1 2 3

Friday, January 8, 2010

[diabetescgms] Digest Number 1776

Diabetes CGMS

Messages In This Digest (25 Messages)

1a.
going thru airport From: Bob Kallish
1b.
Re: going thru airport From: Jennifer McMonagle-Harris
1c.
Re: going thru airport From: Ted Marshall
1d.
Re: going thru airport From: Bob Kallish
1e.
Re: going thru airport From: tm_pearson@yahoo.com
1f.
Re: going thru airport From: tm_pearson@yahoo.com
1g.
Re: going thru airport From: Bob Kallish
1h.
Re: going thru airport From: Todd Pearson
1i.
Re: going thru airport From: Bob Kallish
2a.
why waterproof From: Bernard Helinski
2b.
Re: why waterproof From: Elizabeth Blake
3a.
Re: Length of use of MM sensor From: nelson55304
3b.
Re: Length of use of MM sensor From: Elizabeth Blake
3c.
Re: Length of use of MM sensor From: Allison Herschede
3d.
Re: Length of use of MM sensor From: Jeff Nathan, Award-Winning Author
3e.
Re: Length of use of MM sensor From: Allison Herschede
3f.
Re: Length of use of MM sensor From: nelson55304
3g.
Re: Length of use of MM sensor From: Elizabeth Blake
4a.
Re: IV 3000 Waterproof? From: nelson55304
5a.
Re: Hypo symptoms From: Dave Balcom
5b.
Re: Hypo symptoms From: Elizabeth Blake
6a.
Insulin Injections via Pump ? From: Richard Price
6b.
Re: Insulin Injections via Pump ? From: Andy Mayshar
6c.
Re: Insulin Injections via Pump ? From: Todd Pearson
6d.
Re: Insulin Injections via Pump ? From: Elizabeth Blake

Messages

1a.

going thru airport

Posted by: "Bob Kallish" lkbk14@comcast.net   seanjackryan

Fri Jan 8, 2010 3:04 am (PST)



Has anyone had any trouble getting their insulin and cgms supplies thru security since xmas? I recently had to go thru a private room pat down because the agent had never heard of CGMS. It worked out fine but took al long time. But that was before xmas. Thanks, Linda
1b.

Re: going thru airport

Posted by: "Jennifer McMonagle-Harris" jennifer@jharris.net   turtle4461

Fri Jan 8, 2010 5:51 am (PST)



I have never had a problem with my pump. It has never been detected. I
don't travel with supplies. I do take one bottle of insulin and a single
syringe (which I put in the clear plastic bag with the rest of the liquids).
I start a trip with a new sensor and a full reservoir. I can get 4 days out
of a reservoir so if my bags are lost I have a few days to make a plan. I'm
usually alone with my 2 in diapers so I simply do not have the room for
stuff I will most likely not need. If I had a separate CGM I'd put it in
the bin for scanning.

I have stopped packing sensors. If one fails then I go back to the old
fashion way. I take some tape and the charger but that is all. I have
never gotten a new sensor to work away from home so I have pretty much given
up. I do take lots of test strips. In by checked bag I take my pump
supplies.

I have flown after Christmas and I did not notice much difference.

Jennie

-----Original Message-----
From: diabetescgms@yahoogroups.com [mailto:diabetescgms@yahoogroups.com] On
Behalf Of Bob Kallish
Sent: Friday, January 08, 2010 5:05 AM
To: diabetes cgms
Subject: [diabetescgms] going thru airport

Has anyone had any trouble getting their insulin and cgms supplies thru
security since xmas? I recently had to go thru a private room pat down
because the agent had never heard of CGMS. It worked out fine but took al
long time. But that was before xmas. Thanks, Linda

__._,_.__

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1c.

Re: going thru airport

Posted by: "Ted Marshall" ted@lauramarshallphoto.com   ted_a_marshall

Fri Jan 8, 2010 7:29 am (PST)



What happened? Did you set off the metal detector or were you selected for some reason for a secondary check or was that just from having insulin?

----- Original Message -----
From: Bob Kallish
To: diabetes cgms
Sent: Friday, January 08, 2010 3:04 AM
Subject: [diabetescgms] going thru airport

Has anyone had any trouble getting their insulin and cgms supplies thru security since xmas? I recently had to go thru a private room pat down because the agent had never heard of CGMS. It worked out fine but took al long time. But that was before xmas. Thanks, Linda

1d.

Re: going thru airport

Posted by: "Bob Kallish" lkbk14@comcast.net   seanjackryan

Fri Jan 8, 2010 11:29 am (PST)



I tell them before hand that I am a diabetic because I carry all my diabetic & CGMS supplies as carry on. I also take multiple boxes of apple juice, balance bars, and peanut butter crackers, since I have gastro and cannot always find food that I can eat at the concession stands especially if there is a long delay. Therefore I am always hand wanded, which is not a big deal. The agent that was handwanding me never heard of CGMS so she had me jumping thru hoops. Linda
----- Original Message -----
From: Ted Marshall
To: diabetescgms@yahoogroups.com
Sent: Friday, January 08, 2010 10:28 AM
Subject: Re: [diabetescgms] going thru airport

What happened? Did you set off the metal detector or were you selected for some reason for a secondary check or was that just from having insulin?

----- Original Message -----
From: Bob Kallish
To: diabetes cgms
Sent: Friday, January 08, 2010 3:04 AM
Subject: [diabetescgms] going thru airport

Has anyone had any trouble getting their insulin and cgms supplies thru security since xmas? I recently had to go thru a private room pat down because the agent had never heard of CGMS. It worked out fine but took al long time. But that was before xmas. Thanks, Linda

1e.

Re: going thru airport

Posted by: "tm_pearson@yahoo.com" tm_pearson@yahoo.com   tm_pearson

Fri Jan 8, 2010 12:10 pm (PST)



Linda I travel a lot and have never ever had a problem except for the Small airports like in Montana. They don't get busy at all and TSA has plenty of time to screen you on their hands. One time an agent there have me a lecture that I needed to claim my medication when coming thru security, but have always just went right on thru with all my diabetes stuff and a bunch of electronics in my laptop bag. Never ever had an issue and I will never ever stop and say HEY TSA I need to show you ALL my stuff I have on me. So I can spend more time with you.....NOT! I'm going thru, I'm a frequent traveler and just wantnyo relax. So I did fly a couple of days after x-mas and didn't see or have any issues with security OR on the plane. Hope that helps.

Todd
Dx 12/1986
MM 722 + CGMS
Dexcom 7+


-----Original Message-----
From: "Bob Kallish" <lkbk14@comcast.net>
Date: Fri, 8 Jan 2010 06:04:36
To: diabetes cgms<diabetescgms@yahoogroups.com>
Subject: [diabetescgms] going thru airport

Has anyone had any trouble getting their insulin and cgms supplies thru security since xmas? I recently had to go thru a private room pat down because the agent had never heard of CGMS. It worked out fine but took al long time. But that was before xmas. Thanks, Linda
1f.

