Blog Entries With Tag: Sure T


Posted: Jun 29, 2013
Most of you will be nodding your heads saying - " yuppers, been there, done that " - but for myself - this was amazingly enough my SECOND time ever ripping out an infusion set in an almost violent way (remember - I'm a semi-drama Queen here in my mind).  When I first started composing this blog - I was saying it was my FIRST - but as I put the tags in my post - I came across this blog!

I'm such a drama queen!


I'm still placing the Contact Detach infusion sets in my arms - giving my stomach that I favour the most a break for hopefully a month or more (next spot will be my legs for the infusion sets now that I have longer tubing). 

How did the infusion set come off you may ask?  A simple swipe of my hand as I scrached a spot on my upper arm. The loop of the Contact Detach was just purrfectly looped for my kitten claws to snag on it - and next thing I knew was .... S*** - dangle of the infusion set. I was actually pretty stunned by it - since I'd heard of other diabetics on pumps ripping them out - but NEVER thought it would be pulled out this way (I figured a door knob would be the culprit for me).


I think what got to me the most is that each infusion set costs on average for Canadians each time ... $16-20 ! That's like yikes - I could have bought groceries with what just got ripped out of my arm (sorry - you know I love to feed my ever expanding waistline).

So, seeing as I was semi awake - after a great day on Jenna's Journey and drive back home.  Having to think straight as I contemplated an Americano was not high on my priority list.  I was thinking of reinserting the infusion set in as I'd only had it in for about 5 hours.  I'd done a similar thing for a friend of mine a few years ago (Nel Peach - who made me fall in love with the Contact Detach/Sure T).  We'd simply found some office tape and temporarily held her infusion set in a new spot until she could place a new one in as it was due to a change.  In my case, this was a NEW set - long tubing (to prime the longer tubing it takes on average 15 units of insulin compared to 10 for the shorter tube) - so not only wss I losing out on an infusion set but wasting insulin if I chucked out the tubing.
Kitty Kat retro tape dispenser - it's so me ooooowwww!!!
Sadly, I didn't want to be wearing an infusion set in my arm held by tape for the next few days.  Plus, I don't do very well with medical tape on my skin - as I react even if it's latex free.

Now the one good aspect of the Contact Detach - due to it being in two parts (the infusion set - and then the docking station that you see below) - if using an infusion set that is an "all in one" - that has the tubing directly into it - then you lose everything - insulin in the tubing AND the infusion set.  Yes, when replacing the infusion set every 2-3 days as we're supposed to - we still lose "x" amount in the tubing that is pitched.  Though if you're frugal, I've heard of some people reusing the tubing, and not losing our precious juice of life.  Of course, there's always the debate of whether the insulin is still "good" - and able to perform it's duty of keeping our blood sugars (BG) stable.  It's totally up to the individual!

So, all I had to do in my case, was replace the needle portion of the infusion set, prime from the tubing in that small section, and reinsert a new set. You will see by my picture below - that I've got a bandage across the needle portion that goes into my skin.  That's due to not placing the set in flat (I thought I had, but with using IV Prep - it's like contact glue - you can't reposition - so get it right the first time).  The needle in my arm was causing abit discomfort - almost like hitting a nerve feeling.  I'm now realising after doing this to have a better sleep last night that I actually could have reused the pulled out infusion set - by doing a criss cross with two bandages.  I'm hoping not to do this again - yanking out my infusion set - but incase I do - I'll hopefully remember this solution!

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Cost of Stainless Steel Infusion Sets  |  Using my arms for infusion sites with George Michael  |  Pictures of my lovely tummy - infusion change with Contact Detach!  |  The Princess and the Pea!  |  Infusion Site Frustration – GRRRRHHH!!!  |  My psychic abilities to bend metal within my body  |  My first time pulling out my infusion set  |  Changing my infusion set in my car
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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Posted: Jun 22, 2011

Okay - don't freak out - I've not suddenly quit my day job to become Uri Geller and perform fork / spoon bending feats - I mean - I'm hoping that this is a one time event - that it does NOT happen again.

