Taking a Diabetes Break with Tresiba

unnamed-2It’s happening for the first time in seventeen years.

I’ve decided to take a break from my insulin pump.

Granted, we’re not breaking up permanently. I’m just going to see other insulin regimens for a little while.

I need a break.

After a “naked” shower earlier this week, which always leaves me feeling elated and extra clean (no worries about scrubbing and ripping an insertion set off), I wrapped myself in a towel and glanced over at the counter where the next round of “Who wants to play a pancreas?” waited to be inserted.

And I just couldn’t do it. 

The thoughts shot quickly and unexpectedly through my brain:

  • “How much longer will I need to do this?”
  • “I don’t know how much longer I can do this.”
  • “I don’t want to do this.”
  • “Nope. Not doing this.”

And then I walked away.

Diabetes isn’t a part-time gig. We all know that. I can’t just not show up and expect to live much longer, so when I walked away after that little internal hissy-fit, reality set in and more productive thoughts trickled through:

  • “So, what can I do to change the way I’m feeling about putting another insertion set in?”
  • “What are my other options?”

Seventeen years with insulin pump therapy have produced some of the best control I’ve ever had. It’s also been a pain in [insert body parts]. Always attached, always “almost” in the way. I have found that I hug my daughter differently based on where my infusion set is placed and where my pump is on my body.

I love my pump, but I need a break.

Tresiba

Nothing this major should be decided alone, although in the end, it’s me that gets to decide. My hissy-fit included a frantic text to my husband, telling him that I was going off the pump “right now!!!” and I was going to pick up a prescription of Tresiba. I had discussed it with my CDE a few weeks ago and we switched my “back up” insulin to it. (I have come close, but never had to use my back up insulin.)

Fortunately, one of us (hint: not me) is much more logical and rational. He reminded me that this was a major change and that he’d prefer to be around when I began the therapy change “just in case.” While I wear a CGM and mostly react to the alarms, I’m either home alone or just with the Kid most of the day. We agreed that I would wait until today to take a break.

Decision made, I put on my big girl pants (after all, I was still in a towel) and inserted my CGM sensor and my infusion set. Just to spite me, neither one hurt a bit or bled.

nph-1I have only used an insulin pen twice in my life. I had to read and re-read the instructions to make sure that I was doing it right. I instinctively rolled the pen in my hand to make sure it was mixed. (NPH, anyone?) Old habits die hard.

I just took my first injection of long-acting insulin in seventeen years. 

New adventure. New medications. New challenges.

But a break all the same. Wish me luck!

 

6 comments

  1. BJ Mayeur

    I hear you! I wore an insulin pump for 7 years and unlike you, I was forced to get off it with a bad infection and then inflammation at every insertion (I’m highly allergic). For over 10 years I have been on MDI and Trujeo and my A1Cs are almost, if not quite, as good as before. I wear a CGM and am always watchful of my BG readings. Even though I loved the convenience of the pump, I actually feel less constricted and more free without it. Keep up the good job!

    On Fri, Jan 29, 2016 at 10:55 AM, “theperfectd™” wrote:

    > theperfectd posted: “It’s happening for the first time in seventeen years. > I’ve decided to take a break from my insulin pump. Granted, we’re not > breaking up permanently. I’m just going to see other insulin regimens for a > little while. I need a break. After a “nake” >

  2. StephenS

    You don’t need luck. You’ve got this.

    My pump breaks have all been short, and all because of pump issues. So while I haven’t had a voluntary pump break, I can confirm the comfortable feeling of being non-tethered.

  3. Mike Hoskins (@MHoskins2179)

    Kudos for you to finding the courage to do what you need, as far as keeping your sanity. Been there myself. The first pump hiatus of mine started out much the same way, where I just didn’t want to. Stuck with short-term MDI for a day or so, navigating it so I wouldn’t go High but would just have to space out my Humalog. Then decided to try Lantus, which at the time was also something I’d never done — as MDI didn’t exactly exist for me before I started pumping in 2000. Anyhow, did a 7-month break that actually saw my A1C drop a whole % point. Gave me more discipline to mind what I was eating, and not just be able to “push a few buttons” to bolus. Then went back on for a year. Did a few others, with decreasing lengths, until my last one in 2014 that was only for a few weeks. All gave me good perspective and helped me regain my appreciation for the pump. Of course, every so often (read: VERY SOON), I take a day or two off before re-connecting and just go with Humalog. Anyhow, not easy to decide, but as Dr. Polonsky says: Scheduling mini-vacations and mixing D-things up is often necessary to keep sane. Good luck, Christel!

  4. Pingback: Crashing The Diabetes Bike | theperfectd™

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