Re: A couple questions for type 1's using pumps

[Guest guest]

As far as I know only one kind of insulin is used for the pump. I am not a

pumper, so maybe they can comment.

The pump can release small or tiny doses of insulin on a continuous basis. Since

the insulin Humalog, which most pumps use is a short acting insulin, this is the

one most often used.

I use Humalog insulin in a pen. My friend in the neighborhood uses a pump with

a special form of Humalog. I use Humalog100, but my friend uses Humalog300,

which is three times stronger than Humalog 100. This is the reason he also uses

a CGM continuous glucose monitor, which alarms to let him know whenever he is

experiencing a low glucose level as well as a high level.works in conjunction

with his pump, which can be calibrated to infuse the amount of Humalog to keep

him in the normal range between 80 and 120. It is a matter of life and death

with him.

Promoting wellness, Harry

[Guest guest]

I also use Humalog 100 in my pump. Depending on the time of day, I get .2

up to .6 tenths of a unit and then bolus per the amount of carbs I eat at

meals and snacks.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Alan Lemly

Sent: Thursday, February 02, 2012 2:12 PM

To: blind-diabetics

Subject: RE: A couple questions for type 1's using pumps

I'm not sure about all pumps but I only use Humalog fast-acting insulin in

mine. The insulin you take before ingesting carbs in a meal or snack is

called a bolus. The tiny amount of insulin (anywhere from a fraction of a

unit to over a unit depending on your situation) that is programmed to

administer every hour is called your basal setting. I don't use pens or

anything else with longer-acting insulin in them but others certainly may.

Alan Lemly

Re: A couple questions for type 1's using pumps

Do pumps have both short and long acting insulin's?

Unrelated to the previous question, would it be realistic for my character

to have a Lantus (long acting) insulin pen with her on this outdoor

excursion?

the bad guy while knowing a little about her diabetes, isn't educated enough

to know the difference between insulin's, and injects her with an overdose

of Lantus. He leaves her stranded supposedly to go for help, thinking she's

done for. If it wouldn't be realistic for her to carry a Lantus pen with

her, I may have to come up with a way to make this excursion an overnight

thing.

Perhaps I should ask, do those of you using pumps have pens or a means to

inject both types of insulin?

Thanks.

Dave

~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

Released January, 2012, this debut EBook full-length novel is about a man

who loses his sight, his struggle to find his way, and his growing

attraction to a woman who has a problem of her own. Will Zach be able to

climb his mountain again? Will Jessie find the wandering nomad she thinks

she loves? Life is complicated enough for Zach and Jessie, and a madman on

the loose doesn't help.

Enter a contest to win a copy of THE ATTACHÉ, and Learn more about this

novel at: http://www.authordavidbond.com/newest.php

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

With a pump it is unnecessary to use a long-acting insulin like Lantus.The pump

is automatic and is calibrated to infuse small doses of insulin on a programmed

basis.

[Guest guest]

Yes, Danny, it would work more quickly. The most insulin I every take, even

with a BG over 300 would be about 6 units. I am very insulin sensitive,

probably due to the kidney dialysis.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Danny wells

Sent: Thursday, February 02, 2012 11:04 AM

To: blind-diabetics

Subject: RE: A couple questions for type 1's using pumps

Pat, I find that a bolus that is 10 units or

greater is more likely to result in a bad

infusion site, so when I have a bad site I will

take a bolus with a syringe inter muscularly in

my upper arm. Shooting ynhe my muscle seems to

act more quickly in bringing down my bg than if I shoot sub Q.

