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[IPk] Sets and splitting doses

Emily started on her pump on the 27th as planned and it's 
going well so far with much better BG's already. 74% have 
been within Emily's target range this week compared to 39% 
the week before the pump! 

We have had a couple of problems with sets not lasting as 
long as they should (tenders) but think now that this may 
have been caused by the time it took to get the set in. 
Emily was having to press for ages before it would go in, 
it just seemed to dent the skin and not want to go in. The 
last one went in much more easily (not sure why) and the 
set lasted 3 days instead of becoming a little red after 2 
days. She is trying a 6mm rapid ATM. We couldn't believe 
how small the needle looked after the tenders!

We may ask about trying the Minimed Quickset because Emily 
prefers the idea of a teflon set, they have one that is 6mm 
long and it can be inserted using a Quick-serter. Are there 
any problems with using this set with a D-Tron Plus? 
Another patient at our clinic uses a Minimed pump so I 
don't think there will be a problem with funding if we 

Also, how important is it to split larger insulin doses and 
how long should we leave between each dose?  The pump nurse 
said that we should split any doses larger than 5 units and 
give the second part half to three quarters of an hour 
later but we are tending to forget the second part and give 
it late. If we could get into the habit of giving it at the 
end of the meal (about 10 minutes after the first) would 
this be long enough to be useful? I think we may remember 
better if we can associate it with the end of the meal.

Mum to Emily aged 11, dx Oct '99
Novorapid x 4, Glargine x 1, D-Tron Plus pump from the 27th 
Robert aged 13 dx Mar '03 
Novomix 30 x 2 (+ Novorapid when hungry!), 
and Matthew aged 8.
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