Merry [Pump] Christmas!

merry christmas batman

After eleven stinking months of bitching at strangers on the phone, switching over to Oregon Health Plan (due to losing my job at the shitty, shitty restaurant), and fulfilling all of the compliance requirements in order to be approved for a pump by Kaiser’s weirdo DME committee….

I FINALLY HAVE A NEW PUMP!!!

Allow me to introduce you to Mister Plum, my brand-spanking new Medtronic Revel 523:

photo (2)

What a handsome little fellow!  

This little monster is CGM-compatible and comes loaded with new, handy features (and complimentary gadgets) that will improve my diabetes management, including:

  • Post-meal BG reminder:  My A1c was recently rose back up to a dreadful 9.0, and my endocrinologist determined that a large part of the problem is my failure to test after meals. I simply forget. This function allows me to set my pump to squawk at me two hours after I eat, so forgetting is out of the question. The sooner I catch highs post-meal, the better I can control my overall sugars until I can determine what I’m doing wrong to get high post-meals in the first place. So stoked.
  • Capture Event function:  This function lets you capture certain moments in time that can be incorporated into your overall trends, such as BGs, exercise, insulin intake, and meals.
  • Missed Meal reminder:  If you have a problem forgetting to bolus with dinner, you can set a span of time to remind yourself to do so.  This is not as helpful for me at the moment because I do not eat at the same time every day.  Also, I generally do not forget to bolus with meals.
  • Bayer Contour Next Link blood glucose meter:  I *love* this thing:
    • The lancet device is less painful and the strips require much less blood than One Touch Ultras.
    • This meter is programmed to automatically ask you to categorize your reading as “Before Meal” and “After Meal” before you even see the reading itself.  This makes it easier to analyze whether you are off on your basal, carb-to-unit ratio, or are possibly in need of a carb-counting refresher.
    • Additionally, this meter has a built-in USB port, and communicates with your pump when plugged into the computer.  And now that CareLink has been upgraded to be more Mac-compatible, I will be able to get a better sense of my overall trends and behaviors.

IMG_2025

BG Reminder!

IMG_2026

The fancy Bayer Contour Next Link BG meter.  My new love. 

Lessons Learned

If you are in pump purgatory as I was, hang in there.  Be patient with the health administrators on the ground who are trying to get this done for you.  I promise you that they want to accommodate you, but because of the administrative hurdles instituted by top-down execs who mercilessly seek to cut costs, it will take time.  Try to humanize yourself to administrators to gain their sympathy (read: cooperation) and remind them why you are an excellent candidate for insulin pump therapy.  As an athlete, I argued that my dynamic and active lifestyle would be jeopardized by the constant eating you have to do while taking long-acting insulin* injections.  You can’t ramp down your insulin intake after you’ve taken a shot, so if you decide on an impromptu bike ride or random mountain climb, you have to eat beforehand or you’ll go low.  This makes weight management difficult, which in turn can affect how much insulin you require in the first place.  It’s a cycle, and remind them of that.  Keep your head up! 

Here’s to great control in the future with my new gadget!

Photo Credit: memecenter.com/keptinkurk

*Nota bene:  I am not full-scale attacking syringe-based insulin therapy.  Many respectable athletes use long-acting insulin.  I just believe that you have to be extremely regimented to make it work.  I am not.