Re: [IPk] Archives
The lumps from injections are scar tissue. Putting a set into scar tissue is
like putting it into a wall: you have to be very lucky for it not to kink.
Ryan's not the only prospective pumper I've heard of not to be assessed for
scar tissue before having an infusion set plunked in. Why do they not do
that over here?!?! Advice on where's best for an individual to put a set
would save a lot of people a lot of worry. ARgh!
Putting a Quick-set in with the Quick-serter causes several times the amount
of tissue trauma as one injection by pen or syringe. The 'wham!' of the
spring drives the needle through tissue so fast it can't help but think it's
been injured badly. With Ryan being so thin, the 6mm cannula may still be
too long, or it may be that he's got enough pockets of scar tissue that it's
tough not to hit one. Yes, the Silhouette can be used with a 'serter', but
it is still quite possible to hit muscle with the introducer needle if
you're putting it in with a serter, in addition to the tissue trauma thing.
With a serter you can't stop pushing when you hit the wall of scar tissue,
but you can stop if you're doing it manually. The serter tries to bang the
needle into the scar tissue anyway. You wind up with an 'owie' and a wasted
set (the needle may come out bent and the cannula is likely to kink
visibly--scar tissue don't mess around). If the Sil-serter does result in
kinked sets and poor absorption, it may be worthwhile just doing the set
changes manually yourself until Ryan wants to do them by himself. If you do
them without a serter, he will probably not become afraid to do them by
himself, without the serter, in due time. But if he starts using the serter
now, he may wind up wasting a lot of sets, getting higher blood sugars
because the insulin is being put into non-absorptive tissue until the alarm
goes off (about 2-3 units of non-delivery--on a .5u/hr basal rate, 4+ hours
without insulin), and continuing to build up scar tissue (albeit less than
he would get from injections) from the trauma the serter entails.
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