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[IPk] Re: Reusing Cartridges and Tubing, etc



Hi All,

Just to clarify on the D cartridge, we do say not to use the cartridge more
than once.  This is because the problems which John described arising with
the Minimed cartridge  can also possibly arise with ours.

You are doing the right thing witht he tubing, ie 6 days, any longer and
again, you may experience problems.

Any queries, please call me direct.

Kind regards

Estelle
-----Original Message-----
From: ip-uk-digest <email @ redacted>
To: email @ redacted <email @ redacted>
Date: 24 February 2000 21:26
Subject: ip-uk-digest V1 #199


>
>ip-uk-digest        Thursday, February 24 2000        Volume 01 : Number
199
>
>
>
>PLEASE edit the subject line of your reply messages.
>####################################################
>This issue of the digest contains:
>[IPk] Babies and diabetes
>Re: [IPk] Babies and diabetes
>Re: [IPk] Re: BDA Trustees
>Re: [IPk] Re: BDA Trustees
>Re: [IPk] Babies and diabetes
>[IPk] Pump Syringes/Cartridges
>Re: [IPk] Re: BDA Trustees
>Re: [IPk] Re: BDA Trustees
>RE: [IPk] Babies and diabetes
>[IPk] a question and an update
>RE: [IPk] a question and an update
>[IPk] a question
>Re: [IPk] Pump Syringes/Cartridges
>
>----------------------------------------------------------------------
>
>Date: Wed, 23 Feb 2000 19:31:49 +0100
>From: John Neale <email @ redacted>
>Subject: [IPk] Babies and diabetes
>
>Hi -
>
>I just want to thank everyone who has sent their good wishes to me and my
>wife, Julia, on the birth of our son Christopher. For the curious, pictures
>are now available at http://www.webshowcase.net/baby :-) During the the
>great event of the birth - about 24 hours start to finish - I was more or
>less able to forget about the diabetes, and thanks to the pump it looked
>after itself.
>
>It's certainly been an interesting time for me diabetes-wise. It is now
>known that a man will undergo similar major hormonal fluctuations during
>pregnancy as his wife. I've certainly found funny things going on with
>hormones v. diabetes, and believe that "the diabetic pregnancy" is not
>strictly a female issue!
>
>In the last few months, I seem to have experienced a constantly changing
>insulin requirement, which has caused me to be in the constant crisis
>management mode of testing and adjusting. I try to do this a light handedly
>as possible, but I always seem to end up impatiently throwing too much
>insulin at a problem. Any semblance of finely tuned basal rates had gone
>out of the window. After the birth 7 days ago, I resolved to sort things
>out. It may be a bit soon, but I reset all my basal rates to a constant 0.8
>units per hour. I had a mild night hypo, so I cut everything to 0.7 units
>per hour. Things now seem a lot steadier. I'll starting tweaking it once
>the domestic situation settles down. I'm also being rigorous about carb
>counting once again - at 15g per unit - something I get rather lax about
>sometimes and start guessing.
>
>I've also had a few other health problems which have added to the
>confusion: mild flu before Christmas, mother-in-law induced stress over
>Christmas(!), and a weird eye condition that may or may not be uveitis,
>which I've been treating with steroids. (This will almost certainly have
>contributed to the changing insulin need - I'm now tapering off the
>steroids, and my eyes are much better).
>
>I'm also in this new estate of fatherhood! People ascribe the weirdness to
>sleep deprevation, but to be honest I've been getting a full night's sleep,
>and still feel elated and exhausted all the time :-) We're going for 100%
>breast milk for the first 6 months, which is reckoned to minimise the risk
>of allergic and auto-immune illness later in life. That will hopefully
>reduce the risk of my diabetes ever being triggered in my son.