Danny

At 12:57 PM 2/2/2012, you wrote:

>

>

>K, I had put my needle in a bad place and was not absorbing the insulin, so

>after 6 hurs. of really high BG, I use a syringe and move the needle to a

>new site. I do the same thing Danny. Last we

>

>_____

>

>From:

><mailto:blind-diabetics%40yahoogroups.com>blind-diabetics

<mailto:blind-diabetics%40yahoogroups.com>

>[mailto:blind-diabetics

<mailto:blind-diabetics%40yahoogroups.com> ] On Behalf Of Danny wells

>Sent: Thursday, February 02, 2012 3:30 AM

>To:

<mailto:blind-diabetics%40yahoogroups.com>blind-diabetics

<mailto:blind-diabetics%40yahoogroups.com>

>Subject: Re: A couple questions for type 1's using pumps

>

>I keep insulin syringes on hand along with a

>count a dose just in case an infusion site goes

>bad, If this happens my bg goes high. I need to

>inject an immediate dose of insulin to bring my bg down.

>

>Danny

>

>At 10:33 PM 2/1/2012, you wrote:

> >

> >

> >Hmmm. My original thought was my character used

> >insulin pens, and the bad guy would somehow inject her--probably as she

>slept.

> >

> >Do pumpers ever use pens? Do you start out using

> >pens before switching totally to a pump? Is

> >there a possibility my character would have an

> >insulin pen somewhere in the house, and the bad

> >guy would get it and try to overdose her? The

> >trouble is, even if she was asleep, the sting of

> >the needle would probably wake her. I probably

> >do need to have her partially, or mostly drunk.

> >But this can work nicely (for the story!).

> >

> >Thanks all!

> >

> >Dave

> >

> >~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

> >

> >Released January, 2012, this debut EBook

> >full-length novel is about a man who loses his

> >sight, his struggle to find his way, and his

> >growing attraction to a woman who has a problem

> >of her own. Will Zach be able to climb his

> >mountain again? Will Jessie find the wandering

> >nomad she thinks she loves? Life is complicated

> >enough for Zach and Jessie, and a madman on the loose doesn't help.

> >

> >Enter a contest to win a copy of THE ATTACHÉ,

> >and Learn more about this novel at:

> ><<http://www.authordavidbond.com/newest.php>htt

> p://www.authordavidbond.com/newest.php>http://www.authordavidbond.com/n

>ewest.php

> >

> > Re: A couple questions for type 1's using

pumps

> >

> >Whether the pump beeps with each button press depends on the pump

> >settings and also the method used. Using the touch/audio bolus feature

> >(which is probably how most of us bolus) does make the pump beep or

> >vibrate. Going through the menus, however, often doesn't, and is also

> >faster. There usually is a limit on the amount the pump will allow

> >delivered at once, though, before blocking delivery.

> >

> >The easiest way to overdose someone, particularly if the bad guy doesn't

> >know how to actually program the pump, would be to unscrew the cartridge

> >cap, take out the cartridge (still connected to the tubing and infusion

> >set), and press the plunger down manually. If the pump had just been

> >filled this could deliver 200-300 units of insulin, which is more than

> >enough to kill a Type 1. The pump DOES freak out and alarm when you

> >remove the cartridge, but usually only after 30 seconds or so, which is

> >more than enough time to deliver the huge " manual " bolus. Taking the

> >cartridge out would also get around the above-mentioned maximum bolus

>issue.

> >

> >If you need the victim to not actually die, I'm sure 200-300 units going

> >into an infusion set would sting enough to wake someone up, unless they

> >were a deep sleeper. Of course, the person would need to get medical

> >assistance ASAP with that much insulin on board, but it would be a

> >pretty easy fix once they got hooked up to a glucose IV for a few hours.

> >

> >Jen

> >

> >

[Guest guest]

I use to use Novolog. Lilly makes the Humolog,

and the count a dose is designed to work with it.

Danny

At 05:41 PM 2/2/2012, you wrote:

>

>

>As far as I know only one kind of insulin is

>used for the pump. I am not a pumper, so maybe they can comment.

>The pump can release small or tiny doses of

>insulin on a continuous basis. Since the insulin

>Humalog, which most pumps use is a short acting

>insulin, this is the one most often used.

