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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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Posted: Jan 26, 2012
As I "patiently" await my vacation loaner pump - that was supposed to be delivered today (and hopefully not on my doorstep despite parcel saying "signature required" and left to anyone going by my house to pilfer).   Instead, Canada Post delivered the first piece of mail I've ever received from Animas Canada promoting their products - along with stories about Canadian pumpers (and even a cute little calendar - hmm - should I submit my mug shot for 2013 I wonder ?).  I've never gotten anything like this before from Animas Canada, except for emails containing the invoice for my pump supplies I purchase from time to time.  Obviously, they are trying to get more diabetics out there to join up.  Now, they don't have to sell me on how great an insulin pump is - despite its $7,000 cost along with monthly $300 supply costs - I'm sold on pumping - though how long I can afford it once I'm retired is another story.

One article that got me abit confused in the Winter 2011 issue of their Performance magazine - since I'm self taught on using the insulin pump showed an article by Allie (Webb) Roberts, RN BScN CDE, the Clinical Manager at Animas Canada.  She wrote an informative article about choosing the right infusion set.  There wasn't really anything new to me in what I read - except for the write up about the Contact Detach that I use, and the following is a quote from her article.

"Contact detach is a stainless steel needle that is inserted at a straight 90 degree angle.  This is a perfect choice for those with Teflon sensitivities or allergies.

It has to be changed every 1-2 days as it is seen as more foreign to the body than Teflon."

What got me abit confused was her statement saying that the stainless steel needle was more foreign to the body than the 13mm/17mm Teflon cannula's in their other infusion sets they sell.  I had issues with those - due to teflon allergy - where after just 1 day or less - intense itching - redness both on top of skin surface and itchiness under the skin where the infusion set sat (I wanted to rip it out - but at the cost of the infusion set - I left it in - scratch, scratch).  The thickness of the teflon cannula as well to my eye is far thicker then the stainless steel 6mm/8mm 29 gauge needle that is inserted into me.  So, why say should the stainless steel be more foreign if for myself - it doesn't cause any discomfort - even after 3 days of wearing it?

I know that Kelly Booth has written a few blogs lately with her problems with her Animas Ping (she's told me to stay with the Animas 2020 - too many probs she's heard from other users of this model).  She has what I would consider more severe allergic reactions then I do (is that sometimes do to the environment a person lives in I wonder?).  The Contact detach infusion set to her is very painful to insert, and causes problems to the skin in less then a day.  Her goal with going back onto her Animas pump was to get her blood sugars in control due to some problems with her basal insulin - but alas with infusion site problems - she's stopped using her pump again and back to MDI (multiple dosage injections).  You can read more about what she's been going thru' at her blog site -  trials and tribulations of being a type 1 diabetic.

So, as I scratch my head about the article saying to not leave the Contact detach in longer then 1-2 days - I figure .... we are all different with how our bodies react to outside invasions of our bodies.  I guess I'm just lucky that so far, touch wood, my body doesn't see that piece of stainless steel in my body as being foreign - but with the Teflon cannula it was like having a flea on a dogs back for me.  Hopefully my luck remains with me.
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Posted: Jan 16, 2012
It's so hard to believe that I've been using an insulin pump for 4 years now.  I sometimes have to pinch myself to believe that time has flown by so fast since switching over from MDI (multiple dose injections) for 41 years prior.

Here's something that is going to make some of you who have been pumping for awhile have a laugh though.  I've often read about other insulin pumpers having their infusion sets pulled out - either caught on a door knob or adhesive has given out.  The only thing I'd experienced was hanging myself on the door knob a few times in the beginning, but the infusion set never pulled out.  I must have been lucky.

I'm like many insulin pumpers, where I favour the use of my stomach for my infusion sets.  It's convenient and I feel insulin absorption is better since it's near to the organs that need our juice of life.  Also, my problem since going onto the Contact Detach - is the length of the tubing.  I can't get any longer length from Animas then 60 cm/23 inches.  The other infusion sets I used to use, I could get longer tubing, but sadly, due to teflon allergy, I had to stop using those types.  This makes using the infusion set on my upper thighs is out of the question now.  So, my stomach, which is has abit of real estate has become quite the playground for my infusion sets. 

When I was visiting with a insulin pumping friend of mine, who also tends to use their stomach area alot for infusion sets, they were showing me the area that they used.  It doesn't help that they have abit of hair on their stomach region, and even with shaving prior to putting the set in, inbetween the time of removal the set, it can become abit uncomfortable.  I was showing them where I put mine, which is an area they don't touch, above their belly button area.  I have at least 3" of real estate for placing my infusion sets in, and I had never gone up this far before, but decided to give it a go a few months ago.

This is where I have experienced my first infusion pull out because of going up this high on my stomach.  It all came about when pulling up my pants after a trip to the loo.  My thumb caught in the connecting tube of the Contach Detach / Sure-T that I use for my infusion set.  It was so fast, I didn't even feel it being yanked out.  All I saw, was the needle portion waving itself at me.  I wasn't really that upset, since a) I was at home; and b) I only had about 8 units left in my insulin cartridge. 

Now, if I had been outside of home, then it would have been a different story, but as I've told a few other insulin pumpers - the joy of the Contact Detach is you can (though it's not recommended due to sterile issues) - reinsert the set back in a new area (have done that a few times when hitting a nerve/muscle with a new infusion change).  So, I've now made sure that along with my blood meter that I always carry with me, spare batteries, that I have an alcohol swab AND IV Prep - incase I do have to reinsert.  Luckily, it's only happened to me that one time - but I now can no longer call myself a virgin of the infusion pulling out club LOL!