Re: going thru airport

Posted by: "tm_pearson@yahoo.com" tm_pearson@yahoo.com   tm_pearson

Fri Jan 8, 2010 12:24 pm (PST)



No wonder my daughter tease me about my "man purse" aka diabetic bag. It goes everywhere with me and I don't leave home without it! I'm not willing to get myself in trouble away from home and god forbid of I ever need to use my Glucagon Kit on a plane for another diabetic. In other words I would hope that never happens. Your supplies should
Always be kept with you on a plane, I do understand that the extra stuff us a pain but its better to have then not have and its for your health & safety.

Todd
Dx 12/1986
MM722 + CGMS
Dexcom 7+
-----Original Message-----
From: "Jennifer McMonagle-Harris" <jennifer@jharris.net>
Date: Fri, 8 Jan 2010 07:51:28
To: <diabetescgms@yahoogroups.com>
Subject: RE: [diabetescgms] going thru airport

I have never had a problem with my pump. It has never been detected. I
don't travel with supplies. I do take one bottle of insulin and a single
syringe (which I put in the clear plastic bag with the rest of the liquids).
I start a trip with a new sensor and a full reservoir. I can get 4 days out
of a reservoir so if my bags are lost I have a few days to make a plan. I'm
usually alone with my 2 in diapers so I simply do not have the room for
stuff I will most likely not need. If I had a separate CGM I'd put it in
the bin for scanning.



I have stopped packing sensors. If one fails then I go back to the old
fashion way. I take some tape and the charger but that is all. I have
never gotten a new sensor to work away from home so I have pretty much given
up. I do take lots of test strips. In by checked bag I take my pump
supplies.



I have flown after Christmas and I did not notice much difference.



Jennie



-----Original Message-----
From: diabetescgms@yahoogroups.com [mailto:diabetescgms@yahoogroups.com] On
Behalf Of Bob Kallish
Sent: Friday, January 08, 2010 5:05 AM
To: diabetes cgms
Subject: [diabetescgms] going thru airport





Has anyone had any trouble getting their insulin and cgms supplies thru
security since xmas? I recently had to go thru a private room pat down
because the agent had never heard of CGMS. It worked out fine but took al
long time. But that was before xmas. Thanks, Linda

__._,_.__

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1g.

Re: going thru airport

Posted by: "Bob Kallish" lkbk14@comcast.net   seanjackryan

Fri Jan 8, 2010 1:10 pm (PST)



Are you saying you don't say anything and you do not have to be hand wanded just go thru the metal detector? When you put the rest of your stuff in the bins they never ask you anything? Thanks Linda
----- Original Message -----
From: tm_pearson@yahoo.com
To: diabetescgms@yahoogroups.com
Sent: Friday, January 08, 2010 3:10 PM
Subject: Re: [diabetescgms] going thru airport

Linda I travel a lot and have never ever had a problem except for the Small airports like in Montana. They don't get busy at all and TSA has plenty of time to screen you on their hands. One time an agent there have me a lecture that I needed to claim my medication when coming thru security, but have always just went right on thru with all my diabetes stuff and a bunch of electronics in my laptop bag. Never ever had an issue and I will never ever stop and say HEY TSA I need to show you ALL my stuff I have on me. So I can spend more time with you.....NOT! I'm going thru, I'm a frequent traveler and just wantnyo relax. So I did fly a couple of days after x-mas and didn't see or have any issues with security OR on the plane. Hope that helps.

Todd
Dx 12/1986
MM 722 + CGMS
Dexcom 7+

----------------------------------------------------------

From: "Bob Kallish" <lkbk14@comcast.net>
Date: Fri, 8 Jan 2010 06:04:36 -0500
To: diabetes cgms<diabetescgms@yahoogroups.com>
Subject: [diabetescgms] going thru airport

Has anyone had any trouble getting their insulin and cgms supplies thru security since xmas? I recently had to go thru a private room pat down because the agent had never heard of CGMS. It worked out fine but took al long time. But that was before xmas. Thanks, Linda

1h.

Re: going thru airport

Posted by: "Todd Pearson" tm_pearson@yahoo.com   tm_pearson

Fri Jan 8, 2010 1:23 pm (PST)



NOPE...not a peep! WHY....so I can get myself extra screened and/or take forever to go thru screening?? I travel to much to go thru this 2-3 times a month. Basically, if a TSA agent says something, you just have to say I had no idea. I'm just going thru screening just like everyone else. 1 time I got stopped not long ago in New Orleans and was running late for my flight and I even told the TSA agent that is my name they are calling. Well the X-Ray screener didn't like what he saw in my diabetic bag. So, they went thru my bag and I told the agent that I'm diabetic on a pump as I'm frantically trying to get all my stuff and get my shoes on. Thankfully, by the time he got done checking my bag, I was putting on my last shoe and raced out of there!

So, other then that and my experience in Montana, which I hate to travel there because of the TSA agents have SO MUCH time on there hands to check EVERYTHING and I mean they do check everything! But, the busy airports....never ever a problem. It does take me a bit since I have a LOT of gear to go thru the screeening, but I always get thru. Now, if I ever traveled out of the US and came back on a flight.....that may be a totally different story and I'm not sure if I want to see what that would be like.

Todd
dx 12/1986
MM722 + CGMS
Dexcom 7+

________________________________
From: Bob Kallish <lkbk14@comcast.net>
To: diabetescgms@yahoogroups.com
Sent: Fri, January 8, 2010 1:10:34 PM
Subject: Re: [diabetescgms] going thru airport

Are you saying you don't say anything and
you do not have to be hand wanded just go thru the metal detector? When
you put the rest of your stuff in the bins they
never ask you anything? Thanks Linda
----- Original Message -----
>From: tm_pearson@yahoo. com
>To: diabetescgms@ yahoogroups. com
>Sent: Friday, January 08, 2010 3:10
> PM
>Subject: Re: [diabetescgms] going thru
> airport
>
>
>Linda I travel a lot and have never ever had a problem except for the Small
> airports like in Montana. They don't get busy at all and TSA has plenty of
> time to screen you on their hands. One time an agent there have me a lecture
> that I needed to claim my medication when coming thru security, but have
> always just went right on thru with all my diabetes stuff and a bunch of
> electronics in my laptop bag. Never ever had an issue and I will never ever
> stop and say HEY TSA I need to show you ALL my stuff I have on me. So I can
> spend more time with you.....NOT! I'm going thru, I'm a frequent traveler and
> just wantnyo relax. So I did fly a couple of days after x-mas and didn't see
> or have any issues with security OR on the plane. Hope that helps.
>
>
>Todd
>Dx 12/1986
>MM 722 + CGMS
>Dexcom 7+
>
>
________________________________
>
>From: "Bob Kallish" <lkbk14@comcast. net>
>Date: Fri, 8 Jan 2010 06:04:36 -0500
>To: diabetes
> cgms<diabetescgms@ yahoogroups. com>
>Subject: [diabetescgms] going thru airport
>
>
>Has anyone had any trouble getting their
> insulin and cgms supplies thru security since xmas? I recently had to go thru
> a private room pat down because the agent had never heard of CGMS. It worked
> out fine but took al long time. But that was before xmas. Thanks,
> Linda
1i.

