...as I haven't been on this board for a while. I have been diabetic for 30 years and on the pump for about 15 (I'm on my third one.)
The one thing I didn't see mentioned in the posts was to make sure that someone other than the diabetic student knows how to put the pump on HOLD! My adrenal response is gone & my sugar is usually around 40 before I become symptomatic. At that point, I'm not thinking clearly enough to put the pump on hold while I grab something to eat. If the sugar is dropping rapidly, those couple of minutes can really make a difference.
I noticed someone mentioned Minimed's swimproof case - I'd never seen this one! I'll have to look it up, but why don't you trust it? I was thinking it might be good at least for rides where it might get wet?? Any thoughts? Last time, I carried zip lock baggies in my pump pouch (w/ all supplies for a complete setup change, test equip, candy, med card, etc.) I just took off the pump right before we got to the head of the line & put it in the bag. Between the exercise change, the heat & the sun, I never had difficulty with my sugar going too high because I turned off the pump for the length of a ride.
I would advise the student to check with her doctor about hourly boluses when swimming. I did this automatically for years before the doctor told me that it was unnecessary unless I was going to be without the pump for 4+ hours. He said that the swimming - even just standing around in the water - was enough to counteract the need for that period of time. Obviously, it is dependent upon the basal rate - so the advice will vary between individuals.
I have another question...why does Humalog need to be kept in the frig? My pharmacy told me that it can be kept out of the frig for up to 28 days. Did I miss something in the literature?

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