I got started on the t:slim on Friday with an internet training session with Deb. That went well, but while I was on the training call my FIRST EVER traditional infusion site gave me an occlusion. Within 5 minutes. In my (typically, at least for OmniPod and Dex) most soft, pillowy, unscarred, reliable spot the cannula of my t:set bent on insertion. Try 2, off the phone with Deb, head off to work with BG in range. Less and an hour, and I've got ANOTHER OCCLUSION ALARM! Of course I didn't bring anything to do a site change...naively optimistic I suppose. Before ripping out another new site, I check to see if there is any bleeding and the end of the tubing (the little thing that connects to my infusion site?) breaks! So I head home from work, call the CDE, discover another bent cannula and elevated BG, she arranges for some other sets (I guess the contact detach?) to be mailed ASAP because the steel sets won't kink.They should be here on Monday, in the meantime I've inserted another t:set into my love handle with (so far) great success.
So far, so good, though adjusting to a tubed pump after OmniPod/Shots is....interesting... and I am nervous about more occlusions with the t:sets. Though, it all could have been Friday the 13th playing tricks with me! We will see how I like it. I'm giving myself 2 weeks of continuous wear before I decide if I am going to keep it.
Can I fill the reservoir all the way and use it until its done, or will it expire after 3 days?
Has anyone had any trouble with the t:sets? the CDE who trained me hadn't seen many people use them, is there a reason for that? I'm decently lean but not without a little extra padding here and there...I'm also very active and in the water ALL. THE. TIME. so I need a set that moves with me and has a fairly durable adhesive... the t:set description sounded about right by the description, but I know there are a *lot* of choices out there, which is one of the reasons I switched to the t:slim in the first place.
And, finally, is there anything you wish someone had told you when you started the t:slim?
How was the adjustment from a "tubeless" to a tubed pump? So far so good for me, I've slept a LOT better not laying on a pod, but I am kind of baffled by being naked/ without pockets....I presently just stand there looking slightly baffled, holding the pump in my hands ;)
Tandem is sending me a "good faith" box of the detach sets... we will see if those work for me!
Thanks for the tips!
I am also a former podder and do not miss it a bit. The pod failures were out of control.
The reverse correction thing was a surprise to me. I called Tandem to make sure I was not missing anything. The rep told me this is a common complaint that might be addressed in a firmware update.
Steve, why t:slim? I'm also on Omnipod and having problems. My doctor wants me to go with Medtronic; says Tandem is too new (he's seen 14 pump companies fail) and they have ignored him since we don't live in the most populous part of the state.
Janice, why did you switch from Omnipod? I'm considering the switch but I hate the idea of tubing
I'm getting the idea as time goes on that there is a lot of variation in what kind of sets work for people. The sets that Janice uses, for example, Insets, have NEVER once worked for me. Every single time I tried to use one it either kinked and I couldn't see it, or it pulled out after a day or so. (This is actually why when I was choosing a new pump I decided not to go with the Pods. I was sacred this kind of thing would happen there).
I use the Comfort Short sets, which are a manual insertion. They are supposed to work better on thin people, but let me tell you, I am NOT THIN! I love them, however.
TSlim is my first pump after almost 30 years of Type 1, so my advice is minimal.
I use the cleo, because they said a lot of people like those, and I have been happy with them so far. I haven't tried anything else
After I read this post yesterday, I decided to fill my reservoir and I will try to keep it going for a week. I will post my results on this thread.
One thing to consider is the longer insulin is exposed to heat, the less potent it gets. You will have to pay attention and decide if you think it is losing potency as you go past 3 days. Just turn off the alarm when it sounds, and it will keep working. I wouldn't try to extend the canulas, though.
Thanks for all the advice, guys!
Right now I'm keeping the pump in my bra, which is pretty comfy. I think I'm going to sew some pull-through slits into my hoodies & sweaters for winter/class so I don't have to reach my hand down my shirt to bolus!
For now I am using the Contact Detach sets. I don't really like them (I feel like an experiment...not great for hot-tubbing, swimming, etc. and also pretty easy to rip out) but they are SUPER reliable and easy to insert. I'm requesting a sample of the Orbit Micro since it, too, has the steel needle that I have come to like and a luer lock to boot!
Have any of you tried them?
MaiaJane, For my two cents, I never EVER recommend non-steel sets. E.V.E.R. Sadly the best set on the market (the bent needle) in my opinion has been discontinued by both Medtronic and Animas.