My daughter wears hers on her belt like a phone. To my knowledge, she has never pulled it loose. And she has a 3 year old underfoot now who pulls at everything EXCEPT his mommie's pump.
I never caught mine either...part of it was it was always under my clothes. The ONLY time I wasn't wearing the pump was in the shower/pool or when changing the reservoir. The nice thing is even if my endo wasn't available for an emergency, the team at Animas ALWAYS had a nurse available who know about insulin pumps and could help.
I wore mine in a holder that hid around my bra pretty well. I used a white one, it velcroed at each end with a pouch that help the pump itself. I used an Animas pump and got the holder from them. Mine was called a
Waist-It. Other companies have similar items. I actually wore it up right AT my bra line and tucked the pump in between. Only if you knew something was there, did you even notice it. Some people use the thigh. I wass never one to poke my thigh. So I used my stomach rotating sides. The ONLY time I used my thigh was the day I got my DS...and yes, I wore it into the OR! My surgeon knew it was there. I actually had three of the Waist-It's, cause like bras, they get sweaty and need washing.
Okay, pumps use only one insulin. The short acting. It is like a drip system...very small drips of short acting all the time with a bolus added for food depending on your carb count. When I first went on insulin, my basal was about 40 units basal a day broken into .025 units a min. My bolus (for food) was 1 unit for every 10 carbs. When I went into surgery and was NPO for many hours, my endo would have me drop the basal to .010 depending on how long I was without food.
Think of it this way...a normal functioning pancreas is always producing a very tiny amount of insulin for the body. The pump is the closest to that you can get without a pancreatic transplant.
Actually, as a type 2 I was VERY fortunate to be able to even get an insulin pump as they are typically reserved for type 1's by most insurance companies. The fact that while on MDI, I landed in the ER with a blood sugar of 26 is what got me mine. I was on my husband's company insurance as primary back then. Now I am on Medicare and would have had to give up my insulin pump as Medicare ONLY covers it for type 1's. Or find the $1000's of dollars for supplies.
It doesn't eliminate the need for corrections. But it does make them less likely. As to the humalog you bolus, you literally hit the buttons to deliver that AS you sit down to eat...and you CAN have it be delivered over 15-30 mins if you want it delivered that way.
Do you eat a bedtime snack of protein/fat/carbs? Obviously more protein/fat but need a small amount of carbs, like 5-10. Peanut butter with ONE cracker was always the option discussed on the diabetes lists when middle of the night lows were discussed. It seems to help the rise/fall of blood sugars.
After I had my DS, I remained on my insulin pump one more week. When I woke up in the middle of the night with blood sugars in the 50's, I knew it was time to come off my pump. I was chasing blood sugars the wrong way down the train track! So I unhooked it, took the battery out and put it away. I used shots with the humalog for another 10 days when my blood sugars got over 140. Last insulin was 11 Feb 2011. But I didn't give away my unused/sealed insulin and unused insulin pump supplies until a month later. Gave them to an endo so they could use them for their patients who needed help with supplies due to insurance issues. Btw, I still have my pump as a reminder of where I was.
