Blog Entries With Tag: set


Posted: Jul 18, 2013

When I first started to wear an insulin pump back in 2008, I didn’t realise that wearing one would restrict some of my clothing options.  Living in Montreal, the fashionista capital of Canada (okay – there’s Toronto – aka mini-me USA – but they just don’t have that French flair like we do ).

It was sort of nice since January, when I took a pump break, not to have to spend the extra time to pick out clothing that would not reveal a bulge of George Michael aka GM (pun intended there – remember – I grew up with Benny Hill) my insulin pump.  Now that I’ve been back on the pump for over a month now, I realise that I have to take extra time to figure out what to wear that will allow me easy access to George Michael.   Hmmm, should have I had added that time factor into my application for DTC?

I did the stint for almost a month of wearing the infusion set in my arms.  That was kind of neat – almost like I wasn’t wearing an infusion set except when I’d hit a muscle or nerve ending in my arm with the stainless steel infusion needle (found Contact Detach/Sure-T does this more than the Inset 2 sets). One thing I am going to try out if I can get some samples of shorter needle/cannula length for the infusion sets - just like I have done with the shorter 4mm pen needles I started to use back in April.  My absortion with the shorter pen needle created no change in my BG's - which I thought it would due to my not being a slim gal (as I had told the RN when she gave me some samples of the BD 4mm pen needles said skin depths for absortipon of insulin doesn't change in the human body).  Anyway, back to old GM, here  I was tucking him into a sports bra – where I couldn’t believe that despite how hot it gets inbetween the girls – the insulin would keep on performing 100%.  My fear, like other diabetics is that heat will deteriote our insulin – but after 3 days of using the same insulin in the cartridge – my blood sugars (BG) stayed stable.

Actually, stable isn’t the word I should be using here.  I’ve been experiencing hypos (low BG) more often - that almost reminded me of my days when I was MDI prior to going onto the pump (one of the reasons I went onto the pump in the first place was due to having frequent hypos.  I sort of didn't understand how to use my combinations of insulin properly pre-2008, I was trying to learn how to do the poor man's pump method - but not quite doing it correctly.  As I keep on telling pumpers who’ve never gone back to MDI since starting on the pump - being on the pump has taught me how to fine tune with ONE insulin and that with that knowledge - you can easily transferred over to using TWO insulins when doing MDI.  It really isn't that difficult - honest - you've just got to know how to use your insulin(s) - and their little quirks.

So, with the hypos I’ve been having – sometimes a few a day – the things I have planned to do – that usually involve some activity (even simple grocery shopping believe it or not) – have to be shelved.  I do NOT like to have my diabetes rule what I can or cannot do.  My poor DH has to put up with my having to tell him that I can’t do this / that – and he’s so far not really sad much – as I go “I’m so sorry, I’m so sorry” or “Get me some quick acting sugar NOW!!!”.  What a range of emotional outburst I put him through – that is so not me – that it makes me cringe if a fly is on a wall witnessing this (thank goodness they don’t have the ability to hold a video camera).

My basal rate has now been reduced by almost 20% - but I’m still needing to tweak it abit with some more basal testing since now I am going low in the afternoon (very rare for me).  If that doesn’t work and I’m still experiencing low blood sugars (hypos), then it’s looking at my carb ratio (I:C) – which I have slightly changed since I’m now understanding I’m insulin sensitive.  The other thing to look at is my Insulin Sensitivity Factor (ISF) - which to me is a trial and error type of test - since there are a few different formula's out there to deterimne what is best for "you".  

Ahh isn't diabetes control a fun puzzle or what?
 
