Hi all. My partner’s mother is 79, T2D currently on lantus, humalog, and metformin, also with Addison’s disease and an essential tremor (she can currently manage her own injections, but it doesn’t look super easy). She’s a very nice woman, but not technologically inclined, and neither is her husband really (my partner gets asked regularly to fix fairly basic issues with their smart phones etc that are confusing them). I’m not sure what her current A1c is, my best guess is well above 7, possibly in the 8s? Anyway, her team apparently just suggested a pump, I’m pretty sure the 670G (I’m getting this info second-hand, and no one remembers the details), and if so, that would also be adding a CGM, which she has expressed curiosity about (I’ve shown her my Dexcom). She’s in the category of control that stands to benefit from it, so that part seems good. My and my partner’s concern is how hard is this going to be to learn and adjust to? I know pumps generally come with support and classes at the beginning, but then how much work and tech ability will this require? My partner would try to go with her mom to the appts, but we don’t live right by them, so can’t give continuous support either. My partner tries to see them about 1-2x a week, but sometimes it’s less often. I’ve never used a pump, so I offered to ask you all for thoughts and suggestions.
She has some respiratory problems (not sure what exactly), otherwise I might advocate for Tresiba/Afrezza, which seems like it might be a much easier approach given all the other factors in play. Still might encourage asking about it just in case.