Re: [IPk] new to pump and all sets failed so far!
Hi Marion,
I think that others have answered the question about sets.
On 'would Marie have known if she's been using saline'. I'm not sure.
I guess that she might have noticed that a set had not actually gone in,
but had kinked over the surface. She might have noticed the kinking
when she took them out. But she wouldn't have seen the highs....
However, she would have got a lot more confident (it's amazing how much
easier the second insertion is than the first, and the fourth and fifth
are 'a breeze' compared to the second and third (and a month later, you
wonder how it every took you so _long_ to do those first couple of set
changes. Until, as I did recently, you try a new set after years with a
current set - then it's back to looking at the instructions (see, I'm a
theorist!), worrying, etc.
Do keep talking out loud. That's what this list is for.
Best wishes,
Pat
dm 30+, 508 3+, talking 30+, and listening, sometimes ...
In message <email @ redacted>
, Marion Malik <email @ redacted> writes
>Hi Pat,
>
>What you have mentioned here makes a lot of sense and I would like Alex
>to try the various sets out to see what suits her best. Would each set
>have a different inserter? Will all three sets be available
>irrespective of which pump we get for Alex?
>
>Alex will use saline first, I'm just wondering if Marie would have known
>things weren't working if Findley had gone on saline first or if she
>only knew that things weren't working because of the high levels due to
>the insulin not getting through?
>
>Being new to this and not there yet just talking out loud as this is
>something we will need to work through in the next month or two. I'm
>making lots of notes so thanks to all.
>
>
>Marion
>
>-----Original Message-----
>From: email @ redacted [mailto:email @ redacted] On
>Behalf Of Pat Reynolds
>Sent: 04 March 2005 20:25
>To: email @ redacted
>Subject: Re: [IPk] new to pump and all sets failed so far!
>
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>Quicksets are notorious for 'bending' in some people.
>
>Ask your nurse for some soft-sets and silhouettes, and see if you get on
>with those better.
>
>Personally, I think it scandalous that you were let out the hospital
>without the serter, and without a range of sets to experiment with.
>Also, why weren't you started on saline, so that you could have a week
>of 'dual running', getting confident with the sets and bolusing on the
>pump, in parallel to still using injections for the insulin????
>
>Cheers,
>
>Pat
>
>dm 30+, 508 3+, on a putting-the-world-to-rights kick
>
>
>In message <email @ redacted>, Owen
>Turrell <email @ redacted> writes
>>Hello Everyone,
>>
>>Findley had his pump fitted yesterday afternoon, its the Minimed 512.
>We
>>were not provided with an inserter, but that is now on order.
>>
>>The nurse inserted the set, a 6mm quickset. After 4 hours his blood
>sugars
>>were still rising, I changed the set. The one I took out had left a
>very
>>small line indention in his skin. I put the second one in and after I
>did
>>the fixed prime it showed 'delivery failure' on the bolus dose, which
>was
>>done straight away.
>>
>>I persevered thinking I had done it wrong because it was my first
>attempt. I
>>inserted a third 6mm quickset, and for 5 hours he had really good blood
>>sugars, so I know the bolus was getting through.
>>
>>At 6 this morning he was at 20 again, I bolused and he was still 20 an
>hour
>>later, I then gave him breakfast and bolused for that, he went to 26. I
>have
>>taken the set off and reverted back to injections for school. When I
>took
>>this 3rd one off I did a bolus without it attached to Findley, and I
>could
>>see the insulin dripping off the end, so even though there was bend in
>the
>>end the insulin is getting through. The site where I had taken the set
>from
>>was completely dry, although again there was this small line
>indentation.
>>
>>The nurse has sugessted putting the sets in the freezer, which I will
>try
>>when he is home from school. I am also wondering where the insulin is
>going
>>as its getting through, his sugars are rising, but the site is
>completely
>>dry.
>>
>>We are using 6mm because he is only 4 years old and the nurse thought
>him to
>>small for a 9mm. Will it be because we are having to do it manually
>until we
>>get the inserter, but the nurse said some people prefer to do it that
>way
>>anyway.
>>
>>Any ideas please, for those 5 hours it worked it was fantastic!! (I
>>religiously checked for air bubbles when changing the reservoir.) So
>near
>>and yet so far!!!
>>
>>MAny thanks
>>
>>Marie, mum to Findley, 4, dx'd 2001
>>.
>>----------------------------------------------------------
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>>contact: HELP@insulin-pumpers.org
>
--
Pat Reynolds
email @ redacted
"It might look a bit messy now,
but just you come back in 500 years time"
(T. Pratchett)
.
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