I am Diabetic. Here's how it works. My insulin pump and continuous glucose meter (CGM).


Uploaded by shanselman on 29.04.2010

Transcript:
>> SCOTT: I only get to do this YouTube video in one take
so I hope you'll bear with me.
So, as a diabetic, when I eat my blood sugar goes up,
when I take insulin, my blood sugar goes down.
It's kind of like flying a plane and adjusting the altitude.
Eat it goes up, insulin it goes down.
So I try to "fly" nice and steady, so I don't crash into the ground, and I don't float away.
Typically I use a needle to give myself that insulin.
My body doesn't produce any insulin.
My pancreas doesn't work.
I can give myself a shot here and there,
but at some point I'm gonna be giving myself 8 to 10 shots.
So I use what's called an insulin pump.
And my insulin pump sits right here. It sits on my belt.
It's got a little bunch of insulin right there,
a big long tube, and it's plugged into me.
It's plugged into me all the time.
See these bruises? That's because I'm putting holes in myself faster than I can heal them.
When the insulin pump runs out, like it did tonight, I have to fill it up.
So here's what I do when I change my insulin pump.
I take this off. This is a little port. Pull this off me. Now I've got a hole in me.
That's the little needle - it's called a "cannula" - that was sticking in me.
That's where the insulin came out. Throw that away.
Then I'm going to take the insulin pump, pull out the tubing, this is disposable; this goes
away.
Now I've got an empty insulin pump.
I'm gonna tell this pump to rewind and get ready for a new bunch of insulin.
See that "screw drive" that's moving backwards right there?
That's the plunger. That's rewinding. You can hear it.
While that's rewinding, I'll take a fresh "reservoir"
and a bunch of insulin.
Push air into it. Now I'm pulling it out, filling up the reservoir with insulin.
I do this every three days.
Insulin is measured in "units." I give myself about 30 units a day.
Disconnect it, insulin goes away, now I've got a reservoir full of insulin.
Now I take this, this is also disposable. I have to buy these. This is pretty expensive.
This is that tubing, it's a fresh one.
Plug the reservoir into the tubing.
I'll take this and put it inside the pump,
Take that and put it inside the pump and tell the pump that I've got some.
And it's going to start to push.
And It's filling up the tube.
See that? See the insulin dropping out?
I'll put the pump down temporarily.
Take this thing here and I'm going put it inside this.
This a little plunger and I'm gonna put this on top if it.
This is a little sticker. I'll pull the sticker off.
See that blue thing on top, there's a needle under there.
Push it down into the plunger, pull that off; needle's in there.
Use my arm.
[INHALES, EXHALES SHARPLY. SNAP!]
>> SCOTT: Now it's plugged in me. Pull out the needle, that's the needle.
Remember that one we threw away earlier?
This little plastic tube is in there.
So now, the pump is plugged into the tube which is plugged into me.
I wear it 24 hours a day. I wear it when I sleep, I put it underneath my pillow.
Clip it onto my belt. 24 hours a day.
The only time I take it off is for a few minutes when I shower.
So this is easier than shots.
And now I can do little tiny adjustments to my "plane" that's flying.
Unfortunately though, pump are expensive.
A lot of people who don't live in Western Countries can't get ahold of pumps.
There's a lot of money here, These are a couple thousand bucks.
They're usually paid for by insurance but you'll usually have to fight your insurance
company to get one.
So that's thing number one.
Every three days, I do this maneuver that we just did. Every three days.
I'll take the pump, put it in my pocket.
Thing number two, I'm going to put in a Continuous Glucose Meter.
Sometimes you hear about diabetic who prick their finger.
They look at the blood on their finger and they measure it and that tells you what your
blood sugar is.
It's like looking at your altimeter on an airplane, seeing what your altitude.
But there are things called Continuous Glucose Meters that allow you to get that information
more often.
I prick my finger between 8 and 10 times a day.
I've got black marks and calluses on my finger from doing this for 15 years.
This is a sensor, these are expensive, again, fighting with the insurance to get these things.
This going to allow me to check my blood sugar every 5 minutes.
This sensor - looks kind of like a mosquito - has a sticker and a needle.
You'll notice that one of the thigns about diabetes is that there's a lot of needles...
and it sucks.
This is another one of those "inserter" deals.
[SNAP]
[POP]
>> SCOTT: OK? Take that...
and put this inside it. The little mosquito deal.
You'll find yourself as a diabetic finding new and creative ways to stick yourself.
And the irony is, you have to hurt yourself all the time while you're diabetic,
so you can avoid hurting yourself later when you're old and things are going bad.
Pull the little sticker off. See that, right there?
Pull the plastic off this needle. OK?
So that needle is now going to go in me.
And this is where some of the, more of the, fat belly stuff is going to happen.
Forgive me. I'm working out, but whadayagonnado?
Again this may look bruised, like there's holes and stuff, it's because
I'm putting holes in me faster than I can heal them.
I'm going to take this needle...
...looking for a place where I can sense...
[INHALES]
>> SCOTT: You'll hear me breathing because it hurts.
[INHALES, EXHALES, POP!]
>> SCOTT: OK. Pull the sticker, now that's sticking in me. Pull it out.
[EXHALES]
>> SCOTT: There's your needle. OK, now, that left the sensor in me.
Now, I take a battery. This battery is sitting on a charger.
This is from a company called Minimed, see it's blinking.
Put that sensor right here.
[CLICK]
>> SCOTT: Just plugged it in. Now I'll take some "second skin."
This is a, it's kind of a clear sticker.
I'll take this clear sticker
and stick it over here.
I do this about every 36 hours.
They're waterproof, so I can leave that on now
for a while.
So that guy's sitting there.
This senses my blood sugar.
K, that sips, sips the interstitial fluids...
Not the blood, but the interstitial fluids
and then sends the results to this pump.
Then I have to use my brain
sometimes Microsoft Excel
to figure out how much insulin to give myself.
Then I tell the pump
[4 SLOW BEEPS]
That I want to give myself 2 units
[4 FAST ESCALATING BEEPS]
It says are you sure 2 units? and I say, yep, I'm sure.
And now it's delivering.
So very, very slowly, that little plunger that we saw before is turning and it's delivering
insulin.
It's going all the way through this tube, into here.
This gives me information that I use to drive this.
Now, the fun part. Every 43 days, this is all the medical waste now.
Needles, gotta put this in a "sharps" container.
We changed the pump, we changed the tubing, we changed the reservoir...
We changed the needles for the continuous meter.
I use a hundred and something units of insulin.
So here's the part that freaks me out and here's why I'm doing this video in the first
place.
I'm 36 years old and I can handle this.
I didn't say that it was fun, but I can handle this.
But imagine if you were seven, or 9 months old, or 3.
And you had to do something like this.
Whether it's pricking your finger 10 times a day and taking shots,
or a whole bunch of tubing and wires. 24 hours a day.
We do it because we want to live.
We do it because we want to live for our kids and to be around for a long time.
But it's no fun.
And I would encourage you if you can, if you know someone with diabetes,
if you have someone you love who has diabetes.
Please give money. I'm personally raising money for the American Diabetes Association.
Hanselman.com slash fightdiabetes
I'm going to put a link at the bottom of this video right here.
You can read my story and hopefully start learning a little about diabetes and
I hope that this YouTube video helped you out
because it hurt me a little bit.
Thanks a lot!