Comments on: back from vacation

By: hines7

hines7 — Sat, 29 Jan 2005 18:58:36 +0000

if your bs returns to normal or drops significantly then your site isn’t bad,
but i guess when using a site that has a cannula in it it can be kinked for
some time and no insulin is being injected and therefore you run the risk of
dka.
however you can get ketones other ways not just from lack of insulin, you
could be losing weight, or exercised really hard or sick.
you sort of have to use your own judgement when to change sites, some people
seem to change them several times in a day, and we only change once in five
days and her numbers are still good, and her site is without redness or
soreness and is completely healed the next day. but she uses rapids. we use
five days as it gets her threw till she really needs to fill more insulin
syringe as she hates changing her site when the tape is still stuck really
good.
kathy
alisha dx 2-2-98 pumping since 1-6-00

By: Carlos Kiara

Carlos Kiara — Sat, 29 Jan 2005 11:29:23 +0000

Laurie,
I do much the same as you, if I feel it is not a site problem. I do check
in one hour and if the BGs are not going down and the ketones I then change.
Gail

By: jerrold16

jerrold16 — Sat, 29 Jan 2005 05:43:53 +0000

<< My CDE’s notes say that ketones automatically require a site change,
which I’d forgotten — the last few times I’ve had ketones I bolused,
drank a ton of water and saw them vanish on the next test 40 minutes
later. So is there some reason for this rule that I’m just not seeing, >>

Laurie, the reasoning goes something like this. Ketones are usually caused by
high bg’s. Therefore, you must not be getting enough insulin, due to a
blockage, etc., so a site change is indicated.

Sometimes, though, if you bolus a large amount the blockage can be "blown
out", depending on how severe it is and what’s causing it. It’s like
everything else, just use a little common sense and your own experience.
Everything is NOT carved in stone!
Patrick

The NC bluegrass pickin’ pumper