no delivery

[JanTx]

Got the first "no delivery" message on my MM 722 today. I straightened out the tubing and repeated the bolus and things seemed to be fine. Wasn't sure if "no delivery" meant absolutely zero or if any had gone in already. Did I do right?

Also - I use Quick sets and have had trouble with about 4 of the last 6. The sticky stuff is sticking to the inserter and hanging up before it goes in. It usually ends up folded under after I work to get it off the inserter. I've been pumping since Oct. 14 and this is the first trouble I've had. Could it be this box of sets? I don't see how my technique has changed, but ???

[Stumpkins]

I am sooooooooooooo with you on the sticky stuff sticking to the inserter. It happens to me- probably every 2 set changes, drives me MADDDDDDDD!!!

I used some adhesive remover, on the inside of the inserter, and tried to remove all the goo... :)

No Deliver -- I have gotten it before, and from experience, it has seemed that I was getting ZERO insulin...

[Funnygrl]

I don't think no delivery means none went in. On the Cozmo when delivery restarts, it tells you how much went in. Doesn't the Minimed?

[NoelD]

Got the first "no delivery" message on my MM 722 today. I straightened out the tubing and repeated the bolus and things seemed to be fine. Wasn't sure if "no delivery" meant absolutely zero or if any had gone in already. Did I do right?

Also - I use Quick sets and have had trouble with about 4 of the last 6. The sticky stuff is sticking to the inserter and hanging up before it goes in. It usually ends up folded under after I work to get it off the inserter. I've been pumping since Oct. 14 and this is the first trouble I've had. Could it be this box of sets? I don't see how my technique has changed, but ???

I had the same issue with the quick sets. I am just very picky about how it sits, how I remove the paper, etc. You have to be very careful or it will happen. It pi$$ed me off seriously when I did it the first time. I was ready to throw it out the windows I was so mad. But I was careful with the next one and it was ok. You can insert the quickset without the inserter device too.

[MJM]

Got the first "no delivery" message on my MM 722 today. I straightened out the tubing and repeated the bolus and things seemed to be fine. Wasn't sure if "no delivery" meant absolutely zero or if any had gone in already. Did I do right?

Also - I use Quick sets and have had trouble with about 4 of the last 6. The sticky stuff is sticking to the inserter and hanging up before it goes in. It usually ends up folded under after I work to get it off the inserter. I've been pumping since Oct. 14 and this is the first trouble I've had. Could it be this box of sets? I don't see how my technique has changed, but ???

Hi Jan. The "no delivery" message can be checked if you go to bolus history. This will tell you how much, if any, was delivered. I have a MM but I don't have a 722. I reckon they all have probably much the same functions.
As regards the Quick-sets I've also experienced some trouble similar to yours. When I put the Quick-Set into the Quick Serter I hold it down with one finger until it is properly set to release. It reduces the awful experience of sticking most of the time.

[camjen1]

When a “No Delivery” alarm occurs, it means the pump is working correctly but it has detected
that something is preventing insulin from being delivered. Your pump is not broken. Do the following
steps:

1 Check your blood glucose and take an injection if needed.

2 Make sure that there is insulin in your reservoir and the tubing is not kinked. If these are all right, go
to step 5.

3 If necessary, unkink tubing. Clear the alarm by pressing ESC and ACT. A screen will appear with two
choices: Resume and Rewind. Select Resume.

4 If the reservoir is empty, clear the alarm by pressing ESC and ACT. Select Rewind and change your
reservoir and infusion set per the instructions in chapter 4, “Starting on insulin.”

5 Continue troubleshooting by disconnecting at the quick-disconnect, and set a 10 unit Fixed Prime.

6 Does insulin come out of the needle at the quick-disconnect?

a. If yes, change your entire infusion set per the instructions in chapter 4, “Starting on insulin.”
If NO insulin comes out of the needle at the quick-disconnect, or you receive another No
Delivery alarm, call the 24 Hour HelpLine.

b. Your pump remembers the last fixed prime you deliver, so make sure to set your fixed prime
amount back to your usual setting. To do this, deliver another fixed prime in your normal
amount (the amount specified in your infusion set instructions).

