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Scuba Forum / General / November 2004

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insulin dependent diver on the pump

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BMTropp - 25 Nov 2004 02:29 GMT
I've been diabetic for close to 12 years.  Been a diver for 3 years.
I have recently started using an insulin pump.  So far I've had no problems,
but I was on the needle.
I'll be diving in the BEVY this Feb and am wondering if there's any special
precautions divers in my situation
take.  The dives will probably be doubles.  Time will be an issue. also,
recommendation for diving sites.
Scott - 25 Nov 2004 03:12 GMT
Talk to Mike; AKA El Stroko Guapo.

That handsome bastard.

> I've been diabetic for close to 12 years.  Been a diver for 3 years.
> I have recently started using an insulin pump.  So far I've had no problems,
[quoted text clipped - 8 lines]
> Checked by AVG anti-virus system (http://www.grisoft.com).
> Version: 6.0.801 / Virus Database: 544 - Release Date: 11/24/2004
mike gray - 25 Nov 2004 03:37 GMT
> I've been diabetic for close to 12 years.  Been a diver for 3 years.
> I have recently started using an insulin pump.  So far I've had no problems,
[quoted text clipped - 3 lines]
> take.  The dives will probably be doubles.  Time will be an issue. also,
> recommendation for diving sites.

Here are some links to diabetic diving info:

 http://www.ymcascuba.org/diabetes.html

 http://www.jshaldane.mc.duke.edu/Projects/DADart1.htm

 http://www.scubamed.com/divmed.htm

 http://www.ukdiving.co.uk/ukdiving/medicine/diabetes.htm

 http://www.gulftel.com/~scubadoc/dbts.htm

 http://www.diversionoz.com/spumsdia.htm

You should also subscribe to divemed and search the archives for
diabetes-related stuff. There's quite a bit.

scubadoc@scuba-doc.com

I'm not a doctor, so I won't give you any advice. But here are some of
my considerations.

Nothing will bring on a hypo like the loss of body temp in the water.
The colder the water, the faster yer bg will drop. I always carry a tube
of gelled glucose (Insta-Glucose) in a pouch I made and attach to my BC.
I can get at it without removing it from the pouch or detaching it from
my gear, and can use it underwater. I carb up before diving with some
high glycemic index food about 45 minutes before diving (great excuse to
eat a sticky bun!) and a Coke and/or a banana between dives.

I don't advertise. Diabetes makes boat captains and divemasters do and
say all sorts of irrational things. My regular buddies know the routine,
or I dive solo. If I am in a situation where I must dive with a
stranger, I give a phony name and say nothing else.

I'm not sure what depth the pumps are rated for and I understand some
have dived with pumps. I'd be a little concerned about the infusion set
(snags and infection), but you need to find other pumpers to work that
out. I think there's been some pumper-diving stuff on scubadoc.

If you've only been on insulin for 12 years, you prolly still have
pretty good hypo awareness. They do seem to come on a bit quicker
underwater, but I think that's just because the earliest signs are not
as easily caught.

Long deco routines are a no-no. Feeling a hypo coming while ya still
have a 30 minute deco obligation is a real hand-wringer. Been there,
done that, no one sells the t-shirt.

And what's a BEVY?

m
Scott - 25 Nov 2004 04:12 GMT
> And what's a BEVY?
>
> m

Boiling liquid exapanding vapor gas explosion?
Popeye NCAT3 - 25 Nov 2004 05:19 GMT
>From: "Scott" pugetsounddiver@geemail.com
>Date: 11/24/2004 11:12 PM Eastern Standard Time
[quoted text clipped - 5 lines]
>
>Boiling liquid exapanding vapor gas explosion?

 Like a whirling dervish, but different.
     

                              Popeye          
      The only working atomic bomb platforms the
      Japanese ever had were delivered via airmail.
Scott - 25 Nov 2004 05:41 GMT
> >From: "Scott" pugetsounddiver@geemail.com
> >Date: 11/24/2004 11:12 PM Eastern Standard Time
[quoted text clipped - 7 lines]
>
>   Like a whirling dervish, but different.

With a damn fine "whoof" as a finish.
Curtis - 25 Nov 2004 16:57 GMT
>> And what's a BEVY?
>>
>> m
>
> Boiling liquid exapanding vapor gas explosion?

   That would be BLEVE, Boiling Liquid Expanding Vapor Explosion.  Must be
something else.   ;-)

Curtis
Scott - 25 Nov 2004 17:06 GMT
> >> And what's a BEVY?
> >>
[quoted text clipped - 4 lines]
>     That would be BLEVE, Boiling Liquid Expanding Vapor Explosion.  Must be
> something else.   ;-)

Yeah, that's it.

Kinda like a gnarly boofer...
Dillon Pyron - 26 Nov 2004 03:45 GMT
>> And what's a BEVY?
>>
>> m
>
>Boiling liquid exapanding vapor gas explosion?