>I use Humalog insulin in a pen. My friend in the

>neighborhood uses a pump with a special form of

>Humalog. I use Humalog100, but my friend uses

>Humalog300, which is three times stronger than

>Humalog 100. This is the reason he also uses a

>CGM continuous glucose monitor, which alarms to

>let him know whenever he is experiencing a low

>glucose level as well as a high level.works in

>conjunction with his pump, which can be

>calibrated to infuse the amount of Humalog to

>keep him in the normal range between 80 and 120.

>It is a matter of life and death with him.

>

>Promoting wellness, Harry

>

>

[Guest guest]

I'm finally understanding what you pumpers mean when you say bolus, and basil?

The former for meals, or when you're high, and the latter (spelling of Basil?)

for a steady drip of tiny amounts of insulin.

Your answers were very helpful, but unfortunately I'll probably need to come up

with a different scenario since my character most likely wouldn't have any

Lantus insulin on hand for the bad guy to inject.

Thanks again guys!

Dave

~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

Released January, 2012, this debut EBook full-length novel is about a man who

loses his sight, his struggle to find his way, and his growing attraction to a

woman who has a problem of her own. Will Zach be able to climb his mountain

again? Will Jessie find the wandering nomad she thinks she loves? Life is

complicated enough for Zach and Jessie, and a madman on the loose doesn't help.

Enter a contest to win a copy of THE ATTACHÉ, and Learn more about this novel

at: http://www.authordavidbond.com/newest.php

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

Pat, I have become more insulin resistent in the

past 5 or 6 years, My ratio is currently 1 unit

of insulin per 20 mg of glucose, and 1 unit of

inslin per 6 grams of carbs. If my bg is high at

bed time or there after, I half that ratio, e.g.,

if my bg is 200, instead of taking 5units of

insulin, I would take 2.5 units. Otherwise I

would be inserious trouble before breakfast!

Danny

At 06:21 PM 2/2/2012, you wrote:

>

>

>Yes, Danny, it would work more quickly. The most insulin I every take, even

>with a BG over 300 would be about 6 units. I am very insulin sensitive,

>probably due to the kidney dialysis.

>

>_____

>

>From:

><mailto:blind-diabetics%40yahoogroups.com>blind-diabetics

>[mailto:blind-diabetics ] On Behalf Of Danny wells

>Sent: Thursday, February 02, 2012 11:04 AM

>To: <mailto:blind-diabetics%40yahoogroups.com>blind-diabetics

>Subject: RE: A couple questions for type 1's using pumps

>

>Pat, I find that a bolus that is 10 units or

>greater is more likely to result in a bad

>infusion site, so when I have a bad site I will

>take a bolus with a syringe inter muscularly in

>my upper arm. Shooting ynhe my muscle seems to

>act more quickly in bringing down my bg than if I shoot sub Q.

>

>Danny

>

>At 12:57 PM 2/2/2012, you wrote:

> >

> >

> >K, I had put my needle in a bad place and was not absorbing the insulin, so

> >after 6 hurs. of really high BG, I use a syringe and move the needle to a

> >new site. I do the same thing Danny. Last we

> >

> >_____

> >

> >From:

> ><mailto:blind-diabetics%40yahoogroups.com><mail

> to:blind-diabetics%40yahoogroups.com>blind-diabetics

><mailto:blind-diabetics%40yahoogroups.com>

> >[mailto:<mailto:blind-diabetics%40yahoogroups.c

> om>blind-diabetics

><mailto:blind-diabetics%40yahoogroups.com> ] On Behalf Of Danny wells

> >Sent: Thursday, February 02, 2012 3:30 AM

> >To:

><mailto:blind-diabetics%40yahoogroups.com><mailto:blind-diabetics%40yahoogroups\

..com>blind-diabetics

><mailto:blind-diabetics%40yahoogroups.com>

> >Subject: Re: A couple questions for type 1's using pumps

> >

> >I keep insulin syringes on hand along with a

> >count a dose just in case an infusion site goes

> >bad, If this happens my bg goes high. I need to

> >inject an immediate dose of insulin to bring my bg down.

> >

> >Danny

> >

> >At 10:33 PM 2/1/2012, you wrote:

> > >

> > >

> > >Hmmm. My original thought was my character used

> > >insulin pens, and the bad guy would somehow inject her--probably as she

> >slept.

