Site issues

[bel4_20]

Hey everyone, well its been around 6-7 months now on the pump (MM715) and the one reoccurring problem i am having is every time i change my site (3 days) for some reason unknown to my CDE and ENDO my blood sugar just keeps climbing for at least the good part of the day almost the whole one I have tried everything I can think of to combat this with no success. Anyone ever run into this or have this same affect? any and all suggestions are welcome. :banghead:


BTW: I'm using Novorapid (Novolog) with the 9mm quick set and have tried all sorts of locations, Insulin kept in the fridge in between usage ect ect..

[duck]

Bel,

So what you're saying is you are on the old set, everything is good...Time to change, the new site is good...Then, the rest of that day, you are high no matter what?

Are you "priming" after you make your insertion? Basically, you fill the reservoir, fill the tubing, insert the set and THEN do you prime for the 9mm of canula?

[Cinnabon]

Bel,
Are you "priming" after you make your insertion? Basically, you fill the reservoir, fill the tubing, insert the set and THEN do you prime for the 9mm of canula?

I second that.

[bel4_20]

So what you're saying is you are on the old set, everything is good...Time to change, the new site is good...Then, the rest of that day, you are high no matter what?


Yes Duck exactly that...

Are you "priming" after you make your insertion? Basically, you fill the reservoir, fill the tubing, insert the set and THEN do you prime for the 9mm of canula?

Yes I do, I feel like giving myself insulin right after the new set is in place just because I know it will rise but I also understand that that is not the right thing to do. Can the body passably be rejecting the canula maybe seeing it as a foreign substance or something? I'm sure I can't be the only person this has ever happened to?

[am1977]

I had the same problem. I would change my site and later my blood sugar would spike. Question for you...Do you leave your old site in when you change sites, or do you remove it right away? :questionm . I found if I leave my old site in for a few hours after and then remove it, I don't really have a problem. ;)

Hope this helps a bit! :wink:

[duck]

Weird.

How much higher?

If there was a rejection going on, it wouldn't stop after a day. Also, your site would be inflamed since inflammation is the first and most primal bodily immune defense mechanism.

I'm thinking (and typing) out loud here...So, day 1 on new set...Sugars take off. Do you attempt to correct? Does the correction work? NOW, what happens if you correct with a shot? Does that work? And once corrected (either via shot or bolus), does your sugars stay stable?

[duck]

I had the same problem. I would change my site and later my blood sugar would spike. Question for you...Do you leave your old site in when you change sites, or do you remove it right away? :questionm . I found if I leave my old site in for a few hours after and then remove it, I don't really have a problem. ;)

Hope this helps a bit! :wink:

Good point--Yeah, we should all do this, but within reason...Do not leave it in beyond your "safe" three days...I take mine out after I have established that my basals seem fine.

[bel4_20]

am1977 I have not yet tried that one but i will on Friday when I swap this one out and ill post to follow up on that. Oh Yeah Duck i correct and correct most of the day it does come down when i correct but not like it should when there more stable. when leaving the site in for awhile do you mean disconnect it from the tube and just leave the set in or leave the tube in as well? BTW Duck when I correct it does not stay stable it continues to go from there....don't get me wrong it does come down but not allot.

[duck]

am1977 I have not yet tried that one but i will on Friday when I swap this one out and ill post to follow up on that. Oh Yeah Duck i correct and correct most of the day it does come down when i correct but not like it should when there more stable. when leaving the site in for awhile do you mean disconnect it from the tube and just leave the set in or leave the tube in as well? BTW Duck when I correct it does not stay stable it continues to go from there....don't get me wrong it does come down but not allot.

Weirdness! Come to think, I have never been one to remove my old set until after I establish that my basals are good (okay, I said that)...So maybe I'll remove my old set when I put my new set in and we'll compare notes.

But yeah, in other words, do a "quick disconnect" when you are done with the old set, Do NOT remove the canula, and insert your new set. The tubing, reservoir, etc., are all up to you.

[am1977]

am1977 I have not yet tried that one but i will on Friday when I swap this one out and ill post to follow up on that. when leaving the site in for awhile do you mean disconnect it from the tube and just leave the set in or leave the tube in as well?


I just leave my old set in. I remove the tubing, reservoir, etc. Let me know if that works for you :wink:.. Hope it makes a difference :)

[bel4_20]

OK so I swapped out my set yesterday and kept the old one in for the later part of the afternoon and I can honestly say it did help although my sugar still rose it wasn't as fast and as hard as it usually does and I woke up with a normal reading as well which usually never happens when I change my site. So on my next change I will do it again, and post here again just to make sure this wasn't a fluke. Any indication on how long you can leave the old site in for? :dontknow: lets say I wake up for work change my site and remove the old one when i get in from work.... I'm sure that's OK? what do you guys think?

[duck]

OK so I swapped out my set yesterday and kept the old one in for the later part of the afternoon and I can honestly say it did help although my sugar still rose it wasn't as fast and as hard as it usually does and I woke up with a normal reading as well which usually never happens when I change my site. So on my next change I will do it again, and post here again just to make sure this wasn't a fluke. Any indication on how long you can leave the old site in for? :dontknow: lets say I wake up for work change my site and remove the old one when i get in from work.... I'm sure that's OK? what do you guys think?

I'm below 20 units as I type, so I when I change today I am going to immediately rip out the old one to see if we are on to something...

But, to answer your question, I typically leave the old one in long enough to get two readings in...But I have gone as long as a whole "work day" since I don't necessarily like ripping these things out away from home.

