Bad pump sites

this looks a lot like the soft set, which we did get samples of though we haven’t used them yet as we do not have the inserter, which apparently makes them really scary to my 6 year old:) It appears to be the same kind of connector which is good. I figure if we can at least eliminate the bad sites that have been caused by not being able to reconnect properly that would help a lot. I think this has been the case about 4 times since we started pumping oct 5. the soft set is still a 90 degree teflon cannula same as quick set but it looks like this pic.
We tried the orbit micro, but his body seemed to reject the steel sets, so we didn’t try the sure T though i do have a sample of one. we also tried the cleos, but it fell off (came completely unstuck) after a couple of hours.

what do you do with BG that neither comes down with correcting nor goes up? I had a 19 reading (confirmed on the other meter), an hour later a 15 on the usually more reliable meter, half hour after that 16 on the same meter as the 15, 14 on the other, half hour after intial reading 15 on the one that had read 16 and 14 again on the other. If the site is bad wouldn’t his BG be rising? and yet it isn’t coming down either. He had been low before bed and since last night I couldn’t keep him UP at a good number, thought it best to not count all the carbs in his bedtime snack bolus. mayb this backfired. this site was changeed this afternoon and was working great.

There have been times that my glucose levels have stayed the same no matter what I did. Sometimes this just happens. If my glucose levels are above a 9 and I have done a second correction bolus. I do a correction injection. I do this because this is what the doctor told me to do when I first started on the pump. I am not a nice person when my numbers are not in control.

My dog does not like it either and she can be a royal pain. I am allowed to be between 5 to 8 or the dog starts letting the family know something is wrong. If I am at an 9 the dog starts standing on my chest or lap and gets very annoying. She will do what ever it takes to get my attention.

Tracy sorry to hear about these stubborn numbers – this situation can also be a sign that he is not getting enough basal insulin at that time of the day. I correct every two hours in this situation (and would do the second correction by injection).

Check and see if his blood sugar tends to rise at that time of day. One of the benefits of the pump is that if he needs more insulin as basal insulin at that time of the day, it is possible to adjust his settings for just those hours.

Given that he is new on the pump, his settings may still need adjusting, which can be very frustrating! When I started on the pump, my doctor made me promise to stick with it for 1 year because often you don’t experience the advantages of a pump until all your settings are right.

Does you doctor have you doing basal tests?

I have the exact opposite problem…my site doesn’t go BAD…it is when I first put it in that I sometimes have problems, not all the time but sometimes…I can not figure that out. I will shoot up to 300 and take a shot to bring it down. At times the highs lasts for 1 or 2 hours but usually the site takes “HOLD” and basal/bolus are back to normal.
I thought it might be a site rotation problem, but i rotate 5 rows of 4 on each side of my stomach…thats over 100 days before I get even close to a previously used site (based on a 3 day insertion). And yes I have more fat in one area compared to another. Another one of my life’s diabetic mysteries that me or my Endo can not solve!!! Mark

maybe we need to get a dog:) I guess I was just thinking that if the numbers aren’t going up, it must not be the site? (which it turned out it was not the site in this case and they did eventually come down with a second correction)

I am not sure what basal tests are. I think what happened in this case is that in an effort to avoid the low numbers we had been seeing, we had cut his overnight basal again and at the same time I think I left tooo many carbs out of his bedtime snack bolus. live and learn I guess:)

Are you giving enough insulin when you fill the cannula? Many pumpers find that they need more insulin to fill the cannula than the infusion set instructions suggest. I found that I always need a little extra insulin to “warm up” the new site.

My son had trouble with his sites falling out or the edges partially becoming undone. We use SKin Tac and that holds his sites on even through sweating through 80 minutes of soccer playing, swimming and wake boarding. We just started using the Mios. I am hoping that these will be better for him because he can do the whole inserting thing independently which I have been trying to get him to do for quite some time.

It is a lot of trial and error when you start the pump . Throw in hormones and growth and it is alot of adjusting of basal rates and carb ratios…You may have to do delays to see if his basal rates are where they should be and then figure out if your carb ratio is where it needs to be. I have a friend whose child has at least 2 different carb ratios depending on the time of day. I know the lack of sleep does you in also. It is exhausting. Hang in there… it should get better… it is so overwhelming and exhausting initially but you will soon get it all figured out. Nancy

inject with a syringe. Sometimes the site just refuses to adsorb well, no matter what.