I am new to the pump (less than six weeks). At first I thought it was great but now I am getting very frustrated. It seems as if the placement of the infusion set is very temperamental. Sometimes I change sets and my next 4-5 bgl are very high. I will then change sites again and things come back to more normal. I also seem to be having many more high bgls then I did when I was on the MDI program. Anybody got any suggestions?
rick,
dont be frustrated… starting on a pump is not easy… i understand your frustrations bout this, but dont give up… it will get better… it really needs some time to get use to it and get familiarize and all that stuff…
anyways, hows your basal rate(s)…? have you tried checking those and see if its the right basals for you? theres a bunch of factors contributing to high BG levels… if you get the chance, try to get the book by john walsh(pumping insulin)… its a great reference book, ive learned a lot from there…
infusion sites can be a reason too, today ive changed my site, i just changed infusion set yesterday and it seemed not to work, coz i stayed in 180s all morning, after breakfast and around lunch time…
you have to understand, that at this point, saying you just started pumping less than a month, you dont expect everything will just fall right into place… like i said, it will take time to do the “fine tuning”, tweaking with your basals, insulin-carb ratio, and all that stuff…
be patient, keep in touch with your CDE or doctor, and ask whatever questions you have in mind, or you can call the 24 hour helpline, if youre with minimed pump…they can help you…
lastly, i wanted to say, i started pumping march this year, and until now i cant say that everything is in place… being a diabetic, our challenge is how to manage these highs and lows… and how to find ways to avoid such… i guess we all have to deal with this all our life, but the good thing bout it is that we can avoid being high or being low almost all the time…
Good luck and stay safe…
What rick said. and . . .
Keep track of which sites aren’t working well and avoid them. If they are the same sites where you did your injections you may have built up scar tissue, reducing the absorbtion rate. You’ll eventually find the sites that work best. (Use a Sharpie to mark them, if you have to.) 
The pump isn’t magic. We still have to pay attention. I was surprised and disappointed to learn this lesson myself, but I came around.
The real beauty of the pump is not that we can plug in and forget, it’s that we can avoid the inconvenince of MDI. As with anything new, it takes time to adjust. Then once it’s adjusted its suddenly time to readjust.
I recommend that you buy a copy of the book “Pumping Insulin” by John Walsh for some insight in how to make gradual adjustments to level out your bgs.
Good luck,
Terry
What infusion set are you using? If it is the quickset perhaps you need the 9mm cannula versus the 6mm cannula.
If you are using the abdomen, I notice closer to my midsection works way better than on the sides, but I know you will figure it out, don’t give up.
Check out the Sure-T site by MiniMed. I’ve been a pumper for 9 years and used almost all of the infusion sets. I just came off of a bad experience with the silouette because of pain and bleeding and the quick-sets because of terrible kinking. The Sure-T is designed for pediatrics and MiniMed suggests using it in kids. I’m not a kid but my rep decided to have me try it. It’s one of those where the small needle is kept in, but it is really reliable and very easy to put in. I’ve never had bleeding with it and slight pain once in awhile. It can’t kink because it is the actual needle so the delivery is very reliable. If I would have know about the Sure-T earlier, I never would have used the other sites. Good luck!