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Tags: set (1) infusion (1) DTC (1) Disability Tax Credit (1) basal (1) pump (1) insulin (1) George Michael (1) GM (1) Ratio (1) Carb (1) ISF (1) Insulin Sensitivity Factor (1)
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She’s got legs and she knows how to use them (the semi-Fashionista and her pump)!  |  Shame on Johnson & Johnson / Animas  |  REMOVAL – clinical trial for T1D's in UK, Australia, Canada, Denmark and Netherlands  |  Riding thru' the mountains of the Adirondacks  |  My Porky Pig fingers are tired  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  Official response from Animas with 2020 s/w issue  |  A birthday treat gone evil ...  |  Stainless steel infusion sets are more FOREIGN then a teflon one? I beg to differ
Posted: Jun 21, 2013

My tummy having a Contact Detach put into it
I noticed in a diabetic group the other day on Facebook - that some people have never heard of the stainless steel infusion sets that some of insulin pumpers use (Medtronic (MM) is a Sure-T, Animas is a Contact Detach, Accu-Chek is a Rapid D).  I know the ones made for Animas and Medtronic – are all made by the same company –
Unomedical.


For some people, giving an injection, with a syringe or pen needle, even with the smaller gauges available AND length of needles, TOTALLY freaks them out.  I can understand with what we had back in the early years of needles meant for elephants buttocks (wait – I was using them on my human buttock as a child – yikeroos).  Times have changed, thank goodness, it's easier to inject, but still some diabetics who have had this disease as long as I have, can’t inject themselves.  Putting a CGMS or infusion set into place on their body - they cannot do. I find with the Contact Detach I have no problems with placing into my skin (it is 29 gauge).  With other infusion sets available, I find the introducer needle that comes with the plastic cannula infusion sets very daunting.  I almost fainted the first time I put one in place, it was sooooo long, compared to the 6mm / 8mm length stain steel needle.


                             Image courtesy of http://www.traveling9to5.com/

To help some of you understand what one of these infusion sets are all about - since some people think the needle portion of the infusion set had to be removed from the skin - here's a great video of a young boy putting in this type of infusion set at this link.  He makes it look so easy (and it is - though watching him made me realise - how long it takes to do this procedure - as it's about 6 minutes from start to finish to perform the task).


Hopefully the video helps explain what a stainless steel infusion set is for some of you who don't know what it is.  Personally, I find it causes less skin irritation for me - as I have a slight Teflon allergy in the plastic cannula's that are used in infusion sets). The other good thing is, it's less expensive to purchase than other infusion sets.  Also, I find due to the connecting port that is on your skin (there is the infusion site AND the connecting port – both glued to your skin) – less chances of ripping off infusion set completely – it’s like a safety chain in a way.  I'd posted about the Contact Detach a few years ago as well - if you want a less model type figure to look at - then you can check out my blog that contains the link.


Contact Detach
The one thing I do have a beef about - and I'd mentioned about this a few weeks ago at Blogger - the cost of the infusion sets to Canadians (and those of us not living in the USA).  The price that we pay for the infusion sets shows quite a wide gap in prices.  For example, my Contact Detach here in Canada costs $155 - if I was an American - I'd be paying $94.  I thought it was perhaps due to our value of our dollar - but we're pretty close to being at par these days.  The price list as well - since I started pumping over 5 years ago - hasn't changed at all.  When I spoke to Animas Canada about the price difference today - Alexis - one of the staff there who took my order (and a pumper herself) - said that due to duty/tarriffs and our smaller pumping compared to the States that this is why we - and other countries pay more.  Huh???? I tried to figure out what the cost was to ship the product from Mexico - to United States - then Canada - but I'd have to have my brain go to school to figure all the ins/outs of trading between these countries through the Canada  Border Service Agency website.
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She’s got legs and she knows how to use them (the semi-Fashionista and her pump)!  |  Shame on Johnson & Johnson / Animas  |  REMOVAL – clinical trial for T1D's in UK, Australia, Canada, Denmark and Netherlands  |  Riding thru' the mountains of the Adirondacks  |  My Porky Pig fingers are tired  |  Comparing prescription coverage in Canada  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  Swine influenza - A (H1N1) virus  |  Official response from Animas with 2020 s/w issue
Posted: Jan 26, 2012
As I "patiently" await my vacation loaner pump - that was supposed to be delivered today (and hopefully not on my doorstep despite parcel saying "signature required" and left to anyone going by my house to pilfer).   Instead, Canada Post delivered the first piece of mail I've ever received from Animas Canada promoting their products - along with stories about Canadian pumpers (and even a cute little calendar - hmm - should I submit my mug shot for 2013 I wonder ?).  I've never gotten anything like this before from Animas Canada, except for emails containing the invoice for my pump supplies I purchase from time to time.  Obviously, they are trying to get more diabetics out there to join up.  Now, they don't have to sell me on how great an insulin pump is - despite its $7,000 cost along with monthly $300 supply costs - I'm sold on pumping - though how long I can afford it once I'm retired is another story.