Re: going thru airport

Posted by: "Bob Kallish" lkbk14@comcast.net   seanjackryan

Fri Jan 8, 2010 2:13 pm (PST)



Which type of CGMS do you have? I am on the Navigator and I keep the receiver in my pocket when I go thru the screener and I set the alarm off. Why am I setting it off and not you? Thanks, Linda
----- Original Message -----
From: Todd Pearson
To: diabetescgms@yahoogroups.com
Sent: Friday, January 08, 2010 4:23 PM
Subject: Re: [diabetescgms] going thru airport

NOPE...not a peep! WHY....so I can get myself extra screened and/or take forever to go thru screening?? I travel to much to go thru this 2-3 times a month. Basically, if a TSA agent says something, you just have to say I had no idea. I'm just going thru screening just like everyone else. 1 time I got stopped not long ago in New Orleans and was running late for my flight and I even told the TSA agent that is my name they are calling. Well the X-Ray screener didn't like what he saw in my diabetic bag. So, they went thru my bag and I told the agent that I'm diabetic on a pump as I'm frantically trying to get all my stuff and get my shoes on. Thankfully, by the time he got done checking my bag, I was putting on my last shoe and raced out of there!

So, other then that and my experience in Montana, which I hate to travel there because of the TSA agents have SO MUCH time on there hands to check EVERYTHING and I mean they do check everything! But, the busy airports....never ever a problem. It does take me a bit since I have a LOT of gear to go thru the screeening, but I always get thru. Now, if I ever traveled out of the US and came back on a flight.....that may be a totally different story and I'm not sure if I want to see what that would be like.

Todd
dx 12/1986
MM722 + CGMS
Dexcom 7+

----------------------------------------------------------
From: Bob Kallish <lkbk14@comcast.net>
To: diabetescgms@yahoogroups.com
Sent: Fri, January 8, 2010 1:10:34 PM
Subject: Re: [diabetescgms] going thru airport

Are you saying you don't say anything and you do not have to be hand wanded just go thru the metal detector? When you put the rest of your stuff in the bins they never ask you anything? Thanks Linda
----- Original Message -----
From: tm_pearson@yahoo. com
To: diabetescgms@ yahoogroups. com
Sent: Friday, January 08, 2010 3:10 PM
Subject: Re: [diabetescgms] going thru airport

Linda I travel a lot and have never ever had a problem except for the Small airports like in Montana. They don't get busy at all and TSA has plenty of time to screen you on their hands. One time an agent there have me a lecture that I needed to claim my medication when coming thru security, but have always just went right on thru with all my diabetes stuff and a bunch of electronics in my laptop bag. Never ever had an issue and I will never ever stop and say HEY TSA I need to show you ALL my stuff I have on me. So I can spend more time with you.....NOT! I'm going thru, I'm a frequent traveler and just wantnyo relax. So I did fly a couple of days after x-mas and didn't see or have any issues with security OR on the plane. Hope that helps.

Todd
Dx 12/1986
MM 722 + CGMS
Dexcom 7+

----------------------------------------------------------

From: "Bob Kallish" <lkbk14@comcast. net>
Date: Fri, 8 Jan 2010 06:04:36 -0500
To: diabetes cgms<diabetescgms@ yahoogroups. com>
Subject: [diabetescgms] going thru airport

Has anyone had any trouble getting their insulin and cgms supplies thru security since xmas? I recently had to go thru a private room pat down because the agent had never heard of CGMS. It worked out fine but took al long time. But that was before xmas. Thanks, Linda

2a.

why waterproof

Posted by: "Bernard Helinski" helins19@verizon.net   helins19

Fri Jan 8, 2010 6:31 am (PST)



I find if I get water under the MM system my skin gets irritated. Then the thing will get sore even if not infected. I never use the IV 3000 for this reason. I like the sustem closed and usually wear it longer than 10 days. I change the tape every 6-7 days and clean around the area with alcohol pads. For me this works. Others could do it differently.
Maureen Helinski
2b.

Re: why waterproof

Posted by: "Elizabeth Blake" poodlebone@yahoo.com   poodlebone

Fri Jan 8, 2010 7:49 am (PST)



>
>I find if I get water under the MM system my skin
>gets irritated. Then the thing will get sore even if not infected. I never use
>the IV 3000 for this reason. I like the sustem closed and usually wear it
>longer than 10 days. I change the tape every 6-7 days and clean around the
>area with alcohol pads. For me this works. Others could do it
>differently.
>Maureen Helinski
>

Water and sweat collecting under the dressing also irritates my skin. Even the most waterproof dressing doesn't keep the sweat out, unfortunately, because it's coming from underneath the tape. This is why I will now only use Hypafix in the warm weather. Sweat and water evaporate and my skin stays dry. No itching or irritation. Another problem with moisture staying underneath the dressing is that it can loosen the little piece of built in adhesive and the sensor can slip out of your skin. Since I like to use each one as long as possible that was a big problem for me during my first summer. I'd carefully remove the dressing and then the sensor would just slide out of my skin anyway. Using a strip of Hypafix over the plastic sensor hub helped a lot. It works better for me than paper tape or anything else. When I apply Hypafix over the whole thing, it's easy to peel off the strip I use over the sensor. (it doesn't peel off the other strip of
Hypafix - I just meant that the big piece of Hypafix will peel off of the little strip while leaving it in place over the sensor). When I apply Opsite Flexifix over it, that will always stick to the Hypafix strip over the sensor and it's nearly impossible to get off without pulling the sensor out. I just cut around it, leaving some of the original Flexifix stuck to the Hypafix and then tape all over it again when I reattach the transmitter.

--
Liz
Type 1 dx 4/1987
Minimed 722 + CGMS

3a.

Re: Length of use of MM sensor

Posted by: "nelson55304" Kelly.Nelson@spps.org   nelson55304

Fri Jan 8, 2010 6:43 am (PST)



Appreciate all of the thoughts/feeback on CGMS length of use. (I knew about the 14 day battery charge deal but did not know about the 7 day timer deal.)

