first bad Silhouette [Archive]

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poodlebone

11-09-2006, 08:38 PM

I changed my set Tuesday morning, put a new Sil in my lower abdomen. Bgs were great all day. Before dinner I was 90, and two hours before that I was 111. I got home really late that night so I didn't eat dinner until 10:30. I started my bolus of 2.8 units and at 2.5u, I got a No Delivery alarm. I disconnected the tubing and checked it and insulin was flowing through normally. I reconnected and bolused the remaining .3 unit and ate.

2 hours later, my BG was 343. ****, I should not have ignored the No Delivery alarm. Changed the set again, bolused the 3.6u correction. It was after 12:30am Wednesday. Checked about 90 minutes later and I was 336, BG hadn't budged. I was getting worried, thyinking I had another bad set. I bolused another 1.0u and went to bed, but I set an alarm to go off in 2 hours. Woke up a little before 4:30, BG 232. So I knew the set was working, but my BG should have dropped a lot more. Pump suggested .6u, so I gave it and fell asleep. Woke up again at 6:30am, BG was 200, pump suggested a correctio, but I don't remember how much. Out of frustration I bolused 2.0u and went back to sleep. Woke up at 9am, covered in sweat and shaking. Checked my BG, only 64. But, I actually felt it! I don't know if it was because my BG was so high for so many hours, but I was actually pleased that I felt some old symptoms. I forgot just how nasty it is to be drenched in sweat, alternating between feeling warm & cold. I ate a couple of glucose tabs and took a shower, and was 98 when I got out. My BGs were perfect for the rest of the day.

I have never had such a stubborn high like that. Usually 2 corrections and 3-4 hours will get me down from a high high. Most come down within an hour. Next time I get a No Delivery alarm I'm changing the set right away and redlivering the entire bolus.

melissata

11-10-2006, 06:19 AM

spike

11-10-2006, 06:34 AM

The no delivery is usually because of the canula, so checking the insulin coming out of the tubing doesn't tell you anything. Whenever we have gotten a no delivery in the middle of a bolus, it usually says that some insulin was delivered. The resulting high bgs say differently. I have also decided that next time it happens, I will redo the entire bolus and just do frequent checks to be sure that she doesn't go too low.

A SIL doesn't have a cannula. it has a steel needle. It can, however become occluded. I had a Sure T occlude, and my wife had one occlude on her fourth day of using it (shame on her). Children seem to be having trouble with occlusions with Sure-T's within a day of insertion, due to their stronger immune systems. that's why MM recommends S-T's be worn for only 2 days. I wear mine for 3.

JediSkipdogg

11-10-2006, 06:48 AM

A SIL doesn't have a cannula.

What silhouette's are you talking about? The silhouette is dead on the Comfort infusion set by Animas in that it's a 19 mm plastic canula.

spike

11-10-2006, 06:50 AM

What silhouette's are you talking about? The silhouette is dead on the Comfort infusion set by Animas in that it's a 19 mm plastic canula.

oh, right! too early in the morning. I was thinking of the nasty long introducer needle. it's the bent needle set that's just a needle. you are absolutely right, jedi. Both are so uncomfortable for me, I can't use either one. I tried a couple of the bent needles and one SIL and had to rip them out after a few hours.

poodlebone

11-10-2006, 06:53 AM

A SIL doesn't have a cannula. it has a steel needle. It can, however become occluded. I had a Sure T occlude, and my wife had one occlude on her fourth day of using it (shame on her). Children seem to be having trouble with occlusions with Sure-T's within a day of insertion, due to their stronger immune systems. that's why MM recommends S-T's be worn for only 2 days. I wear mine for 3.

No, it has a cannula. The introducer needle is withdrawn, just like on a Quick-Set or Sof-Set.

I think maybe I had inserted this one too deeply. It was in my fleshiest area and they tend to go in deeper there. I much prefer my upper abdoment but I wanted to give it a break. Even though the cannula looked fine when I pulled it out, it must have gotten bent or clogged right around dinnertime.

poodlebone

11-10-2006, 06:56 AM

The no delivery is usually because of the canula, so checking the insulin coming out of the tubing doesn't tell you anything. Whenever we have gotten a no delivery in the middle of a bolus, it usually says that some insulin was delivered. The resulting high bgs say differently. I have also decided that next time it happens, I will redo the entire bolus and just do frequent checks to be sure that she doesn't go too low.

Not too long ago I got an error message when I was priming new tubing, and saw that no insulin was coming out. I switched tubing and everything was fine. So, that's why I checked the tubing, in case that was clogged again.

My CDE did tell me to redo the whole bolus if I got a No Delivery alarm but I'm always a little scared of doing that, plus I was so sure the alarm wasn't for real.

The 2.8u bolus I missed required a 7.2u correction to make up for it. I know that when I missed an injection while on MDI, my correction would also be so much more than the missed bolus.

spike

11-10-2006, 06:58 AM

No, it has a cannula. The introducer needle is withdrawn, just like on a Quick-Set or Sof-Set.

.

I know; i just responded to Jedi before you posted.

JediSkipdogg

11-10-2006, 06:58 AM

Not too long ago I got an error message when I was priming new tubing, and saw that no insulin was coming out. I switched tubing and everything was fine. So, that's why I checked the tubing, in case that was clogged again.

I've had that happen once or twice before. It's very rare though as I believe all infusion set tubings are double tubed. There is a tube inside of a tube, making it harder to stop insulin flow.

poodlebone

11-10-2006, 07:00 AM

I've had that happen once or twice before. It's very rare though as I believe all infusion set tubings are double tubed. There is a tube inside of a tube, making it harder to stop insulin flow.

That was a first for me. Never had any problems with tubing before, even after getting them twisted and tied in knots, or finding it pinched under the pump clip for hours. The actual opening in the tubing is so incredibly small, it seems almost impossible that anything would make it through.

spike

11-10-2006, 07:09 AM