Results Are In…

I always wait on pins and needles my A1c from my endo’s office. Since they do a blood draw to check other things as well, they don’t use one of those fancy-schmancy know-while-you’re-there machines.

Usually I check my Dexcom reading report for the past 3 months and see what the average is on that and most of the time, I can estimate my A1c myself within a few “points”. This time, it was just the same – I had an average of 141, so I estimated that I would fall right between 6.0 and 6.5 based on my lab’s scale… and I did.

a1c

6.3

Honestly, I was hoping for a bit lower, but I knew it probably wouldn’t be since I had a rough week earlier in the month with BG’s in the 300-400 range. But I’m super happy with it because it’s finally back in my personal sweet-spot area of where I like to maintain my A1c after a year of trying to get it back down.

Other things were checked as well, like my TSH and Vitamin D. As usual, TSH was in good range, so same dose of Synthroid as always. I have yet to get up the guts to ask him to run a full thyroid panel though. I really would like to know where the other levels are and also to get an answer to whether it is autoimmune or not (since I don’t have an enlarged thyroid, he won’t diagnose it as Hashimoto’s).

As for Vitamin D? Well, after having been on 12-week booster doses twice this year, he’s placing me on a maintenance dose as my levels are just barely meeting the minimum. My levels have never fallen into the “deficiency” range, but stayed between there and the “acceptable” range, so I guess you could say I’m Vitamin D insufficient.

So, that’s where we stand with all of that. Let the new 3 month countdown begin!

 

And as a sidenote: He was impressed with me for staying with the t:slim for as long as I have, and have stopped switching up so much. I told him how pleased I’ve been with it since the new cartridges, and how it seemed to have solved my problems I had with it before. Honestly, I can say that I’m a full-fledged through-and-through t:slim fan at heart. I’d probably cry if anything ever happened to it. #tslimpride

 

How It Works

I’m one who likes to take things apart and see how they work. I’ve done it with the Omnipod pods (both older and newer generation) and also the Asante Snap pump body. Granted, I haven’t done this with any other pump seeing as how they cost several thousands of dollars, but I am sure they are cool on the inside too.

Now, with the Tandem t:slim, I’ve been intrigued as to how the “micro-delivery” pump action works, since it’s different than other standard piston style pumps in that it doesn’t push from the bottom of the cartridge up, but rather a small bit is vacuumed into the mechanism to the bag and then pushed up into the tubing – a safety feature that allows you to only be subject to 0.3u of insulin at the time verses, say, 20-300u. So, true to form, I took a cartridge apart to see how it actually works. Granted, I’ve taken several apart just to see the bag on the inside, but never to actually see the mechanics of the pump itself. So, for those of you who are just as excited about this stuff as I am, here you go:

So, basically, there’s two little pieces at the end of the piston rod that when pushed in, push air or insulin into the tubing and the space between the two parts of the piston rod is eliminated. When the piston rod is pulled back, the space between the two parts fill with insulin as it is pulled apart and then the insulin is moved back into the area under the tubing to be pushed up into the tubing when the piston rod is pushed back again. It’s a rather genius idea. And the parts? They’re interlocked in a sort-of T pattern. How awesome? Now whether or not that is where they get the ” t: ” part in everything, I’m not sure, but I know that the one little piece looks very similar to the “T” button on the pump, which is just.freakin’.COOL… like, COOL doesn’t describe it… it’s WICKED AWESOMENESS.

Of course, if you want to see Tandem’s official video, you can go here.

I don’t know why this stuff excites me the way it does. To others, this may not be that cool and they’ll think I’m totally off my rocker, but this stuff, to me, is super awesome and gets me fired up. I like to know they how and why of things, not just that it is what it is. So, High-5, Tandem developer people. You’ve made this inner tech geek VERY happy. Of course, it would REALLY blow me away if I could see the inner workings of the pump, but you know.. I don’t want to ruin this $7k piece of life-saving beautifulness.

Just Happy Dancing

My endo appointment went well this morning. Although I won’t know my lab results until the end of the week, I did get more out of this appointment than I have in the past. He took more time to examine my numbers and look over my graphs and charts. He viewed my report from my retina specialist as well. He looked in my eyes an insanely long amount of time (okay, maybe not that long, but it seemed that way to me. From what he could tell, he couldn’t see any swelling, so I’m super happy about that. My appointment with the retina specialist is in a month, so we’ll know more then, but otherwise, he wants me to keep everything the same as nothing really seemed to need to be changed…. except my morning BG spikes, but those can be explained by the wonderful thing called PMS.