>
>Excuse me, I've just had a baby wee all over me! Must go :-)
>
>John
>
>- --
>mailto:email @ redacted
>http://www.webshowcase.net/johnneale
>
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Wed, 23 Feb 2000 11:21:13 -0800
>From: "Michael" <email @ redacted>
>Subject: Re: [IPk] Babies and diabetes
>
>> :-) We're going for 100% breast milk for the first 6 months, which
>> is reckoned to minimise the risk of allergic and auto-immune illness
>> later in life. That will hopefully reduce the risk of my diabetes
>> ever being triggered in my son.
>
>Wouldn't count on the breast milk. Lily (dx'd age 11) nursed for over
>a year and it was a major undertaking to get her to take a bottle
>when mom's milk dried up with the second pregnancy. Lily and Charles
>are 15mos apart.
>email @ redacted
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Wed, 23 Feb 2000 14:41:19 -0000
>From: "Jeremy GRAINGER" <email @ redacted>
>Subject: Re: [IPk] Re: BDA Trustees
>
>- ----- Original Message -----
>From: Steven J Sexton <email @ redacted>
>To: <email @ redacted>
>Sent: Wednesday, 23 February, 2000 07:43
>Subject: [IPk] Re: BDA Trustees
>
>
>> Hi All
>>
>> In the next issues of Balance their will be nomination forms for the BDA
>> Board of Tustees.  There are 5 vacancies this year - 4 non medically
>> qualified and 1 medically qualified. The closing date for nominations
will
>> be 24 March.
>>
>> Some of may want to consider standing. I stood last year, nominated by
>John
>> but didn't get elected. I haven't made up my mind whether to stand again
>or
>> not.
>>
>> An up to date application pack is available from the BDA Karen Thomson or
>> Elaine Thurgood on 020 7462 2618 or 020 7462 2619 or
>email @ redacted
>>
>> Steven
>>
>To follow on from the above, if you do apply, the person who nominates you
>plays a more important part than who you are. eg. If you were nominated by
>the chairman there is almost no doubt that you would be ellected. It is
also
>unfortunate but you will have a much better chance of election if your name
>is near the beginning of the alphabet, having reviewed elections over the
>last five years on average 3 of the first 4 named people have been elected
>(only four are ellected). If you were to get your local consultant or DSN
to
>propose you it can be advantageous, or a current trustee. While there are
>four places open for election this year in reality there are only two,
>because two of the nominees are virtually guaranteed election. Only about
3%
>of BDA members ever bother to vote so there is advantage to be got from
>belonging to a group (such as IP-UK) and asking them to promote you to
other
>diabetics they know. It is also advantageous to have had diabetes a long
>time.
>These are just guides if anyone does stand, which I promote - the board
>needs new influences.
>Yours
>Jeremy.
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Wed, 23 Feb 2000 21:29:09 +0100
>From: John Neale <email @ redacted>
>Subject: Re: [IPk] Re: BDA Trustees
>
>>It is also
>>unfortunate but you will have a much better chance of election if your
name
>>is near the beginning of the alphabet,
>
>Steven - I guess you should change your name to AAA1-taxis! ;-)
>
>J
>
>- --
>mailto:email @ redacted
>http://www.webshowcase.net/johnneale
>
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Wed, 23 Feb 2000 21:30:06 +0100
>From: John Neale <email @ redacted>
>Subject: Re: [IPk] Babies and diabetes
>
>>Wouldn't count on the breast milk. Lily (dx'd age 11) nursed for over
>>a year and it was a major undertaking to get her to take a bottle
>>when mom's milk dried up with the second pregnancy. Lily and Charles
>>are 15mos apart.
>
>Nothing is certain in life. This is just minimising risks.
>
>John
>
>- --
>mailto:email @ redacted
>http://www.webshowcase.net/johnneale
>
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Wed, 23 Feb 2000 22:24:40 +0000
>From: Steven J Sexton <email @ redacted>
>Subject: [IPk] Pump Syringes/Cartridges
>
>Hi
>
>A question came up tonight amongst the people who on the current pump trial
>in Bristol about the re-use of plastic syringes/cartridges with the D
>pump.  I couldn't think what the answer to this was.
>
>Can they be reused, if so how many times and are there any problems in
>doing so?
