I want a bomb

Hello, it is the first time that I enter this forum, I was looking for information about the bomb and I got here!I debuted 4 years ago, I am with Lantus and Novorapid and until a while ago I was controlled, now I carry a girlfriend with many descents and with the consequent weight gain and but with increases of up to 300. As a result of this I began to turn around theThe issue of the bomb, I think that with it would be much better and to lower the hemoglobin that I have between 7 and 8;Let's see how I get on Friday that I'm going to have an analytical.I go to the endocrine on 14, I am from Córdoba, the point is that my endocrine does not put bombs and I don't know what I could do to be able to have it;What do you advise me?

I do not understand much of the adult issue.We clearly raised it to the endo and we were almost cornered, teaching him all the values ​​that justified the bomb, he said that he would think about it and fulfilled, I ported very well, I hope you are lucky.

Man, from Cordoba like me even with the same insulin, I don't know if you will enter here, because I would like to know
You put it or not at the end, if you are with Dr. Palomares UF, I think not because it seems that they pay them in their pocket you do not see
It is asked for a lot of times and nothing, I hope you have more luck than me and do you have problems with the strips?or they do it well ..

It is not a simple answer, as Aurora points out, it depends a lot on each endocrine, in practice they are those who have the power to decide.
The pump gives enough work, both for the patient and for the doctor, and not everyone wants to assume that greater load.

If you have a family, for example, in Seville or Malaga, or Cádiz, register for a while (even if you still live in Córdoba) and see a doctor there to be in favor of bombs.

Health

Well nothing, I was in the endocrine yesterday and he told me that with the hem that I had (6.9 I have lowered me a little of the last time I did it) that you did not dispense with my controls and that my controls are good, are good controls that are good thatDo not go from 150 many days?I stood in pictures, the truth ... He told me that what a bomb wanted all day in my body so that I was reminding me that I am a diabetic 24 hours a day, is it that someone with multidosis manages to forget that it isdiabetic?Because I do not and also told me that over time it is more difficult to control it because the pancreas is atrophy more, and that is why I have to have half of my high controls?I don't understand it, I left the movement of insulin to my choice and when I told him that if he went up and if I went down hyper he did not pay attention to me.
When I gave myself the next appointment I asked for an endocrine change and in about 6 months I return with the one who puts the bombs in Córdoba so I will try again!I knew that my endocrine was not going to wear it but at least I came with the change of doctor, something is something.If when I come back I do not, I will consider changing my city to see if I get something!

Greetings!!

Of course, what are you ready are some endos !!!

Anyway, keep trying.If you are for the work, fight.

Greetings

Uff ...!I lost what I had written.

It is not a simple answer, as Aurora points out, it depends a lot on each endocrine, in practice they are the ones who have the power to decide.
The pump gives enough work, both for the patient and for the doctor, and not everyone wants to assume that greater load.

Many know that I had no medical insurance for my diabetes, private insurance did not accept me and two or three that accepted the cost was exorbitant per month, an endometrium cancer in 2010 and I could qualify for social security and startTreat me at last diabetes, preventive medicine is not used here, here the damage is treated when they are evident, that is why it is so expensive.Now I have a lot of ease to go to any doctor.

Do not stop passing through the link.

I am going to explain the operation from here where I am (Tampa Florida) My general practitioner referred to the Diabetes Center of the University of Tampa (I am going to put the link) there a specialized nurse attended me (they can prescribe certain types of medicinesand make certain decisions, as if it were a doctor without being, her studies are greater than that of a normal nurse and work under the supervision of a doctor) she changed the insulin that I used for the Lantus and the Apidra and many already knowHere the "work" that I went to adapt, she recommended and asked for the bomb and authorized her right away.By custom I say that I go to the endocrine, but in reality I have never seen any, she is the one who always treats me, at first I sent her the results of the subway and saw myself every two weeks, then every three, one month, three months andNow every four (in December I went to May for my cancellation).

My nurse is Sheryl Thindel, who do not understand English, maybe they have a full page translator.

Sheryl Tindell, MS, Arnp, BC-FNP, CDE
Nurse family practice
Sheryl is a licensed and certification family nurse and certification and educator who specializes in the care of patients with diabetes mellitus.He has a master's degree in Science in Health Services Administration of the New Social Research School and a Master in Nursing Sciences with a Certification as a Family Nurse of the College of the San Vicente School of Postgraduate Nursing.