7 Monitor your blood glucose closely.

[trailrunner]

I had the same issue with the quick sets. I am just very picky about how it sits, how I remove the paper, etc. You have to be very careful or it will happen. It pi$$ed me off seriously when I did it the first time. I was ready to throw it out the windows I was so mad. But I was careful with the next one and it was ok. You can insert the quickset without the inserter device too.

I use the quick sets with out the inserter, It's a whole lot easier. Doesn't hurt any more than a poke.

[Gordonm]

I have been using the Quick Sets since Oct 17th, when I started pumping. I have never had a problem with them. I am real careful when removing the paper and have never had them fold over. I can see how this would happen but I am just careful when pulling the paper off. I stick it in the inserter and hold it down with the needle guard. I then grab the tab and roll it to the side and it stays down this way. I push down on the guard then remove and insert it.

[melissata]

Our experiences with no deliveries were that no matter how much the pump said she got, she didn't get ANY. We decided that next time it happens she will get the entire bolus again, and monitor closely. Every single time she has ended up very high if we trust what the pumps says and just give the remainder.

[JanTx]

I have also been very careful and had no problems for three months. Stumpkins has solved the problem - once one of them stuck there was residue adhesive on the inserter. So it has been catching the subsequent sets when I put them in there. I promise no one could have been more careful that I after that first one stuck! Just never thought to check for goo on the 'serter. I'm about ready to try without the inserter - I'm thinking that the qualms I have about hand inserting it couldn't be worse than the anticipation of that CLICK when I use the inserter! Thanks to all!

[subvet1969]

We have used the quick-sets for our daughter for 7 months and have found that the "no delivery is usually a kinked tubing. We recently had to stop using the quick-sets because we were having so much trouble with them. The "no delivery" wasn't that often...the biggest trouble we had was no warning at all. She ended up nearly in DKA twice during the month of December because of the kinked cannulas. They would either fold over or simply pull out causing the pump to give no warning at all...and then it was too late. Bs' were 400+, we would insert another and then find out a few hours later, same thing...this time passing ketones. If the cannula pulls out or kinks slightly (slightly enough to not give a "no delivery error), then the pump thinks it is working fine because the insulin is passing through the end of the cannula but leaking on the outside of the body instead of being infused into the skin. The insulin is being infused at such little amounts that its tough to notice any moisture around the site. The toughest part about all this is you really don't know you inserted it correctly until a couple hours. We only get a limited amount of supplies, so it is difficult to make a decision to change the site so suddenly. We have learned that when the first "quick-set insertion fails, resort to the old syringe method. At least that way you know you're getting your insulin. We never did figure out if the latest batch of quick-sets we received were in fact a bad batch, or we just had bad luck. The frequent problems we had with the quick-sets were overwhelming with her being in the hospital during Christmas and then again on New Years Eve being treated for DKA and dehydration. We have since switched to the Sure-T's and haven't had one single problem ( except talking our 6 year old into letting us insert them manually...because there is no insertion device for this product). She now is ok with the small insertion needle and manual insertion and seems to cause her no more than a small "stick". They have worked perfectly every time and her bs' are now controlled nicely. You should seriously consider switching over to the "Sure-T's". I'm not 100% certain, but I don't think MM requires a doctors prescription for the change. I was told by an employee of MM that an original infusion set prescription is good for any of the 3 types of infusion sets that the customer decides on (Quick-set, Sure-T, or Sillouette). If this is the case, you still may want to make your doctor aware so that you may get any info regarding do's and dont's and instructions to properly insert them as they are all different. I don't want to totally bad mouth the Quick-sets because when they work, they are great and comfortable, but when they don't work, they can cause a lot of grief and aggravation as well as consequences that are hard to get control of. Good Luck.

[Lilly164]

when the cannula tip is against the abdominal wall. At least that was my experience the one time I selected a site that would pinch just 5/8 inch. Oops! The pump didn't give a no delivery alarm, but my BG climbed to 351 over a few hours. A site change to a more fatty area corrected the rise. When I removed the Quick-Set the cannula was curved a bit, not kinked or anything like that. MM said that an occulsion alarm will sound after 5 units of insulin hasn't been delivered. That is, the pump will recognize a build-up of pressure from 5 units of undelivered insulin.
Does this make sense?

