Pump=keytones+highs?

[Bobby T]

So fot the last week I have been getting failed site after site.I have been pumping for 4 years and have tried every set.I am verry lean and siloute 13mm work best for me until now.7 sets later and 5 days of anger.Well I found the cause I have blood after I pull out the sites and im not getting my insulin.I have tried diffrent areas,called minimed and still have no answers.The only thing I wonder is when i insert i go slow is this the cause?

[Subby]

Well, why not try fast, that's the only way to know for sure. Experimentation will give you the answer. Why not try fast for say 3 or 5 sets in a row. If none of those are improved, then you can cross it off the list. I myself, insert not quite as fast as I inject, but pretty fast. The inserters do it like a bullet.

You sound really fed up, and I can understand that. You know, as I type this I've just take my first shot of long acting for almost two years - I'm going to have at least a few days break from the pump. How about giving yourself a break, physically and mentally? Did you inject before?

[Bobby T]

Well, why not try fast, that's the only way to know for sure. Experimentation will give you the answer. Why not try fast for say 3 or 5 sets in a row. If none of those are improved, then you can cross it off the list. I myself, insert not quite as fast as I inject, but pretty fast. The inserters do it like a bullet.

You sound really fed up, and I can understand that. You know, as I type this I've just take my first shot of long acting for almost two years - I'm going to have at least a few days break from the pump. How about giving yourself a break, physically and mentally? Did you inject before?

If I go to shots how much insulin for my basal.I take 24 units on the pump,so 24 would make sense?And yes I have been on shots way back 4 years a go so im nervious to go back as im used to the pump.

[Subby]

I think it's best to have a chat with your DE or endo about going back to shots. They should be supportive of the idea of having at least a pump "holiday". We are not cyborgs, not created to deal with something attached to us 24 hours. It should be completely understood and supported that you might like a break, and they should help you work out the doses and details of a return to MDI.

That might mean this is put off a little while for you, (how soon can you see them/talk to them?) but it really is safest to discuss it with someome in person, to cover all bases.

[AngelKitty]

Hi Bobby,

Sorry to hear you're still having trouble with your sets - I can well understand your frustration - I've had to change 2 sets in 24 hours as well and it is very annoying / frustrating so I've also been wrestling higher BGLs too.
Out of interest were all the sets you've had trouble with from the same box / batch?
Have you considered trying a shorter mm canula since you are so lean? Perhaps a 6mm or 9mm, or maybe even a Quick-Set instead of a Silhouette.

Subby's suggestion of a "pump holiday" may do you some good until you're feeling a little less frustrated pumping - definitely talk to your Endo and / or Diabetes Educator.

Keep us posted on how you're doing.

[poodlebone]

If I go to shots how much insulin for my basal.I take 24 units on the pump,so 24 would make sense?And yes I have been on shots way back 4 years a go so im nervious to go back as im used to the pump.

Generally people use less basal insulin on the pump. I believe the general rule is your basal decreases by about 20% when you go from injections to a pump. It might be best to just keep what you're using as your basal for now and increase or decrease as needed.

So fot the last week I have been getting failed site after site.I have been pumping for 4 years and have tried every set.I am verry lean and siloute 13mm work best for me until now.7 sets later and 5 days of anger.Well I found the cause I have blood after I pull out the sites and im not getting my insulin.I have tried diffrent areas,called minimed and still have no answers.The only thing I wonder is when i insert i go slow is this the cause?

I tend to insert the Silhouettes slowly and rarely have any problems. Do you pinch up the skin when you insert?