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Insulin Pumps

At the time my son went on the pump, his doctor told us never to bolus more than once within a two hour period. However, his new endocrinologist says he can bolus every time he eats, no matter how often. Aside from a correction bolus, how often can we safely bolus?

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How do you know when you need to change carb/insulin ratio and your correction bolus? Do you go by weight?

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I use a pump, and I am a runner, but have become very frustrated with exercise and blood glucose control. I find that my blood sugar may be great after a run, but then spikes a few hours later. I feel like no matter what I do, I can’t get it right. Is this pattern common?

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I am a 32 year old who has had type 1 diabetes for 20 years, and I have been on a pump for four years. I’m trying to track all of my carbs and my basals, but it seems like the basals need to be much lower during the week I get my period than the weeks prior to and following it. Are there some general guidelines for basals rates during the four weeks of a menstrual cycle?

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Is pump therapy available in the UK?

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My 11 year old son who has had diabetes for a little over a year and is in good control (A1c 6%) using Novolog and Lantus wants to switch to pump therapy for no other reason then he wouldn’t have to take as many injections a day. I have always said it was up to him to make decisions about his care. Is this a good reason to go on the pump? Is he a good candidate for it?

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I am 28 years old, was diagnosed with diabetes two years ago, and I am on multiple insulin injections. However, I still have frequent high blood sugars and hypos. I am thinking of an insulin pump, but it is not available in my area. Any advice?

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Are you aware of problems with the Animas insulin pump or software problems (system failure, alarm failures, waterproof failure, etc)?

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I am sixteen, have had diabetes for approximately two and a half years, and I went on a pump about three weeks ago. About how long does it take to work out basal rates and bolus rates?

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I am the first patient my primary care physician has put on the pump. He and I have an on-going argument about testing. He feels that I should be testing only 4 times a day and wants to write the scripts for that. It seems to me that I should be testing at least 6 times a day. Can you point me to documentation that specifies how many times an insulin pump user should test?

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