Updates: Bullet Point Style

It’s been almost a month since I posted. It’s crazy to think it’s been that long but at the same time, in my head, that was just last week. So much has been going on and I’ve basically just been concentrating on life than my blog, and I’m learning that that’s okay. I’ve been contemplating what to do about the situation… should I try to blog more? On a scheduled basis? But I’ve realized that I’m not a person who blogs based on schedules or requirements – I blog when I feel I have something to say or news to share. And, it may be that after 5 1/2 years that it may be time to slow down a bit. After all, I’m no person of authority or status to be sharing as if what I have to say or think is important – I just blog to blog. To get things out of my head. And I’m coming to grips with a lot of things lately in relation to diabetes and life, and diabetes blogging lately hasn’t made the top of the list…. it’s barely on the list, really.

Anyway, the updates I have are simply going to be bullet point style, because, honestly, there are a few topics that I’m just going to spit out randomly.

  • At the beginning of the month, I had a viral infection in my throat called “herpangina”. It’s the cousin to Hand, Foot, Mouth disease because both are caused by the same virus just different variations. It was painful, and I’m still – two weeks later – dealing with one big sore left in the back of my throat that’s taking a while to heal. The pain was awful in the beginning – and I could not eat anything that wasn’t a milkshake. 10665183_699683870117237_2650253020165325563_nNot even soup because it was too spicy (yes, soup!) and set me on fire. I sneezed at one point and thought my entire throat was going to come out. VERY very painful. I finally went to the doctor because I thought it may have been strep – but nope. He knew I was in a lot of pain, so he gave me a low-dose of prednisone to help the healing process. And, thankfully, the pain started to dull by that afternoon.
  • Speaking of prednisone, I now understand why doctors are cautious of giving diabetics steroids. Within 1 hour, my glucose readings went through the roof. But, the pain was easing, so I didn’t care. I raised my high threshold on my Dexcom, called my endo and asked how to handle the difference in BG’s (because, honestly, I didn’t feel like trying to troubleshoot on my own. I’m thankful to have a very good endo who has my back whenever I need him).
  • The prednisone gave me a new perspective on insulin resistance that was similar to how things were in my third trimester of my pregnancy, but without the worry of harming my unborn child. Seeing how I could go from a 1:8 carb ratio to one of 1:4 within 1 day and then have to remember that, yes, being off by just 2g of carb really COULD make a difference in my glucose later… yeah… it was nerve wracking, but so very cool at the same time. It was a learning experience, and one that made me feel even more compassion to those who deal with insulin resistance every day.
  • School is back in session, so my past weekend’s break was nice. And my BG’s were easier to control, so it made me realize just how stressed I’m staying while in school, and it makes graduating in May look that much better.
  • I finally have a treadmill. My husband promised we could get one for our anniversary, so we scouted and looked and finally came across one that was half-off and more within our budget range. It’s not a top-of-the-line gym model, but it will do for what we need, and for what we paid for it – I would have paid a 1-year gym membership, so we broke even there but the biggest advantage is that I can use it at home whenever I want/need to.
  • 1899983_705997876152503_6975308679029554123_nOn the topic of my t:slim and the Accu-chek Ultraflex infusion sets – I have been doing so much better with those verses the Insets that I loved so dearly. I have no idea for the reason, all I know is that it works. So, even though I don’t’ have the cool colors to choose from, I’m happy because I have been able to use my t:slim without issue.
  • And, lastly, my eyes. I went for my checkup about the swelling/edema from the macroaneurysm earlier this year and all of the swelling and fluid has resolved and my vision has gone back to normal in that eye. I do have some “hard exudates” (collections of cholesterol/fat stuff from the fluid) left, but he said those would resolve on their own, but much slower. I do have a few places that need to be watched just from simply having diabetes for almost 26 years, so I’ll continue to see him every 6 months from now on.

That’s about it.. Wraps everything up. I’m not sure how often I’ll be posting until the end of this month but I’ll be sure to try to post more next month since, you know, it’s National Diabetes Awareness Month and all ūüôā

 

Also, starting on the 20th (that’s this coming Monday), the Big Blue Test restarts the counter for this year’s Big Blue Test challenge. Click HERE to find out more about it!!!