I fret about infection... fortunately it is a very rare issue. Do you do anything "special" (other than alcohol prep to the site) to help stay ahead of the potential for infection w/ leaving the CGMS in for so long? I tend to put just a titch of Bacitracin where the sensor probe meet the adhesive/sensor base area- not sure if that's a good idea or not.... but it makes me feel better.... I realize this is a CGMS site- that makes for pumpers too- wondering length of time for leaving infusion sets in as well.

Thank you kindly for your feedback.

--- In diabetescgms@yahoogroups.com, Elizabeth Blake <poodlebone@...> wrote:
>
> >From: Signe Myhren <jechante17@...>
>
> >
> >After reading a few responses, I have a question for all you fellow MM CGMS-ers:
> >How long do you keep a sensor in before recharging? Do you recharge after 6 days, or after 7 days? I have always recharged after 6 days, if I felt that a sensor was performing well and I wanted to use it a bit longer (10 days is my maximum; my endo. says any longer and you are inviting a risk of infection.)
> >
> >
> >The one I have in right now is one of the best I have ever worn. It is always showing within 2 points of my finger stick blood glucose reading! Today is Day 4. Should I try recharging on Day 8, or stick with recharging at the very beginning of Day 7?
> >
>
> I recharge after the 6th or 7th day depending on when I first attached the transmitter. My current sensor was inserted late at night last Tuesday. I had attached the transmitter but didn't start it until the following morning. I will remove the transmitter to charge it after I get home tonight. By the time I'm ready for bed, it will have been long enough after dinner for me to turn it on and calibrate. I'll do two calibrations fairly close together so I can go to sleep. If I insert a sensor in the morning, which I hate doing, I'll usually recharge the transmitter the night before, on day 6 so I don't have to deal with it the next day when I'm already in a rush trying to get ready for work. If it's a weekend I'll still do it the night before so I can sleep late the next morning without worrying about the transmitter timing out.
>
> If you wait until the end of day 7 you'll start to get Weak Signal messages that will not resolve. My transmitter is over 1 1/2 years old and I never see issues with bad tracking on the 7th day. The transmitter battery will actually work up to 14 days but for some reason MM put that 7 day timer in.
> --
> Liz
> Type 1 dx 4/1987
> Minimed 722 + CGMS
>

3b.

Re: Length of use of MM sensor

Posted by: "Elizabeth Blake" poodlebone@yahoo.com   poodlebone

Fri Jan 8, 2010 7:53 am (PST)





----- Original Message ----
> From: nelson55304 <Kelly.Nelson@spps.org>
>
> I fret about infection... fortunately it is a very rare issue. Do you do
> anything "special" (other than alcohol prep to the site) to help stay ahead of
> the potential for infection w/ leaving the CGMS in for so long? I tend to put
> just a titch of Bacitracin where the sensor probe meet the adhesive/sensor base
> area- not sure if that's a good idea or not.... but it makes me feel better....
> I realize this is a CGMS site- that makes for pumpers too- wondering length of
> time for leaving infusion sets in as well.

I generally don't do anything other than an alcohol swab before insertion. After 7 days I may sometimes clean up the area where the transmitter was before I reattach it. Sometimes the edges of the transmitter will bite into my skin and leave red marks or even cut into the skin. I put some triple antibiotic ointment on it if that happens. I will sometimes put ointment on the sensor site when I finally remove it but I rarely remember. It's never been a problem and so far no infections.

I change my infusion set every 3 days. Those always look worse than my sensor sites that have been in a lot longer. MY sensor sites heal up much faster, too. I can always tell where my last bunch of sets had been but the sensor spots fade in just a couple of days usually.

--
Liz
Type 1 dx 4/1987
Minimed 722 + CGMS

3c.

Re: Length of use of MM sensor

Posted by: "Allison Herschede" herschede@gmail.com   majicmaid

Fri Jan 8, 2010 9:06 am (PST)



I don't even use alcohol and have never had an infection.

Allison

On Fri, Jan 8, 2010 at 10:53 AM, Elizabeth Blake <poodlebone@yahoo.com>wrote:

>
>
>
>
> ----- Original Message ----
> > From: nelson55304 <Kelly.Nelson@spps.org <Kelly.Nelson%40spps.org>>
> >
> > I fret about infection... fortunately it is a very rare issue. Do you do
> > anything "special" (other than alcohol prep to the site) to help stay
> ahead of
> > the potential for infection w/ leaving the CGMS in for so long? I tend to
> put
> > just a titch of Bacitracin where the sensor probe meet the
> adhesive/sensor base
> > area- not sure if that's a good idea or not.... but it makes me feel
> better....
> > I realize this is a CGMS site- that makes for pumpers too- wondering
> length of
> > time for leaving infusion sets in as well.
>
> I generally don't do anything other than an alcohol swab before insertion.
> After 7 days I may sometimes clean up the area where the transmitter was
> before I reattach it. Sometimes the edges of the transmitter will bite into
> my skin and leave red marks or even cut into the skin. I put some triple
> antibiotic ointment on it if that happens. I will sometimes put ointment on
> the sensor site when I finally remove it but I rarely remember. It's never
> been a problem and so far no infections.
>
> I change my infusion set every 3 days. Those always look worse than my
> sensor sites that have been in a lot longer. MY sensor sites heal up much
> faster, too. I can always tell where my last bunch of sets had been but the
> sensor spots fade in just a couple of days usually.
>
>
> --
> Liz
> Type 1 dx 4/1987
> Minimed 722 + CGMS
>
>
>
3d.

Re: Length of use of MM sensor

Posted by: "Jeff Nathan, Award-Winning Author" jeff@incredibleassemblies.com   chucklejeff

Fri Jan 8, 2010 9:43 am (PST)



Infusion sets are a WHOLE NOTHER STORY! Leaving cgms sensors in for extended
periods of time seems to be the norm. (I'm on my 19th day of my current
sensor). Don't do that with infusions sets. I have seen evidence of internal
scarring or lipohypertrophy (fatty tissue build-up) because of the insulin
interactions there. (You'll feel a little lump.) I have used my MM quick
sets for about 4 days without noticeable problems, but have seen problems
beyond that. Everybody is different. That's just me, but it's not the same
animal as sensors.

When I am in a hurry after having drained my reservoir, I will often keep
all the plasticware, refilling the reservoir but putting it through the
same tubing (still filled with insulin and into the existing infusion set.
I will later plunk in a new quickset and usually just attach what I have to
that. When I forget to do that, I run into problems.

Warm regards,

-jeff toll-free: 1-888-967-3386

Award-Winning Children's Author, Jeff Nathan, presents

CurricuLaughs

Curriculum-tied Language Arts Education through HUMOR

"... by far, the best set of presentations I have seen in our school system
."

