Blog Entries With Tag: pen


Posted: Feb 21, 2014

Most of you know, I started insulin pumping back in 2008 with an Animas 2020 after 40+ years with multiple dosage injections (MDI).  Sadly, with the problems over the years when I go on holidays with a pump – it often fails on me - and I have to use the loaner pump that all Animas owners with a warranty can take advantage of.  I also had always brought MDI back  up incase the loaner pump also crapped out on me (See NOTE1).

Cool picture of an aircraft

On a recent trip to Martinique, with my assortment of insulin products I use for my MDI adventures - I experienced a little scare when it came to doing my basal injection with Levemir (I decided to give this a go again - doing 3X shots a day every 8 hours rather than the usual Lantus 2X a day regime). 

When I went to give my 14H00 Levemir injection with the NovoPen Echo (my American readers - it's now available in the USA as of January 2014) - like always - I went to prime the needle for injection.

Nothing came out.

I primed it again with 2 units instead of the normal 1.

Nothing came out.

I then started to panic.  Yes, I did have another 1/2 unit pen needle - the Novolin-Pen Junior - which has my NovoRapid in it for my bolus injections - but my mind wasn't thinking logically of taking out the vial of Levemir and inserting it into that pen. In cramped quarters on a plane – I just really was wanting to be a Princess!

Princess Cat - that's me in a nutshell NOT

Along comes my night in shining armor - my DH - saying something he'd said before when I used to fly with my insulin pump. 

"Air pressure in the aircraft may make the plunger mechanism go wonky"

Hmmm, I then looked down in the window where you can view  the insulin cartridge in the pen - and yuppers - the piston rod had gone back up to the top - even though earlier in the AM shot (in the airport before we left at the ungodly hour of 0600) - it had been in the correct position.  The plunger had actually retreated back to it’s base!

So, I pull pen needle apart, and get the piston rod to behave the way it should.  The one thing with the "improved" NovoPen Echo - is the rod seems more flimsy than the Junior pen I've been using for about 3 years (the piston rod seems more strong).  We're thinking maybe it's due to the Echo pen having "dose memory" of how much was injected and abit of an ability to tell you how long ago it was done (it's not the most precise for time of dose). 

After that - all was fine - and on return trip 3 weeks later (sigh - good bye warm ocean breeze and dolphins) - it never occurred.  Still - it makes me wonder - does this happen that often with an insulin pump - that the plunger mechanism can rewind itself back? 

In the meantime, I’ve posted to @NovoNordiskCanada on Twitter about this glitch that happened – and I’ll keep you posted with their reply. Hopefully if all goes well - compared to how it went with obtaining a 1/2 dose pen delivery system will be easier than it was last year

NOTE1: Hmmm, this doesn't make an insulin pump sound very reliable does it - well - in my case - I sometimes think I've been jinxed - so don't worry - if you are new to pumping - just ensure you have every possible back up with you - incase something goes wrong – since without insulin – we are plain and simple - DEAD.  It's always better to be safe than sorry - and I can do it all in a carry on for a month  (I really should make a YouTube video on how I do this – it’s so easy - and trust me - I still bring more then I need even in a small space).  All the “legal drugs”  we have to tote along can take up space (what leave my sexy sandals behind?? NEVER).  Though some airlines now will allow an extra carry (e.g. tote bag that fits under seat in front of you) as long as it contains ONLY medical equipment (always check with your airline carrier first). 

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Tags: insulin (2) NovoNordiskCanada (1) pressure (1) air (1) Animas 2020 (1) pump (1) MDI (1) pen (1) flying (1) NovoRapid (1) Levemir (1)
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Related posts:

Type 1 vs. Type 2  |  In a slump and scared  |  Surviving the Holocaust with Type 1 diabetes  |  Edmonton man denied insulin for 20 hours  |  Crack Free #ShowMeYourPump  |  Jenna and The Hypo Fairy  |  Wearing a dress with medical gadgets  |  Questioned by my pharmacist on my insulin regime  |  Pre-op visit with endo at hospital  |  When You're Hot, You're Hot
Posted: Jan 12, 2013
Fists with RANT on them
I'm now going into my third week without my insulin pump, GM (aka George Michael).  It's been a challenge this time, compared to the last time I did it in 2010 (for some reason I didn't keep a log).  I am frustrated as all heck - as I go up and down - like on a roller coaster ride - but those are more fun - since they are just temporary ups and downs with abit of screaming.  You eventually get off - and get on with life and it's regular routine.


I'm finding that I am living by the clock / alarm - for my basal shot (I have split up my Lantus into 2 shots - in AM and PM).  I sometimes have forgotten an hour or so later - I have forgotten one of the shots.  Kind and experienced MDIer diabetic mates (gag - I used to be one of those) - have told me - "don't worry - you're off by a few minutes or an hour - it won't effect you".  BS is what I say to that - maybe for them - but not for this ADH D-gal - who is used to having pretty level BG's that when they do go on  roller coaster ride - it's due to inaccurate carb count, hormones, or some other little glitch that sometimes can't be explained.

I now have my android phone set up with alarms - I feel guilty sleeping in (not that I did too often - but when I did - I knew my basal insulin in GM was working away).  When I just want to have a little nibble - I have to go and test my BG - which I always did before - but sometimes - I could get away with not doing it - and just do a "guestimate bolus" and usually things were fine.  Not so with MDI , in order to maintain my standard of BG level - I have to be constantly thinking of what next - did I miss a bolus - did I / do I? 