Professionally, the management of people with type 1 diabetes, type 2, gestational and diabetes in pregnancy, using a combination of oral agents, multiple daily injections, insulin pump therapy and continuous monitoring ofglucose to reach your specific goals.Sheryl believes that people of all ages that require intensive bolus / basal insulin therapy.

I had not read you in this post but when you say you change the endocrine with which they put the bombs, willn't Dr. Benito?Because AMI
They told me the same and it is not so

Hello, I am a diabetic for 36 years and I am thinking about requesting the insulin bomb here in Cordoba.Some that can advise me as or how with the bomb with respect to the various daily injections.

Good I have insulin bomb and it has good and bad things ... the good ones because more freedom for example and the bad ones because at first you are taking the doctor often until they regulate it ... the punctures on the finger are minimum 8And with respect to the other punctures it is 1 every three days;) hemoglobin A In my case I get a lot and picos I no longer do ... I hope it helps you

Hello!!I was yesterday in the endo, after 6 months of "lack of control", of schedules and glycemias, with the hemo in 7'2 (the highest since I debuted).I asked him how the subject worked, since the only thing I know is what I read here, that I did not demand anything, I only asked for information ... and I put on a fury, that with that hemo the last thing is to consider the subjectBomb, because it is "very clearly a worse quality of life" ...:-/ I am 22 years old, I debuted 4, and well, I do not carry it very bad ... but lately I "buerra" the body about 6-7 times forday, for so many corrections that I do .. I have a multitude of schedules, study time, work, leisure .. They are totally different.They are not very for the work of putting bombs, I understand it for the economic issue, but from there to say that life worsens ... what will get worse is to continue like this, of course :(

Hello! I think that to put the bombs, the economic issue slows, in my hospital there are eight plays and granted two more for this year. The annual cost is high (but more would be the problems caused by poorly controlled diabetes ...) I have heard before that the bomb worsens the quality of life because "do not forget the disease when going with a device all day punctured."I am not at all agreement.I have been diabetic for fifteen years and bomber for one, my glycosilada has improved a lot because with the bolis between the shifts, sleeping during the day, flexible schedules ... it was more complicated. I am delighted.It is true that now in summer it gives a little more laziness for the disconnections in the pool, beach ... that you notice with clothes ... but wins in the balance. In addition, before it was full of bruises for the punctures and I thinkThat this also avoids lipodystrophy.
I have had the bad luck that my nine -year -old daughter has just debuted. It clicks four times daily.Bomb does not want to put it although it is my goal but I put a "insufflon", which is a subcutaneous catheter for which you manage insulin and change every three days.The Ten Cuesta 30 euros box is worth it, I just met it but I would have put it if I did not take a bomb.
I hope you are lucky !!

Hello chic@s greetings to the forum.
I am Ani and new in this forum.
I would like if you can help me as I got the insulin bomb.
I debuted in my type 1 diabetes somewhat late with 38 years now I have 43 and I feel quite crushed by my diabetes, despite my insistence to control it.
I get up every morning above 200 and I think they are nocturnal hypoglycemia that I don't find out.
Throughout the day I barely control it.
I carry a bowling counter as a glucometer, which makes it quite facilitated and since I have my profiles have improved a lot.
The problem I also find it in my work, I am commercial and I am in the car all day, I feel a lot of concern about the hypoglycemia driving since many I almost do not realize.
This I have been talking to my endocrine for almost 2 years, I have been requesting the bomb all this time since within the knowledge I have acquired and thanks to the diabetes education team they have been contributing to me, we believe that I am a good candidate the only one who does notHe sees it is the doctor. That by the way I already asked for a change, this is the second, even my family doctor has called his colleagues to see how they can put the bomb and he does not have an obligation to do so.
I live in Seville and the controls spend them at the Virgen del Rocío hospital
If some have gone through a similar situation or can throw me a cable.
all the best