> > >

> > >Do pumpers ever use pens? Do you start out using

> > >pens before switching totally to a pump? Is

> > >there a possibility my character would have an

> > >insulin pen somewhere in the house, and the bad

> > >guy would get it and try to overdose her? The

> > >trouble is, even if she was asleep, the sting of

> > >the needle would probably wake her. I probably

> > >do need to have her partially, or mostly drunk.

> > >But this can work nicely (for the story!).

> > >

> > >Thanks all!

> > >

> > >Dave

> > >

> > >~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

> > >

> > >Released January, 2012, this debut EBook

> > >full-length novel is about a man who loses his

> > >sight, his struggle to find his way, and his

> > >growing attraction to a woman who has a problem

> > >of her own. Will Zach be able to climb his

> > >mountain again? Will Jessie find the wandering

> > >nomad she thinks she loves? Life is complicated

> > >enough for Zach and Jessie, and a madman on the loose doesn't help.

> > >

> > >Enter a contest to win a copy of THE ATTACHÉ,

> > >and Learn more about this novel at:

> > ><<<http://www.authordavidbond.com/newest.php>

> http://www.authordavidbond.com/newest.php>htt

> >

>

<p://www.authordavidbond.com/newest.php>p://www.authordavidbond.com/newest.php>h\

ttp://www.authordavidbond.com/n

> >ewest.php

> > >

> > > Re: A couple questions for type 1's using

>pumps

> > >

> > >Whether the pump beeps with each button press depends on the pump

> > >settings and also the method used. Using the touch/audio bolus feature

> > >(which is probably how most of us bolus) does make the pump beep or

> > >vibrate. Going through the menus, however, often doesn't, and is also

> > >faster. There usually is a limit on the amount the pump will allow

> > >delivered at once, though, before blocking delivery.

> > >

> > >The easiest way to overdose someone, particularly if the bad guy doesn't

> > >know how to actually program the pump, would be to unscrew the cartridge

> > >cap, take out the cartridge (still connected to the tubing and infusion

> > >set), and press the plunger down manually. If the pump had just been

> > >filled this could deliver 200-300 units of insulin, which is more than

> > >enough to kill a Type 1. The pump DOES freak out and alarm when you

> > >remove the cartridge, but usually only after 30 seconds or so, which is

> > >more than enough time to deliver the huge " manual " bolus. Taking the

> > >cartridge out would also get around the above-mentioned maximum bolus

> >issue.

> > >

> > >If you need the victim to not actually die, I'm sure 200-300 units going

> > >into an infusion set would sting enough to wake someone up, unless they

> > >were a deep sleeper. Of course, the person would need to get medical

> > >assistance ASAP with that much insulin on board, but it would be a

> > >pretty easy fix once they got hooked up to a glucose IV for a few hours.

> > >

> > >Jen

> > >

> > >

[Guest guest]

Dave, its' spelled basal for the programmed administration of insulin via

the pump a little bit each hour. Basil is how a name is spelled like Basil

Rathbone, who I think was an old British actor.

Alan

Re: A couple questions for type 1's using pumps

I'm finally understanding what you pumpers mean when you say bolus, and

basil? The former for meals, or when you're high, and the latter (spelling

of Basil?) for a steady drip of tiny amounts of insulin.

Your answers were very helpful, but unfortunately I'll probably need to come

up with a different scenario since my character most likely wouldn't have

any Lantus insulin on hand for the bad guy to inject.

Thanks again guys!

Dave

~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

Released January, 2012, this debut EBook full-length novel is about a man

who loses his sight, his struggle to find his way, and his growing

attraction to a woman who has a problem of her own. Will Zach be able to

climb his mountain again? Will Jessie find the wandering nomad she thinks

she loves? Life is complicated enough for Zach and Jessie, and a madman on

the loose doesn't help.

Enter a contest to win a copy of THE ATTACHÉ, and Learn more about this

novel at: http://www.authordavidbond.com/newest.php

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

Thanks, Alan! These are words I'll most likely be spelling out a number of times

in the coming months.

