Blog Entries With Tag: set


Blog: Anna's Blog

From: FatCatAnna

The ever changing "control" of diabetes
Posted: Jul 18, 2013

When I first started to wear an insulin pump back in 2008, I didn’t realise that wearing one would restrict some of my clothing options.  Living in Montreal, the fashionista capital of Canada (okay – there’s Toronto – aka mini-me USA – but they just don’t have that French flair like we do ).

It was sort of nice since January, when I took a pump break, not to have to spend the extra time to pick out clothing that would not reveal a bulge of George Michael aka GM (pun intended there – remember – I grew up with Benny Hill) my insulin pump.  Now that I’ve been back on the pump for over a month now, I realise that I have to take extra time to figure out what to wear that will allow me easy access to George Michael.   Hmmm, should have I had added that time factor into my application for DTC?

I did the stint for almost a month of wearing the infusion set in my arms.  That was kind of neat – almost like I wasn’t wearing an infusion set except when I’d hit a muscle or nerve ending in my arm with the stainless steel infusion needle (found Contact Detach/Sure-T does this more than the Inset 2 sets). One thing I am going to try out if I can get some samples of shorter needle/cannula length for the infusion sets - just like I have done with the shorter 4mm pen needles I started to use back in April.  My absortion with the shorter pen needle created no change in my BG's - which I thought it would due to my not being a slim gal (as I had told the RN when she gave me some samples of the BD 4mm pen needles said skin depths for absortipon of insulin doesn't change in the human body).  Anyway, back to old GM, here  I was tucking him into a sports bra – where I couldn’t believe that despite how hot it gets inbetween the girls – the insulin would keep on performing 100%.  My fear, like other diabetics is that heat will deteriote our insulin – but after 3 days of using the same insulin in the cartridge – my blood sugars (BG) stayed stable.

Actually, stable isn’t the word I should be using here.  I’ve been experiencing hypos (low BG) more often - that almost reminded me of my days when I was MDI prior to going onto the pump (one of the reasons I went onto the pump in the first place was due to having frequent hypos.  I sort of didn't understand how to use my combinations of insulin properly pre-2008, I was trying to learn how to do the poor man's pump method - but not quite doing it correctly.  As I keep on telling pumpers who’ve never gone back to MDI since starting on the pump - being on the pump has taught me how to fine tune with ONE insulin and that with that knowledge - you can easily transferred over to using TWO insulins when doing MDI.  It really isn't that difficult - honest - you've just got to know how to use your insulin(s) - and their little quirks.

So, with the hypos I’ve been having – sometimes a few a day – the things I have planned to do – that usually involve some activity (even simple grocery shopping believe it or not) – have to be shelved.  I do NOT like to have my diabetes rule what I can or cannot do.  My poor DH has to put up with my having to tell him that I can’t do this / that – and he’s so far not really sad much – as I go “I’m so sorry, I’m so sorry” or “Get me some quick acting sugar NOW!!!”.  What a range of emotional outburst I put him through – that is so not me – that it makes me cringe if a fly is on a wall witnessing this (thank goodness they don’t have the ability to hold a video camera).

My basal rate has now been reduced by almost 20% - but I’m still needing to tweak it abit with some more basal testing since now I am going low in the afternoon (very rare for me).  If that doesn’t work and I’m still experiencing low blood sugars (hypos), then it’s looking at my carb ratio (I:C) – which I have slightly changed since I’m now understanding I’m insulin sensitive.  The other thing to look at is my Insulin Sensitivity Factor (ISF) - which to me is a trial and error type of test - since there are a few different formula's out there to deterimne what is best for "you".  

Ahh isn't diabetes control a fun puzzle or what?
 
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Tags: Insulin Sensitivity Factor (1) ISF (1) Carb (1) Ratio (1) GM (1) George Michael (1) insulin (1) pump (1) basal (1) Disability Tax Credit (1) DTC (1) infusion (1) set (1)
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Blog: Anna's Blog

From: FatCatAnna

Ripping out an infusion set!
Posted: Jun 29, 2013
Most of you will be nodding your heads saying - " yuppers, been there, done that " - but for myself - this was amazingly enough my SECOND time ever ripping out an infusion set in an almost violent way (remember - I'm a semi-drama Queen here in my mind).  When I first started composing this blog - I was saying it was my FIRST - but as I put the tags in my post - I came across this blog!

I'm such a drama queen!


I'm still placing the Contact Detach infusion sets in my arms - giving my stomach that I favour the most a break for hopefully a month or more (next spot will be my legs for the infusion sets now that I have longer tubing). 

