How to identify a site problem?
How do you guys go about identifying a site problem quickly:
-Is it because it "hurts"?
-Is it because BG values keep going up in spite of you keying in the right boluses? If so, how long do you wait to change sites?
-Is it because it "hurts"?
-Is it because BG values keep going up in spite of you keying in the right boluses? If so, how long do you wait to change sites?
Replies to This Discussion
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Permalink Reply by Kathy Barbis on
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I am a stubborn idiot and dont like to give up on a site right away. I usually will just keep compensating for the bad site with more and more insulin. bad site are very rare for me when i use my abdomen. I had more issues when I tried to use my thigh. I have found that my bad sites dont necessarily hurt either. Sometimes, a site hurts but my BG stays nice and normal. Go figure.
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Permalink Reply by Karen on -
If I hit a vessel, it is intense pain and stays painful until I remove the site, has happened about 3 times in 4 years and then when I pull it out, it is a gusher. Meaing big time blood spurt.
Saturday morning I used the way right side of my abdomen and bgs have been on the high side since then so it is not necessarily a site gone bad, but a site where the absorption is not good, but since I got my bigger pump two weeks ago, I fill her up with 300 units and really, really hate to change the site, but I think I will take the insulin out of this reservior to fill up a new reservior along with an insulin vial, way too much work, but not liking these high numbers.
Answer is I just waited two days, but if it is intense pain about 2 minutes to a gusher.
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Permalink Reply by Liz on
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Like Kathy, I hate giving up on a site. Mine usually don't hurt and even when they have, my BGs were still good and I just dealt with the discomfort rather than change to a new site early. With me it's always BGs that don't respond to normal doses of insulin. If I have to correct twice in a row I'm pretty sure it's a bad site. And yet, I will sometimes correct a third or fourth time before giving up! If I'm very active my BG might come down enough and I'll think it's working again but as soon as I slow down the BG rises.
I used to have numerous problems with Quick-Sets and one day I had to change my set 5 times. I've had far fewer problems with Silhouettes, and most of those have been when I tried leg sites.
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Permalink Reply by Manny Hernandez on -
I wonder if I hit a bad site today... I woke up to a decent 127, had a sandwich and bolused for it. Changed sets and now, mid-morning, I am at 246!!! :S
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Permalink Reply by Manny Hernandez on
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OK. 228 now, before lunch... I've only had water and coffee in the past hour... and bolused quite a bit when I saw the 246 before.
Seems like a bad site. :(
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Permalink Reply by Manny Hernandez on
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Ok, at about 1:30 I was down to 119, so I thought that things had "settled" down... not so. I ate about 50 gr of carbs. What am I at now? 238! :(
Changing this set when I get home.
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Those are the worst. Your blood goes high, but not insanely high. You finally get it to come down and you think everything's okay, but it just starts creeping up again. What I hate most about that kind is I know some of the insulin has gotten through, but not how much. Once you change the set the IOB number in the pump isn't reliable, and I never know what I should do. My CDE told me to do a full correction but I know that if some insulin got through, a full correction will send me low.
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Permalink Reply by DeeJay on -
If It went down to 119 it should be fine. However, it could be a bad absorption spot or your body is going through something, I'd change it just to see what happens. if it keeps happening I'd assume its your body being rebellious.
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Permalink Reply by DeeJay on
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LOL!!! WOW! I Did not pay attention to the date of this post at all! Well, if anyone is going through this problem I hope my comment helped a little. LOL! :-D
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Permalink Reply by Zoe on -
Oh I think it's a great thread that is definitely helpful for us all....I just couldn't resist the comment!
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Permalink Reply by Lindsey F on -
My problem is that I usually can't identify the problem!! At first I think I miscounted carbs, then I think maybe I forgot to bolus, then I think it MUST be hormones, then I realize the damn thing has hit a rough patch and change it. I hate those days! I usually figure out it out in 24 hours...which is WAY too long!
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