Does anyone have any ideas about how to keep a infusion site safe from harm while wrestling? Our 6 year old just started on the pump in August and is gearing up for the wrestling season. Last time he wrestled he was on MDIs and it wasn't a problem. Its unreasonable to change an infusion site each time he wrestles (up to 3 times per wk.) Help!
Right, thanks. Have you had any experience with bruising at the sets or a set coming dislodged? I am most concerned about the possibility of problems with the site itself after disconnecting.
I change mine every 3 days so I don't think it would be entirely unreasonable to change it 3x a week. You know with sweat and athletics and everything it might be wise to change it more frequently during the season anyways. MY gym has tons of MRSA posters around which freak me out. :D I've had some infections (not mrsa) just b/c of diabetes in general. We're more susceptible to them. I think it would be a conversation worth bringing up with the endo especially if he needs to write an Rx for more infusion sets.
My son, same age, does swimming and gymnastics. We sometimes put an extra IV Hand strip over the top of the site (after you unhook the clip and put the cap in) for extra protection. It also helps to situate the sites in places where he's not likely to bump or dislodge it. For instance, when I changed Eric's site last Tuesday (knowing he had gymnastics on Wednesday) I put it on his outer hip because when he tumbles, that's a spot less likely to take the impact. When he swims, it has to be away from a natural crease in the skin to be sure it has good adhesion, otherwise the water gets under the site adhesive pad and loosens it (we usually avoid the abdomen and place it on his butt). For wrestling, I would imagine you'd want to avoid the abdomen... but I am trying to picture where a site might go where it wouldn't get dislodged, and the only place I can think of might be the upper thigh, perhaps? Are there specific locations that are covered by padding or clothing? If so, I'd choose those as least likely areas to be subject to compression (from falling) or dislodgement from an opponent's grip.
There's always going to be times that sites get dislodged or crimped. Just remember that he CAN go up to 2 hours without insulin before he starts to burn fat and produce ketones. If you carry some numbing cream and IV hand tape with you, then if his site gets dislodged, you can put in a new one sooner rather than later. I've had to do this a few times after swimming lessons.