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Re: [IPk] How long do you keep it in



Dear All

Cynicism is one approach and you may feel it is valid from your viewpoint -
however the reality is that when you use an infusion site for longer than
2-3 days you are increasing the risk of inflammation and infection at the
infusion site.  This is no different to having a splinter in your skin; your
body will try to reject the foreign object.  Inflammation and increased
blood supply are the initial response (as to any perceived "injury")
followed by fibrin and other protein deposition around the needle in an
attempt to isolate and push out the offending article.  This is why your
needles will get blocked and you won't get the insulin you need.  You will
also increase the risk of scarring and reduced efficiency of absorption from
this site.  The time taken for this to happen varies with each individual,
it will happen at some point.

We will continue to stress the importance to your health of the need to
change the infusion site as recommended.   It is your choice Di if you wish
to ignore this advice, but don't be too surprised by the consequences.  By
the way it was a DoH requirement not the manufacturers to state that lancets
and insulin syringes should only be used once.

Best wishes

John H
-----Original Message-----
From: Nathan J Wright <email @ redacted>
To: email @ redacted <email @ redacted>
Date: 25 May 1999 17:36
Subject: [IPk] How long do you keep it in


>I can hear Rita already, only 3 days max and I'm sure she or John H will
>give you the reasons why.
>
>Also, does anyone find the glue doesnt stick to there skin, i have tried
>using skin prep with still no luck, at the moment I am having to change the
>set ever day or so as it keeps coming unstuck.
>
>
>At 11:30 25/05/1999 +0100, you wrote:
>>With a Sofset I can generally get 2 days out of it before it starts to
hurt.
>>With a silhouette (which this was) I can easily get 3 days out of
>>it. The longest I've gone is 5 days but it started to itch a bit after
>>that. The site looks fine - no problem there.
>>I can't see why keeping a set in for longer would make it bend!
>>Dancing does tend to dislodge it a bit sometimes though asnd cause the
>>cannula
>>to bend.
>>I think a lot of people change their sets twice a week - certainly
>>those in my clinic do. I know of people who keep them in for up to a
>>week but I wouldn't go that far.
>>Of course, I'm open to advice on this.
>>Di
>>
>>> Di
>>>
>>> Do you always wear a set for 4 days?? - that seems like an
extraordinarlily
>>> long time!  I wonder if that's why the set was bent in two?
>>>
>>> Estelle
>>>
>>> -----
>>>
>>>
>>> >This morning I
>>> >woke up feeling like **** (and it wasn't the alcohol) and my Bg was
>>> >17! Agh. Changed the set, only because I had had it in for 4 days, and
>>> >guess what, it was completely bent in 2. It still didn't occur to me
>>> >until just now that that was why I was high! It had been higher than
>>> >normal yesterday too but I hadn't thought too much of it. In future
>>> >I'll take more notice of those unexplained highs (and the feeling
>>> >moody!)
>>> >Another lesson learnt!
>>> >Di
>>> >
>>> >
>>> >----------------------------------------------------------
>>> >Insulin Pumpers website http://www.insulin-pumpers.org/
>>> >for mail subscription assistance, contact: HELP@insulin-pumpers.org
>>>
>>> ----------------------------------------------------------
>>> Insulin Pumpers website http://www.insulin-pumpers.org/
>>> for mail subscription assistance, contact: HELP@insulin-pumpers.org
>>>
>>
>>----------------------------------------------------------
>>Insulin Pumpers website http://www.insulin-pumpers.org/
>>for mail subscription assistance, contact: HELP@insulin-pumpers.org
>
>
>Natty
>----------------------------------------------------------
>Insulin Pumpers website http://www.insulin-pumpers.org/
>for mail subscription assistance, contact: HELP@insulin-pumpers.org

----------------------------------------------------------
Insulin Pumpers website http://www.insulin-pumpers.org/
for mail subscription assistance, contact: HELP@insulin-pumpers.org