>
>The same question arose regarding the tubing for the Tender sets. At the
>moment most people seem to use it for about 6 days (2 tender sets).
>
>Any thoughts on this.
>
>Steven
>- -------------------------------------------------------------------------
---
>Diabetes Insight & Support
>http://www.diabetic.org.uk
>mailto:email @ redacted
>There are No Problems only Solutions
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Wed, 23 Feb 2000 22:20:27 +0000
>From: Steven J Sexton <email @ redacted>
>Subject: Re: [IPk] Re: BDA Trustees
>
>Hi John
>
>Through some of the work I have be doing, not only with the Diabetes NSF
>but other projects, and meeting various Healthcare Professionals it is
>interesting to note that more and more of them are aware of pumps and the
>benefits they can bring.  Pumps seem to be being added to various agendas.
>
>Apart from the BDA applying pressure, I certainly think trying to ensure
>that pumps are included in the Diabetes NSF is going to be another step
>forward.
>
>Steven
>
>At 17:33 23/02/00 , you wrote:
>
>>"Our own Diabetes Care Advisory Committee is considering our own position
>>on pumps in the next couple of weeks but one of the difficulties of
picking
>>this up as a a major campaign is the limited use of pumps in Britain. I
>>know this is a circular argument but our success over pen needles was
based
>>on the number of people who were affected. [...] With so few pump users,
it
>>is unlikely that we could build up enough pressure for the Department of
>>Health to consider use of this technology. [...]
>>
>>We are aware however that pump therapy is likely to be more widespread and
>>we will consider whether we should take it up as an issue with the
>>Department of Health."
>
>- -------------------------------------------------------------------------
---
>Diabetes Insight & Support
>http://www.diabetic.org.uk
>mailto:email @ redacted
>There are No Problems only Solutions
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Wed, 23 Feb 2000 22:08:54 +0000
>From: Steven J Sexton <email @ redacted>
>Subject: Re: [IPk] Re: BDA Trustees
>
>Hi Jeremy & John
>
>I agree with what you say, it is a shame that more people don't take an
>interest in who is standing.
>
>One of the difficulties is that you are limited to the number of words you
>can use to persuade people that you are an appropriate person to stand -
>which is where I suppose who nominates you and where you are in the list
>starts to play a role.
>
>I guess I will have to change my name to "A Steven Sexton" :-)
>
>Steven
>
>
>> >
>>To follow on from the above, if you do apply, the person who nominates you
>>plays a more important part than who you are. eg. If you were nominated by
>>the chairman there is almost no doubt that you would be ellected. It is
also
>>unfortunate but you will have a much better chance of election if your
name
>>is near the beginning of the alphabet, having reviewed elections over the
>>last five years on average 3 of the first 4 named people have been elected
>>(only four are ellected). If you were to get your local consultant or DSN
to
>>propose you it can be advantageous, or a current trustee. While there are
>>four places open for election this year in reality there are only two,
>>because two of the nominees are virtually guaranteed election. Only about
3%
>>of BDA members ever bother to vote so there is advantage to be got from
>>belonging to a group (such as IP-UK) and asking them to promote you to
other
>>diabetics they know. It is also advantageous to have had diabetes a long
>>time.
>>These are just guides if anyone does stand, which I promote - the board
>>needs new influences.
>>Yours
>>Jeremy.
>>
>>----------------------------------------------------------
>>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>- -------------------------------------------------------------------------
---
>Diabetes Insight & Support
>http://www.diabetic.org.uk
>mailto:email @ redacted
>There are No Problems only Solutions
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Thu, 24 Feb 2000 09:08:40 -0000
>From: Julette Kentish <email @ redacted>
>Subject: RE: [IPk] Babies and diabetes
>
>Breast feeding is still important for lots of other reasons not just
>trying to prevent diabetes.
>Keep up the good work as long as you are able. Glad to see the pics.
