Tandem pump users


#1

Tandem pump users-

Anyone using the t-90 infusion sets, do you ever get where the insulin hurts at the site when being delivered? Does this mean it’s a ‘bad’ site? (and I should change site?) Or is hurting at the site/under the site (when bolus is being delivered) normal? Does this mean a bent cannula?


#2

Not using that infusion set, but pain isn’t necessarily a bad thing. You didn’t say when it is hurting. Does it old happen when you first start a new set? Does it only hurt when you bolus, or do r basal increments hurt too?

If the site feels red, swollen, hard, and/or your BG raises uncharacteristically, then that is a bad site and needs changed. If it happens a lot, that infusion set may not work for you.

If it only hurts for a while after first inserting it, you may have just hit a nerve or got it in the muscle. That pain should diminish with time, though It can happen if you fill your new reservoir with cold insulin, too. Open bottles are supposed to be kept at room temperature, or at least left out long enough before filling to come to room temp.

Diabetes is just plain freaky, too. There isn’t always an explanation for the randomness. Good luck!


#3

Ah, the dreaded insulin burn. If your site burns only while the insulin is being delivered, it doesn’t mean you have a bad site. For me, this is normal. I am of average build (5’6", 130lbs) and have used both the 9mm Cleo 90s and the Inset infusion sets. I have experienced this with both sets. I rotate sites between my lower back and upper butt areas, and it tends to occur more often with my lower back where I have less fat. However, the burning (and occasional sharp pain) still occurs in my “butt sites”. I set my insulin delivery for slow, which helps some. And I have recently tried using 6mm cannulas for my “back sites”. The 6mm cannulas have helped immensely! I never change my infusion site due to solely the insulin burning during delivery. I have found that lightly itching around the area during the delivery helps lessen or remove the pain…I think it just allows my brain to focus on another sensation.

So, you may want to try a different cannula (shorter or an angled one) or spots that are more fatty than the sites you’re currently using…or just itch it. :wink: Good luck!


#4

For me it’s been because the insulin is being delivered too quickly. Some pumps allow you to deliver more slowly which helps with burning.