Eating has become a somewhat of a chore - I feel like my Mum - who eats on time  (she should be a  diabetic - she's more controlled then I am) - she has no change in her routine or foods that she eats.  That is not me - SCREECH - I'm a Bohemian type of gal - I can't live this way of life - I must be freeeeee!!!!

My other option, which I'm surprised isn't giving me sleepless nights - is just to go back onto GM - admit defeat - I can't do MDI.  Alright, you ask youselves - why isn't FatCatAnna going to the endo for advise?  Frankly, I only go to him for prescription refills - at one point many years ago he actually semi-belowed as to why I was injecting with rapid insulin in his office - when my BG reading he took was high.  His thoughts at that time was - you only inject for meals.  Oh, and even better, going onto a pump - he was dead set against it - but I went ahead - without his approval (but in end - when it came to purchasing - I needed him signature - by then he realised going from an A1C of 7% to 5.9% in less then 6 months with trial pumps - meant I was doing something right - and it wasn't due to having lows to even out the A1C number).

So, to make a long rant short.   A D-mate of mine whose pump warranty ran out the same time as me - and as disgruntled by all of the recent releases - encouraged me to call up Animas Canada - since apparently my scribbles here at Diabetes1.org and other forums where I post made them decide to stand up for themselves.  They did - and are now a brand new owner (received the day after they called) of an Animas Ping (and they like it better then their 2020) 

I proceeded to call up Animas Canada as they encouraged me to do the same as they did and spoke with Jessica at Customer Care.  She very nicely listened to me rant (am I Rick Mercer - I mean I am CANADIAN - just not from the east coast).  I explained about what I was doing with MDI while off the pump temporarily due to fear of GM going wonky on holidays like others before him. Told them to check out my blog after I jabbered on - look for my postings in Facebook and Twitter - just to be aware of how serious the problem is with selling a product that the buyer was not aware of - our pumps die December 31, 2015 - plain and simple! 

I explained to her - if she wished me to have issues with GM (she kept on questioning me about the component issue from January 3rd Urgent Pump Recall) - then I told her I would gladly put GM back on - go on my holidays.  If he is the same as previous Animas 2020 pumps or perhaps a different issue - it IS a SAFEY RISK.    I told her, by weaning myself off from GM to relearn MDI due to my distrust with their pumps - I'll be better prepared in my humble opinion.   Even perhaps too honest - was my telling her that I'm looking a purchasing a used Medtronic pump as a back up - but so far - Medtronic Canada when I inquired about the safety of that basically warned me against it.  So, I await to hear back from Animas Canada on the problem with their Animas 2020 - they'd promised to call back the day I called - but so far - nothing.

So, my fellow MDIer's (thumbs up gang on Twitter) don't panic yet - I am determined to get this MDI sorted out before I leave in a few weeks - this is the reason I started a month prior to departure.  I do not want to be a heaping sobbing blob on the floor in a panic as I try to sort out my insulin requirements via pen needle - and ruin my fellow sailors holidays as well as mine.  I want to enjoy my holidays - plain and simple - but have to admit - I do wish I had a reliable pump - that I could trust to take on my holidays. 

I miss you George Michael - all tucked up in the zip lock bag - safe and sound - battery taken out. Sleep tight until I unzip you in Feburary to start pumping with you again (and hopefully you still function).


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Tags: warranty (2) needle (1) pen (1) NovoRapid (1) Lantus (1) safety risk (1) component issue (1) MDI (1) pump (1) insulin (1) Medtronic Canada (1) Animas Canada (1)
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Related posts:

Type 1 vs. Type 2  |  In a slump and scared  |  Surviving the Holocaust with Type 1 diabetes  |  Edmonton man denied insulin for 20 hours  |  Crack Free #ShowMeYourPump  |  Jenna and The Hypo Fairy  |  Wearing a dress with medical gadgets  |  Questioned by my pharmacist on my insulin regime  |  Pre-op visit with endo at hospital  |  When You're Hot, You're Hot

From:

Posted: Apr 25, 2010
This is my first step in the world of blogs. I wanted to write about so many things about my diabetes, and now I'm in front of this empty "page" and trying to write something in English with my French brain... Not so easy. 
And to day I'm going to tell you a little  about my friend, my twin as she wrote, Anna... I'm sure everybody know her blog, her work. The first time I saw her on photos and read something about her, I was asking myself : Is she a type 1 like myself?  and yes, she was! And I wasn't American and with her and others friends from America I began to learn so much that I took my time to understand all the informations from them. No I didn't discover the Moon or Mars, I discovered a new life. Maybe it was too late because my old friend Type 1 was with me since I was ten years old and at this moment of my life it was prehistoric age. I remember all these so big needles and the syringes made of glass and of course the doctor who said to my parents " your daughter is  Diabetic". I'm Diabetic.
And now I inject Levemir and Apidra with my pen and so small needles! And , yes, Anna used Levemir too. So she is a woman, she is a type 1, she used Levemir, she likes life...maybe she is right, she is my twin. 
 This is my first step .
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Tags: Type 1 (1) Apidra (1) Levemir (1) pen (1) needles (1)
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