>Julette:)
>> -----Original Message-----
>> From: Michael [SMTP:email @ redacted]
>> Sent: 23 February 2000 19:21
>> To: email @ redacted
>> Subject: Re: [IPk] Babies and diabetes
>>
>> > :-) We're going for 100% breast milk for the first 6 months, which
>> > is reckoned to minimise the risk of allergic and auto-immune illness
>> > later in life. That will hopefully reduce the risk of my diabetes
>> > ever being triggered in my son.
>>
>> Wouldn't count on the breast milk. Lily (dx'd age 11) nursed for over
>> a year and it was a major undertaking to get her to take a bottle
>> when mom's milk dried up with the second pregnancy. Lily and Charles
>> are 15mos apart.
>> email @ redacted
>> ----------------------------------------------------------
>> for HELP or to subscribe/unsubscribe, contact:
>> HELP@insulin-pumpers.org
>> help SUPPORT Insulin Pumpers
>> http://www.insulin-pumpers.org/donate.shtml
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Thu, 24 Feb 2000 02:22:56 PST
>From: "Elizabeth/ Sonya" <email @ redacted>
>Subject: [IPk] a question and an update
>
>I'm curious to know if anyone else has this problem:
>
>I get a funny feeling in my eyes when my blood sugar is high, but not that
>high:  it starts somewhere around 7 mmol.  It's part of my high blood sugar
>symptoms.  For example, this morning when I got to work I was at 8.9, and I
>felt like my brain and my eyes were wrapped in a few layers of warm, wet
>washrags.  This feeling tends to go away the higher my BGs rise, so I'll
>feel absolutely miserable at 8, but I'll feel fine at 12.
>
>I'm asking for common experience and suggestions because my consultants
>always dismiss this experience.  It's one of the things I mentioned at my
>last appointment that led my present consultant to tell me I'm obsessed
with
>diabetes and my insulin regime is crazy (but at least he still prescribed
>the pump!)  However, his comments don't change what I feel in my body.  I'm
>particularly concerned because I recently read (at Medscape, I believe),
>that the BG threshold for the start of retinopathy is much lower than was
>previously believed. Yes, I know I'm full of anxiety, but if your eyes felt
>like mine, you would be too.  So far they say I have no damage (that they
>can see), but as you may imagine I have little faith in the Irish medical
>profession.
>
>On the pump front, I have an appointment on Monday with the diabetes day
>centre.  I'll be getting my blood results back from my clinic visit, and I
>think we're supposed to arrange dates to start me on the pump.  However,
I'm
>waiting to hear back from the AMT rep as to when the 508 will be available
>in Ireland, and until I have that info there's not much to plan for.
>
>Everyday I walk to and from work, and everyday I do it I think about how
>much easier it will be to manage my BGs during that exercise once I have my
>pump.  I hope I don't have to wait much longer!
>
>Thanks for any comments or suggestions about my eyes.
>
>elizabeth
>______________________________________________________
>Get Your Private, Free Email at http://www.hotmail.com
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Thu, 24 Feb 2000 11:13:00 -0000
>From: Julette Kentish <email @ redacted>
>Subject: RE: [IPk] a question and an update
>
>is it possible that you feel your eyes are normal at 12 because you are
>used to having them at that level? If you are normalising your BGL
>through the pump it sounds like you are going to have a similar
>experience with the feeling in your eyes as you would with the MDI until
>you are feeling ok with lower BGL and your eyes settle down (hopefully).
>Some people have felt hypo at around 7 mmol when they are used to higher
>BGL although medically that is not a hypo level. Perhaps it is a similar
>thing.
>If it is a problem keep approaching your clinic/opthamologist about it.
>> -----Original Message-----
>> From: Elizabeth/ Sonya [SMTP:email @ redacted]
>> Sent: 24 February 2000 10:23
>> To: email @ redacted
>> Subject: [IPk] a question and an update
>>
>> I'm curious to know if anyone else has this problem:
>>
>> I get a funny feeling in my eyes when my blood sugar is high, but not
>> that
>> high:  it starts somewhere around 7 mmol.  It's part of my high blood
>> sugar
>> symptoms.  For example, this morning when I got to work I was at 8.9,
>> and I
>> felt like my brain and my eyes were wrapped in a few layers of warm,
>> wet
>> washrags.  This feeling tends to go away the higher my BGs rise, so
>> I'll
>> feel absolutely miserable at 8, but I'll feel fine at 12.
