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Pump/Pen ??'s : have a question about pump
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Recommend  Message 1 of 10 in Discussion 
From: MSN Nicknamecaseyleigh05  (Original Message)Sent: 12/3/2006 11:35 PM
I have a question 4 all who have an insulin pump.
When my pump gets to about 20 units left in the cannula (b4 the alarm goes off) my blood glucose skyrockets. It will stay high until I change the cannula and tubing.
Does anyone else have this problem? Im just curious and besides changing the set, how can I stop having this problem with the high BG.
Thanx
Caseyleigh


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Recommend  Message 2 of 10 in Discussion 
From: MSN NicknamePerson766Sent: 12/4/2006 12:25 AM
What pump do you use?

What set do you use?

How often do you change the set?

Reply
Recommend  Message 3 of 10 in Discussion 
From: MSN NicknameGelsey2003Sent: 12/4/2006 4:32 AM
I can be down to only four units left, even two, and still lower my blood sugar off that little bit of insulin.  This is why I run my cartridge as low as I can, because for me it still works.  But I am sure it doesnt work for everyone the same way (oh, and I have an Animas, and set my warning for 20 units remaining.)

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Recommend  Message 4 of 10 in Discussion 
From: JulieSent: 12/4/2006 4:57 AM
My guess is that you have air bubbles in your cartridge.  If you have them, they will get in the tubing as your cartridge gets almost empty.  This means that instead of pushing insulin into you, your pump is pushing air into you, making your sugars skyrocket.  I would try carefully removing all air bubbles when you fill your next cartridge and see if this helps.  If it doesn't help, then you may just have to change your cartridge when it still has insulin in it.  I use my cartridges until they are empty, and I don't like to waste insulin, so I am glad I can do this.  Let us know how this works for you!
 
Julie

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Recommend  Message 5 of 10 in Discussion 
From: Mikalas75Sent: 12/4/2006 10:45 PM
I can go down to almost nothing left in the cartridge.  Sometimes I don't change mine until it's down to like 0.5 units left in the cartridge.  I too don't like to waste insulin if I don't have to.  I've had problem with air bubbles in mine too and when I called Disetronic about it it was like I was the only person who's experienced this.  You have to keep an eye on your tubing and see if they are in there.  Now I'm not the best at filling my cartridges without bubbles in them - in fact I don't know how to do it without getting at least one bubble in there!  BUT the rep told me that when I change cartridges and start priming my tubing to hold my pump upright so all bubbles are at the top of the cartridge so it pushes out all the air first and then it will do the insulin. I've noticed an improvement doing this but I still will get air bubbles in the tubing from time to time.  When I see them I just prime them out. 
 
Michelle

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Recommend  Message 6 of 10 in Discussion 
From: MSN NicknameGelsey2003Sent: 12/5/2006 4:02 AM
I do see lots of those champagne bubbles when my cartridge is low, but not any major ones.

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Recommend  Message 7 of 10 in Discussion 
From: MSN Nicknamedavidrr07_Sent: 12/9/2006 2:16 AM
How many days have you had that set in? It may be that the site has worn out. Some of us can keep a site in for a week, others only 2 days before the site stops absorbing well.

Trying a different type of set may (or may not) work better.

David

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Recommend  Message 8 of 10 in Discussion 
From: MSN NicknameDevern1Sent: 1/14/2007 4:01 PM
i had the same trouble and was told to have inulin at room tem. and it worked as insulin warmed up it has bubbles

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Recommend  Message 9 of 10 in Discussion 
From: ChrisOSent: 1/30/2007 11:35 PM
D. you are right. If your home is consistantly around 68 degrees it is best to leave it out of the fridge. If you fill your pump with insulin directly from the fridge (cold) you will have tons of little bubbles esp. in the last 20 units or so. Mine is out 24/7 and i've never had any problem with it going bad.

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Recommend  Message 10 of 10 in Discussion 
From: MSN Nicknameannette4ukSent: 3/14/2007 2:26 AM
I infuse every 4 days and the end of 4th day with 20 to 30 units still in the reservior, my numbers rise some. Soon as it does that, I re-infuse :)
My daily average insulin total dose is 30.
~Annette~

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