New with the insulin pump: YPSOMED MYLIFE YPSOPUMP + FREESYLE FREE 3

@SilviaGRZ I will see how I can do it and advance the visit, in principle you go up to a floor and they can give you an appointment but who knows what they will turn out for you, more than anything because they notify the hospital and then it is 2-3 months of waiting for them to call.... I have looked and here they put the Medtronic 780G unlike the ypsomed that carries everything on the mobile, the Medtronic carries everything inside the machine, we will see, I from Medtronic took one a few years ago25 years but nothing to do with what is now is clear

@SilviaGRZ I wrote you a private message

Well, UPDATE.I already have the pump connected.

First impressions:

-It doesn't hurt at all to put on the cannula!

-I have eaten two meals without injecting myself with a pen.This was SOOOOO WEIRD... It seemed to me that I was being reckless.I didn't trust at all that he would manage and correct me, hahaha, but it seems that this is working...

My alarm went off to put on Tresiba and it was: ah!No!I don't have to wear it anymore... Really, very strange...

-I always wear the sensors with an adhesive patch on top... they always fell off and now I'm TERRIFIED that the one from the cannula will come off.At the moment it hasn't moved from its place and I've been working and moving... But it's what scares me the most of all...

The Free 3 is very cute.Very small (and I had to put a patch on it, because even though they told me it wouldn't fall off... oh surprise! at 5' it was detached... 😒😒😒

-The CamApp Fx application is very intuitive, and except for one mini (in which my heart stopped) it has remained correctly working and in connection with the sensor and pump (closed handle).

-I have had two small hiccups that have been resolved very quickly and without "rebound", of course... that I have taken to overcome glucose pills (so that it is a controlled ration).

Here I have used the "Hypoglycemia Treatment" option.

So far everything is positive, except the issue of my cannula coming off... (I hope to gain confidence).

I also tell you that I have spent the day looking at the graph and distrusting the decisions "they make for me."But it has gone well, he has to learn... "We have to get to know each other."

I'll tell you how things go, and above all, let's see how I spend the night...

@SilviaGRZHow nice to read you at this special moment 😊 That “we have to get to know each other” perfectly summarizes what it means to start with a bang… it's not just a change in treatment, it's almost a new stage.

This mixture of excitement + distrust is totally normal.We've all had the experience of looking at the graph every 5 minutes thinking "but surely this knows what it's doing?"😅 And little by little, without realizing it, you begin to trust more... until one day you realize that you are no longer constantly watching.

The cannula thing is also a very common fear at first.Over time you will see that, properly placed, it lasts much longer than it seems.Even so, reinforcing with a patch is not nonsense, on the contrary, it is extra peace of mind, especially if you are active as you say.Here everyone finds their “tricks” and that is part of learning.

And what you say about not pricking yourself with a pen... is just like that 😂 That moment of “are you sure I don't have to do anything?”It has happened to many of us.It's like unlearning years of routine in a few days.

The hiccups without rebound are also a very good sign 👏 That is usually one of the things that is most appreciated about the system when it starts to work fine.

For tonight, peace of mind.The first few nights we have all been half in “surveillance mode”, but this is also when you start to see the real potential of the system.Trust, but with your head, as you are doing.

Keep telling us, because these types of experiences help a lot to those who are about to take the step or have doubts 💙

A big hug, and congratulations on this step 💪

Hello @SilviaGRZ!

I answer your questions based on my experience:

I put the cannulas all over my abdomen and the upper part of my ass.I have my love handles, I thought the same as you with the folds, and nothing happens, it doesn't bend.

The truth is that they didn't tell me about the protective plastic for when we disconnect, and I don't put anything to protect the cannula.I disconnect and leave the cannula as is.I don't know if anyone can tell us if this is okay or not, or where we can get what you say.

I don't worry about the little tube, under clothes it is inevitable that it bends, but since it usually bends in a circle, it doesn't bend enough to cut off the insulin supply.I have worn tight pants, stockings, etc.The only thing that happens is that the tube is tighter against the skin but it does not bend and the insulin continues to pass without problem.My case also does not have a hole for the tube to exit and nothing happens, the tube comes out from one side and everything works normally.

I take the Free3 and they send it to my home with DHL.

They also gave me plugs for the battery.I have never submerged the pump and so far I have not had to order replacements.For the pump, have they given you the contact of the Ypsomed salesperson?I usually talk to her if I have any incident of this type, but with Ypsomed on the helpline or my hospital.