Lilly

[RLK]

We never did figure out if the latest batch of quick-sets we received were in fact a bad batch, or we just had bad luck.

FWIW, I just went through the experience of having a bad lot of Quick-sets (6mm, 43" tubing). It probably wasn't you. I wonder if we had the same lot number (PM me if you want to check). But Medtronic was very very good about helping me straighten all of this out. I spoke to probably 4 different reps, all of whom were very polite and pleasant. They sent me new sets and, when those failed too, sent me others until I ultimately ended up with a brand new box of Quick-sets (that is, fortunately, from a different lot!).
I have had complaints about their customer service in the past, but this experience was A+!

[Klososky]

i had problems in the last few months with the quick-sets, which i have been using for 4 years, i got a lot of no deliveries, today it hit rock bottom, it wouldnt deliver in my stomach, hip, or but cheek (for lack of a better word.) the 24 hour line said they will overnight me some sil's, which i am tottally not interested in, my minimed rep is (luckilly) my next door neighbor. she gave me the minimed "Sure-T" infusion sets, there marketted towards Peds, but she uses them, and also told me my doctor uses them with all patients as of november.

it's one of the sets that has no canula, the flexible needle stays, its 6mm, or about the size of the BD mini pen needle. its very cool, sooo much more comfortable then my 6mm quicksets. i do find it odd that there is nothing about them on the minimed site. i asked the 24 hour lady if i could exchange, she said yes, but acted surprised when i asked about them. there are two sticky things, the actual needle one, and just a plaine stickey where the disconnect is, there is about 2 inches of tubing between the two, it's really amazing how much better they work. it even seems to deliver faster, and insertion is painless, i hate they only come in 23 inch tubing though, thats the only drawback.

[dimes1]

Klosoky,

Is the Sure-T needle thin? Do you feel the needle during activities? Do you just push in the needle and tape down the sticky things?

I have been getting no delivery messages lately with the Quick sets, but have a needle phobia and am a bit scared about inserting a needle without an inserter. Needle phobias are not great to have if you are diabetic.

Thanks

Steve

[Klososky]

Klosoky,

Is the Sure-T needle thin? Do you feel the needle during activities? Do you just push in the needle and tape down the sticky things?

I have been getting no delivery messages lately with the Quick sets, but have a needle phobia and am a bit scared about inserting a needle without an inserter. Needle phobias are not great to have if you are diabetic.

Thanks

Steve

ok, being a needle-phobe my self i just about lost it when my minimed rep said no serter but, the needle is 6mm, and very thin.

if you use the 6mm quickset:
next time you pull out your old quickset (the part that is in you) examine the canula, the needle is that long.

if your familier with pens it's the same size as the BD Mini Pen Needle .

so far i can deffinitly tell i'm going to have to be more strict about changing every 3 days, it's no big deal though it's extremely easy, and you dont have to carry a serter around. I'll put it this way: after I put the sure-t in my rep gave me a syringe with some insulin and i couldnt do it myself, lol it was the first time in 4 years i have had to have a regular shot.

it does reqire a couple of extra steps while priming for example: you have to connect the two parts together when you prime. the only thing I HATE is the short tubing, it will take some getting used to, i'm a pretty tall guy though so it may be just be me.

i would say switch, so you dont have to go through the problems i did.. its up to you. if you want me to i can email you some pictures of the sure-t.

I ALMOST FORGOT! call minimed, right now, and ask for a sample, they will overnight it to you, free. 1-800-MINIMED

BTW, the needle is semi-flexible, like i said before my doctor has about 1000 patients, and is starting to implement all his patients.

[dimes1]

Klososly,

Thanks so much for the information. A picture would be nice if you don't mind.

I will contact Minimed for some samples. I do use the 6mm canula and actually like the short tubing so that won't be a problem for me. My main worry with the quick set is that I am thin and only have a few areas with enough fat layer for insertion and fear using them up. I think a needle could be better in this way also.

Thanks again,

Steve