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Insulin Pump for teen

Posted on 2/25/25 at 1:37 pm
Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
569 posts
Posted on 2/25/25 at 1:37 pm
Oldest son is T1D since very young age. he has always taken shots and wears a Dexcom which lets us see his blood sugar without physically checking his blood. Its time for a pump. He is high school and needs to have privacy and time away from us and not have to worry about carrying insulin and shots with him. Very active in sports, lift regularly Varsity baseball player.

Do any of you wear a pump or have active kids with a pump. he does not want one with tubes so we think the only option would be an omnipod. Next endo appointment is in June after ball is over as we do not want to transition during season. If we have a bad day or two learning the pump during showcase ball he can just pitch the next day.

pros or cons on omnipod and any thoughts on being a teenager with a pump with the tubes if you have a kid with one who is active or if you do.

thanks everyone for any input This board is the best for trying to help each other out with knowledge gained or learned
This post was edited on 2/25/25 at 2:22 pm
Posted by arktiger28
Member since Aug 2005
5266 posts
Posted on 2/25/25 at 3:04 pm to
Hey man, my son was diagnosed with T1D when he was 15. He is a freshman in college now. He sounds a lot like your son. He is very active in sports and lifts, though he does not play any organized sports. We went straight to an Omnipod his first year so we never experienced any pumps with tubes. He has been on a Dexcom for just as long. We absolutely love the Omnipod. I think he is currently on the Omnipod 6. They sell some patches that go over them on Amazon to help with active kids. Those have worked well for us. I would think he would have almost zero issues playing baseball in an Omnipod, especially with the patches. My son usually wears them on his upper butt. He loses one every once in a while while playing pickup basketball but it's not very often. Let me know if you have any particular questions and I will try to answer them.
Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
569 posts
Posted on 2/26/25 at 8:52 am to
Thanks Ark I appreciate the feedback. I will probably reach back out to you as we move on down this road. After years of managing it it will be hard for us to give up the control but we have to get him handling it more and to have some more freedom.
Posted by Lakeboy7
New Orleans
Member since Jul 2011
27952 posts
Posted on 2/26/25 at 9:39 am to
My DIL who I consider my own went Type 1 about 9 months ago. Nearly died figuring out what it was.

Under control, got the diet and exercise piece down and she just started a new job! She does the CGM but likes controlling the insulin herself, for now. But if she wants a pump she will get one!

I’m a Lily and Novo (biggest insulin producers) shareholder and get updates on Type 1 insulin and delivery systems they have in trial. Let your child know that good news is happening everyday. New automatic delivery systems, once a week insulin in a pill form, artificial pancreas implant et etc.

In 3 years it is highly likely that all Type 1 folks have to do is monitor glucose and take a pill or maintain their device. The technology is going to make this better and easier. And our loved ones will live happier, healthier lives!!

Posted by arktiger28
Member since Aug 2005
5266 posts
Posted on 2/26/25 at 9:41 am to
quote:


Thanks Ark I appreciate the feedback. I will probably reach back out to you as we move on down this road. After years of managing it it will be hard for us to give up the control but we have to get him handling it more and to have some more freedom.


How old is he. Our son has transitioned well in college. He has gotten good at not being dependent on us. He fills his prescriptions himself now. We are still wired in to his Dexcom so we get notices when he gets low. I don't really worry until I get a few alerts but when I call him, he has usually eaten. I know it may be hard to give up control but the Omnipod does well and his numbers have been great. Praise God the technology is only going to get better. Glad our boys are living with this now and not a decade or two ago.
Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
569 posts
Posted on 2/26/25 at 10:01 am to
He just turned 16 and was barely a year old when diagnosed. We try our best to never let it slow him down but people have no clue the level of planning and execution of nutrition to get his body prepared for sporting events. And just when the puzzle is figured out they grow, get sick, or whatever happens and you have to re-piece the puzzle back together.

