros of sites until you have used up a whole side. I can fax you a picture if you want...

Wed Jan 15 2003 22:13:39 Eastern US
Kris (Mom of Garrett,13 dx'd at 9) from 206.148.147.156
Have any of you used the gluco watch?

Wed Jan 15 2003 22:13:43 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Metabolic decompensation in pump users due to lispro insulin precipitation
http://www.pubmedcentral.gov/articlerender.fcgi?tool=pubmed&pubmedid=1202898
0

Make sure you look at these slides - if you are having trouble with humalog in the canula.

Wed Jan 15 2003 22:14:14 Eastern US
Amy (Mom to Brianna 13 soon to be pumping) from 216.239.187.15
Thanks so much for your time Natalie.

Wed Jan 15 2003 22:15:02 Eastern US
Jeanne (Emily,10) from 66.191.202.121
Natalie, that is interesting. I have been switching sides each time.

Wed Jan 15 2003 22:15:11 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Ellen(FL) The insulin stays more stable in glass over long term storage situations, but not on the 3-6 days in a plastic cartridge in a pump...

Wed Jan 15 2003 22:15:32 Eastern US
Slayer (13 year old (girl) dx 4~22~02) from 65.163.236.96
Thank you for chatting Natalie.

Wed Jan 15 2003 22:15:56 Eastern US
Jeanne (Emily,10) from 66.191.202.121
I will e-mail you with my fax number. I'd love a copy of it. Thanks.

Wed Jan 15 2003 22:16:15 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Even in the heat of Florida Natalie?

Wed Jan 15 2003 22:17:11 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Jeanne, You just tend to go back to 'easy' sites that way. If you start at a place and move an inch to the right each time and then down an inch fr another row you will gve each site the most rest..

Wed Jan 15 2003 22:17:59 Eastern US
Ellen (FL) (Zack 15, dx'd @ 15 months, pump 7.5 yrs) from 152.163.189.201
Thanks for chatting Natalie. I didn't realize you're with Animas. Kudos to Animas, their customer service reputation seems to be top drawer.

Wed Jan 15 2003 22:18:24 Eastern US
Jeanne (Emily,10) from 66.191.202.121
I will try that Natalie. Thanks for all the info:-)

Wed Jan 15 2003 22:18:50 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
I lived in the heat of NC with no problems and we have several employees who are pump wearers in the deep south that have no problems with plastic cartridges...BTW Novolog has a great temperature stability.....

Wed Jan 15 2003 22:21:36 Eastern US
Tim from 67.113.84.1
We use plastic cartridges and Novolog in Los Angeles with no problems

Wed Jan 15 2003 22:21:36 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Ellen (FL) I apologize. I am now the person who is in charge of teen programing at the cwd events-orlando in July and Baltimore over Labor Day 2003. I thought that was on the CWD SITE ADVERTISING THE CHAT...I will announce at the beginning of each monthly chat from now on..

Wed Jan 15 2003 22:22:42 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Tim How is the Mastisol working?

Wed Jan 15 2003 22:23:36 Eastern US
Tim from 67.113.84.1
very well! Almost too well...

Wed Jan 15 2003 22:24:45 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Now that is why I got you Detachol, too...OK. We are too tired on the east coast to continue. Please join the regular chat if you want to continue as this roon closes in a few minutes.

Wed Jan 15 2003 22:24:55 Eastern US
Natalie (Nurse, Diabetes Educator, person with diabetes and pumper of Novolog) from 66.7.139.98
Good Night all.

Wed Jan 15 2003 22:25:34 Eastern US
Amy from 216.239.187.15
Good Night!

Wed Jan 15 2003 22:25:43 Eastern US
Tim from 67.113.84.1
Natalie Thank you for your time....



                 
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