Rickst29's Page

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Rickst29 commented on Rob's group 'Dexcom Users'
"Laura: it's BOTH. Minimed has an advantage in using the pump as the 'Receiver', it takes an everyday AA disposable. But their transmitter has the hassles of recharging, with much SHORTER lifespan than either of the Dexcom parts, and…"
Jan 24
Rickst29 commented on Rob's group 'Dexcom Users'
"Doug: because the Transmitter is a fully-sealed device, it (supposedly) "can't" break in a way which exposes the battery. But the Receiver... hmmm, IMO it IS suitable for hazardous waste disposal (the 'paid-for' kind, not…"
Jan 20
Rickst29 is now friends with Mark, MossDog and MrsGink
Jan 20
Rickst29 commented on Rob's group 'Dexcom Users'
"For Rascal Richard: The FDA requires that prescription meds and DME "consumable supplies" have an expiration date. But, that can be as long as a year. That's not the issue with the Sensors. Dexcom limits the "not guaranteed for…"
Jan 20
Rickst29 commented on Rob's group 'Dexcom Users'
"The Receiver contains a rechargeable battery. After 12-18 months of charge/discharge cycles, it can't accept (and hold) very much energy per charge cycle anymore. The battery wears out, just like a NiMH "AA" flashlight battery.…"
Jan 20
Rickst29 replied to BJ Johnson's discussion 'is it legal to re-sell Dexcom Seven Plus system?' in the group Dexcom Users
"Even ignoring insurance issues, selling a Dexcom to another USA citizen is NOT legal: it was prescribed for one person, and is a prescription-only Device. There would also be questions of insurance fraud, if you (or anyone else) received payment for…"
Jan 13
MrsGink left a comment for Rickst29
"I am insensed at Horizon requiring proof of medical intervention on a low to pay for dexcom sensors. Please pm me with the letters and appeals to the insurance companies. I will take them on. Thanks! Anne Marie"
Nov 20, 2011
Rickst29 replied to KateR's discussion 'Do you find the Alarms too quiet for when you're sleeping, and are your readings WAAAYY off sometimes?' in the group Dexcom Users
"I'll address your first question, but not your second: The 'search' text box, at the upper right corner of any TUD page, is your friend. If you search for words such as "microphone", or "baby monitor", you can…"
Oct 28, 2011

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Type of treatment/devices you use
Pump
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My Dexcom Insertion process:
Part A, preparing the site

Step #1: If you're doing this on the bathroom counter, put down a fresh clean towel before dong anything else. Bathroom counters are FILTHY, but you need access to a sink.

Step #2: Put the following items down on the towel: The opened Sensor package (Sensor still inside); a Skin-Prep wipe (not I.V. Prep); a two washcloth; a hand towel, and a hairdryer.

Optional Step: If you're ultra-finicky, you can also set down down a bottle of PVI, along with and some q-tips to apply it. This is the orange stuff used by MDs and Emergency medics. (It's available in pads too, but the pads are more messy to use; they're made for covering larger areas. You're only going to rub over a 1/2" area at the actual point of insertion. And for use at home, a bottle is much cheaper to use in the long run.)

Step #3: Wash your hands thoroughly, scrubbing hard with that fresh washcloth. "They" say 20-30 seconds, and I recommend the same (although I actually only do about 10). Then, scrub your target area the same way: scrubbing hard enough to cause some redness. You need to scrape off the loose skin at the surface, which gets penetrated by "bugs". If you haven't turned a bit red from the scrubbing, you're not pressing hard enough. Don't discard that washcloth yet, and leave the water running!

Step #4: Now, twist the washcloth to get nearly all the water out. (It's still soapy.) Firmly wipe the hair dryer handle and the "high/low/air/off" control switch to clean them up. (Because the hair dryer handle is probably almost as bad as the Countertop before you do this.) If you are going to use PVI, wipe the PVI bottle (especially the lid) in the same way. The water is still running....

Step #5: Now, hold that washcloth under the water again to get a lot of "rinsing" water in it. This rinses your hands too, of course. Rinse your target area. If it still seems soapy, even a little bit, then repeat.

Step #6: Now, use the washcloth to turn off the tap. (Don't touch the handle directly.)

Step #7: Use the hand towel to dry the target area and your hands, rubbing firmly.

Optional Step, If using PVI: Load up one of your q-tips with PVI, and rub the wire insertion point of your target, plus about 1/2" in each direction (a circular area). Note the exact location carefully, because you will NOT be able to use the colored circle as a guide later. Let it dry, and then reload the Q-tip and re-wipe the area as needed, in order to get at least 30 seconds of LIQUID contact with your skin. (Keeping it wet might take several repeats.)

Step #8: Using the hand towel, plug in the hair dryer and turn it on "low". The purpose of the hair dryer is not to "dry" the Skin-Prep; the reason why you MUST have a hair dryer is that the Skin-Prep liquid starts out extremely runny, and gravity will make it flow downwards (from the top of the wiped area into the bottom of the wipes area). This leaves the protective film too thin at the top edge, and the top edge is where Dexcom's Adhesive Pad usually comes lose first. You will use the hair dryer, pointed upwards, to keep the Skin-Prep fluid in place while it dries into an even film.

