[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.


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]

Originally Posted by duck

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? . 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!

[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]

Originally Posted by 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? . 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!

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]

Originally Posted by 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.

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]

Originally Posted by 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. 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 .. 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? 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]

Originally Posted by 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? 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?

[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.

Originally Posted by 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?

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.