I don't get it.
Please, dear D mamas and papas, help me understand.
Today, we visited our endo for our quarterly visit.
For many reasons, I love our endo. I trust his judgment. He's been practicing for 32 years, and he knows his stuff. Though he has all this experience and knowledge, he's not "old school" at all. He's up-to-date and a true technophile. He's a perfectionist. He truly cares. He's wonderful with Jack. He never talks down to us. He listens to our concerns. He responds to my email messages lickety split. I could go on and on, but I'll spare you. Suffice it to say that he's a good match for us.
At today's appointment, I told him that we'd like to consider both a pump and a CGM (continuous glucose monitor). Now, we've had this talk with him before, but because of our insurance situation, we haven't done anything. We have a ridiculously high deductible, so we pay out of pocket for ALL D supplies, medications, doctors' visits, lab work, diagnostic tests, etc. Thus, the only time of year it makes financial sense for us to get a pump and/or CGM is now.
Our endo was all for the CGM. In fact, he submitted the paperwork for us within just a few hours of our appointment (another reason I love him).
But, then he discouraged a pump. "If it ain't broke, don't fix it," he said. That's not the first time I've heard him say that. Every time we've raised the pump topic, he's said that.
What he means is that we've consistently achieved a decent A1C for Jack. Today's came in at 7.2. Woo hoo! :) So, shots are working. We don't necessarily need improvement there.
Though, being the type A perfectionist that I am, I can't help but wonder whether we could improve upon the 7.2 with a pump. 7.0??? 6.8???
He also said that Jack is still on a small amount of insulin. His Lantus dose is 10 units. Doc thinks he should need at least 12 units of Lantus, before considering the pump, to make the conversion to the basal rate nicer.
Now, I've done my research. I know the Animas Ping, for example, can deliver 0.025u of insulin. So what's the big deal if we need to break down 10u of Lantus (and convert it to Humalog) over a 24 hour period???
I don't get it.
I know there are kids, who probably require even less insulin than Jack, who're on pumps. I know there are endos, who actually encourage pumping.
What does your endo encourage? What are your thoughts? What are your child's basal rates, if you don't mind me asking?
I know every child's diabetes is different. I know all docs are different, and I trust our doc's judgment. He's totally into technology, and I know he would push the pump, if he felt it would help us.
If we don't get a pump now, we'll have to wait another year, unless our insurance situation suddenly and miraculously changes. Jack wants a pump. So, now seems like a good time to me...but our beloved doc thinks otherwise.
What gives? Any ideas? Any words of wisdom? What has your endo told you?