Pumping Our Insulin

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Pumping Our Insulin

Group for those that are pumping. Come and exchange tips on using your pump. Discuss the differences of the different types of pumps out on the market, infusion sets and pump accessories.

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Diabetes Forum

Help?!

Started by M裏Çhïêvðµ§. Last reply by DrBB Jul 12. 2 Replies

Different Basal Rates in 1 Day

Started by Anthony. Last reply by Marie B Jun 20. 8 Replies

Onipod

Started by Aussie. Last reply by Aussie Jun 6. 10 Replies

Tips for water parks?

Started by Alycat. Last reply by Skye Jun 4. 3 Replies

BCBS (NC) insurance with Medtronic

Started by Ericka Bryant. Last reply by Bruhaha Apr 25. 15 Replies

iphone and windosphone app to insulin pump users

Started by Marcelo Bellon Ferreira Apr 25. 0 Replies

Vanity - Swimsuits and Your Pump

Started by trauts. Last reply by jjm335 Apr 24. 8 Replies

Vacation from your pump

Started by Krztina. Last reply by Betts Apr 17. 8 Replies

Your favorite pump

Started by Hummingbird. Last reply by Betts Apr 17. 13 Replies

Air Travel and Insulin Pumps

Started by Ronda. Last reply by elaine peterson Mar 26. 3 Replies

Pump vs Pen

Started by Aussie. Last reply by Dave Mar 7. 15 Replies

Comment Wall

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Comment by Adrien on May 29, 2014 at 2:57pm

Even though the Animas Vibe can do basal rates in 0.025U increments, it won't do a bolus that fine, only in 0.05U increments. We find we are often giving 0.15U corrections and wish it would allow us even smaller doses, so actually we'd be good candidates for dilute insulin like U50 or so. We've had suggestions we should just mix our own dilute u with saline, and it's indeed tempting!

Comment by Ingřid Glass on May 29, 2014 at 12:34pm
Ah that makes sense, especially as his ISF is so high! I occasionally think back to the old strengths of insulin before the 100U/ml days when we used to have 40 or 80 options, it was changed to 100 to have a global standard and also meant less room for error if pharmacy or hospital dispensed the wrong one. But, it was very useful to have 40 for those with high ISF. Thank goodness these days with pumps you can give tiny doses!
Comment by Adrien on May 28, 2014 at 6:53pm

with the contact detach, or your Rapid D sites, you have a tail off the site. This holds (for my son anyway) a significant amount of insulin, probably a couple of units. If we think the insulin has gone off, and want to change it out, we can't just clip new insulin onto the existing site, because there is still 2units or so of the old dud insulin in that tail, and we can't flush that through either (without pulling out the site). With the micro orbits, since there was only 0.2U in the cannula, you could ignore that and swap out the insulin, reprime the line and re-attach with only 0.2U of the old stuff left in there. My son's ISF is 33 (max the pump will allow) and so even 0.2U will drop him 6 mmol/l but 2 units is unthinkable. We could do with food, but then it's unreliable. So whenever we want to change insulin, we swap the site as well. It's only an issue if we think the insulin is bad on a fairly new site. And then it's normally psychosomatic anyway :)

Comment by Ingřid Glass on May 28, 2014 at 5:33pm
Hi Adrien, keep coming back to your last bit - having to change site when swapping insulin out - can't get my head around it; do you mean if you fill & put in a new cartridge, you also have to change cannula at the same time? I'm trying to picture the set..can't you detach tubing at the dangly end, detach at the other cartridge end, replace cartridge and attach tubing back on, load in & prime thru to its end, then just reattach to the dangly end that's still in the same place? I might be misremembering something? It is annoying to have to do the whole set change if you don't need to...
Comment by Ingřid Glass on May 28, 2014 at 5:25pm
Oh, shame they didn't work out for you (& your little 'un) either!

I wasn't clear enough when I said hanging off, I meant it was still all in one piece but was unstuck and hanging half out my flesh rather than the top bit unclipping. The needle was slightly bent but this could have happened as it came out rather than bending in situ or as it had gone in, though I did think there must be a limit to how fine the needles can be before they become too fragile or prone to occlusion. I agree they needn't be quite so fine.