For example game last year 125 before game, no fast acting insulin in body, 15 carb sandwich when walking up after game BS 125.

Last night 125 before game, no fast acting insulin in body, 15 carb sandwich when walking up after game BS 325. Slow release insulin is correct also and does not need to be adjusted up. No issues for last two years with this methodology before games or practice, this year its been similiar almost every game and practice. Just total failure on numbers. Tried without the 15 carb snack before one practice and crashed. Hard. Only people that understand is someone who deals with it.



Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
569 posts
Posted on 2/26/25 at 10:05 am to
quote:

I’m a Lily and Novo (biggest insulin producers) shareholder and get updates on Type 1 insulin and delivery systems they have in trial. Let your child know that good news is happening everyday. New automatic delivery systems, once a week insulin in a pill form, artificial pancreas implant et etc.


Great news, hoping it is sooner rather than later. Will say that just the dexcom itself has been a gamechanger with life. Been watching Bionic Pancreas for a number of years, he got it to market finally but was not able to find a way to use the glucagon side of it so it is a simplified pump, albeit with tubes.

I appreciate the information you are bringing. Update the board with it when you hear good stuff and thanks
Posted by Lakeboy7
New Orleans
Member since Jul 2011
27952 posts
Posted on 2/26/25 at 10:21 am to
Will do.

Is your boy carb sensitive? My DIL is which makes it harder. She needs the carbs but it causes a big spike.

Trying a higher protein diet with only vegetable or fruit (limited) carbs. Over the first month down 8% on goal.

We didn’t really understand the nutrition piece at the beginning but we are learning. Her internist put us on a nutritionist that gets it, the one from the hospital was trash.
Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
569 posts
Posted on 2/26/25 at 3:50 pm to
Carb sensitive for him is more food specific honestly.

Try to eat very similar things on game or practice days because you know how they will react with activity. High fat is really the only thing that really messes him up. Mellow Mushroom pizza is not our friend

Posted by Lakeboy7
New Orleans
Member since Jul 2011
27952 posts
Posted on 2/26/25 at 4:00 pm to
DIL is 28 and was practicing a pretty decent diet.

I can’t imagine this with teens or kids.
Posted by arktiger28
Member since Aug 2005
5266 posts
Posted on 2/26/25 at 7:49 pm to
Thanks for sharing some of the new things that are coming out. I had not researched much in a while and there are some exciting things coming down the pike. I just called my son and told him about the possibility of a pill and he was very encouraged by that prospect.
Posted by StreamsOfWhiskey
The Woodlands, TX
Member since Jun 2013
823 posts
Posted on 2/28/25 at 5:51 pm to
It’s the fun of Type 1… Blood sugars behave differently from one day to the next even with similar activity and food intake. I’ve been Type 1 now for 41 years and have never been on a pump. I hate having the Dexcom attached to me, but it works so I do. A pump I can replicate through syringes so have never bothered. A1Cs run in the 4.5 - 4.7 range. A1Cs have run in this range for the last 20 years. I eat low carb / high fat / high protein.
This post was edited on 2/28/25 at 5:54 pm
Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
569 posts
Posted on 6/12/25 at 1:53 pm to
quote:

arktiger28


quote:

Omnipod his first year so we never experienced any pumps with tubes.



So we just finished our endo appointment and have ordered the Omnipod like you said your son did. Going to wrap up summer baseball and then start the training mid July. Trying to hoard up as many pods as we can get to have as a stash in case these things fall off or we screw them up. Going to be an entirely new deal to learn but he needs more independence. Do not want to try to learn this thing and the adjustments while on the baseball field, too much chance for a bad low if we get into a situation we dont know how to handle
This post was edited on 6/12/25 at 1:56 pm
Posted by Lakeboy7
New Orleans
Member since Jul 2011
27952 posts
Posted on 6/12/25 at 3:55 pm to
DIL also moving to Omni Pod.