Your Hair Dyer May Vary ("YHDMV"), so you might want to use the "air" setting instead. But definitely not "High". The gravity-induced flow happens so quickly that you won't have time to turn on the hairdryer after you wipe -- you need to have it ALREADY RUNNING, and ALREADY IN YOUR HAND as you wipe (with the other hand).

Step #9: Open your Skin-Prep wipe, and pull it out of the foil. Pick up the hair dryer with the other hand, and put it about 6" away from the target area-- but don't point it AT the target until the wipe is done, and your hand holding the wipe is well away. Wipe thoroughly in a circular motion. (And of course, make sure that the Skin-Prep area is bigger than the size of the Dexcom adhesive pad.)

After a few seconds, remove the wiping hand from the area and IMMEDIATELY tilt the hair dryer to counter-act gravity while the Skin-Prep dries. When the Skin-Prep has dried, re-wipe gently and re-dry. This time, be careful to dry your Skin-Prep coating to the level which works best with Dexcom: Dry, with tiny cracks, but not BIG cracks. The tiny cracks look like a "shimmering" effect. Then proceed directly into Part B, Attaching the Sensor Assembly.. If the cracks have gotten too big, just re-wipe a third time.


Special notes for users of PVI antiseptic: If you used PVI, then you will have noticed that the Skin-Prep application pretty much wiped it off. This harmless, because Skin-Prep is another fairly decent antiseptic solution itself; your hands are clean; and the PVI has already killed any "really bad" stuff in the vicinity of the puncture site. (Yeah, something could theoretically be wiped from the wider Skin-Prep area into the puncture site without being killed... but this is already better than 99.9% of insertion procedures being used by Dexcom users. If you want more safety, just wipe PVI over the entire adhesive pad area -- or maybe install an Operating Theater in your House?)
Part B, Attaching the Sensor Assembly.
(to be edited soon....)

Comment Wall (32 comments)

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At 6:56am on November 20, 2011, MrsGink said…

I am insensed at Horizon requiring proof of medical intervention on a low to pay for dexcom sensors. Please pm me with the letters and appeals to the insurance companies. I will take them on.
Thanks!
Anne Marie

At 3:41pm on October 26, 2010, lisa c said…
thanks Rick!

I got mine in my rectus femorus. Feels good.
At 11:30am on September 20, 2010, Todd Carey said…
Thanks for the advice, I removed it right away. Appreciate it!
At 9:44am on August 27, 2010, DianaS said…
Sticking with Accuchek makes perfect sense. I think they've always made a good pump. And both the Solo and the Aviva combo look sweet too so you're sitting pretty good for future upgrades too.

Diana
At 3:47pm on August 26, 2010, DianaS said…
Rick sorry it took me so long to get back to you. I guess I need to check my page a little more often.

Regarding why I switched from Minimed to Animas it's mainly personal preference. I love the remote, the screen is easier to read at night when I don't have my glasses on, and I can hear any alarms better. Those are the biggies. I also was done with minimed's CGMS so wanted to try Dex instead and since Animas will eventually be partnering with Dex that was a consideration. I think Minimed had better reports for data management but I had so much trouble downloading it was worthless to me. I am not experiencing the same problems with Animas and Dex software so I have easy access to all of my data.

I am finding Medtronics marketing strategies to be distasteful--they've called me unsolicited at least 5 times trying to sell me a new pump. I think some of their claims border on outright attacks against other companies rather than just contrasting features and benefits. I don't like their lawsuits against other companies.

All in all switching has really reduced a whole lot of frustrations I was experiencing with pumping and CGMS. It's worked out very well for me.

I understand about the death timer of the Roche pump. I'm not so sure I'd want that either although I must admit their Aviva Combo pump in Europe looks sweet from what I can gather from the intarzweb. If it had been available last spring I would have seriously considered it.

Let me know if you have any more questions. Diana
At 1:28am on August 4, 2010, Miss Miss said…
I'm sure it does. I'm going to try to. I will be meeting up with my childhood bff and we are going to do some fun and crazy stuff.
At 12:49am on August 4, 2010, Miss Miss said…
You know I worked for United and had to fly out on 9/11 and I did not have to deal with stupidness of the TSA as I had to that day I was going to CA. I was like really wtf!
At 12:16am on August 4, 2010, Miss Miss said…
Oh that is cool. I went to college in NY. RIT they have programs for the deaf.
At 5:47pm on August 3, 2010, Miss Miss said…
Rickst29 thanks for the friend request.
At 10:21pm on May 10, 2010, DianaS said…
I didn't want to keep straying too far off topic on the itching thread on Dex group but just wanted to say I appreciate your postings on your experiences with Dex and calibrations. I did search through a lot of postings. Thanks.

Diana
 
 
 

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