How did the infusion set come off you may ask?  A simple swipe of my hand as I scrached a spot on my upper arm. The loop of the Contact Detach was just purrfectly looped for my kitten claws to snag on it - and next thing I knew was .... S*** - dangle of the infusion set. I was actually pretty stunned by it - since I'd heard of other diabetics on pumps ripping them out - but NEVER thought it would be pulled out this way (I figured a door knob would be the culprit for me).


I think what got to me the most is that each infusion set costs on average for Canadians each time ... $16-20 ! That's like yikes - I could have bought groceries with what just got ripped out of my arm (sorry - you know I love to feed my ever expanding waistline).

So, seeing as I was semi awake - after a great day on Jenna's Journey and drive back home.  Having to think straight as I contemplated an Americano was not high on my priority list.  I was thinking of reinserting the infusion set in as I'd only had it in for about 5 hours.  I'd done a similar thing for a friend of mine a few years ago (Nel Peach - who made me fall in love with the Contact Detach/Sure T).  We'd simply found some office tape and temporarily held her infusion set in a new spot until she could place a new one in as it was due to a change.  In my case, this was a NEW set - long tubing (to prime the longer tubing it takes on average 15 units of insulin compared to 10 for the shorter tube) - so not only wss I losing out on an infusion set but wasting insulin if I chucked out the tubing.
Kitty Kat retro tape dispenser - it's so me ooooowwww!!!
Sadly, I didn't want to be wearing an infusion set in my arm held by tape for the next few days.  Plus, I don't do very well with medical tape on my skin - as I react even if it's latex free.

Now the one good aspect of the Contact Detach - due to it being in two parts (the infusion set - and then the docking station that you see below) - if using an infusion set that is an "all in one" - that has the tubing directly into it - then you lose everything - insulin in the tubing AND the infusion set.  Yes, when replacing the infusion set every 2-3 days as we're supposed to - we still lose "x" amount in the tubing that is pitched.  Though if you're frugal, I've heard of some people reusing the tubing, and not losing our precious juice of life.  Of course, there's always the debate of whether the insulin is still "good" - and able to perform it's duty of keeping our blood sugars (BG) stable.  It's totally up to the individual!

So, all I had to do in my case, was replace the needle portion of the infusion set, prime from the tubing in that small section, and reinsert a new set. You will see by my picture below - that I've got a bandage across the needle portion that goes into my skin.  That's due to not placing the set in flat (I thought I had, but with using IV Prep - it's like contact glue - you can't reposition - so get it right the first time).  The needle in my arm was causing abit discomfort - almost like hitting a nerve feeling.  I'm now realising after doing this to have a better sleep last night that I actually could have reused the pulled out infusion set - by doing a criss cross with two bandages.  I'm hoping not to do this again - yanking out my infusion set - but incase I do - I'll hopefully remember this solution!

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Tags: infusion set (1) Contact Detach (1) Sure T (1) IV Prep (1) bandage (1) ripped (1)
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Related posts:

Changing my infusion set in my car  |  Using my arms for infusion sites with George Michael  |  Infusion Site Frustration – GRRRRHHH!!!  |  The Princess and the Pea!  |  Cost of Stainless Steel Infusion Sets  |  Pictures of my lovely tummy - infusion change with Contact Detach!  |  My psychic abilities to bend metal within my body  |  My first time pulling out my infusion set

Blog: Anna's Blog

From: FatCatAnna

Cost of Stainless Steel Infusion Sets
Posted: Jun 21, 2013

My tummy having a Contact Detach put into it
I noticed in a diabetic group the other day on Facebook - that some people have never heard of the stainless steel infusion sets that some of insulin pumpers use (Medtronic (MM) is a Sure-T, Animas is a Contact Detach, Accu-Chek is a Rapid D).  I know the ones made for Animas and Medtronic – are all made by the same company –
Unomedical.


For some people, giving an injection, with a syringe or pen needle, even with the smaller gauges available AND length of needles, TOTALLY freaks them out.  I can understand with what we had back in the early years of needles meant for elephants buttocks (wait – I was using them on my human buttock as a child – yikeroos).  Times have changed, thank goodness, it's easier to inject, but still some diabetics who have had this disease as long as I have, can’t inject themselves.  Putting a CGMS or infusion set into place on their body - they cannot do. I find with the Contact Detach I have no problems with placing into my skin (it is 29 gauge).  With other infusion sets available, I find the introducer needle that comes with the plastic cannula infusion sets very daunting.  I almost fainted the first time I put one in place, it was sooooo long, compared to the 6mm / 8mm length stain steel needle.


                             Image courtesy of http://www.traveling9to5.com/

To help some of you understand what one of these infusion sets are all about - since some people think the needle portion of the infusion set had to be removed from the skin - here's a great video of a young boy putting in this type of infusion set at this link.  He makes it look so easy (and it is - though watching him made me realise - how long it takes to do this procedure - as it's about 6 minutes from start to finish to perform the task).


