Re: [IPp] bad sites
Octavia, we use Novolog. I switched out the sites and insulin so I am
crossing my fingers.
Thanks everyone! He actually had a low (well, 73) a little while ago
and I was so excited. I have had him between 70 and 150 this entire
afternoon.
On 4/6/07, Octavia Kincaid <email @ redacted> wrote:
>
> Lisa - last comment, I swear! I just wondered what kind of insulin you are
> using? I don't know if it could be causing such a sudden change, but we had
> a lot of "bad sites" with Humalog. When we switched to Novolog, things
> really cleared up. There is some evidence to suggest that Humalog
> crystalizes in the cannula and clogs up the cannula. I just thought I would
> mention it. It hasn't surfaced on this list in a while, but this is (of
> course) where we first heard about it.
>
> Octavia
>
>
> On 4/6/07, Lisa Hepner <email @ redacted> wrote:
> >
> > Kristin, we changed the insulin yesterday after the first site went
> > bad so now we are on a new bottle for both of the injections and the
> > pump. As for trying to correct with the pump, these highs are so
> > different than his other stubborn highs he has when he is growing.
> > With those highs he will be in the 200s or 300s, but when we correct
> > he remains there. With these highs he goes up to 400ish and then we
> > will try to correct and he will be 479. I just don't feel comfortable
> > with them.
> >
> > We just got off of the telephone with the nurse practitioner who said
> > to try an entirely new box of sites thinking these might be defective
> > so I think we will try that next. I just have to gear myself up to
> > tackling and getting the site into him. Sam, thank you so much for
> > the offer. Maybe if this persists we will look at switching the type
> > of site we are using.
> >
> > On 4/6/07, Mark & Kristen Bridgeman <email @ redacted> wrote:
> > >
> > > The butt is usually the best place for fat, so I am not sure I would
> > change
> > > that (I also have a skinny kid and all we get in the legs is muscle). I
> > am
> > > glad you are using the angle, we do about 45 degrees and if you have
> > been
> > > doing this for two years, I doubt you are all of a sudden at the wrong
> > > angle. Is the insulin you are giving by shot the same as the insulin
> > you
> > > are using in the pump (in other words, could the insulin in the
> > cartridge be
> > > bad? The blood in the cannula only sometimes is a problem for us.
> > > Sometimes, when you take it out, you get a little coming up it, so I am
> > > looking for things other than the site being the issue. What about
> > trying
> > > to correct your way down from one of these highs to see if eventually
> > you
> > > can get it to come down without the site change....which would indicate
> > the
> > > need to do some ratio or basal changes to counter the highs....we have
> > had
> > > some times when we (later ) assume he was growing or had hormone changes
> > and
> > > have had to go up in our ratios for a while....then come back down a
> > week or
> > > so later....
> > > I am so sorry this is happening....I know it can make you crazy. Also,
> > you
> > > might want to call your endo's office and see if they have anything you
> > can
> > > try as well..
> > > Kristen
> > > --
> > > Kristen - mom of Katie (15), Joe (13) and Will (11, dxd 3/05, pumping
> > Cosmo
> > > since 1/06)
> > >
> > >
> > >
> > > On 4/6/07 1:29 PM, "Lisa Hepner" <email @ redacted> wrote:
> > >
> > > > We are using the silouettes. I am wondering if we are putting the
> > > > site in at the wrong angle. However, we have been doing this for two
> > > > years and he has only had a couple of bad sites. This has been four
> > > > in 24 hours. I am wondering if we should switch where we are putting
> > > > the site. We have been predominantly using his butt because that is
> > > > where he has fat (he is a lean kid). Maybe we can try his legs? We
> > > > have tried his abdomen, but he hates it.
> > > >
> > > > On 4/6/07, Mark & Kristen Bridgeman <email @ redacted> wrote:
> > > >>
> > > >> What type of set are you using? This sounds like our experience with
> > the
> > > >> straight in type. It was hitting the muscle and blocking the
> > tube.....we
> > > >> would get about 6 hours and then up, up, up....
> > > >> --
> > > >> Kristen - mom of Katie (15), Joe (13) and Will (11, dxd 3/05, pumping
> > Cosmo
> > > >> since 1/06)
> > > >>
> > > >>
> > > >>
> > > >> On 4/6/07 12:52 PM, "Lisa Hepner" <email @ redacted> wrote:
> > > >>
> > > >>> We have had three bad sites in the past day and a half. Gavin's
> > blood
> > > >>> sugar skyrockets and will not come down and then we take the site
> > out
> > > >>> and there is blood in the canula. Once we replace the site his
> > blood
> > > >>> sugar comes down quickly, but then six or seven hours later the
> > cycle
> > > >>> repeats. He just had a skyrocketing blood sugar and I corrected
> > with
> > > >>> an injection instead of through his site. I took the pump off and
> > did
> > > >>> the bolus which came out fine, but it was red indicating that this
> > is
> > > >>> most likely a bad site again.
> > > >>>
> > > >>> I am going to wait to take it off and reinsert it because he screams
> > > >>> and kicks every time I change his site.(we try to do it in his
> > sleep).
> > > >>> He just had a complete meltdown over the injection so I am waiting
> > to
> > > >>> do anything else until I brainstorm a bit.
> > > >>>
> > > >>> Any suggestions?
> > > >>> .
> > > >> .
> > > > .
> > > .
> > .
> .
.
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