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Re: [IPp] clogged sets



We use to only get 2 days but since we have switched to novalog we go 3 days
and could go longer if we wanted.

julie
----- Original Message -----
From: "Steve Barthol" <email @ redacted>
To: <email @ redacted>
Sent: Monday, April 29, 2002 3:42 PM
Subject: RE: [IPp] clogged sets


> Our 7 year-old is only getting about 2 good days out of a set change.
> We try to make it last 3 days when possible. He uses a 508 and
Silhouettes.
>
> I know some of this is attributable to decreased tissue absorption as
> the site ages.  However, it seems some my of the problem may be related
> to Humalog crystallization.  I can recall one time where the Humalog
> crystallized so badly that it looked rock-hard in the cannula.
> If Novalog will prevent or reduce this problem then I will switch.
> I talked to Minimed about this and they told me Humalog was NOT even
> approved for use in their pump.
>
> Steve Barthol
>
> -----Original Message-----
> From: lisa harris [mailto:email @ redacted]
> Sent: Monday, April 29, 2002 11:31 AM
> To: email @ redacted
> Subject: [IPp] clogged sets
>
>
> Wow, this describes almost exactly what has been happening to us lately!
> We use the MM 508 with the sil's sets. My son, Andrew, age 3, has night
> time basals that alternate 0 and 0.1 e/o hour. they are 0.3 during the
> day. Most of the time, lately, we've only been getting 2 days from a
> site....often times with numbers creeping up by the end of day two. I
> wonder if this crystallization is the problem. We also struggle with air
> bubbles in the tubing. Maybe i'll talk to the endo about Novalog. Thanks.
>
> Lisa Harris, mom of Andrew, 3yrs, (dx'email @ redacted) pumping 8mos. ~and Jamie 8
> and Mary 4
>
>
>
> Barb,The crystallization can most definitely be seen in the cannula, if
> it is
> occurring.  It appears to be clogged and looks like opaque
> inconsistentlines.
> Here was our problem... we had been on the pump for a year and our
> A1C'swent
> from a 6.9 on MDI to an 8.5 on the pump!  They kept telling me thatthis
> was not
> uncommon, and due to our son Christopher having a lot of lowson the
> shots, it
> was probably expected.  We tried three different infusionsets, as the
> Endo and
> the CDE thought they were probably the source of theproblem since our
> numbers
> were so inconsistent.  Still, we would go throughthe first day with good
> numbers
> (most of the time) but then the numberswould be all over the place!  To
> correct
> a high, I would need to almostdouble the amount of insulin on day two as
> I was
> using on day one.  That wasmy first clue that something was not right.
> It was a
> nightmare trying toget basals and bolus ! ! ratios accurate.  We were not
> supposed
> to be changingsites every day and a half but I had to in order to keep is
> BG
> levels insome sort of good range.So, I started to read about Novalog, I
> researched every article I could findon it.  In one article, I read that
> Novalog
> did not cause thecrystallization that Humalog may cause in some cases.  I
> have
> also heardthat this clogging or crystallization occurs more frequently if
> you
> havebasals set at .1 or .2, that was not our case.  We set basals between
> .3 and
> .5.  This was a disaster in the works if I did not demand to try Novalog,
> asI
> believe I had already tried three different infusion sets.After removing
> the
> infusion sets that contained Novalog, the cannulas havebeen clear, no
> sign of
> clogging or crystallization.  We finally foundsomething that will
> consistently
> deliver insulin to Christopher's body!And, we can go four days with
> Novalog,
> although I thi! nk! I will keep it tothree due to the nerve damage
> claims.Thanks,
> Kelley L. WrightKey Account Manager - Convenience Channel281-759-8770
> (office)
> 281-759-8773 (fax)281-467-4371 (cell)
>
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