Clip Dream

I have been thankful to Tandem for coming out with the t:clip so soon after launching their t:slim pump and hearing the complaints of the t:case and t:slider being so bulky. While I’m sure some didn’t mind it, a lot did and they listened.. and I’m glad. I am the proud owner of 9 t:clips (I think?) and still want yet one more… the orange.

But one thing I wish they would fix is how far the clip sticks off of the case. I’ve written about this before, but the design of the clip adds bulk to the pump that I wish weren’t there. After all, one of the attractive features of the pump itself is just how slim it actually is.. and the t:clip takes away from that. Not just that, but it’s not particularly a sturdy clip.

I had an idea from something someone posted on a forum. They linked the Hip Clip and told what they did with it. I’m going to buy another one just for my Dexcom either way, but I bought one this week to try a little experiment. I took the t:case that came initially with the pump (basically the t:clip without the clip part), cleaned it, and stuck the Hip Clip to the back of it. The instructions are to leave it for 72 hours to strengthen the bond between it and the clip’s industrial tape.

M5gmMz6JqEphHMAB.jpg

 

I like the clip a lot, and I hope it sticks well. (If not, I’m going to try to glue it to the case) It was thin. It felt very similar to how my Animas pump felt… secure. Very secure.

zvB6Q6p9gkr8JURV.jpg

It didn’t feel like the clip top was going to poke me (because, technically, it’s not there to do it…) It felt like the pump was thinner too.

3bW11IDM1S3UTYhu.jpg

The way the tape was placed on the clip from the factory allowed it to stick just a bit above the connection between the two pieces, allowing it to sit lower on the waistline was well.

My wish would be to see a revised t:clip with this type of clip. A thin, slide-on piece without that irritating belt wrap thing at the bottom.  Even if they still offered the current one and maybe came up with a new name with this one. Maybe t:clip slim or t:clip2 or make this one the t:slider since technically it would slide onto a garment.

 

Please, Tandem.. Consider this as your design for the clips. It keeps the sleek, thinness of the pump, which is, after all, why you named it the t:slim, right?

ūüėČ

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 A Few Things About My t:slim

Since starting back on the t:slim, I wanted to make an effort to try to solve some of the “issues” I had with the system. Not that they’re major issues per se, but things that sort of bugged me.

The biggest thing was how it just didn’t seem to deliver insulin or, for whatever reason, didn’t seem to do well in heat. That, I think, was all attributed to those bad cartridges I had. Since changing out to new ones, I don’t have issues with unexplainable highs any longer. As far as my whacko BG’s, that seems to now be fixed, and I can joyously use the pump (knock on wood) with no problem.

My next thing was more of an annoyance, but it bugged me even still. Now, I have figured a work-around for it. It was the insulin level calculation. If you’re new to the t:slim, you will notice that if you fill it with, say, 250 units, the pump will only register 200 in the history section. PicFrame (5)If you fill your tubing and cannula, you’re likely to only need 18 units for that and then maybe a half-unit for cannula fill. That, coupled with that the pump automatically hides¬†20u, you’re still left with 10 units unaccounted for. Every time, I would assume that I should be showing 212u by the end of the process, but I would inevitably only show 200. That part bugged me to no end…. it seemed as if 10 units was going unaccounted for each time. So, what did I do? I figured out it’s calculations. The pump takes what you fill it with and subtracts 50u and then whatever you use or don’t use during prime/fill is just left as extra, apart from the 20u cushion. *NOTE: The following is NOT recommended by Tandem and I’m only telling you what *I*¬†do, not what YOU should do. If you do, do it at your own risk.* So what did I do about it?? Since I want my pump to read 200u at the end of each fill, I put in 250u from the syringe. I let the pump start it’s prime and get it’s bubbles out, all the while, I have my Inset set turned upside down in the cap of the Inset top to catch extra drops. I continue to let it prime until it’s primed out 28u¬†exactly.¬†I have tried going to just 25u and it still registered 200. I went and let it fill all the way until the pump stopped (I think 29.8u is the automatic stop?) and then it registered less than 200, so for some reason 28u is the magic number. Now, the problem is, you have 10u of insulin that has pumped out into this Inset cap. You can either choose to discard it (which is what you would have done anyway if you had left it in the pump) OR (and again, this is NOT endorsed so if you do this, you are doing it at your own risk) you can draw it back up, and place it in an empty insulin bottle that you’ve removed as much as possible of the old insulin out of. This may not seem like much, but if you change your cartridge out every 3 days, by the end of the month, that’s 100u of insulin you can put into the pump and use at least 50 of. I wouldn’t recommend putting it back into the bottle you drew it out of initially just because it *may* have been contaminated going through the pump cartridge and tubing, but maybe keeping it in a separate bottle marked somehow could help you save on insulin. Granted, doing that may not be worth it, but if you’re tight on how much insulin you get per month, it may help. For me, I just let it fill to 28u to calm down my OCD brain. I haven’t yet tried saving the insulin yet, so I have NO idea if it will affect the insulin’s potency, though I can’t see how it would anymore make it contaminated than when you draw up air and put it into the bottle of insulin.

