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Re: [IP] Guidelines for changing infusion sets and reservoirs: 3 days?



 The fact is Medtronic has to comply with what. FDA approved. They have no
choice.

Sent from my iPhone
Phyllis 

 > On Aug 28, 2015, at 6:28 AM, Patrick Tan
<email @ redacted> wrote:
> 
> Hi Bob
> I think the real questions is if it works for you in the past after more
> than 10 yrs , why is it giving problems now?
> 
> Are they cutting corners in the quality of material use?
> 
> Patrick
> 
> On 28 Aug 2015 17:57, "Bob2 Weitzman" <
> email @ redacted> wrote:
>> 
>> When I began pumping many years ago, I remember the diabetes educator
>> telling me the number "3 days" for a change of the canula.
>> 
>> This was to prevent a possibility of infection and/or reduction of the
>> absorption of the insulin.
>> But I was also told that the reservoir and tubing were safe to use for up
> to
>> 6 days.
>> 
>> This was ideal for me since I use about 40-50 units per day.  The 3 ml
>> reservoir(300 units) is an ideal match.
>> After the third day, change the canula (infusion site) and after 6 days
>> change everything. And I throw away very little insulin.
>> 
>> But recently Medtronic has stopped packaging the box of tubing with 5
>> canulas and 5 tubings/canulas.
>> 
>> I have just talked to Medtronic tech support and I  was told that
> Medtronic
>> recommends changing the canula and the tubing and the reservoir after 3
>> days.  The reason given was the lubrication in the reservoir may not work
>> properly after 3 days and cause incorrect insulin delivery. She did not
> say
>> why the tubing was "unsafe" after 3 days.
>> 
>> Well I have been on the Paradigm pump for more than 10 years.  I have
>> consistently used my tubing and reservoir for 6 to 7 days and never had a
>> problem or even a suspected problem with the reservoir or tubing.  I have
>> had a few times when I pushed the canula to a 4th day, and that can lead
> to
>> problems.
>> 
>> So I am now tossing into the bin 5 perfectly good tubings per month
> because
>> of this change.
>> 
>> Is this really based on medical data or experience?  Or is this so
> Medtronic
>> can sell more infusion sets and reservoirs?
>> 
>> Any thoughts or suggestions will be very much appreciated.
>> 
>> Bob
>> .
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> .
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