I have had Type 1 diabetes for 45 years (4/1/57). The lowest A1C I
was able to achieve on Multiple Daily Injections was 7.4. My average
total daily dose of insulin is approximately 18 units. Since being on the
Continuous Subcutaneous Insulin Infusion therapy (six years) I have been
able to take minute amounts of insulin, as little as 0.1 unit, to take
effect at the times I need it. That was an impossible feat with MDI. My
last A1c was 6.6. Without a doubt my pump is one of the main reasons I
have been able to thrive in spite of this dreadful disease.
Many people with Type 1 diabetes have this kind of insulin
sensitivity for which a pump is the best tool for control to date. Some
even have a basal of 0.0 unit for certain periods of the day as their need
requires. With Lantus or any other long-acting insulin it would be
impossible to "turn off the insulin" when it is not needed. With a pump,
control is literally at one's fingertips.
Rapid Response:
Pump Therapy and Insulin Sensitivity
I have had Type 1 diabetes for 45 years (4/1/57). The lowest A1C I
was able to achieve on Multiple Daily Injections was 7.4. My average
total daily dose of insulin is approximately 18 units. Since being on the
Continuous Subcutaneous Insulin Infusion therapy (six years) I have been
able to take minute amounts of insulin, as little as 0.1 unit, to take
effect at the times I need it. That was an impossible feat with MDI. My
last A1c was 6.6. Without a doubt my pump is one of the main reasons I
have been able to thrive in spite of this dreadful disease.
Many people with Type 1 diabetes have this kind of insulin
sensitivity for which a pump is the best tool for control to date. Some
even have a basal of 0.0 unit for certain periods of the day as their need
requires. With Lantus or any other long-acting insulin it would be
impossible to "turn off the insulin" when it is not needed. With a pump,
control is literally at one's fingertips.
Competing interests: No competing interests