One article that got me abit confused in the Winter 2011 issue of their Performance magazine - since I'm self taught on using the insulin pump showed an article by Allie (Webb) Roberts, RN BScN CDE, the Clinical Manager at Animas Canada.  She wrote an informative article about choosing the right infusion set.  There wasn't really anything new to me in what I read - except for the write up about the Contact Detach that I use, and the following is a quote from her article.

"Contact detach is a stainless steel needle that is inserted at a straight 90 degree angle.  This is a perfect choice for those with Teflon sensitivities or allergies.

It has to be changed every 1-2 days as it is seen as more foreign to the body than Teflon."

What got me abit confused was her statement saying that the stainless steel needle was more foreign to the body than the 13mm/17mm Teflon cannula's in their other infusion sets they sell.  I had issues with those - due to teflon allergy - where after just 1 day or less - intense itching - redness both on top of skin surface and itchiness under the skin where the infusion set sat (I wanted to rip it out - but at the cost of the infusion set - I left it in - scratch, scratch).  The thickness of the teflon cannula as well to my eye is far thicker then the stainless steel 6mm/8mm 29 gauge needle that is inserted into me.  So, why say should the stainless steel be more foreign if for myself - it doesn't cause any discomfort - even after 3 days of wearing it?

I know that Kelly Booth has written a few blogs lately with her problems with her Animas Ping (she's told me to stay with the Animas 2020 - too many probs she's heard from other users of this model).  She has what I would consider more severe allergic reactions then I do (is that sometimes do to the environment a person lives in I wonder?).  The Contact detach infusion set to her is very painful to insert, and causes problems to the skin in less then a day.  Her goal with going back onto her Animas pump was to get her blood sugars in control due to some problems with her basal insulin - but alas with infusion site problems - she's stopped using her pump again and back to MDI (multiple dosage injections).  You can read more about what she's been going thru' at her blog site -  trials and tribulations of being a type 1 diabetic.

So, as I scratch my head about the article saying to not leave the Contact detach in longer then 1-2 days - I figure .... we are all different with how our bodies react to outside invasions of our bodies.  I guess I'm just lucky that so far, touch wood, my body doesn't see that piece of stainless steel in my body as being foreign - but with the Teflon cannula it was like having a flea on a dogs back for me.  Hopefully my luck remains with me.
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She’s got legs and she knows how to use them (the semi-Fashionista and her pump)!  |  Shame on Johnson & Johnson / Animas  |  REMOVAL – clinical trial for T1D's in UK, Australia, Canada, Denmark and Netherlands  |  Riding thru' the mountains of the Adirondacks  |  My Porky Pig fingers are tired  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  Official response from Animas with 2020 s/w issue  |  A birthday treat gone evil ...  |  Walking on a tight rope!
Posted: Jan 16, 2012
It's so hard to believe that I've been using an insulin pump for 4 years now.  I sometimes have to pinch myself to believe that time has flown by so fast since switching over from MDI (multiple dose injections) for 41 years prior.

Here's something that is going to make some of you who have been pumping for awhile have a laugh though.  I've often read about other insulin pumpers having their infusion sets pulled out - either caught on a door knob or adhesive has given out.  The only thing I'd experienced was hanging myself on the door knob a few times in the beginning, but the infusion set never pulled out.  I must have been lucky.

I'm like many insulin pumpers, where I favour the use of my stomach for my infusion sets.  It's convenient and I feel insulin absorption is better since it's near to the organs that need our juice of life.  Also, my problem since going onto the Contact Detach - is the length of the tubing.  I can't get any longer length from Animas then 60 cm/23 inches.  The other infusion sets I used to use, I could get longer tubing, but sadly, due to teflon allergy, I had to stop using those types.  This makes using the infusion set on my upper thighs is out of the question now.  So, my stomach, which is has abit of real estate has become quite the playground for my infusion sets. 