Biggest prob is the height of the dome and that sharp edge where they clip together - your poor son!! I'm glad that didn't happen to me but that was the bit in particular which kept catching on anything in the vicinity. Isn't it a shame? They could be great little sets for a few design alterations.

I'm also on Vibe but now back with Roche Rapid Ds which I much much prefer over Contact Detach - mid length tubing, the clip I find better to detach/reattach, prefer the clarity of the tubing, the freedom to stick the dangly end down with tape wherever you like (don't like that round adhesive patch on Contacts) etc. I have a long list of why I prefer Rapid Ds. BUT they have these little plastic wings on luer lock end of tubing which only just tightly squeeze into the cartridge end cap..it's not ideal. I've analysed it and am convinced it doesn't affect the functioning of the pump in any way, doesn't even put pressure on casing, but it's annoying when changing the cartridge/tubing as it has to be pushed through with a little force. I'm not keen to go back to the Animas Contact Detach though!

It matters that you feel comfortable with your infusion set, I do wish they'd put some more thought into it and offer more variety!

Apologies for assuming you were from US!!!!! I needn't have 'translated' ;-) lol
Comment by Adrien on May 28, 2014 at 2:35pm

Hi Ingrid. Sorry you've been disappointed with these sites. We abandoned them in the end as well, after we paid for 5 boxes of them. The ones we had were all at least 2 1/2 years old, since they were from stock from the old manufacturer. We didn't really have any trouble with them unclipping, but we did lose a couple to being torn off. I think the adhesive had basically expired since they were so old. Also we had problems with a sharp edge on the cap that clips on actually cutting into my son's skin (left an arc-shaped cut on 2 sites). The occlusion alarm I think is because the needle is so fine, you need to turn occlusion sensitivity down on the pump. We use an Animas Vibe (we're in NZ, and yes we wear trousers and use mmol/l :)) and it alarmed until I turned the sensitivity down. I really really wanted those sites to work out, since they have I believe a lot going for them, but I think they need to change a few things - 1, they need to make them lower profile, I don't think there's any need for them to stick out so much. 2, they need to make the cap clip onto a ring not on the edge, but in a bit and blocked from the skin, so it can still rotate, but it's not rotating wearing against the adhesive and skin. 3. probably could make them slightly thicker gauge. Even 30 or 29 would still be a big improvement. We really liked being able to swap insulin out without changing the site, which we can't do on the contact-detach we are now back to using again. So yes, all in all an expensive disappointment.

Comment by Ingřid Glass on May 28, 2014 at 4:45am
Hi Adrien, I'd really like to know how you're getting on with the Rotofine (ex-Orbit Micro) cos I'm not, and I really wanted them to work for me! I was sent 3 samples but have only tried 2 of them so far - my main problem has been the height of the set..they just keep catching on clothes and hands and anything really, like this irritating domed nobble thing sticking out of me. Can't imagine I'd ever get on with an OmniPod!! Last night 2 hours after eating with bolus, did BG check which was way too high (20+ which to you guys is 360+ ) felt yucky, tried to give a correction but got occlusion alarm. Discovered set half hanging off because must've got caught even tho I'd been really careful (previous set kept rubbing/catching on waistlines of jeans/belts/other trousers (pants to you I think). Anyway, it's obvious my bolus had never gone in. So I'm back using the much flatter Rapid Ds from Roche today! So annoying as I loved the look and all the plus points you listed about them.
Comment by Betts on May 13, 2014 at 3:28pm

I am on medicare & due to wearing a pump,medicare covers my pump supplies, test strips & insulin which really helps a lot.

Comment by janhp on May 13, 2014 at 2:37pm

I will be on medicare in a few months. I have a Roche Spirit Combo meter and pump and a Dexcom G4 CGM. Tell me what medicare and/or Suppliment works best for you in helping to pay the bills.

Comment by Ingřid Glass on May 1, 2014 at 3:51pm
Yes!!!!!! Thank you for this vital piece of missing info in the search for availability of Orbit Micro sets in UK! I'd got nowhere googling Orbit and ICU Medical. And now here they are under Ypsomed/mylife with a new name - Rotofine http://www.mylife-diabetescare.co.uk/mylife-roto-rotofine.html I shall certainly be requesting samples :) thanks.
 

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