Speaking of priming, there’s a big thing about the bubbles. For me, I simply use insulin that has been out since it was opened. I never put it back in the fridge so I never have to worry about it warming up again. For me, this caused LOTS of champagne bubbles every single time. Now, I slowly draw it up, get rid of as many bubbles as possible, and when I fill the cartridge, I don’t just press the plunger in as fast as it will let me. This causes bubbles again. Think of it this way, as a visual representation. When you’re filling the syringe, if you get a bubble and press all of the insulin back into the bottle fast, you get a lot of bubbles in the vial, then it’s almost impossible to get the insulin back into the syringe without getting bubbles back. BUT, if you push the insulin back in slowly to get the bubble back into the bottle, more than likely you won’t get bubbly insulin in the vial thus getting bubbly insulin into the syringe when you pull back. Applying that same logic to filling the cartridge, filling it sloooow and steady reduces the amount of bubbles I get each time. I know this is crazy, but sing the birthday song if you’re filling it with 300u. Since filling it at about that rate, I’ve been able to reduce the amount of bubbles I get when priming.

My other pet-peeve that used to bug me (and still sort of does) was that the system does not reverse correct. If your BG is below your target but above 70mg/dL, the t:slim does not subtract out insulin from the bolus so that when your BG normalizes, you should return to your target. Instead, the calculation brings you back down to where you were. The problem with this is that it also does not subtract out IOB.PicFrame (7) So, say you’re 79 and with 1.2u IOB and you’re going to eat a 27g carb snack. You know that if you don’t subtract out that IOB, you more than likely will go low. I didn’t want to start doing this, but honestly, for the time being until they fix it, it makes the most sense. If you enter 69 as your mg/dL, it WILL subtract out the IOB and also subtract out a correction amount :PicFrame (6)

See the difference? If I had let it calculate based on just my BG of 79mg/dL, I would have been given a calculated bolus of 2.73u. However, by simply fibbing and saying my BG is 69 mg/dL, the pump corrected and suggested a dose of 0.9u. That’s a LOT less insulin to say 1u lowers my BG by 56 mg/dL, and if given the dose based off of my actual BG, that was 1.7u too much (approx). ¬†So, as a suggestion, if you’re at risk for going low based on your IOB, enter a 69 mg/dL or whatever number that is close as possible under 70mg/dL that you’re comfortable with. Again, I don’t *like* doing this just because I can’t stand to have incorrect data in my records, but until they fix this, it’s really all you can do apart from doing your own math and changing the suggested amount (which I used to do, but now I’m too lazy and don’t care).

This is all I can think of right now, but it’s a lot in terms of how I’ve learned to live peaceably with my t:slim… okay… well, I’ve always LOVED it, just not everything about it. Keeping these things in mind help me get past what I don’t like about it and just simply see it for what I do like about it.

 

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.

IMG_9283

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.

20140217-134357.jpg

¬†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.)