Now, we wait until the lab-work to come back. I’m anxious to see what my a1c is, and I also asked him to check my Vitamin D levels as well. I know I probably need to be on something anyway seeing as how I’m both diabetic AND have hypothyroidism, but I’m curious to see what it comes back at.

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One thing we talked about was my t:slim pump. Back in October, he had taken me off of it for an “undetermined” amount of time due to the unexplained highs (which I now firmly believe were cartridge-lot-related). Then, when the eye thing happened and since I had been using it for a week prior, I stayed on it until I met with him today to look at my numbers. And as far as he sees, there is no reason why I have to stay off of it. In other words, I can continue to use it if I want to. In other words,

….there are no words. Just happy dancing.

 

 

3 Weeks

Three weeks ago, I began what I thought would be just a break from my Minimed pump / CGM combo. I was constantly getting frustrated with CGM sensors not lasting the full 6 days (usually only about 4 days) and knowing that my records were going to be all messed up. I have to hand it to Medtronic though, they stuck it out with me the entire time and without hassle replaced boxes of sensors and even my serter. But with all of the trying and trying and trying, I just couldn’t get them to work. So, I wanted to take a break. Being overwhelmed with that and just everything else, I just didn’t feel like I could troubleshoot anymore. Now, I’m not saying their product isn’t good, because I know a LOT of people who use it and have had a lot of success too, but I’ve learned one thing – there is a lot of truth in the fact that not every device “fits” everyone, and no, they don’t all work the same. Thus, my theory that everyone should get to “date” pump systems before locking in needs to be a must. And I don’t mean just over the weekend. I mean like, for a whole month or two.  I just think with all the scar tissue I have and the sensitivity to the tape the Enlite has, it’s just not worth trying to make it work right now. So yes, in essence, it’s me, not them.

When I got frustrated, I switched back to using my Dexcom. Granted, it’s a pain in the butt to keep up with, but for me? The accuracy over the duration of wear time is much better. It wasn’t until everything happened with my eye that I realized just how important it was. I’m not saying it is super accurate, but I’ve been able to depend on it more than the pump CGM, and right now that matters a heck of a lot more than whether it’s integrated or not. Plus, I have no tape rashes or burns from the Dexcom, so that’s a huge plus for me.

IMG_5503Also, at the time, I had a fling. No, not that kind of fling… a pump fling. Knowing how I am about wanting to switch up pumps between the Medtronic and my t:slim, I had actually planned on going through maybe two cartridges in my t:slim pump at the end of March. I don’t know if the battery works the same as most computer batteries, but with those, if you don’t use them, the batteries mess up, so every now and then I wanted to be able to use it so that just the lack of use didn’t mess up the battery. So, when the eye thing happened, I was on the t:slim. I was not having any issue at all with the pump like I had before, so I am not attributing what happened to that, but I am telling you that because when I spoke with my endo, he told me to “keep everything to the same” until I went for my appointment… which will be next week. So, for 3 weeks now, I’ve been using my t:slim pump. Much longer than I expected, but I have to say, I haven’t had the issues with random, uncontrollable highs that I did before. In fact, it’s been quite the opposite. My control has improved. I still wonder if the cartridges I had were affected by the recall, but that the lot numbers were too “young” to be considered in it (my lot numbers were in the 300’s, the recalls started in the 800’s). I’m not going to lie, I’m sort of hopeful that maybe that was the case and now the pump will work just fine.

And, as an update to the whole eye thing, I have good days and bad ones. For the most part, if I can keep my blood sugar as steady as possible and without any major swings (like, no arrows on the dex, and no BG’s above 180-200 for a period of time), my vision is pretty well clear. But if I have a period of time were my BG has run high for a while or if I have major swings (like when I went from 220’s to 70’s within an hour and a half), my eye is pretty well good for nothing for a while. It’s amazing me how things work and affect us all. If anything, this has taught me, as I said before, it’s not about what you use to control your diabetes, as long as you’re using it the best you can and doing the best you can.

Anyway, that’s sort of a rundown of what’s been going on. I know it’s probably confusing when I just throw stuff out there at random without any true point or purpose other than to just get stuff out of my head, but that’s sorta what I started blogging for anyway.

Could It Really Be?

