Hi all. I am a type 1.5 diabetic, which means adult onset type 1. I was diagnosed in1995 and have been on the pump since 2005. I am a brittle diabetic, highs and lows. Surgery date is August 20th. . My question is about basal settings. When should I start changing them. I do not have a pre op diet but need to concentrate on reducing carbs, protein first, small bites, well chewd, no drink with meals, etc. and afterwards, of course I will need little insulin, eating so little. But basals are continuous. I do not want to go back to shots. Maybe I should ask my endo for an insulin pen instead, at least for the first yew weeks. Hmmmm. Lots to think about.

I say ask the endo - I know the people I know with pumps have a very hard time getting them set right with any change in their life.

Your endo is the best person to ask!

Thanks ladies. I now that is the right answer, but my endo knew little about wls and itching about the sleeve. Hoping someone could share their experience.

Hey Audrey,

I also have Adult Onset Type 1. So much fun, isn't it? I had the sleeve before trying to start with the pump so I'm not much help on settings and such, but my endo is the one who suggested this surgery and gave me list of how to take my insulin before the surgery and after in the different stages of feeding (liquid, mushies, soft, etc...) I'm 5 weeks out and I will say the results so far have been amazing! I went from taking between 60-90 units of insulin a day total to about 2 units every other day. Now that I'm eating more solids, I'm just taking a nightly dose of 6 units of Lantus and it's keeping my blood sugars stable all day. This is surgery is truly a miracle! Good luck! P.S. I've never met another Adult Onset Type 1...apparently we are pretty rare! Nice to meet you!