Dr. Marc Kerble Assistant Superintendent Winchester Schools
Winchester, MA

". a student said it best. "You Rock!" From the mouth of babes, Jeff you
were sensational. Thank you ever so much!"

Kristine O. Murray Media Enrichment Specialist Maghakian Memorial
School Brookline, NH

see these and other raving testimonials at
<http://www.IncredibleAssemblies.com> www.IncredibleAssemblies.com

From: diabetescgms@yahoogroups.com [mailto:diabetescgms@yahoogroups.com] On
Behalf Of nelson55304
Sent: Friday, January 08, 2010 9:41 AM
To: diabetescgms@yahoogroups.com
Subject: [diabetescgms] Re: Length of use of MM sensor

Appreciate all of the thoughts/feeback on CGMS length of use. (I knew about
the 14 day battery charge deal but did not know about the 7 day timer deal.)

I fret about infection... fortunately it is a very rare issue. Do you do
anything "special" (other than alcohol prep to the site) to help stay ahead
of the potential for infection w/ leaving the CGMS in for so long? I tend to
put just a titch of Bacitracin where the sensor probe meet the
adhesive/sensor base area- not sure if that's a good idea or not.... but it
makes me feel better.... I realize this is a CGMS site- that makes for
pumpers too- wondering length of time for leaving infusion sets in as well.

Thank you kindly for your feedback.

--- In diabetescgms@yahoogroups.com <mailto:diabetescgms%40yahoogroups.com>
, Elizabeth Blake <poodlebone@...> wrote:
>
> >From: Signe Myhren <jechante17@...>
>
> >
> >After reading a few responses, I have a question for all you fellow MM
CGMS-ers:
> >How long do you keep a sensor in before recharging? Do you recharge after
6 days, or after 7 days? I have always recharged after 6 days, if I felt
that a sensor was performing well and I wanted to use it a bit longer (10
days is my maximum; my endo. says any longer and you are inviting a risk of
infection.)
> >
> >
> >The one I have in right now is one of the best I have ever worn. It is
always showing within 2 points of my finger stick blood glucose reading!
Today is Day 4. Should I try recharging on Day 8, or stick with recharging
at the very beginning of Day 7?
> >
>
> I recharge after the 6th or 7th day depending on when I first attached the
transmitter. My current sensor was inserted late at night last Tuesday. I
had attached the transmitter but didn't start it until the following
morning. I will remove the transmitter to charge it after I get home
tonight. By the time I'm ready for bed, it will have been long enough after
dinner for me to turn it on and calibrate. I'll do two calibrations fairly
close together so I can go to sleep. If I insert a sensor in the morning,
which I hate doing, I'll usually recharge the transmitter the night before,
on day 6 so I don't have to deal with it the next day when I'm already in a
rush trying to get ready for work. If it's a weekend I'll still do it the
night before so I can sleep late the next morning without worrying about the
transmitter timing out.
>
> If you wait until the end of day 7 you'll start to get Weak Signal
messages that will not resolve. My transmitter is over 1 1/2 years old and I
never see issues with bad tracking on the 7th day. The transmitter battery
will actually work up to 14 days but for some reason MM put that 7 day timer
in.
> --
> Liz
> Type 1 dx 4/1987
> Minimed 722 + CGMS
>

3e.

Re: Length of use of MM sensor

Posted by: "Allison Herschede" herschede@gmail.com   majicmaid

Fri Jan 8, 2010 10:07 am (PST)



That is true. If I leave an infusion set in more than 3 days it only causes
problems. High numbers, irritation, bump etc.

Allison

On Fri, Jan 8, 2010 at 12:42 PM, Jeff Nathan, Award-Winning Author <
jeff@incredibleassemblies.com> wrote:

>
>
> Infusion sets are a WHOLE NOTHER STORY! Leaving cgms sensors in for
> extended periods of time seems to be the norm. (I'm on my 19th day of my
> current sensor). Don't do that with infusions sets. I have seen evidence of
> internal scarring or lipohypertrophy (fatty tissue build-up) because of the
> insulin interactions there. (You'll feel a little lump.) I have used my MM
> quick sets for about 4 days without noticeable problems, but have seen
> problems beyond that. Everybody is different. That's just me, but it's not
> the same animal as sensors.
>
>
>
> When I am in a hurry after having drained my reservoir, I will often keep
> all the plasticware, refilling the reservoir but putting it through the
> same tubing (still filled with insulin and into the existing infusion set.
> I will later plunk in a new quickset and usually just attach what I have to
> that. When I forget to do that, I run into problems.
>
>
>
> Warm regards,
>
>
>
> -jeff toll-free: 1-888-967-3386
>
> *Award-Winning Children's Author, Jeff Nathan, presents*
>
> *Curricu**Laughs** *
>
> *Curriculum-tied Language Arts Education through HUMOR*
>
> "... by far, the best set of presentations I have seen in our school
> system ."
>
> * Dr. Marc Kerble Assistant Superintendent Winchester Schools
> Winchester, MA*
>
> "… a student said it best. "You Rock!" From the mouth of babes, Jeff you
> were sensational. Thank you ever so much!"
>
> * Kristine O. Murray Media Enrichment Specialist Maghakian
> Memorial School Brookline, NH *
>
>
>
> see these and other raving testimonials at
> www.IncredibleAssemblies.com
>
>
>
> *From:* diabetescgms@yahoogroups.com [mailto:diabetescgms@yahoogroups.com]
> *On Behalf Of *nelson55304
> *Sent:* Friday, January 08, 2010 9:41 AM
> *To:* diabetescgms@yahoogroups.com
>
> *Subject:* [diabetescgms] Re: Length of use of MM sensor
>
>
>
>
>
> Appreciate all of the thoughts/feeback on CGMS length of use. (I knew about
> the 14 day battery charge deal but did not know about the 7 day timer deal.)
>
>
> I fret about infection... fortunately it is a very rare issue. Do you do
> anything "special" (other than alcohol prep to the site) to help stay ahead
> of the potential for infection w/ leaving the CGMS in for so long? I tend to
> put just a titch of Bacitracin where the sensor probe meet the
> adhesive/sensor base area- not sure if that's a good idea or not.... but it
> makes me feel better.... I realize this is a CGMS site- that makes for
> pumpers too- wondering length of time for leaving infusion sets in as well.
>
> Thank you kindly for your feedback.
>
> --- In diabetescgms@yahoogroups.com <diabetescgms%40yahoogroups.com>,
> Elizabeth Blake <poodlebone@...> wrote:
> >
> > >From: Signe Myhren <jechante17@...>
> >
> > >
> > >After reading a few responses, I have a question for all you fellow MM
> CGMS-ers:
> > >How long do you keep a sensor in before recharging? Do you recharge
> after 6 days, or after 7 days? I have always recharged after 6 days, if I
> felt that a sensor was performing well and I wanted to use it a bit longer
> (10 days is my maximum; my endo. says any longer and you are inviting a risk
> of infection.)
> > >
> > >
> > >The one I have in right now is one of the best I have ever worn. It is
> always showing within 2 points of my finger stick blood glucose reading!
> Today is Day 4. Should I try recharging on Day 8, or stick with recharging
> at the very beginning of Day 7?
> > >
> >
> > I recharge after the 6th or 7th day depending on when I first attached
> the transmitter. My current sensor was inserted late at night last Tuesday.
> I had attached the transmitter but didn't start it until the following
> morning. I will remove the transmitter to charge it after I get home
> tonight. By the time I'm ready for bed, it will have been long enough after
> dinner for me to turn it on and calibrate. I'll do two calibrations fairly
> close together so I can go to sleep. If I insert a sensor in the morning,
> which I hate doing, I'll usually recharge the transmitter the night before,
> on day 6 so I don't have to deal with it the next day when I'm already in a
> rush trying to get ready for work. If it's a weekend I'll still do it the
> night before so I can sleep late the next morning without worrying about the
> transmitter timing out.
> >
> > If you wait until the end of day 7 you'll start to get Weak Signal
> messages that will not resolve. My transmitter is over 1 1/2 years old and I
> never see issues with bad tracking on the 7th day. The transmitter battery
> will actually work up to 14 days but for some reason MM put that 7 day timer
> in.
> > --
> > Liz
> > Type 1 dx 4/1987
> > Minimed 722 + CGMS
> >
>
>
>
3f.