[HeatherP]

Would someone mind explaining to me how leaving the old set in after inserting a new on helps w/ b/s control? It just doesn't make any sense to me - is it that there's some insulin left in the tubing "stubby" or what? :confused:

[duck]

Well. So far I am running high, despite the fact I should be normal or low based on what I have done today and eaten earlier...This is with the old set immediately removed. Hmmmmm...It could be a *bad* new set, but this will take some time to prove.

:dontknow:

Would someone mind explaining to me how leaving the old set in after inserting a new on helps w/ b/s control? It just doesn't make any sense to me - is it that there's some insulin left in the tubing "stubby" or what? :confused:

I did notice tonight and have noticed in the past that when I remove the old set immediately, I leak a little bit--Is that enough to hose your sugars? I can't recall.

[bel4_20]

I don't know Duck?.... This is very interesting as I will do try it again next time you change your site, and I'm gonna do it again on Monday and re post my findings.

[BobP]

Strange and frustrating, I'm sure.

Any stress related with the site change? I am always underestimating how much it affects my BG. Monday through Friday, from about 7:00 am to noon I fight to get control. On the weekends during the same hours i have no trouble at all. I've concluded it's work-related.

Other incidents of stress bear out my sensitivity. It's particularly annoying because while it's palpable, it's only measurable in a general way - I can calculate carbs but how do you quantify how ticked off you are?

This may not be your trouble at all, but it's worth considering.

[bel4_20]

Well.... Yesterday I swapped out my site again left the old one in for several hours low and behold my sugars were fine. So I guess this really does work, Duck have you tried removing your site right away again? this would be very interesting to see from person to person how it effects everyone.

[duck]

Well.... Yesterday I swapped out my site again left the old one in for several hours low and behold my sugars were fine. So I guess this really does work, Duck have you tried removing your site right away again? this would be very interesting to see from person to person how it effects everyone.

I should be changing this set out...Wednesday night? Thursday? I need to set the reminder function--Anyway, as much as I loathe purposely hosing myself, I'm gonna do it the "bad way" to test our hypothesis--I'll let y'all know.

[duck]

Okay, we're on to something...I have been immediately removing my "old" set as soon as I get the new one in, and I had ran high last Wed., ran fine but a little high Sunday (and used a very small amount in my reservoir) and changed again this morning and removed the old set and was high until about two hours ago. Other days were more normal. So we are on to something, but I haven't got my head around *what* or *why*.

I know I read somewhere that said we should never remove the old site unitl we prove the new set to be good...That way, if the new set has an issue, you can plug back into the old set. Since this is something I have adhered to for years, I never realized removing the old set immediately could cause these issues...Weird.

[YouthIncJr]

well now that you have this figured out. How do you explain that I don't have the problem of running High when I change a site, and I remove the old one before I insert the new?

It just goes to show all of us are different with this stinking diabetes.

[duck]

well now that you have this figured out. How do you explain that I don't have the problem of running High when I change a site, and I remove the old one before I insert the new?

It just goes to show all of us are different with this stinking diabetes.

I dunno...What I notice is when I pull the site out immediately, I leak...But *just* an itsy-bitsy-little bit. I don't seem to recall leaking if I leave it in longer. :dontknow: And even if I leaked the insulin that keeps me running normal, a correction bolus should fix that, and I ran high for a better part of each day that I removed it immediately...who knows?

[middnite03]

so duck, how long are you actually leaving the old set in, a couple hours???

[YouthIncJr]

ok, It just so happens that I did a site change today. Here is a Question for you. How high is "running a little high" Because, after I read this, and even posted my earlier reply i have noticed i have been running in the 130's today, which isn't terrible, but is alittle higher that normal of around 100 +/- 10.

SO is my "a little high" the same as everyone elses? or are others running higher than that?

I have never left an old site in, and have never noticed any sort of spike in BG I can't say that I have noticed the "Leakage factor" either. I tend to change my site in the morning before my coffee though.

[duck]

so duck, how long are you actually leaving the old set in, a couple hours???

Too long, actually. :hmpf:

Sometimes, a "work day" (if I change early in the AM before work) or as long as I sleep (if I change before bed--I check my sugars before retiring). In any case, even if I adhere to the "no more than three days" rule, another 8-12 hours is more than three days.

The reason I do it is once I was at work (I worked off hours, and no one was around) and it was time to change my set--I had all my stuff with me, so I did. At breakfast time, I bolus and after about two minutes I'm thinking I smell insulin, and sure enough, there is a puddle where my new site is. Freaked me out, man.

The insertion set had a defect, the top was basicaly open, cracked, whatever. That was the only one I ever had that problem with (knock on wood). Anyway, luckily I still had the old one in, so I merely switched and then fixed things when I got home.

[duck]

ok, It just so happens that I did a site change today. Here is a Question for you. How high is "running a little high" Because, after I read this, and even posted my earlier reply i have noticed i have been running in the 130's today, which isn't terrible, but is alittle higher that normal of around 100 +/- 10.

SO is my "a little high" the same as everyone elses? or are others running higher than that?

I have never left an old site in, and have never noticed any sort of spike in BG I can't say that I have noticed the "Leakage factor" either. I tend to change my site in the morning before my coffee though.

This first one I was about 50 points higher the first half-day or so than normal...It seems to me the change I made over this last weekend was a little less high (I was also more active, though) and yesterday I was terrible. I was correcting allllll day (at one point I was inexplicably in the low 200's), and then I literally crashed when I got home (mmmmmm, peanut butter and jelly sandwiches...).

I haven't gotten my head around this one yet. :albertein

[bel4_20]

OK duck I have been leaving it in since we started this post off and just the one time did it not work for me, every other time it has worked and my sugars have kept "normal" or at least not take off on me. so?........ whats the deal here, pretty weird :albertein