Does the pump also cover the long acting lantus or do you need to do one shot a day for that separately?
My daughter has never really been the independent type and I am finding that having type 1 is making her want to stay with me or my husband more. Anyone have any tips on helping her gain a bit of independence? The one thing she really misses is sleepovers at friends house - I know we can eventually do that but we havent yet.
I'm not sure it's the same for everyone, because I think I've heard of some using Lantus while on the pump, but Sarah no longer takes lantus. The pump administers what's called a Basal dose (very small, incremental doses) of Novalog throughout the day. It's mostly an equivalent amount to the lantus. Sarah was taking 7 units of lantus, and now the pump administers just over 5 units of Novalog spaced through the day. Of course she takes additional Novalog whenever she eats and for corrections (which is really rare these days).
Here's where the pump is so amazingly awesome... Sarah has a lot of activities like dancing and singing which would always drop her low before she had the pump, because once you give the lantus dose, you're pretty much stuck with it for 24 hours. However, with the pump you can suspend the Basal dose. So, if Sarah's about to take a dance class, or go on a hike, or whatever - I test her to make sure she's in a happy place (I'm happy anywhere between about 115-150), and I just suspend her Basal for an hour, two hours, whatever seems appropriate.
As far as independence, Sarah's gotten much better. The first few weeks she didn't want to do anything herself, but pretty quickly learned to give herself shots and such. She's learning to count carbs and doing really well. She's a weirdo, can be really independent with some things, but I call her my Wart, because she's insanely attached to me. We try to increase her responsibilities slowly, and that seems to work.
Sarah has one very best friend and she's been sleeping over at least once a month since probably about a month after her diagnosis (as soon as she was able to give herself shots). Her friends parents are awesome and were really willing to learn enough that they could understand the basics. We got Sarah a cell phone. At first she called me everytime she put something in her mouth, but after the first couple of times she began doing her own carb counting and only called me if she was having a late dessert or her bedtime numbers were weird. I think being able to get back into the routine of sleeping over at her best friends house really helped her to feel back to normal. At this point there's really nothing we don't let her do.