I use normal batteries, not rechargeable.But you have to keep in mind that not just any AAA battery will do.It has to be specifically AAA LR03/MN2400 batteries.They usually last 3-4 weeks for me.Cheap batteries don't last at all.I recommend buying some good ones so you don't have to change every 2 for 3.

When I disconnect the pump I always stop the infusion, although the salesperson told me that, for example, for a 5-minute shower it was not necessary.Even so, I always always stop it because otherwise the pump and the algorithm think that it is giving me insulin.

When do they put the pump on you?

A hug!

And to get the ypsomed as it is done with the SS, I think I remember that you can ask for it but you have to manage everything with them and then pass it on to Social Security, so for me living in Catalonia they will give me the Medtronic 780G, it has its advantages and disadvantages, the ypsomed goes all through the mobile and the 780G carries the brain in the machine itself, as I say it has its pros and cons, of course with the issue of the algorithm and the connection with the sensor it is like carryinga subcutaneous artificial pancreas, the sensor would be like the warning to the pancreas that the glucose rises and at that moment it releases insulin and with Fiasp everything is arranged as it is ultra fast it is released very quickly to the blood 🩸 and low glucose you do not have to calculate your time and time for it to act as with Novorapid and you are free from correcting yourself if one day you eat fats, pizza, pasta or rice foods that are almost forbidden for a diabetic, I will take the step soon to see if they can bring me forward the visitto be able to talk to my endocrinologist, my eyes will appreciate normoglycemia, especially the patient

@Cuevast how are you?Thank you very much for clarifying my doubts!

Yesterday I had the second session of handling the pump, and I asked about the "plastics/tweezers" to cover the cannula, they told me that when they send us the packages by DHL, in the boxes where you get the 10 infusion sets comes a small bag and there they are.

When I got home I opened the box and there they are.Two per box.

Have you had to claim a wrong Abbott sensor?The thing is that yesterday, as I mentioned above, the first one I put on from Libre 3 at the hospital fell off.They gave me another one, of course, but they told me that I should claim the one that had fallen.I called Abbott (I used to do it that way) and they insisted that they change it for me at the health center.I have explained the case to 3 different operators and that I have a bomb... and nothing...

At the hospital they told me that this would happen in Abbott because they are not clear about it with Madrid, but that they were the ones who sent me the replacement home.For now it has been impossible!!What phone number do you call...?How do they give you the replacement?They told us to forget about the health center now...

I already have the bomb on!I've been here for more than 24 hours with her... looking at her out of the corner of my eye at home for a while and asking her to behave... 😂

@SilviaGRZ Hello!

Well, the truth is that I never put on the plastic/tweezers... is it important to put them on?

Yes, I have had free3 sensors that gave erroneous readings and I called Abott at 910478901 and they sent me a new one to my house (I live in Andalusia).Sometimes they ask me to return the defective one, so I always keep it.

@Cuevast I have been told that it is advisable to put it on any disconnection... and essential if you go to a saliba pool, or beach (because of the salt and sand...) 🤷🏻‍♀️

Another little thing... I'm very tight (they are slight hiccups... but even though the insulin infusion is short, it goes down... and I have to take some Hc...) Is that because I have to lower my basal rate on the pump?Or will the algorithm learn that I need less and adjust?

In this message I answer the questions I explained above in case someone has the same problem and finds an answer:

SilviaGRZ said:

And I have some doubts:

-Where can I get the protective plastic so that when I disconnect I can protect the cannula?(from the previous one that I removed?) 🔹ANSWER: These plastics/tweezers/protectors come in boxes of 10 units.of the infusion set spare parts.

-How do I keep the tube "protected" and unbent?I just don't know how loose it can be.Let me explain: if it folds under clothes?If the pants are tight...?I know it's flexible because the guy who gave us the training stretched it a lot testing it and tied a knot in it.But what I'm afraid of is that it will bend or, I don't know, and the insulin won't pass... I've searched for so many things that I've seen people who have had ketoacidosis... The cover they gave me doesn't have a hole as such for the tube to exit... it comes out from one side and I don't know if it's okay...🔹ANSWER: The tube can be put under tight clothing, it does not get clogged, nor does anything happen if it gets a little under the clothing, or if it is a little tight due to the waistband of the pants.As for the case, it is not necessary for it to have a hole, my case has the little cable coming out through a bend and the pump has not stopped infusing insulin.