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Posted: Sep 8, 2011
Okay - if you've never heard of CouchSurfing - here's the low down - you register at the website - and viola - when you are going on your worldly travels - you can connect up with other like minded souls and the following statement says it all  that is posted at the website - "CouchSurfing is turning a missed train into an opportunity for a new adventure. Starting a weekly dinner party. Teaching your kids about other cultures from your home. Getting advice for your next trip. Engaging with the world in a whole new way. ".  So far, since registering a few years ago I haven't taken advantage of it, more so, because my DH isn't too sure about opening up our home to "strangers" - but I think I may have changed his views on the long weekend past.

I finally met up with Ginger Vieira back in July when we "performed" in her friends Dana Heffern's show called "The Antidote".  We only got to spend abit of time as she was having to head off to the DLife headquarters in Connecticut right after the show that night but she offered me her place to stay as I wasn't feeling like making the 3 hour drive back to Montreal!  Sadly, I'd already booked a little motel nearby the college - but I felt so overwhelmed by her trust in allowing someone she really didn't know - to stay at her place.  We really only knew each other through the D-OC (Diabetic Online Community) - that was it.

Last week on Facebook, she was mentioning that she was coming to Montreal for the long weekend and asked for some suggestions of places to stay.  Guess what? I offered her and her friend Allison Schauwecker to stay at our house (on the condition they take care of our rug rats aka pusscats since we were going away sailing on Jenna's Journey) - the cats need their slaves! 

It was fun getting the house ready for my visitors from abroad - even better it gave me an excuse to clean (yuppers I'm not a big fan of getting rid of dust bunnies they are meant to be free).  Now, was it because both of them are diabetic that I was enjoying this usually much despised chore?  All I know is that it made for neat to put out little things like juice boxes beside their bed stand, spare bits and pieces (e.g. - if they needed insulin - they just had to go into the "Deli Drawer" of the fridge) that I knew we diabetics need!  

If I'd had more time, I would have made gluten free bread for Ginger (psst - did you notice the September issue of Chatelaine - with GLUTEN free recipes?).

Anyway, coming home on Tuesday, I knew my cats had been taken care of by two lovely young ladies (Mia was spoiled by Ginger) and the beautiful flowers in my kitchen that they had left.  Along with some great little notes that I'm keeping forever really made me smile and appreciate what the D-OC has brought into my life.

As Ginger/Allison wrote in one of their notes to me .....




So, if you're ever visiting Montreal - need a place to rest your weary head at night - you know who to contact - Diabetes CouchSurfing!!!
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Posted: Jun 22, 2011

Okay - don't freak out - I've not suddenly quit my day job to become Uri Geller and perform fork / spoon bending feats - I mean - I'm hoping that this is a one time event - that it does NOT happen again.

Now you are all wonder, what is FatCatAnna on today - has she been smoking something strange - sipping abit of drinky poo - having a low blood sugar?  Well, nope, I am in the right mind at the moment to be able to show you this amazing piece of metal that came out of my body the other day in a bendy shape (I smile as I type this - as my friend Jennie is known as
Bendy-Jen).  Luckily, I had no idea until changing my infusion set which is a 90 Degree 8 mm needle Infusion Set called Contact Detach (or Sure-T for Medtronic pump users).

Amazingly enough, if this had been the usual plastic cannula infusion set that I used to use (I have allergies to the teflon coating in these sets), I would have been having problems with my insulin not pumping properly into my body and abnormal blood sugars.  It had happened once to me with the
Inset II Infusion Set - but thankfully only once.  When that occurred, I didn't realise the cannula had become bent, and my blood sugars went abit wacky near the end and I was having to do needle corrections to stay within the range I like to be.  I only realised when removing the infusion set like I did the other day.

In this case, with what you see below I didn't notice any difference with my blood sugars at all.  Insulin was still managing to go through alright.  The reason this happened though I'm afraid to say, it was not due to my phychic powers .... but because of my anal way of using as much "real estate" on my body.  I actually went abit too far over into the hip area - where I went close to the bone plus I sleep on that side at night so my weight probably added to the bend as well).

We all know that in order to to avoid scar tissue below the surface, which often causes insulin not to be absorbed properly, so rotation and giving that area time to heal is a big thing with for diabetics both on needles and insulin pumps.  I only had scar issues when younger in my buttocks, and taking one needle a day, but in large quantity compared to the small doses I now take.  I also wasn't paying attention then at that age (I was around 12) - to where I was jabbing myself, I just got it over and done with, then off to school I would go. 

So, I now feel for folks that don't have the ample coverage like I do for when they put their infusion sets in place, besides hitting boney parts of their bodies if their not careful, there are also muscles, etc. that can sometimes get nicked.  We diabetics are a tough bunch aren't we?

Due to having to resize for posting at Diabetes1.org picture has become abit blurry - the actual needle portion is not as THICK as what you see here - it is actually 27 gauge thickness - and in real life - more sleek looking!  ***NOTE*** - if you do not see the picture below (Diabetes1.org has been having problems with hackers lately - urrhhh) - please take the extra step (aka click) and go to the pictures that I have posted at the following link - http://www.flickr.com/photos/fatcatanna/sets/72157626907428447/

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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  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  I Can See Clearly Now  |  Jerusalem Artichoke aka Topinambur  |  Official response from Animas with 2020 s/w issue
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