Re: Length of use of MM sensor

Posted by: "nelson55304" Kelly.Nelson@spps.org   nelson55304

Fri Jan 8, 2010 10:36 am (PST)




Thank you for sharing your experiences. I generally go 3 days w/ my pump infusion set but sometimes go to 4 as long as I still have insulin. I'm a newbie to going longer than 6 days w/ the CGMS. Once the sensor ends (at 3 days) I just re-start it as a "new sensor" for another 3 days- then I take that sensor out. I'm under the understanding that at the 6th (or 7th) I need to completely de-tatch the transmitter from the sensor (charge on the 14th) but then can simply re-attach the transmitter to the sensor and tell the pump I have a new sensor and should be good to go for another 3 days, and so on.... Am I following correctly? Thanks.
--- In diabetescgms@yahoogroups.com, Allison Herschede <herschede@...> wrote:
>
> That is true. If I leave an infusion set in more than 3 days it only causes
> problems. High numbers, irritation, bump etc.
>
> Allison
>
> On Fri, Jan 8, 2010 at 12:42 PM, Jeff Nathan, Award-Winning Author <
> jeff@...> wrote:
>
> >
> >
> > Infusion sets are a WHOLE NOTHER STORY! Leaving cgms sensors in for
> > extended periods of time seems to be the norm. (I'm on my 19th day of my
> > current sensor). Don't do that with infusions sets. I have seen evidence of
> > internal scarring or lipohypertrophy (fatty tissue build-up) because of the
> > insulin interactions there. (You'll feel a little lump.) I have used my MM
> > quick sets for about 4 days without noticeable problems, but have seen
> > problems beyond that. Everybody is different. That's just me, but it's not
> > the same animal as sensors.
> >
> >
> >
> > When I am in a hurry after having drained my reservoir, I will often keep
> > all the plasticware, refilling the reservoir but putting it through the
> > same tubing (still filled with insulin and into the existing infusion set.
> > I will later plunk in a new quickset and usually just attach what I have to
> > that. When I forget to do that, I run into problems.
> >
> >
> >
> > Warm regards,
> >
> >
> >
> > -jeff toll-free: 1-888-967-3386
> >
> > *Award-Winning Children's Author, Jeff Nathan, presents*
> >
> > *Curricu**Laughs** *
> >
> > *Curriculum-tied Language Arts Education through HUMOR*
> >
> > "... by far, the best set of presentations I have seen in our school
> > system ."
> >
> > * Dr. Marc Kerble Assistant Superintendent Winchester Schools
> > Winchester, MA*
> >
> > "… a student said it best. "You Rock!" From the mouth of babes, Jeff you
> > were sensational. Thank you ever so much!"
> >
> > * Kristine O. Murray Media Enrichment Specialist Maghakian
> > Memorial School Brookline, NH *
> >
> >
> >
> > see these and other raving testimonials at
> > www.IncredibleAssemblies.com
> >
> >
> >
> > *From:* diabetescgms@yahoogroups.com [mailto:diabetescgms@yahoogroups.com]
> > *On Behalf Of *nelson55304
> > *Sent:* Friday, January 08, 2010 9:41 AM
> > *To:* diabetescgms@yahoogroups.com
> >
> > *Subject:* [diabetescgms] Re: Length of use of MM sensor
> >
> >
> >
> >
> >
> > Appreciate all of the thoughts/feeback on CGMS length of use. (I knew about
> > the 14 day battery charge deal but did not know about the 7 day timer deal.)
> >
> >
> > I fret about infection... fortunately it is a very rare issue. Do you do
> > anything "special" (other than alcohol prep to the site) to help stay ahead
> > of the potential for infection w/ leaving the CGMS in for so long? I tend to
> > put just a titch of Bacitracin where the sensor probe meet the
> > adhesive/sensor base area- not sure if that's a good idea or not.... but it
> > makes me feel better.... I realize this is a CGMS site- that makes for
> > pumpers too- wondering length of time for leaving infusion sets in as well.
> >
> > Thank you kindly for your feedback.
> >
> > --- In diabetescgms@yahoogroups.com <diabetescgms%40yahoogroups.com>,
> > Elizabeth Blake <poodlebone@> wrote:
> > >
> > > >From: Signe Myhren <jechante17@>
> > >
> > > >
> > > >After reading a few responses, I have a question for all you fellow MM
> > CGMS-ers:
> > > >How long do you keep a sensor in before recharging? Do you recharge
> > after 6 days, or after 7 days? I have always recharged after 6 days, if I
> > felt that a sensor was performing well and I wanted to use it a bit longer
> > (10 days is my maximum; my endo. says any longer and you are inviting a risk
> > of infection.)
> > > >
> > > >
> > > >The one I have in right now is one of the best I have ever worn. It is
> > always showing within 2 points of my finger stick blood glucose reading!
> > Today is Day 4. Should I try recharging on Day 8, or stick with recharging
> > at the very beginning of Day 7?
> > > >
> > >
> > > I recharge after the 6th or 7th day depending on when I first attached
> > the transmitter. My current sensor was inserted late at night last Tuesday.
> > I had attached the transmitter but didn't start it until the following
> > morning. I will remove the transmitter to charge it after I get home
> > tonight. By the time I'm ready for bed, it will have been long enough after
> > dinner for me to turn it on and calibrate. I'll do two calibrations fairly
> > close together so I can go to sleep. If I insert a sensor in the morning,
> > which I hate doing, I'll usually recharge the transmitter the night before,
> > on day 6 so I don't have to deal with it the next day when I'm already in a
> > rush trying to get ready for work. If it's a weekend I'll still do it the
> > night before so I can sleep late the next morning without worrying about the
> > transmitter timing out.
> > >
> > > If you wait until the end of day 7 you'll start to get Weak Signal
> > messages that will not resolve. My transmitter is over 1 1/2 years old and I
> > never see issues with bad tracking on the 7th day. The transmitter battery
> > will actually work up to 14 days but for some reason MM put that 7 day timer
> > in.
> > > --
> > > Liz
> > > Type 1 dx 4/1987
> > > Minimed 722 + CGMS
> > >
> >
> >
> >
>

3g.

