Insulin leaking out

Does anyone remember when I complained that my BGs were always elevated for
a few hours after a site change? I think John’s post now explains it. I’m
going to try that. Thanks
Jan (60 y/o, T-1 11/5/50, pmpg 8/23/83)

7 Responses to “Insulin leaking out”

  1. mattie_70 Says:

    Let us know how it goes, Jan. I’ve seen posts about this on other diabetes
    lists. I’m never sure whether the high bg’s are caused by the trauma of
    changing a set (which presumably it isn’t in your case, after 17 years!),
    or whether it is something to do with the interruption of insulin supply.

    But don’t leave the old set in too long! With no insulin coming out of it,
    the immune system will get to work on it quite quickly…

    John

  2. damian150 Says:

    I have a theory that when one gets in on a procedure at the beginning of
    development (in my case, 1983), one can *fall through the cracks* at some
    point with *teachers* or whatever *assuming* (you know what happens when you
    assume) since it has been that long that all new procedures subsequently
    evolving are automatically absorbed - or in this case, infused.;)
    My point? I have searched my pumping manuals that have come with my MM
    506 and 507C and cannot find where the *prime* of .5u is to go inside the
    person after insertion. I have always primed but before insertion to see the
    drip at the end. If this is only a person-to-person teaching thing, I
    believe it should also be printed.
    Knowing that when the introducer needle (SofSet) is removed there is now
    an empty cannula makes absolute, complete sense — NOW. I guess that .5u gap
    sensitivity is what makes the diff. with me. When I changed the site a
    couple of days ago I primed INSIDE me and left the *old* one attached about
    1 hour and I was 117 a couple of hours later.

    Live and learn.
    Jan

  3. kristan_180 Says:

    Strange, but I have just the opposite effect. After a change in site,
    performance immediately improves. Then deteriorates as time progresses, and
    by four days usually down 20 percent or so.
    David

    John Neale wrote:

  4. orville_400 Says:

    we were told to give a bolus of 1 unit any time a infusion set was changed to
    fill the catheter ot needle
    i have also at times given a 1 unit bolus when taking it out esp if she was
    going to get a bath or something before another one is put in
    have not seen any leakage yet due to this
    kathy

  5. damian150 Says:

    This is/was my point from a previous post: Being told is not the same thing
    as being in print in a manual. That’s how I fell through the cracks. No one
    ever told me and I missed the page it was printed on - if it was printed.

    Be sure to check the BG following the change in case a minute amount was
    undetected.

    Jan

  6. rodney_800 Says:

    You are right Jan, we did fall through the cracks. With pumping 18 plus
    yrs, I have gained more info on this list than I have since I got my pump.
    At first I think the Dr and DE felt I knew so much more than them, that
    they forgot to pass on any new info.
    Gail

  7. kristan_180 Says:

    I always use 0.5 units BEFORE inserting the needle to take up the backlash, then
    0.5 units after inserting the needle (bent in my case). I don’t even remember
    where I learned this, but it works fine every time.
    David

    jan hughey wrote:

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