pain when isulin is being delivered

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Permalink Reply by Dave Cohen on October 30, 2009 at 7:10am

See how fast it is going in... over 1 Min 2 Min and you can change that...so that it goes a little slower

also I love the Inset 30 - make sure he is installing them correctly- Might check there website or call them


hope That helps

thx

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Permalink Reply by Anngelia on October 30, 2009 at 7:49am

I dont use the Ping, I have the 2020 but I think this will still apply. If I ever have to take more than 5 units at a time I split it into 2 boluses. If I take 2 or 3 at a time I have no problem. I just have to remember that if I split it to take the other half.

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Permalink Reply by Bob Bolton on October 30, 2009 at 7:59am

Hi Tiffany,

On the advanced setup screen 2, you can set the insulin delivery rate to "slow". Before I got my Ping, I read several comments about the Ping's rapid delivery causing discomfort. I set my pump to "slow", and I've never felt the deilvery regardless of the quantity.

Of course, everyone is different, so your mileage may vary.

I use the inset.

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Permalink Reply by Jacky Del Hoyo on October 30, 2009 at 3:42pm

I get that sometimes too. If it's just a unit it usually doesn't happen, but anything over a unit, I will typically set a combo bolus for and extend it to 10 minute delivery. It's one of the things that I miss most about my previous pump, a cozmo, that I set delivery for to 3 minutes, and never experienced a burn or sting.

I do have my pump set for "slow" delivery, but to me, it still stings. The only down side? More button pushes on a pump that already needs a lot of button pushes! I use combo's almost exclusively, but I also have delayed gastric emptying, so it works for me. My girls (both animas pumpers), almost never use a combo unless they are taking a whole lot f insilin. Seems to bother the 11 year old the most, but she hardly ever remembers the combo, maybe it will work for your son, not sure. . .

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Permalink Reply by Kassie Neal on October 30, 2009 at 6:19pm

That happens to me. For the first 6 months or so bolusing didn't bother me at all. Now, it burns/stings a lot if I have to bolus over 3 units, even though I use the 'slow' delivery. What really helps me is I use the Combo Bolus. It takes about 10-15 minutes (I think) for it to deliver the whole bolus, but I never have any discomfort when using it. I have to use it all the time now.

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Permalink Reply by Terry O'Rourke on October 31, 2009 at 11:56am

I just checked out the combo-bolus options. You can set Normal:Extend ratio to 0%:100% and then select a duration of 0.1 hours. The effect will be delivering the bolus over a 6 minute period.

I've been experimenting with using the combo bolus over 0.5 hours without realizing that you can step that down to 0.1 hour. That should solve the stinging problem.

Maybe Animas should program all these "slower bolus setup" keystrokes into just one or two. It sounds like an improvement that they should make in the next generation pump.

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Permalink Reply by Ali on November 2, 2009 at 7:49pm

Hi Tiffany! I am so sorry your son is having such difficulty! You can try the following tricks that I use to ensure "painless" insulin delivery.

*Make sure that you are not inserting the infusion sets at too great or too little an angle, this can cause burning or painful infusion...The OmniPod did it all for you so you didn't have to be concerned with depth and angle. With the inset 30's he may be angling them too much thus hitting muscle, or not angling them enough and hitting the top layers of skin.
*Do not think about pulling out the needle...sometimes I psych myself into thinking it will feel worse than it does...so go ahead and just ease it out gently!
*The OmniPod delivers 1 unit of insulin over 40 seconds...the Ping delivers 1 unit of insulin over 1 second...keep that in mind also.
*I am switching to Animas after trying out an Animas for 6 months...it took some getting used to so don't be discouraged.
*Also realize this...with the Ping you can place your infusion set many more places without having that pod be in the way!

I hope any of this can help you.

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Permalink Reply by Ali on November 2, 2009 at 7:50pm

PS: You may want to try the Inset 90's. I am a very lean person and the Inset 30's sometimes have the burn while delivering issue...I use the 6mm Inset 90 and the problem dissolves...you can also try Cleo 90's, Sof-Set's, Quick Sets, Silhouettes. Any set with a luer lock you can use with your pump...you don't have to use Animas' sets exclusively. Contact MiniMed and ask them for some samples of their luer lock sets and also contact unomedical as well.

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Permalink Reply by J A Jones on November 8, 2009 at 5:51am

Tiffany,
I have had my Ping for a little more than one year (SD 9/22/08) and have found I need to give all my boluses over at least 0.1 hours (six minutes) for comfort. I am not sure about the set comments below as I have a large amount of adipose tissue to use with a 9mm Inset 90.
Jay

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Permalink Reply by MelissaM on November 19, 2009 at 12:34pm

sometimes that happens to me, I have found if you sit instead of stand, it makes it that much easier to bolus. I try not to stand when I change out. good luck.

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