Re: Length of use of MM sensor

Posted by: "Elizabeth Blake" poodlebone@yahoo.com   poodlebone

Fri Jan 8, 2010 11:13 am (PST)



----- Original Message ----

> From: nelson55304 <Kelly.Nelson@spps.org>

> Thank you for sharing your experiences. I generally go 3 days w/ my pump
> infusion set but sometimes go to 4 as long as I still have insulin. I'm a newbie
> to going longer than 6 days w/ the CGMS. Once the sensor ends (at 3 days) I just
> re-start it as a "new sensor" for another 3 days- then I take that sensor out.
> I'm under the understanding that at the 6th (or 7th) I need to completely
> de-tatch the transmitter from the sensor (charge on the 14th) but then can
> simply re-attach the transmitter to the sensor and tell the pump I have a new
> sensor and should be good to go for another 3 days, and so on.... Am I following
> correctly? Thanks.

The transmitter will only go for 7 days before you have to remove it. At the end of the 7th day you'll start seeing a lot of Weak Sensor alarms and then finally Lost Sensor. Minimed says that the transmitter holds enough charge to last 14 days. I guess that if you take it off and them put it right back on it can go for another week but I always recharge it. It doesn't take long to recharge and if I'm going through the trouble of taking off the tape and removing the transmitter, I might as well charge it so I know it's at the fullest capacity. I have never tried to reattach it after 6-7 days without recharging.

When you do remove & reattach the transmitter you'll have the two hour period without readings before it asks for the first meter calibration, just as you do when you insert a new sensor. You don't have that 2 hour wait when you restart a sensor for the second 3-day period because the transmitter wasn't touched.

--
Liz
Type 1 dx 4/1987
Minimed 722 + CGMS

4a.

Re: IV 3000 Waterproof?

Posted by: "nelson55304" Kelly.Nelson@spps.org   nelson55304

Fri Jan 8, 2010 7:31 am (PST)




I've never had good luck w/ IV3000/Tegarderm/something else eimilar/Hy-Tape/Mastisol-Detachol for covering both CGMS and pump infusion sets for when I'm in the water for an extended length of time. Is this Flexfix a product that I can use to keep site covered while in water to help keep them dry and then remove the Flexfix once I'm out of the water? (Makes time in the pool/ocean/etc. too spendy when the adhesive loosens up and I lose the set and have to change way too often...) I use the tape (??name) that is kind of a clear plasticy tape that you can tear in strips and tape down the edges- this is the only tape I'm have seemingly (knock on wood) decent luck w/ in water. Thanks for sharing....

--- In diabetescgms@yahoogroups.com, Ron Ziegler <ronnielee2u@...> wrote:
>
> http://www.healthproductsforyou.us/
>  
>  
> I'll get this address right yet. Sheesh.
>  
> It's been snowing for at least 8 hours now, must be why I can't type anymore. Just came in from outside and It's 14 degrees out and my hands are too cold.
> Ron
> MM722+CGMS Type 1 27 years
>
> --- On Wed, 1/6/10, Ron Ziegler <ronnielee2u@...> wrote:
>
>
> From: Ron Ziegler <ronnielee2u@...>
> Subject: Re: [diabetescgms] IV 3000 Waterproof?
> To: diabetescgms@yahoogroups.com
> Date: Wednesday, January 6, 2010, 11:59 PM
>
>
>  
>
>
>
>
>
>
>
>
> Guess the link should have read...
>  
> .http://www. healthproductsfo ryou.us/
>  
> Ron
> MM722+CGMS TYpe 1 27 years
>
> --- On Wed, 1/6/10, Ron Ziegler <ronnielee2u@ yahoo.com> wrote:
>
>
> From: Ron Ziegler <ronnielee2u@ yahoo.com>
> Subject: Re: [diabetescgms] IV 3000 Waterproof?
> To: diabetescgms@ yahoogroups. com
> Date: Wednesday, January 6, 2010, 11:56 PM
>
>
>  
>
>
>
>
>
>
> sales@HealthProduct sforyou.com
>  
> This is where I got  Smith & Nephew OpSite Flexifix Transparent Film Rolls
> $33.75 TOTAL...Free shipping.
> Thanks to Liz I now know where to get it.
>  
> Ron
> MM722+CGMS Type 1 27 years
>
> Option: 4" x 11yd Roll
>
> --- On Wed, 1/6/10, Elizabeth Blake <poodlebone@yahoo. com> wrote:
>
>
> From: Elizabeth Blake <poodlebone@yahoo. com>
> Subject: Re: [diabetescgms] IV 3000 Waterproof?
> To: diabetescgms@ yahoogroups. com
> Date: Wednesday, January 6, 2010, 11:33 PM
>
>
>  
>
> >From: Richard Price <captdr@sbcglobal. net>
> >
> >That Flexfix sounds good! . Is it more waterproof than IV3000? Also, where do you get it? Locally they don't have
> >it but see it online with AllegroMedical. Who makes it? It sounds like the answer for securing my sensor.
> >Thanks, Richard
> >
>
> I get my Flexifix from eBay. There are a lot of good sellers there. I think the one I use is something like healthproducts4u. I have also gotten my Hypafix from the same seller and never have any problems. Opsite Flexifix is made by Smith & Nephew, the same company that makes IV3000, IV Prep Wipes and a lot of other stuff. Since the Flexifix holds better and is one piece (assuming you get the 4" wide roll, not 2"), I find that it's rare for any water to get underneath when I shower. With IV3000 it was always peeling up and any little fold in the dressing while applying it allowed water in.
>
> --
> Liz
> Type 1 dx 4/1987
> Minimed 722 + CGMS
>

5a.

