However as the pump assessment nurse in the hospital was on sick leave since December, things were moving very slowly or not at all, and new pump starts were on hold. I was in a que that wasn't moving.
I attended the hospital pump clinic for the first time on 16th March 2016, just a regular appointment to get me on their system, my usual Hospital didn't do insulin pump starts so the wait started for the assessment nurse to return from sick leave which never happened.
A new nurse was trained and After 2 false starts
( 4th & 11th August ) which were cancelled pump assessment appointments, because of staff shortages in the Hospital diabetes unit again, I finally had my assessment on 1st September with Sarah.
It became blatantly obvious to me how recent cutbacks and restrictions placed on our hospitals and health care system impacted greatly on patients and their needs.
The nurses and front line staff work extremely hard but the fact that there are not enough of them causes long waiting times for us to obtain the services we need.
Although at times while waiting my patience wore very thin, I'd have to say the understanding the staff showed couldn't be faulted.
A pump assessment appointment, is an appointment set up so both the person with Type 1 Diabetes and the assessment nurse ( Sarah in my Case ) can meet face to face and get acquainted. It's also an opportunity for her to ask questions to establish what knowledge you have of carb counting, your bolus ratio, your Basel, your correction ratio / ( your ISF - or insulin sensitivity factor.)
This appointment lets her get to know you, and then gives you the opportunity to ask any questions you may have.
Sarah then ordered my pump and by the 23rd September it had been approved by the community care office and was now at least being ordered from Medtronic.
By 1st of October it was in the Hospital, all pink and precious just waiting for me to be called for instruction.
I read the prescription carefully, and I could feel a sort of panic starting to kick in as I wondered, "but what about syringes to get the insulin from the vile to the reservoir" ? (it's all with the reservoir unit)
Then the pharmacy wanted to know about the infusion set, as there are different types, / lengths of tubing. I decided the medium one, not so short that I'm afraid to move in case I pull it out, and not that long that I'd need a cord tidy and be trying to figure out where to put it.
Then the colour !
Pink, Grey or Blue. And believe it or not this was the one that threw me.
I Phoned the nurse in the hospital for help to clarify these things only to be told "colour" was a personal preference.
Well of course it was ......
No need to count the carbs in that Valium sandwich now, I thought, 😂😂 panic over.
Because I'm already on a CGM sensor, il be on a sensor and saline for the first 10 Days and on 5th December I'm going live with insulin.
With terms like normal bolus, square wave & duel wave iv clearly got a lot to learn, but iv no doubt it will all become a routine in a very short amount of time. Especially with the experience and support of our online community.
This link is for a private group of people using the Medtronic 640G
I also loved that it's happening during Diabetes Awareness month. "Very Appropriate"
I know getting it right before Christmas might make things a little tricky but as I was first put on insulin weeks before Christmas, somehow it's like another piece of the jigsaw to be put in place.
In keeping with my usual experiences il be writing about it and keeping you updated.
Santa is coming early and I'm really looking forward to getting used to using my new technology. I'm going on the Medtronic MiniMed 640g
The MiniMed 640G insulin pump with SmartGuard® you can read more about that here:
For those who think diabetes is caused by an unhealthy lifestyle let me clarify a couple of things.
I have type 1 diabetes. It's an autoimmune disease. Nothing I did, or didn't do caused it and nothing I do will cure it. There's is currently no cure for Type 1 diabetes.
Type 1 Diabetes happens because our own antibodies attack and destroy an organ in the body. it's an autoimmune response where antibodies that normally fight disease mistake a part of our body
(the pancreas in this case) as foreign and attack to destroy it.
When those antibodies attack the insulin producing islets in the pancreas we stop producing insulin so we need to inject or pump it.
Without insulin a person with type 1 diabetes would die. At present it is not known what causes this to happen, and there is no cure.
A person with Type 1 diabetes MUST inject or pump insulin to stay alive.
There are many factors that contribute to a diagnosis of Type 2 diabetes so pre judgment of a lifestyle choice is unfair at very least.
A person with Type 2 diabetes, while still producing their own insulin for various reasons their body cannot use it correctly or efficiently.
These people are generally treated with oral medications and sometimes with insulin injections.
Please sponsor / support me to help raise funds for Diabetes Ireland https://www.diabetes.ie/ as they have been a great support to me and our Type 1 Community through the year.
Fundraising link :