*insert sound of messenger “ding” here…*
“Hey Sarah – I wanted to let you know, I’ve now used two of the cartridges you sent me and both times I’ve had extreme highs once I was down under about 120 u. I never had that experience on the box they send me with my initial order or with my 2nd shipment. So I’m guessing, even though the ones you sent weren’t in the recall, they are experiencing the same problem (no way to know for sure). I hope that this will at least make you feel better about the experience you had…”

 

Could it be? Like, seriously.. could this really be happening? Like… to the EXACT. SAME. CIRCUMSTANCE?!?

A feeling of overwhelming joy yet guilt rushed over me within two seconds. Joy that I wasn’t crazy after all in everything that I had been wracking my brain to try to figure out about the t:Slim cartridges that I had, while at the same time I felt guilty because my friend had experienced it and was now very high.

When the news of the Tandem Cartridge Recall had come out, I immediately checked my boxes. Since they had been in waaaaayyy earlier lot number sequence (like, in the 300’s), I didn’t think they could be it, so it had to be something else. But it was just too uncanny how similar her and my experiences were. The same thing.. the same problems – highs resulting from using the cartridges and getting to the last third of the cartridge.

After I received the message from my friend, I bounced around the idea of buying and paying out of pocket for a box of cartridges myself just to see (especially since insurance had just paid for 2 boxes of Medtronic cartridges, and they’d probably deny the claim anyway). If it didn’t work, that was just going to be $25 wasted. But if it did? That would be a hugely awesome thing.

While I know my specific lot numbers weren’t listed, they may have been too early to have even been tested (going on an assumption there). Either way, what ever they did to fix them seemed to fix that big issue I had. I’ve now gone through two cartridges and am happy to report that I did not have issues as I did before. I was able to use every bit of the insulin that it would let me (you know, minus the 40-50u of unusable insulin) down to where the pump read zero. This makes me extremely happy because I loved that pump so much and was absolutely heartbroken when I started having issues with it (can one really be heartbroken over a medical device? yep). Now I just have to figure out what I want to do.

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 I do want to send out a big “thank you” to my friend for letting me know what she did, as well as Tandem for keeping me up to date about the cartridge recalls over time. It means a lot to me.

Insulin, Oh Insulin, Where For Art Thou, Insulin?

I can’t do it.

I simply just can’t do it.

I can’t bear to think that I’m throwing away as much insulin as I am with every cartridge change with Tandem’s insulin pump. It just doesn’t feel right. Not sure what I’m talking about? Let me give you a run-down.

With any competitor pump out there, you can fill the cartridge and probably waste an average of 10 to 15 units filling the tubing and site during set up. From there, you can simply run the pump down to no insulin at all if you’d like, and only be losing that 10-15 units. Over a month (if you change out every 3 days), you’re looking at a grand total of 100 to 150 units per month that you’re losing due to the space in the tubing that needs to be filled.

With *my* Tandem t:slim pump, because it’s made with a bag-design, the pump can’t read all of the units that are placed in the pump. (Emphasis on MY because apparently this is different for others. I must have gotten a dud or something) Take for instance, last night. I filled the cartridge with 160 units. The pump recognized only 115 units of that. That is a difference of 45 units that will not be usable unless after I use the cartridge, I draw it back out and re-use it in the next cartridge (which is TOTALLY not recommended). But if you were to follow everything by the letter, I am wasting a massive average if 45-55u per cartridge. That doesn’t even account for the extra 10 units that it takes to fill the tubing on top of the already standard 10-15 units. So, overall, 55-60 u per change out… every three days. That’s 550-600u per month. That’s a half of a bottle of insulin or more per month that I’m throwing in the trash can, never to be used. Just since starting back on it, in ONE week, I’m down a half-vial. I’ve NEVER used that much that fast on any other pump. I knew when I started on the t:slim that it seemed that I was using a lot more insulin, but I never sat down to actually do the math.

While I love the pump and how it works, and yes, I feel obligated to use it because it was just paid for last year, I also don’t think my insurance would appreciate the fact that I’m literally throwing out half of what they paid for. And at ~$206.99 for Novolog (I may or may not have called my local CVS to find out the cash-pay price….), I’m throwing out roughly $103.49 to $124.19 per VIAL. On the conservative side, that’s $100 per vial, and at two vials per month, that’s $200 per month… that’s a whopping $2400 per year! (verses the insulin waste of a traditional pump, that would be roughly 100-150 units per month, with more going to actually being used, that would make one vial (for me) last 24 days verses 14 days, so maybe 1.25 vials per month being used with about $26-$39 per month in insulin cost being wasted in the tubing… $312 to $468 per year. Head spinning yet? Mine is.)

