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RE: [IP] pumping velosulin only



I am probably going to get in trouble for saying this, but a 150 unit vial
lasts me 3-1/2 to 4 days (I use Velosulin) the I often fill another syringe
and attach it to the same canula set to get a total of about 7 days out of
one insertion.  I never have problems at the site with infection, and I ma
immuno-compromised (kidney transplant).  When my sugars go up unexplainably,
I almost always find that it is because the set has come out of my body and
the end of the canula is bent in a way that does not poke me and so I have
gone several hours taking basals and often a bolus, with none of the insulin
actually getting in my body.

One of the main problems I have is getting the tape to stick to my skin.  I
use the polyskins and the IV-3000, but many times the tape won't stick and
then the set comes out.  Most of the time this happens within the first
24-30 hours, often less time.  I'd love to hear what people do to solve this
problem.  Minimed has sent me samples of other tapes, but nothing has worked
well for me.

Kathy Wallerstedt

-----Original Message-----
From: Keith Crist [mailto:email @ redacted]
Sent: Wednesday, February 09, 2000 8:08 AM
To: email @ redacted
Subject: [IP] pumping velosulin only


Greetings,

I first sent this from a different e-mail address and
it didn't appear on the list, my apologies if it shows
up twice. 

I recently switched the insulin in my daughters pump,
again, to Velosulin only.  She is twelve and I am
trying to get four days out of a site change.  We get
2 days with Humalog, about 3 with an H/V mix and have
gotten 5 days when we first made the switch to V only.
 I expected to deal with differences in activity but
we are seeing some really large swings in bg.  There
is a lot going on in the mornings with a dawn effect
that seems only to kick in when she eats something
(even if that happens at 4:30 AM following a night
time check) and the slower availability of a regular
type insulin.  Increasing her temporary basal doesn't
seem to help so we have tried giving a starting bolus
when she first wakes up.  This morning she gave
herself 9 U to handle being 260 when she woke up and
breakfast, 2 hours later she was 400.  We are two days
out on the site and there is no reason to suspect that
the insulin is dead.  If anyone else is using V only
or has been through this before I would really
appreciate hearing from you.

Thanks,

Keith
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