Posted by WDE24
Member since Oct 2010
54836 posts
Posted on 6/16/25 at 8:22 pm to
Just saw this. I have an active 13 year old t1d (baseball, basketball and football) . He’s done well with the Omni pod. Been using it for 4 years now. They get knocked off or loose sometimes, but it’s never been a big deal.

quote:

Trying to hoard up as many pods as we can get to have as a stash in case these things fall off or we screw them up. Going to be an entirely new deal to learn but he
It’s a good idea to build up a stash. Omnipod is pretty good about replacing pods that fail or fall off at no cost.
This post was edited on 6/17/25 at 8:31 am
Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
569 posts
Posted on 6/17/25 at 10:09 am to
quote:

I have an active 13 year old t1d (baseball, basketball and football) . He’s done well with the Omni pod.


How long did it take to learn how to handle it during games and practice? we always try to limit any short acting insulin as much as possible on game and practice days within 3 hours of activity. Also usually do a 15 carb snack or so right before walking on field and that usually handles it except when he's pitching and then he has a 15ish carb drink that he drinks during game also. I assume you are going to activity mode or just shutting off completely during that time period? A lot to re-learn
Posted by WDE24
Member since Oct 2010
54836 posts
Posted on 6/17/25 at 10:35 am to
quote:

How long did it take to learn how to handle it during games and practice?
It’s constantly changing as he grows and, as you know, t1d isn’t a consistent thing to manage. However, after a couple of weeks of practice, we had a pretty manageable plan.

It takes the pod a few weeks/pods to learn his insulin needs and then it does a decent job of adjusting the Basil levels. We just back off a little on the bolus for anything he eats pre game/practice. There is a lot of trial and error and we still miss the mark occasionally, but never had any serious incidents. His athletic bags are stuffed with full sugar and zero sugar Gatorade’s as well as some hard candy. We use activity mode, but never really shut it off completely.

For awhile my wife or I attended every practice or game to make sure he was good. We are now comfortable letting him self manage during practices and his coaches are ok with it as well. He always has the basquimi nasal spray and coaches are aware how to use it if needed. We’ve never had a situation where we even got close to needing it, yet (knocks on wood).

ETA: as you are aware, activity usually caused a drop in blood sugar, but sometimes in intense games or situations, we will notice adrenaline will cause his BG to rise
This post was edited on 6/17/25 at 10:38 am
Posted by Lakeboy7
New Orleans
Member since Jul 2011
27952 posts
Posted on 7/7/25 at 8:27 pm to
Some really good news.

A Pharma company named Vertex (VRTX) has had a very significant breakthrough with stem cells in T1D.

The short version is they take modified stem cells and infuse them in the pancreas. Those stem cells then convert to Islet cells which produce insulin. The study is on their website.

The control group was 12, 2 died of non T1D issues but the other 10 are now producing enough insulin to be insulin free.

Very exciting if you have T1 or you have a T1 in your family.
Posted by WDE24
Member since Oct 2010
54836 posts
Posted on 7/8/25 at 4:30 pm to
Lot’s of good things going on in the research phase. The biggest downside I’m aware of so far is the immunosuppressants that are required, but still an exciting step forward.
Posted by Lakeboy7
New Orleans
Member since Jul 2011
27952 posts
Posted on 7/8/25 at 7:18 pm to
quote:

Lot’s of good things going on in the research phase. The biggest downside I’m aware of so far is the immunosuppressants that are required, but still an exciting step forward.


Remember 10-15 years ago we were told stem cells would eventually cure everything? It didnt happen immediately and peoples interest moved on. I think we may be getting there.

quote:

immunosuppressants


Yeah would be really good to see the control measures and parameters. Was discussing with my sister (an internist) and she said this actually isnt a drug therapy its a conversion of stem cells so hopefully not intrusive.

Go to their site man, if you have been T1 more than 5 years maybe you could get in a trial?

At any rate really good news.
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