Oh.

My.

Um..

No.

Ain’t no body got time MONEY for that….

I don’t know about you, but if I were flipping the bill for someone to have life-saving medication and knowing that they were throwing out half of it because of how the delivery-device worked? I’d be pretty pissed off. That’s about $2,000 more per year in insulin cost to use this pump over another one. And yes, most people have insurance to cover this, but think about it! What if you didn’t??

As much as I love Tandem and their nice, lovely, reports, and the wonderful touch-screen, quick-to-use insulin pump, I can’t fathom that a pump that is supposed to be so “green” creates so much waste in an area that is so dear to us. Batteries are much cheaper than insulin, and can be recycled. Insulin can’t.

So, it is with heavy heart that I will not be using the t:slim pump again until they resolve this. I know they want to work with me to fix the other issues I had like the random highs and things, but until they fix how it reads the amount of insulin that’s in the pump, I can’t feel right in knowing I throw out that amount of insulin just for the luxury of using this pump.

(Just so we are clear – all of this is based off of experience I have had personally with the Tandem pump. As I have learned, every pump that comes from them can work differently (my first one calculated insulin even worse than this one). What I have said here is my experience and mine alone. If you have better luck with it, good for you. My thoughts here are also based on using the pump as instructed in the user manual as well as how I was taught. Any tips/tricks/reclaiming/ or reusing is not considered in what I have calculated.)

Confused? Me too.

“So wait… which pump are you on?”

PicFrame (2)

I get this a lot. Mainly because I switch up a lot.

So, to bring you up to speed, this is what’s going on. Back in October when my endo took me off of the Tandem t:slim and told me to stay on my Medtronic Revel pump, I submitted to Medtronic my request for a new CGM system with Enlite sensors in hopes that we would get approval by the end of the year so they could ship by the end of the year and fall under this year’s already-paid deductible and co-insurance. Why? Because otherwise, when the 530G upgrade actually does get shipped in January, I won’t be able to afford a new CGMS under the new deductible and all as well as pay the upgrade cost. Just can’t happen. Sorry. I was assured many times over by my rep at MedT that there shouldn’t be a problem. So, after two months of phone calls to both MedT and my insurance company, we got approval at the first of the month and I was told they would ship out in probably a week. Fast forward to today. I called to find out why I haven’t gotten a shipping notice. Come to find out, they hadn’t been shipped and won’t be shipped until the new pump is authorized by the higher-ups to be sent out… so which means my whole entire goal of getting everything handled as far as the CGMS goes by the end of this year was a crap-shoot and won’t happen. Which means I probably won’t be getting the system as I won’t be able to afford paying that much up-front next year. Which the Revel pump works just fine and so does my Dexcom, so that’s not a big issue, I just like to have all of my reports in one place. The upgrade is just a want, not a need. So if it doesn’t happen, I can’t get mad because I do have the Revel that works, and that’s all that matters.

Right now, I’m on my Tandem t:slim because they have put me in contact with a rep for my area to see if they can find out what’s going on and why I’m having so many issues with it. If they can fix whatever is going on, then fine. I’m cool with it. I’m doing this because 1) it’s still got 3 years of warranty left on it and 2) even though I’ve had major issues in the past with it, I still like it. I like the pump’s interface as well as the intuitive reports (Hello 21st century!) and 3) I have like, 3 months worth of supplies that need to be used so they don’t expire. The pump seems to be a picky one anyway, and I’m not going to chance what could happen using expired supplies with it. The only thing that absolutely bothers me about it and that I feel completely wrong about is how much insulin it hides. I can’t do anything to fix it, and I’m throwing out with each cartridge an amount of insulin that could keep some people alive up to 2 days. It just feels wrong. My main concern is that even though things are going okay right now, I’m constantly feeling on-edge about it. I keep waiting on the one day when all heck breaks loose and the pump decides to go whacko on me again and I go two weeks trying to fix something that can’t be fixed all the while I’m battling 300-500 BG readings. I don’t have this issue with MedT and I trust it because I’ve never had an issue with it like that.

And please, PLEASE don’t get me wrong – I’m very VERY grateful for all that I do have. And, yeah, I probably should just let this all go and let it ride and take it as a sign. I just know a lot of people are probably questioning what the heck I’m doing when I’m talk about either system at any given moment, and this is just the summary of it. In all honesty, I want my MedT pump. I like it and it’s dependable. I’m ready to use up the t:slim supplies and go back to it.

