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May 24th, 2012
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We found 10 result(s) that match your search "infusion site stress":

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I knew that walking around the huge Texas airport carrying two pieces of luggage would be strenuous. I also knew that the stress of making a flight and worrying about forgetting things would be a factor. So I lowered my basal by two increments about an hour before hitting the airport.

 

When we finally made it to the terminal, I checked in at 150. Perfect. I wanted to run a little higher than normal to avoid a low. I didn't bolus and kept my basals the same.

 

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Typically, I put in a new infusion site and leave the old site in for a few hours. I rarely have a bad transition. Occasionally, the site will hurt or feel uncomfortable so I replace it with a new one. Even on those occasions, it's immediate so I don't peak from the bad site.

 

But the last two sites have given me some trouble. I'm rotating like normal, still leaving my old site in for at least two hours, and making sure there isn't any pain. I'm still seeing numbers soar into the 200's without a true cause within several hours of replacing my site. And each time, I've replaced the site on the third high reading and come down within a few hours to a normal range.

 

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I use an insulin pump to manage my diabetes. The pump I use is from Minimed. I have always felt like they have taken good care of me and speak very highly of them.


Don’t get me wrong, I still think they are a good company but I was a little annoyed by a couple of things that happened.


First, I am signed up for the automatic refill program. Every three months a new box of my pump supplies shows up at my door and usually a little earlier then I need to I feel safe and secure. For whatever reason, my quarterly shipment was not sent.

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I try to change my infusion site every 3 days. Generally, I hit the mark almost perfectly at 72 hours. Lately, I've been running the pump all the way to the last drop of insulin so my infusion sites go a little longer (only about 5 hours). I've just gotten lazy in changing them out.

 

Even before I started doing that, my pump supplies started piling up. I would get shipments for 3 months before I was anywhere near being out. I have a 3-month supply just sitting in my closet while I still use the current supply I have (about 1 month). My next shipment will probably be here within the month.

 

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It took us just short of a year, but we finally discovered the right time of day to change Charlie's infusion set.
From the start of our pump training, we were instructed to change his site in the mornings. Before bed was not recommended for fear of low blood sugars.
So, we did as told.
And for months, Charlie's blood sugars were extremely high for a good part of the morning and into the early afternoon on site change days.
Our doctors weren't sure what to make of it. We all theorized that it was the stress of the site change sending him out of the stratosphere. Seemed to be a good enough explanation. He did absolutely flip out with site changes. The hope was that he would eventually not stress so much with the site changes and the blood sugar levels would fall into place.
Never happened and never happened. (READ MORE)


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I hate site-change days. It's not often that I use that word, but really, I hate days like today.

 

I was rushed this morning. I had planned to get up earlier than I did anticipating that I'd need to do a complete site and reservoir change. Didn't happen -- the getting up early part. As I sat at the table watching the kids eat breakfast, I felt myself rushing through the site-change ritual, even getting the infusion set tape stuck to the side of the QuickSerter. That's never good.

 

Take deep breaths, Michelle, I told myself. Slow down, I said. You're going to wind up with a bad site if you don't. So I did. Sort of. Well, enough to get my infusion set inserted.

 

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I'm always high on a site-change day. I've tried doubling the recommended amount of fixed prime, but I still wind up in the upper 200s. I've tried doubling my fixed prime and overbolusing for breakfast (I typically change my site first thing in the morning before breakfast) and I'm still high.

 

It occurred to me recently that I didn't know for sure if the "trauma" to my body from the site change was the culprit or if it was the insulin absorbing into a new place or both that was to blame. Because I'm only high after breakfast; back into range by lunch time.

 

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I started using the Silhouette infusion sets last night. I'm in completely new territory with these sets because I'm using them in new locations. This one went into my outer thigh.

 

I forgot to order the inserter, so I had to manually insert the needle. I got the longer needles/canulas, which scare me a little at first just because of their length and thickness. But inserting the needle was actually quite painless and effortless.

 

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Sunday, 10:30 p.m.: I'd just finished eating some cottage cheese and fresh pineapple thinking I was too low to go to bed. I had been 116 mg/dL after dinner and was around 110 mg/dL at bedtime. I had taken off Dexcom Saturday morning because the edges of the tape were getting frayed and the internal sensor was actually poking me funny. I decided to have a weekend without the extra equipment. But as I went to bed, I was really wishing I could see a trend line, especially since my finger sticks all weekend had been mostly lower than I expected.

 

Monday, 5 a.m.: I tested prior to getting out of bed and was not happy to see 322 mg/dL. It's kind of hard at 5 a.m. to figure out why you're that high, but I tried. The only thing I could come up with was that I was too aggressive with my bedtime snack. Also, I had momentarily gone back to using my lower abdomen for an infusion site and I thought it was possible that my site had gone bad.

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I could feel it. That slightly lowish feeling. After I confirmed, I slammed my meter down on my bedside table.

 

"Gah!" I said.

 

"What's the matter," The Mr. asked.

 

"I have a fasting blood draw this morning and I'm 56 mg/dL," I said. "And last night before bed I ate that brownie and didn't bolus for it."

 

"Maybe your pancreas is spitting out insulin every now and then," he chuckled.

 

In reality, what I think is happening is that tired old story about moving my infusion sites from my lower abdomen out to my hips. I've had at least one low per day for close to two weeks.

 

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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
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