My pump has malfunctioned/overdose

I have an Animas, like I said it has Max Basal, Max Bolus, Max Daily and Two Hour (which to tell you the truth, I never paid a bit of attention to).
No matter what we all think happened in this case, it is a good idea to check these settings! Great reminder for all.
Thanks for posting these guidelines Nel.

I appreciate what you’re saying Neil but it definitely wasnt human error. I am extremely careful when doing my set changes, and it was a fresh reservoir in the pump just before I went out for my meal less than an hour later. I had a bolus for 3.5 and another for 1.5 - thats 5 units that was used - along with my miniscule basal amount.

i needed several cans of cola, pints of lemonade and biscuits etc etc etc before the ambulance was called. Everyone is entitled to view this however they wish - but this was an almost brand new pump - with a very attentive user…

I actually feel upset that it is suggested that I could have caused this myself - offended even tbh

I had very extensive pump training and it was my hospital that set the ‘safety’ dose.

Hindsight is the greatest wisdom isn’t it- I set my max dose as per hospital guidance on my pump training - I know now that the amount was set too high

regardless of that though- the pump shouldn’t have malfunctioned …period.

thanks Tarra - appreciate you saying that machines can/do malfunction at times…

I am still very emotionally distressed by my experience and will take offence if I am accused of causing this malfunction as I am ‘meticulous’ about my diabetes (My hospital team’s words) and my medications…

machines can go wrong - and mines did.

If members would rather not hear stories like this then I’ll not post anything further - sometimes bad stuff happens…unfortunately. I only posted my experience to make others more aware and cautious with their pumps, not to cause alarm and cause distress…I have been extremely unlucky.

Tarra - I’m glad you felt brave enough to give pumps another attempt xxx

I agree I probably was very unlucky - but my nerves are shot now …pity as it was suiting me really well.

I think though, and I mean this for myself, going over and reviewing those maximums is a good idea.
I checked mine since your thread started, and they are too high.
I copied everything to a new (refurbished) pump they sent me recently. I should have reviewed things.
Now, it is my responsibility to set my own settings since being a pumper over ten years.
I know you are a new pumper, but I think what we’re trying to say is that we have to go over what we have because it could easily be wrong, or be an old setting.
Just remembering how many times I had to change my settings when I started pumping and probably every year after, is a reminder enough that nothing stays the same when you are on a pump.
Non one knows if your pump would have even caught a delivery beyond the maximum. I hope that they review the pump for you and check all of it out.
We cant tell what your pump did or didnt do, but we all have the responsibility to make sure our own are working correctly. A lot of the MAUDEreports I am seeing are for people who arent paying attention.

Yes I agree that settings should be reviewed Laura - and I hope this never happens to anyone else.

My pump is now with my hospital team and being checked out before being sent to Medtronic for their own checks - so unfortunately I can’t type exactly what all my settings are - other than my insulin requirements as they were in my log book.
I know that when my pump info was downloaded to Carelink it didn’t show that anything had happened at all - other than an additional rewind when my reservoir was being changed - but as I said before, this wouldn’t have caused this…my team are thinking that the 3.5 was mistaken for 35 within the pump itself…as this corresponds with the sugar needed to fix me.
I can only say what happened…I wish I didn’t have to…I don’t intend to scaremonger or upset people, nor do I want people to panic (I do feel that this is a rare issue and that I was unlucky) …I only want people to be extra vigilant and pay close attention. I only knew my reservoir had lost insulin when I looked closely at my pump, and was confused that the insulin left was 124.5 in a newly filled reservoir that was filled to max.

I think the best we can do with bad experiences is to help other people.
I think you have.
I hope though, they are decent enough to report back to you from MM!

Thanks laura - since i’ve returned home I’ve been reading a lot and no-one who has experienced an issue (that I’ve read about so far) has had any explanation or feedback of value other than to blame the user…

I won’t accept blame…this wasn’t my fault…

I have stumbled over so many sad stories and it has been a very emotional time for myself, my husband and my family. No-one wants something like this to happen.
I know my pump failed me, and I want acknowledgement from MM that it did so that no-one else needs to experience what I did.

