Talk:Insulin pump/Archive

message: I would like to remove this section and replace it with a link to the artificial pancreas main article.  Can I paste the removed text into the discussion of the ap article, so that it can be considered for inclusion?Mbbradford 18:23, 11 November 2006 (UTC)
thread_title: merging article with artificial pancreas

message: This article is poorly written.   Some remarks:
Insulin is not pumped out continuously.   It's every 3 minutes for most pumps, and in 0.1 unit increments with Minimed.
:  Reply: continuous is the concept here, as in the medical term continuous subcutaneous insulin infusion.  Considering a spurt of insulin is coming periodically (few minutes) and the duration of the rapid insulin is 3.5 hours, it seems continuous to me.Mbbradford 07:06, 11 November 2006 (UTC)
replies: text: Reply: I rewrote, removing the long list of *things* you found incomplete.Mbbradford 08:10, 11 November 2006 (UTC)

text: Reply: reworded it for you.   We had more training, and I'm glad we did.  Everyone I know who is pumping received additional training.  I suppose it is possible to use a pump like a pen, without training, but here are some things the pump does that you aren't taught when you learn to do injections with a pen or syringe: variable basal rates as a function of time of day to compensate for things such as the dawn effect and growth hormone at night;  temporary basal rate reduction during and for a few hours after exercise; extended boluses for low carb high fat meals like eating steak; combination boluses for eating pizza and chocolate cake. Mbbradford 07:54, 11 November 2006 (UTC)

text: True.  Most pumpers are not infants, I was being general.  I don't want to be discouraging.  I'm glad to see infants pumping; it makes sense based on the very low doses, and it's hard to do that with a syringe.  Perhaps it was just personal experience in our case that the endo and insurance company wanted us to wait for 6 months after T1 diagnostis before learning to pump.Mbbradford 08:25, 11 November 2006 (UTC)

text: I edited the unnecessary words.  But I disagree with your point.  We have a waterproof pump (at least it was waterproof when it was new, and I hope it still is waterproof now in case it gets accidently dropped into the water someday).  But it cost more than my car, and it will be a few more years before the insurance company will help me buy a new one.  It is very important to us.  Frankly, I want to test the waterproofness of the pump about as much as I want to test the airbags in my car. Mbbradford 07:54, 11 November 2006 (UTC)

text: Reply:  let's talk about this one.  My son tests 10 times a day.  It used to be 4 or 5 when he was using the pen.  Pumping seems to demand more tests to keep basal rates updated.  Testing more often is also wise because of the replacement of slow acting insulin with rapid.  Kids expecially do not want to poke themselves more times a day when it hurts, expecially if the fingertips start to get sore.  Even switching from the One Touch meter to the Freestyle (smaller drop of blood) made pumping more kid friendly.  Why do you feel this is untypical? Mbbradford 07:06, 11 November 2006 (UTC)

text: Reply: I agree.  It seems to be ongoing, and under discussion. Mbbradford 07:06, 11 November 2006 (UTC)

text: Update: most of this section was summarized (edited thin), with the text moved to the discussion page of the artificial pancreas and where it is under discussion to be merged with that article.Mbbradford 06:01, 24 November 2006 (UTC)

text: Reply:  Please feel free to help.  Go ahead and make edits, and we can discuss here when we disagree with an edit.Mbbradford 07:06, 11 November 2006 (UTC)
thread_title:  Sloppy Article