My Pros and Cons of the t:Slim

I’ve been reading and studying my reports and it seems that I only needed to adjust insulin-to-carb ratios for my day-to-day issues. And, while I’m thankful that Tandem has the ability to show me things I need in their reports like Insulin-On-Board action and all, the system is really messed up for me right now. I’ve asked that my pump be replaced to see if that’s the issue (which I strongly feel that it is), but they won’t yet, so I hooked back up to my Ping. I know having a pump is a big deal, but for me I’ve grown to know how to read and interpret my reports to make my therapy decisions, and so I rely heavily on their accuracy of data recording.

As much as I want to really like and even love the t:slim, I just can’t right now. They have a lot of things to work on and improve first. That doesn’t mean I want to abandon it – because I don’t – but I’m tired of running up against something else every week or so that I don’t like. So, for pros and cons sake ( I guess this was a long time coming), here’s my list view for the t:slim (remember, I’m not comparing it to any other pump – I’m looking at it for what it’s features are):

Pros:

  • Touch screen – super easy for fast operation of the pump
  • Small – It’s so much easier to hide when it’s “naked” and not in a case than any other tubed pump I’ve used.
  • Customizabe – You can have it be as simple or as complicated as you need to be, with personal profiles that can just be duplicated to start a new one and make small changes without having to start from scratch.
  • Chargeable – No battery needed. Just plug it in.
  • Future – It was the pump used for the Artificial Pancreas trial, so that makes me hopeful. I’ve also seen a screenshot of what it would look like with Dexcom integration, and that is SUPER cool.
  • Software – When t:connect worked right for me, it was awesome. It was sleek, cool, and very VERY informative.
  • Reservoir Size – while I wouldn’t use 300u in a 3-day span, I know others who do, so it’s good to have that option out there. Besides, I’ve been able to get a good 6 days out of one cartridge fill that way. 😉
  • The screen has an instant view of most everything I need. IOB, Insulin remaining, Date/time, and battery charge.

 

Cons:

  • Logging – If you enter a carb entry into the BG section by accident in the pump, even when you press “back”, it’s saved as a BG. There have been many times I’ve done this, so my report thinks my lowsest BG is 16, when it should have been 16g of carb. And there’s no way to delete it.
  • Software – It’s on the fritz for a lot of us. For some, it works fine, for others, it doesn’t. I was one who it worked great for.. and then it went screwy after I put the pump into sleep mode. Now, all of my bg readings are entered as-is, but all bolus and carb information is recorded in quadruplicate. (Is that a word? It just looks so weird!)
  • The clips – Oh the clips. I still cannot figure out why it seems the clip is in the middle of the case. One of the things Tandem spoke about as to why the connector is not on the side of the pump but rather in the “pig tail” is because people complained that they hated the “stump” connectors on their pumps…. well, now, with the t:clip, the whole end of the pump stands just as far above the belt as the other pump “stumps”, so it seems a bit redundant…. and irritating. And good luck getting them to clip firmly to anything but a belt too. My pump has fallen off or on the verge of it so many times because of the way the clip is designed.
  • No prefillable cartridge – Let me explain this one. Yes, the pump has a cartridge, but it’s a bag that’s inside of a plastic piece that’s snapped onto the pump that you inject the insulin into. I have no way to check for air bubbles other than making sure there aren’t any in the fill syringe…. and this just throws my OCD all out of whack. I like to see that before I place a cartridge into a pump that there are no air bubbles. Granted, the system is supposed to have some mechanism that pushes air out, but still… like I said… OCD-brain. I mean, who all of you have gone and filled a cartridge, and emptied it back into the insulin bottle just to get rid of a bubble hanging around the plunger and not seen all of the micro-bubbles that come back into the mix???
  • (Currently) No reverse-correction for lows – this is not news if you’ve been reading my blog, so I won’t go over it again.

 

And these are just me, but I’m freaked out by the screen. I feel like I have to baby it. I’m scared the pump will drop and it will shatter (as I’ve seen other’s do). Also, did you know that you are not supposed to have the screen pointed towards you when you clip it in or place it in your pocket (or wherever)? Yeah. So, I’ve almost always put my pump inside of my pocket and clipped it there, screen facing my leg… and it bugs the ever-living crap out of me that I can’t with the t:slim. (Well, I’m sure you can, but the book says youre  not supposed to so… I guess if you accidentally bolus yourself it’s your fault for having the pump clipped towards you and not away.)

