Last week, I went to my local JDRF office for our monthy DADA (Dallas-Area Diabetic Adults) meeting. A couple of reps from Omnipod spoke to us briefly about that particular pump and what’s on the horizon for new developments. They spent a little time talking about how the hybrid closed loop system would work, but weren’t quite sure- or at least weren’t able to tell us- when it would be available.
I don’t use a pump. I use an insulin pen to deliver my insulin throughout the day instead. I tried a pump many years ago and it was just too cumbersome. I know they’ve come a long way from that (especially Omnipod- and seriously, IF I were leaning towards a pump, I think that is the one I would be interested in), but at this point, I haven’t been motivated to make a change to the pump. “If it ain’t broke, why fix it?”- Hey, I’m from Texas. Those kind of annoying phrases are common around here. 😉
Since I’m not a pumper, I’m not anxiously awaiting the hybrid closed loop idea either. It seems that I’m having to change up my insulin ratios every few months anyway (thanks, mid-life!), and I’m pretty good about figuring out those adjustments on my own. Would the pump be better at this stuff than I am? I don’t know… I kind of feel like an expert at this point. I don’t feel like being on a pump, closed loop or otherwise, would make my control better. And I honestly just don’t feel like having to learn something new when I’m happy with the way things are currently.
So although I’m content to stick with MDI (multiple daily injections) there IS something I’ve heard is on the horizon that cannot get here soon enough, in my opinion!
And that is a true-to-its name “RAPID ACTING INSULIN”.
One thing that drives me crazy is how long it takes for my “rapid” acting insulin to effect a high blood sugar when I’m making a correction. In my experience, the higher my blood sugar is, the longer it takes my insulin to make any kind of an impact on bringing it down. I’m always very cautious and conservative when dosing for a high blood sugar post-meal. I watch my Dexcom, and I check with my glucometer after about 25 minutes and usually at that point, it still hasn’t moved at all. That is not rapid. I end up waiting- sometimes nearly an hour or more!- to see if, and how much, it’s going to drop. Then, after another hour or so, if it still hasn’t dropped much, I’ll take another small dose. All this takes far too long, and if you’re not super careful, it can cause the worst kind of roller coaster.
I want to be able to take insulin and see a drop in my blood sugar within 5 minutes. I want that insulin to peak in 20-30. And I want it cleared out of my system within 2 hours. THAT would be the perfect rapid acting insulin, in my opinion. That would be something I’d get more excited about than a closed loop pump. And I bet even pumpers would love a more rapid acting insulin for their pumps!
All I know for sure is that if and when such an insulin becomes available, I’ll be in a rapid hurry to jump the ship of Humalog.