Blog Entries With Tag: pressure


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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From:

Posted: Feb 2, 2010

Finding and treating diabetes early can prevent health problems later on. Many people with type 2 diabetes have no symptoms and do not know they have diabetes. Some people are at higher risk for diabetes than others. People at high risk include those who:

  • are older than 45
  • are overweight
  • have a close family member such as a parent, a brother, or a sister who has or had diabetes
  • had diabetes during pregnancy
  • had a baby that weight more than 9 pounds
  • are African American, Hispanic or Latino, Asian American or Pacific Islander, or Native American
  • have high blood pressure
  • have high cholesterol or other abnormal blood fats
  • are inactive
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Posted: Jan 7, 2010

Yesterday I was at my car dealership, getting a little electrical glitch sorted out with my Smart (wiring had to be changed for the emergency panel - due to corrosion of wires - thank goodness it was covered under the warranty). 

Luckily, I only had a few hours to wait for the work to be done (hey - it's a small car - less wiring has to be removed / replaced ) so I sat down in front of the telly and managed to get the staff to change the sports channel to my favourite soap opera (Bold and the Beautiful - my escape from reality show - and a way for me to take a work break/lunch).  Besides myself, there were two other people waiting for their cars to be fixed and we started to all talk after one of them saw me testing my blood sugar.  I was off and running with educating people yesterday about PWD's (people with diabetes) .

Blood sugar test pictureI couldn't figure out at first what he was saying.  He was speaking in French, but he was from Haiti, so his accent threw me off as I tried to translate what he was saying.  I knew he was pointing at his finger tips, and it dawned on me what he was saying.  I told him, my French wasn't very good, and he was the same as me with his English.  Anyway, it turns out he is an RN working for the CLSC (government run medical clinics in Quebec).  He was saying that I should wipe off the first drop of blood from my finger tips, and then use the second drop.  I had a good laugh as I told him, I'd been told the same thing by another diabetic friend, and that I had actually experimented with seeing if the values differed from taking the first drop of blood or the second.  I'm not sure if he quite understood me, but I am hoping he did.  I told him I had found that there was hardly any difference with the two readings. 

I wish I could have told him before he'd left (we only spoke for about 5 minutes), as his car was ready, that for some diabetics, going thru' the routine of wiping the first droplet of blood might deter them from testing their BG's, as some BG monitors use large droplets of blood compared to some of the monitors that use a small drop.

The one surprising thing he told me is that in his country of Haiti that diabetes wasn't a big health issue.  Instead it is high blood pressure, which he has to take medication for himself.  He said that many Haitians fuffer from this.  I learnt something new that day!

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Are you really hypo unaware?  |  The Brain Battle  |  It's the Most Wonderful Time of the Year ... NOT!  |  King Tut and his diabetic owner Marilyn Pharo  |  My shocking endo appointment  |  Protein in my urine  |  Weight Loss Challenge for the Summertime  |  Do You Hate Doctors' Visits?  |  Searching for a needle in a haystack  |  Diabetic Warriors – be proud of our scars!
Posted: Jul 31, 2009
Wagon Train by Starbeard Flickr
I've not been feeling 100% the past month - and today - I decided that enough was enough.  I called up Info Sante (a government run help line here in the province I live in)  - and spoke with a nurse to explain my situation.  In the end, she told me to either go to a walk in clinic or ER - she didn't want me to take a chance and wait until I saw my endo in September.  
 
This is after a month of having to wait to see the same doctor I had seen a month ago (my spread your legs doctor - aka gynocologist).  At that last visit when he asked me how I was doing - I said "I feel like crap - I'm not myself".  It was like he didn't hear me - SCREAM - as he proceeded to plod along with the usual questions.  He eventually told me near the end of that appointment that my various descriptions of how I felt (I try to be a concise as possible with all doctors as they only have "x" amount of time to spend on patients) - meant 500 different problems and would cost $60K in blood work, etc. etc.). I think I caught him on a day when he'd rather be golfing.
 
Now a month later this week, I'm back in his office again (I'm a masochist aren't I?).  Blood pressure is taken and high of course due to white coat syndrome.  In the end I break down as he drills me with questions, have a cry, try to be as precise with my answers as possible, sob, sob - and he actually listens to me!  He thinks that perhaps I have a spastic colon (IBS), that I should keep a diary for the next 2 weeks, and if I still feel the same (discomfort in left side of stomach, nausea, difficulty eating) - I should come back to him where he'll refer me to a gastrologist.
 
Fine, I go home, start to do research on IBS.  Then I start to look into some of the other symptoms I've been having, swollen feet/ankles, varying hot/cold temps in those appendages, something doesn't sound right.  Kidneys perhaps?  I did have protein in my urine last endo visit. Hmmm.
 
The wheels in my head start to turn -  what about Autonimic neuropathy?  This type of neuropathy effects the bladder, intestinal tract, genitals, and other organs - similar to what I've been going through lately.  I'm thinking maybe I have gastroparesis.   Nope, blood sugars are good.
 
So, loaded with this info - and after the call to Info Sante - then drive to a clinic near my house - I wait 3 hours to speak to a doctor.  The results are that again, white coat syndrome - blood pressure is high (but not as bad as the other day), my lungs aren't filled with fluid, good.  I have been given diuretic pills to help ease the swelling in my feet/lower legs. 
 
I'm not really keen on taking the meds that have been prescribed, but if they can help alleviate the discomort in my stumps (feet/ankles) without any ill effects - then I'll give it a try.   I've been prescribed a diuretic called Apo-Furosemide (strange that the doctor/pharmacist said to take with food and every article I've come across online says EMPTY STOMACH - urrrhhh). 
 
I will be patient (pun intended) I'll find that needle in a haystack - or my bare feet will (ouch).   I am determined to go on a motorcycle ride tomorrow to Mount Washington - I'll just have to maybe stop at restrooms abit if these pills do what they are supposed to do.
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Related posts:

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From:

Posted: Sep 6, 2008

 

      Having diabetes isn't easy, but when you have a dog for a pet. Your sugar blood levels will be down. You will be healthier mentally. You will be less lonely and less nervous for companionship. Your blood pressure will be lower, You will laugh and smile more. You will have fewer health problems. Your will want to exercise more with your dog. So go to a dog rescue and adopt an dog or a cat.

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