SilviaGRZ said:

-Do you have Free 3 or Dexcom?Do they send them home with all the spare parts?by DHL?

SilviaGRZ said:

-They gave me plugs for the battery, which supposedly have to be changed after 6 months (3 if you submerge it), but... where do I get replacements?calling Ypsomed?🔹ANSWER: You have to call Ypsomed.To customer service.

-Can rechargeable batteries be used...?How many years does the battery usually last?Because in 3 days my battery has gone down two lines...?🔹ANSWER: It is better that the batteries are not rechargeable to avoid charging failure and not being able to use the device.The battery usually lasts 22-25 days.The first battery you put in lasts less since it charges an internal emergency battery that is inside the pump.

SilviaGRZ said:

-When I disconnect the pump, I have to stop the infusion, right?🔹ANSWER: It is the most recommended.Stop the infusion and then proceed to disconnect the tube from the cannula.

I hope to help future friends who use Ypsopump.

Hello @fer, like Cuevast, I ask you:

I have 24 units.that the endocrine calculated for me as "basal".In theory it infuses 1 unit.per hour.Unless it stops, or needs to be corrected.

I know I've been with her for just over 24 hours and she has to learn.But I have a question... If the algorithm sees that 1 unit/h is too much, will it lower it?Or should I configure it?If I configure it in the pump menu, I understand that it is only for when I use it manually and not with a closed handle, right?

I have no idea... I don't know if it's a lot and maybe I need 0.9, or maybe it depends on the time zone...

But if I tap on the pump it's supposed to be for manual mode, right?what a mess!

Hello @SilviaGRZ

It is supposed to adjust over time based on your needs. I would tell you that the most important thing is that you set the glucose target by the ranges, that you play with the settings, but that you do it slowly, I mean, that you leave it running for 1 week without changing, then introduce a change and wait another week, something like that.

In closed loop mode (everything connected, pump, sensor) if the algorithm sees that you are high, it will give more insulin, if you are low, it stops it, it is automatic.In my case it is what makes me have a perfect curve at night.

On the pump itself it is only configured for when it is not connected to the mobile phone, in my case it is 0.86 units (every 30 min), it is rare that you use it in this mode, 95% of the time it works in closed handle mode and with the app.

I went to the administration of my CAP today so that they can advance my time with my endocrinologist and she will give her a note on Tuesday the 30th because according to her until August there are no hours, so she tells me to be on the phone on Tuesday morning in case she calls, obviously I have to talk to the endocrinologist who every time I go is a different one, but hey, she has to make the request to the hospital with that and that's enough for me and then it's 2-3 months, with the glucose sensor it was the same, I requested it in Januarymy endocrinologist and they called me in April to put it in and start, until that moment I was paying for them myself, that is in 2022, the pump is impossible to pay for yourself unless you are Amancio Ortega or Elon Musk, it costs €3000 and then the consumables catheters, needles, dressings, syringes for insulin, etc. are €200-300 per month, apart from the fact that they have to change the Libre 2 for the Libre3, I suppose Fiasp will be used instead of Novorapid and Tresiba is eliminated since you already have basal insulin with the pump, the administration aunt tells me, are you going to order a PUMP 💣 ????And I do, but the aunt freaks out about insulin

Sorry Tuesday the 31st

@RomaVictis said:

Sorry Tuesday the 31st

Regarding insulins: basal insulin is replaced by rapid microboluses.

The most common is Novorapid or Fiaps.They left me with Humalog.😉

What I didn't know is that if they give you the 780G from Medtronic, it doesn't go with the Libre 3. I've been looking for information and it goes with a sensor called Guardian 4 because the Medtronic pump doesn't talk to the Libre 3..... and it lasts much less than the Libre 3. It only takes 7 days to change twice as many times. Let's see if I could request the one from Ypsomed. I see it as easier to use. Honestly, let's see if in the end they give me the one from Medtronic. Well, well, but I think the best thing would be the one from Medtronic.ypsomed, the only thing is that the ypsomed pump must always be connected to the mobile phone via bluetooth, the medtronic pump does not, it has the brain inside the machine, it talks to guardian 4 directly and the ypsomed pump decides depending on the mobile phone.