Good there are not in two that they do not like much ... but I tell you my case debut with 5 years in diabetic coma with ketoacidosis because they did not detect it in time ... from there is already bad with a very uncontrolled measures the same in 60that in 500 in one day and the hemoglobin to because being small I do not remember but being adult the most normal I had was 9 as bad ... they did not want to put the bomb in Segovia ever and asked it whenever I was going to consult ..I change my city and endocrine and here in Madrid to the first hemoglobin they told me that if I loved her and I said that if ... I have it and you do not lower your standard of living for anything to give you examples before meI had to prick even to eat a yogurt so many times for not clicknor think about it because the climb was bestial ... I now with the bomb as possible what I feel like it simply tell the machine the rations and she passes the insulin that touches me another advantage apart from not clicking you8 times a day is that you have normalized blood glucose throughout the day and you have factors such as stress disease and things ... you can change your schedule, that is, you can eat later or more rations or less ... bad things because of courseIt has as everything bad I would say that if you are someone who does not like to be
Such then the pump with clothing is not seen but if you put swimsuit or bikini yes and that it cannot be wet although I read that there are aquatic covers ^^ ... I hope it helps you and by the way my hemo right now is 6.9 noThis geñal but there are no longer 9 .. a esitoo

By the way the cost if it is quite expensive I know why the pump itself but the spare parts and others come with the invoice of what the hospital pays and it seems to me for those who are an authentic past ... come on me withoutSocial Security could not have it ...

Hello, I think that many of those who demand a bomb, an MCG would do very well (in the case of Anicordoba for example, a lot of road ... the MCG gives you a lot of confidence at all times).

The cost, I am convinced that of course it brakes ... it hurts that high costs are paid for a pump (of course I am glad and that they continue to put them) and that high cost is not paid for a continuous medication (withmore than demonstrated results).

But of course in any case, it is much better "pay now" and save it later, even thinking "only in money" (as they think).And if on top with a bomb or MCG it improves the quality of life, then honey on flakes right?

luck

Thank you chic@s, the truth that thanks to your comments recover one the desire to continue fighting, hahaha ...
Paul, I also think that, an MCG would give me enough peace of mind and security, which I do not know if through the SS they pass it I think no.
BSS

Hello everyone:
First of all to present myself and say that I am not a patient, but an endocrine doctor, also with experience with patients with insulin pump.
As some foreros commented in messages that an endocrine puts or not insulin bombs depends a lot on each.You should keep in mind that insulin pump patients have been more time and visits than another diabetic with multidosis.That implies many extra visits and lasting much greater than the rest of the reviews in the consultation.The peculiarities of each hospital must also be taken into account, if your management restricts you to put new infuses for the additional cost of the treatment (keep in mind that a box of 10 spare parts costs about € 210), as the endocrine service is organized(If there is educator in the hospital, of what we do not have in our area since the diabetological education is done by doctors; if there is a day hospital, etc.)
What diabetic is a good candidate to wear an infusor?For me, the fundamental thing is that the patient should be tremendously disciplined and must have an "advanced" diabetological education.A very high HBA1C "disaster", who does not bring me the controls or invents them (it happened to me), which does not count rations, ... because I would not put it because they are usually going to be equally evil (and forThat better feathers, which is cheaper) and is likely to end an acute complication;In addition, the criterion that if HBA1C is not improved enough is being used in some patients to withdraw the infusor.
For my good candidates: motivated patient, because I am well controlled I will not deny the treatment (it is probably easier to treat), if there are unnoticed hypoglycemia (as they commented on top), in women to optimize control for pregnancy...
And the continuous glucose monitor is an aid, but it does not exceed insulin infuses (perhaps you can only foresee hypoglycemia, but it will not reduce variability);In addition you have to calibrate it several times with glucometer measures.
Disadvantages of Infusor: Well, you have to take it 24 hours, if there is an infusion problem in 3.5 h you run out of insulin in the body (so if you are not attentive it is easy to get into ketosis).
In summary, I think you would be good candidates for this treatment so forward (in addition to Andalusia there is a possibility of free choice of specialist).
Greetings

Good afternoon, thanks for your exhibition as a professional.I take advantage of you about the continuous meter (what interests me), do you think it has the same profile you describe for the pump?It is that honestly, I do not consider my profile -in fact I have never raised the bomb -and yet the continuous meter has given me a quality of life that I did not know since I debuted (impossible to control it, and we no longer enterIn the motive, each person is a world, from their own anxiety, personal situation, nervousness, etc ...), and on top of, as a gift, lowering an HBA1C that was usually between 9 and 10 (a fuck) to be 7.6Maximum, which, together with the quite good quality of life that gives me (total freedom of schedules, meals, prevented for hypos, etc ...), for me, it is the "cure" for my diabetes, I would not ask for a bomb, but I would ask because I need it, the MGC.How do you see it as a professional?Do you think it will be included in the SS catalog?
greetings