I hope you get acknowledgement from MM & that MM thoroughly investigates what went wrong. Steven Krueger’s family didn’t receive the info they so rightly deserved https://forum.tudiabetes.org/topics/more-interesting-facts-on?xg_source=activity

I used the paradigm veo 554

I also check my blood sugars constantly - probably too often tbh, and thats what made me aware, and initially worry as my BG was far too low after my meal and kept going down not up, regardless of how much I drank/ate

thanks for your message xx

Thanks Gerri.

Steven’s family and so many others too unfortunately :frowning: xxx

I’m glad your ok now. But I’ve been pumping for 23 years now with different MM pumps and (knock on wood) never had that happen to me yet. WOW!

Thanks Doris.

Glad you’ve had success - thats how I hoped my pump experience would have worked out :frowning:

Tragic that they are many others. Am horrified that this could happen even once.

Machines are interesting in that they can pass all the tests and get out in the field and fail. Sadly even with being checked over thoroughly there is still a margain of error with any product. I know the people work hard to put out good products but things can slip through.

I was very emotionally distressed after my incident and it took me years to give it another shot. I went with my gut and feeling and moved passed it evetually. I am hoping that you will find what will work for you. I know my family supported me going back to MDI after my incident.

Thank you for sharing your story. I know it trully helps others to have this information. If we don’t share then we all lose out on others experiences.

thank you xx

physically I am feeling much better and my Bg has actually settled really well…

emotionally though I am still having bouts of crying/deep thought…think that may take a bit longer…

admire you for going back on a pump- scary isn’t it if something goes wrong as you really don’t expect it to :frowning:

appreciate you replying - thanks xx

Animas has never come clean with me about my pump. I was told that they would give me a copy of the report and that it would take 2 months. That was January and I have asked a couple times and still don’t have it. The FDA requires them to submit a report within 30 days of an incident. The FDA updates the MAUDE database once a month so the first pump should have been reported in Feb and the 2nd in April. I have been reading the FDA site faithfully and neither of my pumps show up there. It looks like Animas only reports problems that are obvious user error.

As far as setting daily totals, if a pump is malfunctioning, it is not necessarily going to observe those limits. The extra insulin going into me was not logged by the pump.

I don’t find my Omnipod system annoying at all…

Helz,

So sorry for your issue. A number of years ago I had a similar problem with my MM pump. I had a crazy low that just kept going for about 2 hours and I had more than 200g of carb to bring it up. I drank two entire bottles of 100g of glucose and also had a number of those tubes of glucose gel. I was in San Francisco by myself at the time and ended up sitting in the chairs at a Walgreens pharmacy for those two hours pounding sugar and telling the pharmacist to call 911 if I passed out! Luckily I didn’t. The only thing that helped was unhooking the pump. When I looked at the reservoir it was also around 50 units or so less in there than there should have been. The numbers didn’t match.

This was back in the days when they told us the pumps were water proof so I NEVER took mine off. I wore it in the shower and it got doused with water all the time. After this happened, I was told that the pumps WEREN’T actually water proof - they could get little cracks in the cases if they were dropped and water could get in causing over delivery problems. (Hey - thanks MM for letting me know AFTER the fact!!) MM replaced my pump with another one and I haven’t had any over delivery problems since.

I have been using a pump for 13 years and I don’t think I’d ever go back. I know I am putting my life in the hands of this little device, but it is so much better for me than MDI. When I was on MDI I had the worst time remembering if I took my shots or not - I took 4 shots a day and rubber banded my needles into packs of 4 so I could count the number in the bundle to see if I took a shot or not.

These days I do wear a Dexcom, so I figure if there’s another problem like that I’d get warning. But I also feel like the over delivery problems are so rare, I’ve had mine so now I’m on the right side of the odds. :slight_smile:

I understand your decision but for me, I think that sometimes, you just gotta have faith…