When I was visiting with a insulin pumping friend of mine, who also tends to use their stomach area alot for infusion sets, they were showing me the area that they used.  It doesn't help that they have abit of hair on their stomach region, and even with shaving prior to putting the set in, inbetween the time of removal the set, it can become abit uncomfortable.  I was showing them where I put mine, which is an area they don't touch, above their belly button area.  I have at least 3" of real estate for placing my infusion sets in, and I had never gone up this far before, but decided to give it a go a few months ago.

This is where I have experienced my first infusion pull out because of going up this high on my stomach.  It all came about when pulling up my pants after a trip to the loo.  My thumb caught in the connecting tube of the Contach Detach / Sure-T that I use for my infusion set.  It was so fast, I didn't even feel it being yanked out.  All I saw, was the needle portion waving itself at me.  I wasn't really that upset, since a) I was at home; and b) I only had about 8 units left in my insulin cartridge. 

Now, if I had been outside of home, then it would have been a different story, but as I've told a few other insulin pumpers - the joy of the Contact Detach is you can (though it's not recommended due to sterile issues) - reinsert the set back in a new area (have done that a few times when hitting a nerve/muscle with a new infusion change).  So, I've now made sure that along with my blood meter that I always carry with me, spare batteries, that I have an alcohol swab AND IV Prep - incase I do have to reinsert.  Luckily, it's only happened to me that one time - but I now can no longer call myself a virgin of the infusion pulling out club LOL!

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She’s got legs and she knows how to use them (the semi-Fashionista and her pump)!  |  Shame on Johnson & Johnson / Animas  |  REMOVAL – clinical trial for T1D's in UK, Australia, Canada, Denmark and Netherlands  |  Riding thru' the mountains of the Adirondacks  |  My Porky Pig fingers are tired  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  My Heart is Full of Anger  |  Official response from Animas with 2020 s/w issue  |  A birthday treat gone evil ...
Posted: Jan 20, 2011
Well, finally I got the nerve up to post some pics of my infusion change with the Contact Detach (Sure-T for Medronic users) infusion sets I use with my insulin pump, Salvador Dali.  I had written a blog earlier in the month about having some issues with my infusion sets, but since then, all is back to normal. 

Below is a example of the difference between the 27 gauge and 29 gauge needle of the Contact Detach - hopefully it shows up well.  For remaining pictures of the whole infusion change, and a lovely view of my tubby belly (after I've posted this going to go work out).

I really love these infusion sets - as they don't seem to cause as much damage internally to my skin as I found the Inset infusion sets had done (they have a long introducer needle, which once removed, leaves a plastic cannula inside of your body).  I found I was allergic to the teflon formula of the cannula and created a welt after removing the infusion set.  With the Contact Detach, I don't have those issues at all.  Sometimes, you don't even know where the previous infusion set was placed!  The only thing is - you have to put these in manually - which puts a few people off who are used to automated systems.

Hopefully for those of you who have an aversion to needles won't be put off - I've kept it pretty non-gory looking!

For more snaps - go to my Flickr website - you don't have to be a member to view the pictures - as I've left this open to the public to view.  If you wish to cut / paste the link into a new window - just use this link - http://www.flickr.com/photos/fatcatanna/sets/72157625742297937/



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Related posts:

She’s got legs and she knows how to use them (the semi-Fashionista and her pump)!  |  Shame on Johnson & Johnson / Animas  |  REMOVAL – clinical trial for T1D's in UK, Australia, Canada, Denmark and Netherlands  |  Riding thru' the mountains of the Adirondacks  |  My Porky Pig fingers are tired  |  Smooth sailing with CATSCA / TSA  |  Is insulin a youth preserver?  |  Official response from Animas with 2020 s/w issue  |  A birthday treat gone evil ...  |  Stainless steel infusion sets are more FOREIGN then a teflon one? I beg to differ
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