All of these won’t fit everyone. Some people may see my cons and not think they really are cons for them. And that’s cool. While I think the t:Slim is awesome and the iPhone of insulin pumps, I also feel like I have to baby it somewhat. I’m sure I don’t and it’s just my paranoia, but I’m constantly in preparation for the OHSHIP moment when this pump could go on the fritz or I get clumsy and I do something that renders it useless. Yep, total paranoia that I know probably isn’t warranted, but even still… I’m just freaked out by it and not comfortable. As cool as it is, it’s not an iPhone that if I drop mine and destroy it, I can order another one on eBay to replace it for a couple hundred bucks.

Where am I going with this? I don’t know… by now it’s a complete ramble. So I’m ending this post…as I’m sure it’s not helping anyone at all.

Reset

So the rumors are true.

If you own a Tandem t:slim insulin pump and put it into shelf mode for any reason, you will wipe every bit of memory it has. No personal profiles, no alarm/alert settings, nothing, nada will be saved. Even the time/date will be off.

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I took my t:slim out last night just to see how much charge had remained over the past 5 weeks of being in “storage” (a.k.a, my bottom drawer of my d-supply case). It had 80% left out of the 100% charge that I had stored it away with. So, 20% loss isn’t technically bad, but for those of you who maybe got one and maybe didn’t like it so you switched to another system and put this one into shelf mode, you may want to pull it out and charge it every couple of months or so.

Also, Erik and I had talked about my maybe needing to use it one week out of each month or two just because it’s not like a traditional pump being chargeable and all, and thought maybe it would do some good. Certainly couldn’t hurt, and I have the supplies to do it. I knew everything would be wiped, but I wasn’t expecting it to be wiped completely.

The only thing I felt uncomfortable about when I switched from the t:slim to the new Omnipod system was the lack of tubing. For some reason, I’ve just never minded having it and felt safer with it. Crazy, I know, but that’s just how I’m wired I guess, but as of hooking back up to the t:slim last night… I actually couldn’t stand it. I hated checking with one meter, then pulling out my pump to dose. If there’s anything that I absolutely love about the Omnipod system is that everything can be done within the remote. (Tandem, I think you’ll be on to something even bigger if you had a way to control the pump remotely. hint, hint!)

I think for now I probably will just use the t:slim as a “break” from the Omnipod every now and then. As of earlier this week, I did get a call from Tandem (after I asked if I could return it) stating that they are working on the reverse-correction issue and will be releasing an update shortly. When I asked for a time frame, one couldn’t be made certain other than it will be within the year. Maybe after it is fixed, I’ll go back to using it as my primary and the Omnipod as my backup. Only time will tell.

🙂

Because It’s What I Need. #tslim

As most of you know who have followed me through my whole pump decisions/indecision, I have used a LOT of different pumps. Each have their own pluses and minuses and they truly are an individual decision. One thing I wish was that all pump companies would/could do a one-month trial of their pump for potential users so that the prospect could get a good feel for it and know whether or not they want to get into a 4-year commitment to their company’s product. I mean, this is a device they will be using day in and day out 24/7/365/4 – we as consumers need to know if the decision is best based on our own experience and not some chart that makes their product look so much better than the competition.

I have come to the conclusion that though I miss features of each pump that I’ve used and wish there were a few things I could change about the t:slim, I am still loving this pump as much as I did when I first played with one. There are a number of things that I don’t like – like having to keep the face of it turned away from my body, and that I don’t have the “option” of a meter-remote like I did with the Ping *should* I need to wear a dress and hide my pump away. I don’t like that it takes a whole 10+ units more to prime the tubing verses other pumps. Or that I can’t use Apidra very well with it.

On the other hand, I still love how fast the touch screen lets me bolus. I still love that I can use Leur-Lok sets and use whatever one suits me. I love that I can switch up  my clips to my mood even mix/match them to give a different colors, or I can just slip it into my pocket naked and it can barely be seen. With just a tap over the Insulin status, I can get my current basal profile, my last bolus amount and when, and all of my other factor info right there. I love that I don’t have to buy expensive batteries anymore. I love the history screen, the delivery status screen that gives me an average of insulin usage and how it was delivered… and SO many more features that I love!!

But my most favorite feature… the one I absolutely need the most…. is the IOB (Insulin On Board) being RIGHT.There…. on the FRONT SCREEN. This little feature has saved me more than once. Either from wanting to rage-bolus a high, or when I over-estimated carbs from a meal and ended up with 5u IOB before bed. And it’s possibly the one feature that will make me never leave this pump.

IOB