You've never heard of a bevy of beauties?

Signature

dillon

"When the French are against it, you know we can't
be far wrong."  - Adm. Bobbie Ray Inman

Chris Guynn - 29 Nov 2004 18:21 GMT
> >> And what's a BEVY?
> >>
[quoted text clipped - 3 lines]
>
> You've never heard of a bevy of beauties?

Would you say that I have a plethora of pinatas?
Salty - 27 Nov 2004 22:10 GMT
> Here are some links to diabetic diving info:

>   http://www.ymcascuba.org/diabetes.html
>
[quoted text clipped - 7 lines]
>
>   http://www.diversionoz.com/spumsdia.htm

Mike,  the only one of those that opens for me is Fred's page and
another page that is in German.  Help.
<snip
mike gray - 28 Nov 2004 16:54 GMT
> Mike,  the only one of those that opens for me is Fred's page and
> another page that is in German.  Help.
> <snip>

Yeah, that's what happens when ya don't update yer stuff for a year or
so. Sorry.

The beat source is still to go to  http://scuba-doc.com/   and register,
then search the archives. The advice is from physicians that are also
divers.
Salty - 27 Nov 2004 22:31 GMT
> I've been diabetic for close to 12 years.  Been a diver for 3 years.
> I have recently started using an insulin pump.  So far I've had no problems,
[quoted text clipped - 3 lines]
> take.  The dives will probably be doubles.  Time will be an issue. also,
> recommendation for diving sites.

If I were you, I would not be seeking advice of this newsgroup or any
other newsgroup or internet chat/info line for your question.  If
you're on an IP, you were probably brittle and you were probably
having problems with control.. otherwise you would still be on "the
needle".   Chances are that you still are brittle even while on the
pump.  You may not wish to acknowlege that and I'm sorry if I've hit a
'sore spot' with you.  I'm not trying to be harsh with you but I am
trying to point out that your life could depend upon the correct
information and all I am doing is trying to enforce the importance of
that into you because I wish you well !!!!!!!!!

Since no one here seems to know what you even mean by stating that you
are diving "in the BEVY this Feb",  I think that very tidbit should
clue you in even further to forget seeking advice on such a sensitive
issue from a newsgroup. LOL

IMHO, you need to be able to clarify your hourly basal rate now and
compare it to what you will do be doing activity-wise on the dive you
wish to do.  If you have a carb-count sliding scale that you add in
with meals or a few times a day in addition to your basal rate, then
you need to know how to factor that in while you are diving.  Your
life depends upons it !!  Please ask your endocrinologist..... who
should be the one who is governing your pump rate in the first place
!!!!  And lastly,  but not least importantly, you need to make sure
that your pump can withstand the pressure but on it by the dive.  Do
NOT take your doctor's word for this...  but rather call the
manufacturer.

Best wishes !!!!!!!!
mike gray - 28 Nov 2004 16:47 GMT
> If I were you, I would not be seeking advice of this newsgroup or any
> other newsgroup or internet chat/info line for your question.  If
[quoted text clipped - 6 lines]
> information and all I am doing is trying to enforce the importance of
> that into you because I wish you well !!!!!!!!!

Not true. Pumping, today,is an alternative to the needle because of (1)
better control of bg, and (2) convenience. Whether a person is a pumper
or not depends primarily on whether the person has insurance that will
cover the cost of the pump and sets or not. How brittle one is has very
little to do with the decision to go to the pump. Theoretically that is
a consideration, in practice it is not.

That does bring up another issue for a diving diabetic, however. A
pumper will usually have a lower HbA1c than a needle user, ie a lower
fluctuation of bg. Diving implies intentional elevation of bg, something
that is alien to the pumper.

> Since no one here seems to know what you even mean by stating that you
> are diving "in the BEVY this Feb",  I think that very tidbit should
> clue you in even further to forget seeking advice on such a sensitive
> issue from a newsgroup. LOL

Diabetes is a disease that is self-managed, not physician-managed. The
healthiest and happiest diabetics are those that develop and learn
self-management techniques that fit their lifestyle. Few physicians (and
even fewer dive instructors) have even the slightest idea what
considerations are appropriate for an activity like diving. On the other
hand, there are thousands of diabetics who are active divers, who have -
by trial and error - learned what is important.

> IMHO, you need to be able to clarify your hourly basal rate now and
> compare it to what you will do be doing activity-wise on the dive you
[quoted text clipped - 7 lines]
> NOT take your doctor's word for this...  but rather call the
> manufacturer.

You need an endocrinologist to prescribe yer pump if insurance is to pay
for it, and a manufacturer to give you an instruction manual for setting
the pump, maintaining the infusion set, and telling you the depth limits
of the pump. Diving considerations are better left to diabetic divers
than to endocrinologists.
 
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