>>
>> I'm asking for common experience and suggestions because my
>> consultants
>> always dismiss this experience.  It's one of the things I mentioned at
>> my
>> last appointment that led my present consultant to tell me I'm
>> obsessed with
>> diabetes and my insulin regime is crazy (but at least he still
>> prescribed
>> the pump!)  However, his comments don't change what I feel in my body.
>> I'm
>> particularly concerned because I recently read (at Medscape, I
>> believe),
>> that the BG threshold for the start of retinopathy is much lower than
>> was
>> previously believed. Yes, I know I'm full of anxiety, but if your eyes
>> felt
>> like mine, you would be too.  So far they say I have no damage (that
>> they
>> can see), but as you may imagine I have little faith in the Irish
>> medical
>> profession.
>>
>> On the pump front, I have an appointment on Monday with the diabetes
>> day
>> centre.  I'll be getting my blood results back from my clinic visit,
>> and I
>> think we're supposed to arrange dates to start me on the pump.
>> However, I'm
>> waiting to hear back from the AMT rep as to when the 508 will be
>> available
>> in Ireland, and until I have that info there's not much to plan for.
>>
>> Everyday I walk to and from work, and everyday I do it I think about
>> how
>> much easier it will be to manage my BGs during that exercise once I
>> have my
>> pump.  I hope I don't have to wait much longer!
>>
>> Thanks for any comments or suggestions about my eyes.
>>
>> elizabeth
>> ______________________________________________________
>> Get Your Private, Free Email at http://www.hotmail.com
>>
>> ----------------------------------------------------------
>> for HELP or to subscribe/unsubscribe, contact:
>> HELP@insulin-pumpers.org
>> help SUPPORT Insulin Pumpers
>> http://www.insulin-pumpers.org/donate.shtml
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Thu, 24 Feb 2000 03:29:37 PST
>From: "Elizabeth/ Sonya" <email @ redacted>
>Subject: [IPk] a question
>
>Julette said:  is it possible that you feel your eyes are normal at 12
>because you are
>used to having them at that level?
>
>no, no. my BGs are closer to the normal range than high.  I only have
>consistent BGs over 10 if I'm ill.  That's the thing that's so strange
about
>it: I can get very good control on MDI if I pay a lot of attention, and
when
>I do I expect to have normal range tests 80% of the time, and the rest are
>slightly high or slightly low.  And this eye thing is a _high_ BG thing,
not
>a low BG thing.
>
>elizabeth
>______________________________________________________
>Get Your Private, Free Email at http://www.hotmail.com
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>Date: Thu, 24 Feb 2000 16:36:37 +0100
>From: John Neale <email @ redacted>
>Subject: Re: [IPk] Pump Syringes/Cartridges
>
>>Can they be reused, if so how many times and are there any problems in
>>doing so?
>
>Steven - I don't know about the D cartridges, but with the Minimed
>cartridges the lubricant coating the inside of the cartridge can wear thin
>after a couple of uses, and cause the No Delivery alarm to trigger.
>
>>The same question arose regarding the tubing for the Tender sets. At the
>>moment most people seem to use it for about 6 days (2 tender sets).
>
>I've over-re-used tubing, and the tubing will split. By the plastic stub
>that screws into the cartridge. The more you re-use it, the greater the
>chance. And of course, if the tubing splits, you won't get any alarm. The
>insulin will just leak, and your bg's go very high. For that reason, I
>think using the tubing for a maximum of a week is wise.
>
>John
>
>- --
>mailto:email @ redacted
>http://www.webshowcase.net/johnneale
>
>
>- ----------------------------------------------------------
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
>
>------------------------------
>
>End of ip-uk-digest V1 #199
>***************************
>

----------------------------------------------------------
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml