Which infusion set do you use for an extremely active 4 year old? Animas pump.

Help please.

I just spent 2 days trying out my son's orbit micro infusion set. I love it. The needle is smaller than his syringe. Didn't even hurt, blue tubing is cool, nice short 18" tube etc. The high profile on that thing is killing me though.

How am I going to attach that to a bouncing 4 year old? I can see an arm site but never a leg or bottom site. He would knock that thing around like crazy. I need something as reliable as the Animas Inset 30s, which I have never tried, but the University of Alberta Hospital recommends during transition to the pump.

My 4 yr old boy Payton starts the Animas pump on Aug 24.

Has anyone heard of Contact Detach?

What do you put on your preschoolers?

Does anyone have any tricks to be able to use the Orbit micros safely without risk of it getting knocked around? Just in case someone doesn't know. The Orbit micro has a steel needle 5.5mm long, 31 gauge (tiny), at a 90 degree angle.

Are teflon canulas better? I guess I will be trying those ones tomorrow.

Any advice is appreciated. Thanks

Tags: Animas, contact, detach, infusion, micro, orbit, set

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Replies to This Discussion

Permalink Reply by Trini's Mom on August 15, 2010 at 12:59pm

Hi, I have a 3 yr old daughter and she's been using the comfort short on her belly and the inset (23mm) on her bottom.
When I use the inset on her bottom I use IV prep to make it extra sticky (we live in Florida and she spends 2-3 hours on the pool or beach almost every day and it works really good).
I don't use the IV prep when I put the site on her belly as I have to pull too hard to take it out and her skin is really thin there, so it's painfull for her.
This 2 infusion sets have been working really good. They both have plastic canulas (I never tried the infusion sets with steel needles yet) .... and I never tried the orbit's.....sorry I cannot help you with that....
good luck !!

Permalink Reply by Roxanne on August 15, 2010 at 4:45pm

My son, Dylan, is 4 and on the Ping. We use the Contact Detach 6mm. The Inset 90 with the Teflon cannula did not work for us. The cannula kinked religiously! With the contact detach, we have to change the site every other day but it has only failed twice. (it was a site absorbtion issue, i believe.) We can put them in his leg, arm, and bottom.

Permalink Reply by Melissa (son Payton) on August 15, 2010 at 7:53pm

Great info. I also heard this about the Inset 90s. Why do you have to change it every other day? I forget, is the contact detach metal and 90 degrees as well?

Have you heard about Accu Check Rapid D? Apparently it has th flattest profile of them all.

Permalink Reply by Roxanne on August 16, 2010 at 5:22am

The contact detach is a steel cannula and has to be changed every 2 days.

Permalink Reply by Melissa (son Payton) on August 22, 2010 at 11:07am

Did you start using the contact detach at transition to the pump? What was your first infusion set? My guy is very skinny. I think only his bottom will work. The 90 steel cannulas hurt him on his bottom though. He is going on 2 days wearing the 90 teflon cannula (CLEO) on the back of his arm and he is getting used to the poke and zings he gets when he bumps it. He gets hooked up to the pump tomorrow with Saline and Tue with insulin. I think for skinny kids the 30 degree might be the best but that needle is so large. Arghh!

Permalink Reply by Roxanne on August 23, 2010 at 5:30am

We started with the Inset 90 6 mm. After many episodes of high bs and ketones, we switched to the contact detach. For myself, I use the Comfort. I have tried it on Dylan before and he didn't seem to mind. But we experienced the issues with the cannula kinking/clogging again.

Permalink Reply by kmd on August 15, 2010 at 9:16pm

My daughter is using the Cleo 90 infusion set - 6mm, 24" tubing. We use Skin Tac prior to insertion to make the skin extra sticky and have never had one fail - no kinked cannulas and it has never pulled out or been knocked off. We used to use Remove It or like adhesive solvent to help with removal but now she just peels off the sets on her own - she's 10. I don't think that teflon canullas are better - the micro has the finest gauge which is bound to be less painful to put in may be better for the skin but my daughter doesn't want to switch right now. She likes the Cleo and changing sites every 3 days rather than the recommened 2 with the steel cannula.
cheers.

Permalink Reply by Melissa (son Payton) on August 22, 2010 at 11:12am

So I bought some cleos and I have the cleo 90s in his arm right now. Worked better than the Accu check rapid D but honestly, the rapid D was his very first set that I tried on him so it was bound to get a big reaction. I have a box of Micro orbits and I tried one on myself just to see how it felt and I liked it..... although 5.5mm to me is nothing compared to a 4 yr old. Thanks for the advice

Permalink Reply by Melissa (son Payton) on August 30, 2010 at 4:56pm

Payton is getting pain from the Orbit micros sometimes. Although it hurts more initially, I think I will do the Cleo 90s again. It didn't hurt him at all once it was in. Thanks for the Skin Tac advice.

Permalink Reply by MrsCandyHearts on August 21, 2010 at 6:22pm

Hey There :)

My daughter has been pumping for almost 4 years....she began in 2/07 at the age of 3 years.

She wears the regular Insets (NOT the Inset 30's). We RARELY have a site issue and absolutely love them! MM recently came out with an infusion set almost identical to them -- the new MIO's.

Anyway, good luck on your transition!

www.candyheartsblog.com

Permalink Reply by Melissa (son Payton) on August 22, 2010 at 11:12am

By regular insets do you mean the Animas Inset 90?

Permalink Reply by MrsCandyHearts on August 22, 2010 at 6:59pm

Hmmm....I guess so....but I've never heard them called that. They've always just been the "Insets". They do go straight in without an angle, though, so I guess it would make sense.

Anyway, like I said, we've hardly ever had an issue with them -- even when she was 3 :) She used the Cleo initially, because she started pumping with Cozmo. They just didn't work well for her. About 2 months after she began pumping, we switched to the Inset and it's been great since!