Blog Entries With Tag: Inset II


Posted: Jun 14, 2013
Artwork from bunbunlandia on WordPress dated March 10, 2012                                   

For those of you wondering about my little SCREAM on Facebook earlier today - about removing an infusion set (Contact Detach) - from my arm - that could be a potential gusher (in my eyes I was thinking more of a geyser) according to some of my D-mates 3 days before and how I faired.  Well, here's the LONG low down (and this is aimed at some of the commentors saying that they'd never done an arm infusion site before - it can be done - even by yourself).  


The reason I had written this - was my tubing the next day after putting the infusion set in (my 2nd arm installation - yes - I'm no longer a virgin) - had a very very weak pinkish tinge to it - though I couldn't tell if it was inside (from rubbing on a red top - which I hadn't) or from a broken blood vessel when putting the set in.  The funny thing is - it was not at the infusion site where the needle was inserted - but further past where the detachment area is on the tubing (managed to luck in on finding a 31" tubing from the Comfort sets I used to use in the beginning).  The longer tubing is much better so I can also clip the pump onto my usual waistband of my pants - before that - it was impossible unless I had no long neck/torso.  Having that extra 10" really makes a difference (oh this sounds like a Long John Silver movie).  And yes, for those dudes out there - who asked the question - where does the pump go - check my previous blog.

Many comments on my post at the Facebook group page of Insulin Pumpers gave varied responses to my plea of "help"!  Due to being self taught on the insulin pump - and not having an endo or diabetes team I can go to for help - in person - I've had to be my own human guinea pig in many things I do - of course - along with the bible from John Walsh - Pumping Insulin (5th edition was released last year) and various other books I've recommended over the years here at Diabetes1.org.

Just a joke but Duck tape is VERY handy

So, here I was prepared - armed with my medical kit - pads & tape to soak up this potential pouring of blood when I remove my infusion set.  I actually thought I was having a low blood sugar at the time, except I wasn't.  I thought I should pop one of my Ativan aka "happy pills" I was given earlier in the year by my GP when I went away on my 2 week sailing holiday - but resisted the urge due to my fear  of becoming dependent on them (insulin is ENOUGH thank you very much).  My GP was a smart cookie - as she only gave me 20 - and I still have 9 left six months later.

I gently pulled out the infusion set - all set to put the padding/tape in place - prior to hitting the floor - NOTHING ... I mean .... NOTHING - all I see is a little teeny tiny hole where the infusion needle was inserted - that's it! Phew!  At that point I knew thare was higher life above us - that is looking down  - knowing that I didn't need any drama in my life (hmmm, what's this blog all about??). 

Today, for my third try at an arm infusion site - I've decided to use the mini-wanna-be Omnipod (humour me John as the wanna-be-Princess) - aka Inset II.  The tubing is turned the right way - and as usual - pump is sitting in it's normal happy place (BTW, it gets REALLY warm there).  Sadly, the tubing on the Inset II I use (I've got 2 more boxes before I can reorder longer tubing of 43") - isn't as long.  I liked having the option of wearing in either places the last 3 days.

And yes, to some of those on Facebook who asked the question about absorption of insulin being better or worse in the arm, than my usual stomach, legs, lower back sites - I'm wondering if it's better - due to never having been used for infusion sets that stay in place for 3 days.  I did find I had a few interesting low's with this past infusion set - that aren't quite explainable - except at the time I thought perhaps it was due to hitting blood vessel.  It could be due weather - since I tend to use less insulin when it's humid AND warm.  It also could be due to the fact the set was in part of my muscular part of my arm - which can cause faster absorption of insulin.   Lots of scenarios here as to "why".
Back of arm for latest infusion site
Luckily, the latest infusion set is now in the back area of my arm that you see above - in the fatty portion of my arm - not up front in the more muscular area that I had just removed.  I just know I'm sensitive to insulin (I use less insulin than a person of my weight should use according to books I've read) - so wondering if I've become more sensitive.  Questions, questions, questions.  Who knows - but in the meantime I'm back to keeping a written log during this arm infusion test and see if perhaps I have to make some changes on my programming (either basal / I:C / ISF).  One step at a time of course - starting with basal testing first if my blood sugars (BG's) continue wonky.  Otherwise, things get even more complicated with too many scenarios that can overwhelm what you are trying to accomplish.

