I was wondering if anyone has any experience with Apidra and the MiniMed Insulin Pump? I have heard things that the Apidra tends to stick in the tubing. I was hoping someone using a tube pump would have some insight. Thanks!
When I used Humalog, it clogged my MM pump at the point that it enters the cartridge. Then I used Novalog, which had no problems except that for me, Novolog works too slowly. I've been using Apidra in my pump for years (I'm on MDI part time) with no problem with clogging.
I don't think it is an issue specific to MM pumps with Apidra. Some people who use Apidra have to change out their reservoirs every 2 days. Consider that the Amimas and MM pumps have the same infusion site manufacturer for the most part (the insets/Mios, Sils etc). I think the issue with the Apidra has to do with the preservative they use, not the sets. YDMV.
wdcats, I have also found Apidra is more temperature sensitive than Novolog. It will last in my pump cartridge only 3 1/2 days. Sometimes I just put in enough insulin for the two days. If I'm short of cartridges, I'll change out the needle part and use the cartridge for the 3 1/2 days, supplementing with syringes if necessary. (The Humalog clogged so quickly that it was a total loss.) I like the way Apidra works so well that I just find ways to deal with the temperature.
Just want to mention, I've never had a problem with clogging with Humalog.
I usually don't go more than 3 days on an infusion site. Well now I don't, started seeing some less effectiveness creep in toward the end.
Concerned about heat with it. Not that I live in Warm climate mind you, just during the summer, me and the kid get outside and well, kid kicks my butt. So I am concerned about the effect of heat on it.
Heard that Apidra can crystallize after 3 days causing clogging.
Not sure if I want to swap out the possibility of changing the infusion site every 2 days instead of 3 for the comfort it might be able to give me, i.e. less spikes, a wee bit more control.
Having some issues that might be scar tissue (5 years on the pump). I would like to consider Apidra, but....
Apidra is actually the best insulin to use as it does not clog as often as the others. That is what I have heard from both Minimed, CDE, and the Apidra reps. We have been pumping with Apidra for almost a year now and have never had issues with the insulin. This includes camping in 100 degree weather and not an issue at all. We actually had more problems with the test strips than we did with the insulin. :)
In Apidra's information, I remember reading that it should be changed every 2 days instead of every 3 like other insulins, but we are able to go 3 days without seeing significant changes in her numbers.
Well my Endo gave me a vial to try. So maybe with the next infusion site change I'll give it a go. Its that darn CHANGE thing though. But I believe the quote from MAD MEN is, "Change is neither good nor bad, it just is" (Something like that). Also I keep going back to Lorraine's post over at http://thisiscaleb.wordpress.com/2010/12/15/apidra%C2%AE-v-140-sano...
To quote from her: "..Change plus diabetes often equates to hell on earth.."
But I think I will try a walk through hell, just to get to the other side.
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