Hi Dana, my son 7, started on the pump last year.
The nurse at the hospital suggested that we should take an angled infusion set, but to try the samples that were given to us by the sales rep, maybe your daughter will have a preference of the one she wants to use if you have samples.
The doctor told us that if our child was “active” (like almost every child is), than we should use the angled ones, since the 90 degree ones are shorter and tend to fall out easier. But that’s her advice. Like I said, you have to try them to know for yourselves.
The ones we have been using for a year are the Inset Confort Short (23") (manual ones). The first month was hard, even if we used numbing cream. Just seeing the needle on the set scared him, not because there was pain. But sometimes, even with the cream, it hurts a little bit. The nurse told us that most kids complain about taking off the sets more than inserting them and it is true in my son’s case.
My son does not have fat on his stomach but we learned how to do it and it is fine to do it there and on his backside. We tried on the thighs and had a lot of problems, I don’t know why.
We tried the Inset II (90 degree angle) and he cried after it was in saying it hurt him a lot (it was on his backside).
We tried the Inset 30 on the stomach with no success, we will try again on his backside to see if it works better there (we would like to show family how to do it with an inserter and are hoping it will work).
We have found that if we want the infusion sets to stick well to his skin especially for swimming, we have to use IV Prep (which disinfects and has a little bit of adhesive in it) and also Skin Tac (adhesive wipe) before insertion. But, that all depends on your daughter’s skin type.
And oh, we cannot do a site change right before swimming, because it falls off (we tried it 3 times and fell off even with the Skin Tac).
The kind of sets we use has a small hole through the little window (for the canula to go through). In our case, if we don’t cover this little window with an IV 3000, we have to do a site change after 2 days because the infection is starting at the site, but if we put one, than we are good for 3 days between site change.
We tried the ice thing and for him it really did not work, so cream it is.