|
|
Reply
| | From: Mikalas75 (Original Message) | Sent: 11/19/2007 9:40 PM |
Hi all! Ok since I just started my new pump I've encountered an issue I didn't have with my Disetronic pump. My old pump used glass cartridges which held 300 units and I could keep my insulin in there until it needed to be replaced which was for about 10 days. Now I'm told with plastic cartridges it's only good for 2 days! This seems like such a waste of insulin. The sales rep said a lot of people get away with keeping it for 3 days but I guess the insulin reacts with the plastic and makes it less effective over time. What is your experience on this? How long is your insulin good for? Michelle |
|
First
Previous
2-12 of 12
Next
Last
|
Reply
| | From: Julie | Sent: 11/20/2007 12:28 AM |
Michelle, I don't know what he is talking about! I use Novolog and use the Minimed 522 pump. I totally fill the plastic reservoir and it lasts me 6 days. The insulin is just as good on day 6 as it is on Day 1. And my experience is not unique. Most people on the Joslin site and on the insulin pumpers site keep insulin in the cartridge longer than 3 days. I never heard of the insulin going bad in 2 or even 3 days. It is more common for sites to go bad after 3 days, but I also go 4-5 days on a site. This was your pump sales rep? Something is really off-base here! Julie |
|
Reply
| |
Thanks for that bit of info. I guess it's written in the insulin warnings (so I'm told). It's supposed to somehow lessen the strength of the insulin. Basically they just told me to keep an eye on my sugars to see if they get higher or seems less effective over time. I plan on leaving it for 4 days - until I change my site. I'm curious to hear what others say. I know the MiniMed person said the same thing too. Maybe it's just to sell more cartridge kits and such. Michelle |
|
Reply
| | From: Julie | Sent: 11/20/2007 3:30 AM |
This is the first I ever heard anything like this and I have been pumping 5 1/2 years. I have never changed my reservoirs that often. Before I started pumping, the doctor switched me from Humalog to Novolog, because he said Novolog was more stable in the pump. Do you use Novolog or Humalog? |
|
Reply
| | From: Julie | Sent: 11/20/2007 3:32 AM |
It is not so much a waste of insulin as a waste of reservoirs, unless you refill the same reservoir. You don't have to fill the reservoirs to the top. |
|
Reply
| |
This is a rep ploy to get more money. They now often tell you to throw everything away every two days. When I started with MM, in 2000, they said this. So I asked them why did they sell combo Silhouette sets, which had two needle sites to use, but only one tube. Why were they suggesting you need to toss the tube every few days? MY CDE, also a pumper, told me it was just to make money. She is one of MM's biggest promoters in our state, but that's what she said. The Animas rep, when I went on the 1200 plus, said toss it all and toss it in two days. It wont work, and it wont be any good. Now I know Humalog can wear down in really really hot weather, and I know some people have site issues after two days, but I get the same response when my tube is down to five units and the reservoir has had insulin in it for one week, as I would if I tossed it all. You gotta know, they want to sell the supplies. |
|
Reply
| |
Also note, MM told me the cartridge plunger wasnt meant to last a week and would get stuck half way through. And as I just wrote in your other post, the Animas rep indeed was the one who said to only fill the thing halfway and start a new cartridge every two days. Which in my opinion is silly unless you really notice a problem. |
|
Reply
| | From: Julie | Sent: 11/20/2007 11:42 AM |
I had to open a new bottle of Novolog so I could read the insert and see what it said about this. Sure enough, it said toss EVERYTHING after 48 hours - insertion site, tubing, reservoir, and insulin. When i started pumping in 2002, the standard was 72 hours, so this is a change. I thought even 72 hours was ridiculous. That is why I chose not to go on the omnipod, because those pods stop working after 72 hours and I did not want to change that often. Besides trying to make more money off of us, I think it is also a liability issue. If anyone tries to sue them, they will be off the hook by saying the person was not using the product according to instructions. Because very VERY few people are going to change everything out within 48 hours. That would be a terrible burden and outrageously expensive. I go with that my endo said when I told him I was changing my sites every 5 days. He said, as long as your numbers are OK, it is fine to stretch it out. Julie |
|
Reply
| |
I too read the insert in my Novolog insulin and it said discard everything in 48 hours. Well I'm definitely going to fill for 4 days worth of use. Now if you have insulin left over but it's time to change the site do you unscrew the tube you are currently using with that cartridge and reprime with a new tube? It's just a bit different process from my Disetronic which used adapters. Thanks for all of your stories and advice! I really appreciate it!! Michelle :) |
|
Reply
| | From: Julie | Sent: 11/20/2007 3:31 PM |
Michelle, I change the reservoirs and sets at different times. When I replace the reservoir is when I replace the tubing. It means setting aside the tubing after taking the insertion set out of the little container until you are ready for it. For instance this morning, I wanted to change my set before setting off on a trip, but my reservoir had just been changed yesterday. So I just put in a new set, clicked the existing tubing into the new set and did a fixed prime. I stuck the tubing into my suitcase in case I needed it while away. Julie |
|
Reply
| |
I am no t on the pump yet but am seriously thinking about it. You need to remember that Sales Reps get a commission as well and will tell you almost anything just to keep the money coming in. The sales rep that called me about the latest pump just 2 days ago I was almost going balistic and shocked that my husband didn't go off on her. With every question that we asked she would give us along drawn out speal before giving the answer. Even after I had told her that I had been on the companies website and did some reading of my own. And everything that she was telling me was exactly what I had read. All I wanted was my question to be answered. Thank god these places take payment plans. It is going to cost me $1,038 after I pay my deductable on my insurance. But like my husband and I told the lady before we tell them yes we want it. We really want to talk it over with the Dr. to make sure that is what we both want for the simple fact that we both can't see paying that much money on something and then all of a sudden the doctor taking me off of it and putting me back on the shots. I know that there are probably cheaper ones out there but this one that we are getting I feel will be the best to my advantage. I will beable to upgrade it once the insurance company approves the part of the machien that will also be checking my glucose every 5 minutes. Just remember that the sales reps are trying to make sales so that they have a commision on thier checks. Cyndi |
|
Reply
| |
I bearly make it past the two day mark. My vials are 300 units, but I put in 200+ units a day, so the reservoir of insulin really don't last very long. I do in deed try to fill the reservoir up at least 1 or 2 more times., before throwing it. Due to I change 1.5 days, I take the infuion set and throw it. I keep a running tally of when I change my site, and set it up in the calendar to order more sets and reservoirs. Although, sometimes, I can make it by keeping it in just one more day before my site starts to have issues, then I change it. But those are the days that I'm running late on life, and running late for work. Due to having issues with MedTronic Personel at times and in ordering supplies, keeping the extra supply helps me in the long run. Even after insurance takes care of the 3/4 of the price, it's nice to have extra on hand if needed. Expecially when you have to leave town, and can leave it at family's house in case something happens. |
|
First
Previous
2-12 of 12
Next
Last
|
|
|