Dave

~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

Released January, 2012, this debut EBook full-length novel is about a man who

loses his sight, his struggle to find his way, and his growing attraction to a

woman who has a problem of her own. Will Zach be able to climb his mountain

again? Will Jessie find the wandering nomad she thinks she loves? Life is

complicated enough for Zach and Jessie, and a madman on the loose doesn't help.

Enter a contest to win a copy of THE ATTACHÉ, and Learn more about this novel

at: http://www.authordavidbond.com/newest.php

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

Your bad guy would need to use a fast acting insulin to attempt to do her

in.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of dave Bond

Sent: Thursday, February 02, 2012 4:20 PM

To: blind-diabetics

Subject: Re: A couple questions for type 1's using pumps

I'm finally understanding what you pumpers mean when you say bolus, and

basil? The former for meals, or when you're high, and the latter (spelling

of Basil?) for a steady drip of tiny amounts of insulin.

Your answers were very helpful, but unfortunately I'll probably need to come

up with a different scenario since my character most likely wouldn't have

any Lantus insulin on hand for the bad guy to inject.

Thanks again guys!

Dave

~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

Released January, 2012, this debut EBook full-length novel is about a man

who loses his sight, his struggle to find his way, and his growing

attraction to a woman who has a problem of her own. Will Zach be able to

climb his mountain again? Will Jessie find the wandering nomad she thinks

she loves? Life is complicated enough for Zach and Jessie, and a madman on

the loose doesn't help.

Enter a contest to win a copy of THE ATTACHÉ, and Learn more about this

novel at: http://www.authordavidbond.com/newest.php

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

I searched a little on the subject and indeed, it is possible to die from an

overdose of fast acting insulin. Although statistically, not very many people

actually die. And with slow acting insulin, the possibility is far less. So, if

I go this route (bad guy injects good girl with insulin), it would have to be

slow acting (although the bad guy doesn't know this).

Still kicking around what I'll do, but thanks, Pat!

Dave

~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

Released January, 2012, this debut EBook full-length novel is about a man who

loses his sight, his struggle to find his way, and his growing attraction to a

woman who has a problem of her own. Will Zach be able to climb his mountain

again? Will Jessie find the wandering nomad she thinks she loves? Life is

complicated enough for Zach and Jessie, and a madman on the loose doesn't help.

Enter a contest to win a copy of THE ATTACHÉ, and Learn more about this novel

at: http://www.authordavidbond.com/newest.php

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

Hi Dave,

I think you should leave it that the bad guy doesn't know. He'll probably

get caught later in the long run.

Becky

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

Oh, he couldn't know, or else he'd be successful in doing away with the heroine!

And we can't have that happen!

Dave

~~ THE ATTACHÉ -- From Desert Breeze Publishing ~~

Released January, 2012, this debut EBook full-length novel is about a man who

loses his sight, his struggle to find his way, and his growing attraction to a

woman who has a problem of her own. Will Zach be able to climb his mountain

again? Will Jessie find the wandering nomad she thinks she loves? Life is

complicated enough for Zach and Jessie, and a madman on the loose doesn't help.

Enter a contest to win a copy of THE ATTACHÉ, and Learn more about this novel

at: http://www.authordavidbond.com/newest.php

Re: A couple questions for type 1's using pumps

It's important to keep insulin on hand because if a pump site is bad, it

takes mere hours for blood sugar to skyrocket (since there is no

long-acting insulin on board).

The other day I had a bad site (wasn't absorbing well) and it took all

of three hours after putting it in for my blood sugar to go from normal

to 18.3 (329 mg/dl), along with ketones ... Had to change the site and

take a shot. One of the few disadvantages of the pump!

Jen

[Guest guest]

Hi Mike, Welcome aboard. Yes, I was talking about you. Don't worry, because

correcting one's errors is what we here at blind diadbetics is all about, as

well as dispencing good advice.

promoting wellness, Harry