Now you are all wonder, what is FatCatAnna on today - has she been smoking something strange - sipping abit of drinky poo - having a low blood sugar?  Well, nope, I am in the right mind at the moment to be able to show you this amazing piece of metal that came out of my body the other day in a bendy shape (I smile as I type this - as my friend Jennie is known as
Bendy-Jen).  Luckily, I had no idea until changing my infusion set which is a 90 Degree 8 mm needle Infusion Set called Contact Detach (or Sure-T for Medtronic pump users).

Amazingly enough, if this had been the usual plastic cannula infusion set that I used to use (I have allergies to the teflon coating in these sets), I would have been having problems with my insulin not pumping properly into my body and abnormal blood sugars.  It had happened once to me with the
Inset II Infusion Set - but thankfully only once.  When that occurred, I didn't realise the cannula had become bent, and my blood sugars went abit wacky near the end and I was having to do needle corrections to stay within the range I like to be.  I only realised when removing the infusion set like I did the other day.

In this case, with what you see below I didn't notice any difference with my blood sugars at all.  Insulin was still managing to go through alright.  The reason this happened though I'm afraid to say, it was not due to my phychic powers .... but because of my anal way of using as much "real estate" on my body.  I actually went abit too far over into the hip area - where I went close to the bone plus I sleep on that side at night so my weight probably added to the bend as well).

We all know that in order to to avoid scar tissue below the surface, which often causes insulin not to be absorbed properly, so rotation and giving that area time to heal is a big thing with for diabetics both on needles and insulin pumps.  I only had scar issues when younger in my buttocks, and taking one needle a day, but in large quantity compared to the small doses I now take.  I also wasn't paying attention then at that age (I was around 12) - to where I was jabbing myself, I just got it over and done with, then off to school I would go. 

So, I now feel for folks that don't have the ample coverage like I do for when they put their infusion sets in place, besides hitting boney parts of their bodies if their not careful, there are also muscles, etc. that can sometimes get nicked.  We diabetics are a tough bunch aren't we?

Due to having to resize for posting at Diabetes1.org picture has become abit blurry - the actual needle portion is not as THICK as what you see here - it is actually 27 gauge thickness - and in real life - more sleek looking!  ***NOTE*** - if you do not see the picture below (Diabetes1.org has been having problems with hackers lately - urrhhh) - please take the extra step (aka click) and go to the pictures that I have posted at the following link - http://www.flickr.com/photos/fatcatanna/sets/72157626907428447/

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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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Posted: Jan 8, 2011

Earlier this week I'd written about an infusion site issue - that in the end - we've all come to the conclusion that it was all to do with nerve endings.  So far, I've done a few more infusion changes, and not had the same thing happen again except now I seem to be having an issue with irritation.  This is something I've not had with the Contact Detach / Sure-T infusion sets like I used to with the telfon cannula infusion sets.

What I'm experiencing is mild compared to the teflon cannula (with those I had itchy red lumps happening when removing the infusion set).  What I seem to be having the last two infusion changes is a feeling like you would get from an insect bite (ooooh - having feelings of the mosquitoes that will be coming in the summer time - buzz off).  I always sterilize the site with alcohol and from time to time will use Skin Prep. I don`t use the Skin Prep that much because it`s not covered by my insurance and a box of 50 runs about $20, so Ì use those very sparingly (more so in the summer months, when I`m sweating and more in the water).

Also, today I used the 29 gauge infusion set (prior to that it was 27 gauge). I had to use reading glasses to be able to see the needle - it`s that fine (sweet).  That was interesting putting the skinny mini infusion set in place.  If you look at the picture of the infusion set in my previous blog - you`ll see that there are little plastic sides on the needle inserter bit.  I had no problems with pinching these up in order to put the infusion needle into my body, but it seems the composition of the new set is a different type of plastic, so difficult for me to grasp.  Remember, this is my first time with this new infusion set, so I`m hoping things go better on Monday when I do my next infusion change.

So, after a few hours of having this new infusion set in place, the itching seems to be less but I still feel it in the background - I feel like the Princess and the Pea!  I`ll keep note, and if it persists will call up Animas to see if they can give me some tips - or anyone reading this - if you can think of something - just let me know!

Princess and the Pea by Edmund Dulac

Picture by Edmund Dulac - 1911

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