Hopefully the video helps explain what a stainless steel infusion set is for some of you who don't know what it is.  Personally, I find it causes less skin irritation for me - as I have a slight Teflon allergy in the plastic cannula's that are used in infusion sets). The other good thing is, it's less expensive to purchase than other infusion sets.  Also, I find due to the connecting port that is on your skin (there is the infusion site AND the connecting port – both glued to your skin) – less chances of ripping off infusion set completely – it’s like a safety chain in a way.  I'd posted about the Contact Detach a few years ago as well - if you want a less model type figure to look at - then you can check out my blog that contains the link.


Contact Detach
The one thing I do have a beef about - and I'd mentioned about this a few weeks ago at Blogger - the cost of the infusion sets to Canadians (and those of us not living in the USA).  The price that we pay for the infusion sets shows quite a wide gap in prices.  For example, my Contact Detach here in Canada costs $155 - if I was an American - I'd be paying $94.  I thought it was perhaps due to our value of our dollar - but we're pretty close to being at par these days.  The price list as well - since I started pumping over 5 years ago - hasn't changed at all.  When I spoke to Animas Canada about the price difference today - Alexis - one of the staff there who took my order (and a pumper herself) - said that due to duty/tarriffs and our smaller pumping compared to the States that this is why we - and other countries pay more.  Huh???? I tried to figure out what the cost was to ship the product from Mexico - to United States - then Canada - but I'd have to have my brain go to school to figure all the ins/outs of trading between these countries through the Canada  Border Service Agency website.
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Tags: infusion (1) set (1) pump (1) insulin (1) Unomedical (1) Contact Detach (1) tariffs (1) duty (1) Canada Border Service Agency (1) Mexico (1) United States (1) cost (1) Animas (1) Medtronic (1) Accu-Chek (1) Sure-T (1) Rapid D (1)
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She’s got legs and she knows how to use them (the semi-Fashionista and her pump)!  |  Shame on Johnson & Johnson / Animas  |  REMOVAL – clinical trial for T1D's in UK, Australia, Canada, Denmark and Netherlands  |  Riding thru' the mountains of the Adirondacks  |  My Porky Pig fingers are tired  |  Comparing prescription coverage in Canada  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  Swine influenza - A (H1N1) virus  |  Official response from Animas with 2020 s/w issue

Blog: Anna's Blog

From: FatCatAnna

Using my arms for infusion sites with George Michael
Posted: Jun 14, 2013
Artwork from bunbunlandia on WordPress dated March 10, 2012                                   

For those of you wondering about my little SCREAM on Facebook earlier today - about removing an infusion set (Contact Detach) - from my arm - that could be a potential gusher (in my eyes I was thinking more of a geyser) according to some of my D-mates 3 days before and how I faired.  Well, here's the LONG low down (and this is aimed at some of the commentors saying that they'd never done an arm infusion site before - it can be done - even by yourself).  


The reason I had written this - was my tubing the next day after putting the infusion set in (my 2nd arm installation - yes - I'm no longer a virgin) - had a very very weak pinkish tinge to it - though I couldn't tell if it was inside (from rubbing on a red top - which I hadn't) or from a broken blood vessel when putting the set in.  The funny thing is - it was not at the infusion site where the needle was inserted - but further past where the detachment area is on the tubing (managed to luck in on finding a 31" tubing from the Comfort sets I used to use in the beginning).  The longer tubing is much better so I can also clip the pump onto my usual waistband of my pants - before that - it was impossible unless I had no long neck/torso.  Having that extra 10" really makes a difference (oh this sounds like a Long John Silver movie).  And yes, for those dudes out there - who asked the question - where does the pump go - check my previous blog.

Many comments on my post at the Facebook group page of Insulin Pumpers gave varied responses to my plea of "help"!  Due to being self taught on the insulin pump - and not having an endo or diabetes team I can go to for help - in person - I've had to be my own human guinea pig in many things I do - of course - along with the bible from John Walsh - Pumping Insulin (5th edition was released last year) and various other books I've recommended over the years here at Diabetes1.org.

Just a joke but Duck tape is VERY handy

So, here I was prepared - armed with my medical kit - pads & tape to soak up this potential pouring of blood when I remove my infusion set.  I actually thought I was having a low blood sugar at the time, except I wasn't.  I thought I should pop one of my Ativan aka "happy pills" I was given earlier in the year by my GP when I went away on my 2 week sailing holiday - but resisted the urge due to my fear  of becoming dependent on them (insulin is ENOUGH thank you very much).  My GP was a smart cookie - as she only gave me 20 - and I still have 9 left six months later.