I am a contented cat

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Posted: May 13, 2009

Even though I've had diabetes for so long - I still feel like I am learning new ways of handling my diabetes at times.  Especially since going onto the insulin pump. For example, on the weekend I experienced an interesting scare of high blood sugars - only for a period of 8 hours mind you - but it wasn't something that I'm used to - as I tend to keep my blood sugars pretty stable with or without an insulin pump.

I had changed my infusion set on Saturday - to me - it went in smoothly - I was using the Animas Inset II - which is an all in one automated 90 degree infusion set.  Like I always do - before bedtime - I tested my BG to see how I was doing - as I'd had abit of rhubarb/strawberry pie in the evening and figured I'd maybe not given enough insulin to cover the pie.  Well, I hit the jackpot in reading with 25 mmol/l (450 mg/dl) - and I was trying to figure out how much sugar this pie I'd made contained (damn it tasted really good).  So, a correction bolus of 6 units was needed - the biggest amount of insulin I've ever bolused so far since pumping.  I set the alarm on my pump to go off in a few hours - yes - disrupted sleep - but not having had this type of high in about 10 years sort of freaked me out a bit - as I'm sure it would any diabetic. 

Two o'clock in the morning - half asleep here - yawn - BG is now at 20 mmol/l (360 mg/dl) - something isn't right here I'm thinking - as Manouchka winds herself around my legs thinking it's feeding time (scat cat!).  Time to use the pen needle rather then the pump. I'm starting to worry about stacking my insulin at this point in time - as I've given the amount of insulin I usually use in ONE day.  I figure now things should be back to normal - so set alarm on pump for 3 hours. 

Vibrate, vibrate, vibrate, 3 hours later - it's now nine o'clock - go test my BG - it's at 18 mmol/l (324 mg/dl)!  I'm starting to really get concerned here - I want my morning coffee - but it'll just spike up my BG's - so I have to hold off.  I decide at this point that perhaps the vial of rapid insulin in my pen needle is not working - so change vial - inject again to correct my BG (usually at breakfast I'm reading between 4 mmol/l to 6 mmol/l - 72 mg/dl to 108 mg/dl).  I consult my bible of insulin pumping by John Walsh called Pumping Insulin - and do what I know I should have done earlier - take out the infusion set that I just put in the day before.  So, throw $25 CDN ($21.40 USD) into the garbage and put in another infusion set - tho' I almost felt like going back to MDI at this point in time.  I mean, I know I've been told off by other pumpers when I've said this - but heck - pumping is a LUXURY - if it wasn't we'd all be on one - right?

The results of taking this infusion set out - if you care to take a look it is HERE (it's just my chubby tummy  - site isn't irritated as it appears in photo).  As you can tell - the cannula was never in my body - bent sideways on TOP of the skin - no insulin was being infused (wierd tho' that I wasn't leaking insulin - area was dry).  Urrrhhhh!!!!  The strange thing is - the inserter needle that places the canula into the skin - had come out straight - so either in the factory where the infusion set is produced - the needle had gone poked thru' the side of the cannula. That's the only thing that Mike and I can figure happened with the bend in this one.  For comparison of what the Inset II infusion set looks like when it is in properly - take a gander at this picture

Anyway, I'm hoping this doesn't happen to often - as it could get a wee bit expensive along with being annoying and destructive to my health!

NB: Harold - hope you get your BG's sorted out soon - if not - I'll do the 2 hour drive to your house to put in the infusion sets!!

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Tags: high (1) BG (1) MDI (1) needle (1) pump (1) insulin (1) cannula (1) infusion (1) Inset II (1) Animas (1)
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Related posts:

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