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This morning as I changed my infusion set I decided to revisit abdomen sites. It has been a few months since I have had my site anywhere but my thigh. It is not like me to change things just for the heck of it but I decided to switch it up. It reminded me of a time long ago,
Way back when I was
first diagnosed, I only gave myself shots of insulin into my thighs. That was how I was taught and so that was the only way I did it. I remember several times I would hit a tender spot and be in a lot of pain. Or the worst was when I swear it felt like a knife stabbing an apple. I don't know if that was just scar tissue or my imagination but it was enough to really scare me on several occasions.
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Olivia uses a Minimed Paradigm pump - the 715 model. We have had no issues with it (knock wood, turn around three times, go outside and spit). I think I've called the help line once in the last three years.
She uses the Silhouette infusion sites. The angled cannula seems to be better for her. The sites that go straight in would bend and crimp. That's not to say she hasn't had the occasional problem with the Sils, but for the most part, they've been fine.
The last 10 or so site changes, though, have been different. The needle that plunges the cannula into her body (bleurgh) is bending. Really bending, like at a 90 degree angle. And it hurts a lot.
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Olivia uses a Minimed Paradigm pump - the 715 model. We have had no issues with it (knock wood, turn around three times, go outside and spit). I think I've called the help line once in the last three years.
She uses the Silhouette infusion sites. The angled cannula seems to be better for her. The sites that go straight in would bend and crimp. That's not to say she hasn't had the occasional problem with the Sils, but for the most part, they've been fine.
The last 10 or so site changes, though, have been different. The needle that plunges the cannula into her body (bleurgh) is bending. Really bending, like at a 90 degree angle. And it hurts a lot.
(READ MORE)
Olivia uses a Minimed Paradigm pump - the 715 model. We have had no issues with it (knock wood, turn around three times, go outside and spit). I think I've called the help line once in the last three years.
She uses the Silhouette infusion sites. The angled cannula seems to be better for her. The sites that go straight in would bend and crimp. That's not to say she hasn't had the occasional problem with the Sils, but for the most part, they've been fine.
The last 10 or so site changes, though, have been different. The needle that plunges the cannula into her body (bleurgh) is bending. Really bending, like at a 90 degree angle. And it hurts a lot.
(READ MORE)
Olivia is starting to look like a pin cushion. Her stomach is a mass of red marks, scars and bumps. It's not pretty. She refuses to wear a bikini or half shirt because of how her stomach looks (not that this bothers me, mind you!).
The problem we're currently having is that she's got so much scar tissue built up that she's running out of real estate for her sites. She currently uses her arms, her stomach and her lower back.
I'm sure some of you will suggest thigh sites, but she has really bad luck with those. Thigh sites generally make her rollercoaster - she'll be in the 400s in the afternoon and by dinner, be in the 60s. It's bizarre. I've tracked it and she's not over-bolusing or over eating. I think it's an absorption thing. She's got meaty thighs (she can thank me for that one). I don't know if that makes a difference or not; regardless, thigh sites just don't do it.
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People have favourite locations to put their pump sites. Olivia is partial to her belly. I know dLife's very own newlywed, Kerri, loves to put sites in her thighs.
Over the weekend, while we were at the beach, Olivia decided to try a thigh site, even though she hasn't had much luck with them in the past. Most of the time, she rips them out because she forgets they're there when she takes off her jeans. But it's summer, she's in shorts and she thought she'd give it another try.
Sunday morning, we put a site in. Sunday was OK. She had a couple of highs, but they were in the low 200s and, of course, she'd forgotten to put her blood sugar in her pump once or twice, which is her ongoing issue.
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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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A woman I know, from a mom bulletin board I frequent, has been talking to me about diabetes. She has type 1 and we've discussed the pump and CGMS and life with diabetes. It's been interesting. The site is huge and I never really had any conversations with this woman until we started sending messages back and forth about diabetes.
The other day she sent me a message about her nephew, her brother's son. He had tested his son's blood sugar, because the boy had been thirsty and tired and feeling pukey for a couple of days, and gotten a 280-something reading. The dad, who also has type 1, was really concerned but thought maybe it was just a fluke. A conversation with his sister convinced him to bring the boy in to the doctor's and now there's another child out there with this damned disease.
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There's a Band Aid on my tummy. A small, flexible-fabric Band Aid.
Underneath is neosporin, which is covering up my last pump site. I've never used neosporin -- or a Band Aid -- after pulling a site.
That site had been itchy for about a day. I knew it was (over)due for a change, but I had so little insulin in my pump that I didn't want to do two "site changes" back to back.
I primed my pump this morning and was preparing to quick-sert the set when I glanced at my soon-to-be-old site. It looked like my skin had been sucked up into the set. I usually leave the old set in for several hours, but this one I quickly ripped out.
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The crinkled tape and vibrant red-tinged tubing looks like leftover materials from an ancient bloodletting. Charlie's battered behind gets just a moment's rest before a new site is gored into his skin.
The pump does a lot of fantastic things. According to Charlie, if you press the up arrow three times while holding down the bolus button, you can create an impenetrable blue glowing force field. Up arrow four times while holding down bolus can obliterate the
High School Musical poster on his sister's wall with a single, powerful laser blast. Me? I like the ease in which we can fine-tune and tweak. I like that he doesn't have to be 200 all night. We can punch in just a dash of insulin to drop him to a safe 150.
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