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The introducer needle on the tender/sils does not have to be inserted all the way.  My 5 year old uses the tenders and we only insert it 1/2 to 3/4 of the way in.  It is normal to see a portion of the cannula outside of the skin when using tenders that are not inserted 100%.  We haven't had many tenders come out accidentally, but when we were using soft-sets they rarely stayed in for more than a day.  We tried just about everything and found that masticol was the best thing for making them stay on.  Of course, then Mark started complaining that the insertions hurt everytime (and we were using the soft-serter), so then we switched to the tenders and started using Emla.

We were using IV Prep along with the IV 3000 tape, but the IV Prep seems to make the IV 3000 tape disintegrate if you put too much goo on or don't let it dry enough.  Now, we just make sure we clean the area very well after removing the Emla, then we wipe it again with alcohol and put a piece of IV3000 down.  Then, we insert the tender through the IV3000, remove the needle, and we are done.  That needle is quite intimidating at first.  We try to do the site change where there is something to distract Mark from the process (like in front of the TV when Rugrats is on).  We make sure that the area is numbed sufficiently before starting the whole process and always say "you are going to feel a little pinch".  

For parents, it helps if you can do at least one insertion on yourself.  That way, you kind of know what the kids are going through and you can judge what hurts and what doesn't for yourself.

Sometimes we have a bad time of it, but when that happens, we always sit down together and talk about how we feel, what we can change, and what the options are (quit using the pump and go back to a bunch of shots every day? NO WAY!).  We always end up agreeing that even though it is not perfect, pumping is the best way for us to deal with diabetes at this time.  Then we say a prayer for a cure that will come soon.  

It does take a while to get things worked out.  We have been pumping for over a year and are still learning.

Best Regards,
Beth Mullen
Mom to 5 year old Mark, dx 12/95 @2 months old, pumping since 12/1999
And he doesn't even remember our old endo who said he would have to wait until he was 13 to use the pump!  ha ha ha - take that Dr. D!

-----Original Message-----

Date: Wed, 07 Mar 2001 13:29:06 -0000
From: "Yvonne Nicolas" <email @ redacted>


Many of you have suggested I try the sils because of the problems that arise 
with the sofsets' cannula coming out of skin and bending.

I have a question. I have tried sils on Eileen. First, the introducer needle 
is really big and she does says it hurts when I put it in skin. My question 
is does the needle have to be introduced the whole way into skin or just 
like 3/4. Because as hard as I try to push the whole thing in, I can only 
get part of it in, also when I remove the intr. needle, is it normal to see 
part of the plastic cannula outside of skin? (sort of lying against skin). 
Hope I explained this correctly.

Of 5 or 6 times, we used the sils, I had to remove 2 of them due to very 
high bg's, not aborbing well. One had blood on the cannula. So I wasn4t 
really too happy with them. Also, they did leave a larger mark on skin, even 
though the tape thing is really cool. Didn't have to use extra tape over it. 
Oh, well, just keep trying, huh?

By the way, this problem of the tape breaking open only has happened to us 
on her upper hiney sites. When we use her tummy, no problems.

Eileen's mom
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