I gently pulled out the infusion set - all set to put the padding/tape in place - prior to hitting the floor - NOTHING ... I mean .... NOTHING - all I see is a little teeny tiny hole where the infusion needle was inserted - that's it! Phew!  At that point I knew thare was higher life above us - that is looking down  - knowing that I didn't need any drama in my life (hmmm, what's this blog all about??). 

Today, for my third try at an arm infusion site - I've decided to use the mini-wanna-be Omnipod (humour me John as the wanna-be-Princess) - aka Inset II.  The tubing is turned the right way - and as usual - pump is sitting in it's normal happy place (BTW, it gets REALLY warm there).  Sadly, the tubing on the Inset II I use (I've got 2 more boxes before I can reorder longer tubing of 43") - isn't as long.  I liked having the option of wearing in either places the last 3 days.

And yes, to some of those on Facebook who asked the question about absorption of insulin being better or worse in the arm, than my usual stomach, legs, lower back sites - I'm wondering if it's better - due to never having been used for infusion sets that stay in place for 3 days.  I did find I had a few interesting low's with this past infusion set - that aren't quite explainable - except at the time I thought perhaps it was due to hitting blood vessel.  It could be due weather - since I tend to use less insulin when it's humid AND warm.  It also could be due to the fact the set was in part of my muscular part of my arm - which can cause faster absorption of insulin.   Lots of scenarios here as to "why".
Back of arm for latest infusion site
Luckily, the latest infusion set is now in the back area of my arm that you see above - in the fatty portion of my arm - not up front in the more muscular area that I had just removed.  I just know I'm sensitive to insulin (I use less insulin than a person of my weight should use according to books I've read) - so wondering if I've become more sensitive.  Questions, questions, questions.  Who knows - but in the meantime I'm back to keeping a written log during this arm infusion test and see if perhaps I have to make some changes on my programming (either basal / I:C / ISF).  One step at a time of course - starting with basal testing first if my blood sugars (BG's) continue wonky.  Otherwise, things get even more complicated with too many scenarios that can overwhelm what you are trying to accomplish.

I am a contented cat

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Tags: Omnipod (1) pump (1) mini me (1) Inset II (1) infusion set (1) Ativan (1) muscular (1) log (1) basal (1) ISF (1) blood sugar (1) BG (1) contact detach (1) Animas (1) insulin (1)
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Blog: Anna's Blog

From: FatCatAnna

Changing my infusion set in my car
Posted: Jan 31, 2012

Well, I did an infusion change on the fly in my car this past Sunday (okay - it wasn't on the "fly" - we did stop over as Salvador was screaming to fill him up with more "food").  I knew it had to be done eventually that day, so I was a smart cookie, and brought along the necessary bit's 'n bobs that are required to do this (I'm very bad sometimes, that I don't bring a spare infusion set, insulin with me, for those "what if's").  I am getting better with age in remembering to do what I preach!

I could have changed the infusion set in the loo at the Tim Horton's we stopped off at on our way home after checking out how Jenna's Journey is fairing during the winter months - but I have this thing about bathrooms and how clean they are (mine isn't much better ).  I tend to change my infusion set at home in the kitchen, where there is lots of sunlight - to bang out the bubbles in the insulin cartridge, along with splashes of grease on the counter from an earlier fry up (only kidding - sort of - I'm not one of your most uber fanatical clean gals - I do my best - as there is more to life then chasing dust bunnies around the house).

So, you will find at this link  a few pictures of how I did the change - complete with revealing my sexy muffin top.  I actually did have some better shots of my tummy after putting the infusion set in - but sadly - when transferring the pictures onto my hard drive - they went missing in action.  Lost in space time continuum - what more can I say - I fail miserably as a PC user.

In the end, due to the confined space in the car (wondering how it would have gone in my Smart CDI), the pictures that got lost, showed me putting the infusion set standing up outside the car.  I just couldn't do it sitting hunched over in the car seat.

So, have any of you done an infusion change or needle injection in an awkward place?  Would love to hear your stories!

Infusion change

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Tags: Animas 2020 (1) insulin (1) infusion set (1)
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Related posts:

She’s got legs and she knows how to use them (the semi-Fashionista and her pump)!  |  Shame on Johnson & Johnson / Animas  |  REMOVAL – clinical trial for T1D's in UK, Australia, Canada, Denmark and Netherlands  |  My Porky Pig fingers are tired  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  A birthday treat gone evil ...  |  Stainless steel infusion sets are more FOREIGN then a teflon one? I beg to differ  |  Walking on a tight rope!  |  Weight Loss Challenge for the Summertime
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