Replies to This Discussion

Permalink Reply by latvianchick on July 11, 2011 at 11:10pm

I wonder if you are brewing an infection that it is going up without food. I do not know your ways of measuring, here in the UK we measure in mmols which is obviously different, so I do not know what a low or a high is.

6 hours without food is definitely too long, even for a healthy person, let alone one who has diabetes.

I think you need to go back to your doctor and see what he has to say about it all.

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Permalink Reply by Alison Beale on July 12, 2011 at 6:00am

I know it's not an infection cause as soon as I change the set I drop... last night I was in the 40's twice.

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Permalink Reply by Chris on July 12, 2011 at 6:42pm

are you sure this is not due to you overcompensating for the numbers that dont seem to come down? Thats usually what happens to me. I see a 175, so I do a correction. 1.5 hours later its still175, so I correct again. Usually later in the evening I have a low. Frustrating, but thats they way it is

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Permalink Reply by MyBustedPancreas on July 12, 2011 at 5:34am

Have you tried a different kind of infusion set? I have found the Mios work the best for me in terms of absorbtion....and they are the least likely (for me, anyway) to get clogged or bent. You might want to see if you can get different infusion sets and try them all out.

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Permalink Reply by Alison Beale on July 12, 2011 at 6:01am

Can use use Miso with minimed so far I have tried sure T, quick set and silhuette...I feel like I have tried everything.

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Permalink Reply by Anders Georgsson on July 12, 2011 at 12:10pm

I have a minimed Revel 723 pump and I use the 6mm MIO... It is kind of nice, because the insertion device is ALSO the storage box! It comes all in one... I'm new to pumping - but have found these convenient.

I have had some issues similar to yours - usually starting after 50 hours, but I'm starting to think that I should stay "on my front" - and avoid putting the set on my sides... The MIO that I have on now - is due to be replaced tomorrow morning - and it has worked flawlessly for me... It is placed to my right of the belly button "even height" with it... Whenever I am in doubt, I actually inject THRU the infusion set (where inserter needle comes thru it!), if it hurts or doesn't lower my BG - I change the set!

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Permalink Reply by Nell on July 12, 2011 at 6:42am

Minimed sells the Mio and it does work with MM pumps. I have tried it but did not like it though several others have posted that they do like it and use it. If you have the same results with SureT, QS, and Silhouette, however, perhaps something else is going on. Has your endo examined your sites? Tissue?
Have you been on injections/pump long enough for your tissue to have the internal tissue scars?
Does the same thing happen when you manually inject, as an experiment?

I agree with those who say to check in with your endo.

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Permalink Reply by Korrie on July 12, 2011 at 2:08pm

I have used quick sets since I started, MM has sent me samples of all the others, I just have not liked the other sets. Recently I am having more trouble with bent cannulas with the quick sets, I use a 6 mm (began with 9mm). I use to apply skin tac prior to inserting the quick set, but have begun to not apply prior to inserting - almost seems to cause more bent cannulas even though no problems in the past. MM does not say there is any trouble with any quick set lot numbers (I have called and questioned, and they have sent replacement sets).
Some suggestions - a shorter or longer cannula may be needed, depending on where you insert. I only use 6 mm, but was having absorption problems when was using the 9 mm and with trial and error figured secondary to wt loss. I have read where many ppl will use different cannula lengths depending on where the insertion is.
I will have trouble with a tendency for higher sugars after a new insertion and have learned to bolus additional amounts of insulin after new insert to keep sugars level. If my sugars continue to climb (or do not decrease) within 4 hours, I assume a bad site.
Call MM and ask them to send you samples of different sets and different cannula lengths. They were very helpful with me when I tried to figure out what was causing my unexplained highs in the past.
Good luck!

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Permalink Reply by Alison Beale on July 12, 2011 at 6:46pm

So sometimes you put in a set and it's just a "bad" spot and you change it?

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Permalink Reply by Korrie on July 13, 2011 at 5:43pm

I have had more trouble with the quick sets having a bent cannula after the insertion. I have no clue why, as my technique for insertion is always the same. But if the tip of the cannula bends or kinks after you have inserted, the insulin will not absorb correctly and result in high or higher than normal sugars. That is why I try to not do a site change unless I have up to 4 hours to make sure my sugars are controlled.
Of course, you have to insert a new quick set as you cannot reuse. So if I think the new site is bad, I will insert a new set, disconnect the tubing, and hook up what is already primed, bolus a correction and wait and see if sugars will respond.
Then I call MM and complain about another quick set with a bent cannula and usually they ship me out another one.

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Permalink Reply by T1Forever on August 11, 2011 at 7:58am

I get just bad spots sometimes. I have been on a pump for 10 years, and D for almost 50, so some of the most convenient spots have been well used. Doesn't happen often, but sometimes.

I am on my second mini med pump and have never experienced these kind of issues.

SOmetimes the cannula will bend, based on body position. I have noticed some bent ones at removal, but they haven't caused any problems that I was aware of.

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Permalink Reply by Chris on July 12, 2011 at 6:39pm

maybe your adrenaline from stressing about it is making the situation worse? I go through a period every month or so of a few days where things just are not working out like they normally do. It usually resolves itself in a few days. As long as you are not going sky high, I would just try to relax and see what happens.

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