Re: Hypo symptoms

Posted by: "Dave Balcom" balcy24@gmail.com   balcy24

Fri Jan 8, 2010 7:38 am (PST)



On 1/7/2010 9:55 PM, Brandy Beeson wrote:
>
> Okay so I am really glad that Liz said what she did about her vision.

For years my low symptoms started with my lower legs sweating and if it
lasted long enough all of me. I would also have hunger pains and be
jittery. Now that I am on a pump those signs are still there but I also
have vision changes. It is like going from bright sunlight into a darker
room and still seeing the sun. Weird!

5b.

Re: Hypo symptoms

Posted by: "Elizabeth Blake" poodlebone@yahoo.com   poodlebone

Fri Jan 8, 2010 7:41 am (PST)




>From: Brandy Beeson <volleyheels13@yahoo.com>
>
>Okay so I am really glad that Liz said what she did about her vision. For a while I have been getting blurry vision and I thought I was just going crazy, until I noticed it was when I got lows. However, this is a new symptom. Sometimes mine change (don't know why they have over the years). For the most part, I get a metallic taste on the back of my tongue and my head feels foggy (I guess that is how to describe it). If it is a really big swing, I will break out in a cold sweat and shake. Other people have told me that my face will go pale. I too don't notice the symptoms like I used to. I did have my alarm wake me up this morning (finally - it was on the constant alarm) to tell me I had a low. So YAY for CGMS!
>

My symptoms changed over the years as well. I started out with the classics - shaking, sweating, confusion. There was a time where my legs would feel really heavy and it was a big effort to lift each one to take a step. I also have felt the exact opposite, where it felt like my legs were so light that any little movement would cause my legs to move more than I wanted. I think that would happen when I was EXTREMELY low and was heading for a complete collapse/seizure. Generally other people would realize I was in trouble long before I knew it myself. I could be functioning just fine one minute and unconscious the next. The blurry vision would happen when I had no other symptoms, but as I said by that point I was too far gone and my brain didn't realize I couldn't see because I was low. It would just get annoyed that I couldn't see what I was looking at and I'd try even harder to make it out. I would often lose my vision completely for a few
seconds. Everything would go black. I would then feel really tired and headachy and lay down rather than eating or drinking something.

--
Liz
Type 1 dx 4/1987
Minimed 722 + CGMS

6a.

Insulin Injections via Pump ?

Posted by: "Richard Price" captdr@sbcglobal.net   type1too

Fri Jan 8, 2010 1:30 pm (PST)




Is there a pump that will inject Bolus firmly like shots rather than by small droplets?
, Richard

6b.

Re: Insulin Injections via Pump ?

Posted by: "Andy Mayshar" andyma@charter.net   necountryboy55

Fri Jan 8, 2010 1:49 pm (PST)



I'm not sure why you would want to do this, but I think the MM's will. Just use Fixed Prime mode.(one of the reasons I didn't like the MM Paradigm series) I though it's priming was a kludge. There are a couple of places where if you don't follow though during priming the pump will never deliver any insulin and never give you any kind of indication (never could be years) I brought this to the attention of MM tech support people and they confirmed and agreed with me that it was a serious problem. The MM product manager also agreed and was setting up a meeting with MM engineering to disucss. Then the MM management and legal beavers got involved and the whole investigation got squashed. I think we all know the situations MM has gotten into oner there problems with "priming"

Don't you think it will get absorbed better with slow injection?
Andy

---- Richard Price <captdr@sbcglobal.net> wrote:
>
> Is there a pump that will inject Bolus firmly like shots rather than by small droplets?
> , Richard
>

6c.

Re: Insulin Injections via Pump ?

Posted by: "Todd Pearson" tm_pearson@yahoo.com   tm_pearson

Fri Jan 8, 2010 1:57 pm (PST)



I see what he is asking and basically the answer to that is "NO", there are no pumps that will do that even MM will not. Priming the MM pump still primes it in .1/per 2 seconds.

Andy, it is a flaw with the MM system, but I do have my new 722 and have not checked to see if they have changed that to alarm or anything. I'm just so used to priming right after I connect the tubing up to my site.

Todd
dx 12/1986
MM 722 + CGMS
Dexcom 7+

________________________________
From: Andy Mayshar <andyma@charter.net>
To: diabetescgms@yahoogroups.com
Cc: Richard Price <captdr@sbcglobal.net>
Sent: Fri, January 8, 2010 1:49:00 PM
Subject: Re: [diabetescgms] Insulin Injections via Pump ?

I'm not sure why you would want to do this, but I think the MM's will. Just use Fixed Prime mode.(one of the reasons I didn't like the MM Paradigm series) I though it's priming was a kludge. There are a couple of places where if you don't follow though during priming the pump will never deliver any insulin and never give you any kind of indication (never could be years) I brought this to the attention of MM tech support people and they confirmed and agreed with me that it was a serious problem. The MM product manager also agreed and was setting up a meeting with MM engineering to disucss. Then the MM management and legal beavers got involved and the whole investigation got squashed. I think we all know the situations MM has gotten into oner there problems with "priming"

Don't you think it will get absorbed better with slow injection?
Andy

---- Richard Price <captdr@sbcglobal. net> wrote:
>
> Is there a pump that will inject Bolus firmly like shots rather than by small droplets?
> , Richard
>

6d.

Re: Insulin Injections via Pump ?

Posted by: "Elizabeth Blake" poodlebone@yahoo.com   poodlebone

Fri Jan 8, 2010 2:20 pm (PST)



----- Original Message ----

> From: Andy Mayshar <andyma@charter.net>

> I'm not sure why you would want to do this, but I think the MM's will. Just use
> Fixed Prime mode.(one of the reasons I didn't like the MM Paradigm series) I
> though it's priming was a kludge. There are a couple of places where if you
> don't follow though during priming the pump will never deliver any insulin and
> never give you any kind of indication (never could be years) I brought this to
> the attention of MM tech support people and they confirmed and agreed with me
> that it was a serious problem. The MM product manager also agreed and was
> setting up a meeting with MM engineering to disucss. Then the MM management and
> legal beavers got involved and the whole investigation got squashed. I think we
> all know the situations MM has gotten into oner there problems with "priming"
>

A Fixed Prime on the Minimed pump is not very fast. I think it's the same rate as the bolus delivery. The Manual Prime is much faster but I would never recommend anyone using that to bolus insulin. First of all, you can't choose a specific dose. The Manual Prime is meant to fill the tubing while disconnected and even if you're watching the screen, there's no telling how much over or under your desired amount would be delivered since it moves pretty fast.

I have never not completed a prime when changing my set or reservoir. A few times I've forgotten to do the Fixed Prime and wondered why my BG was running higher than usual, but I have always gotten out of the Manual Prime and the pump resumed normal operations. I can see it happening if you don't pay attention but it has never been a problem for me.

I've read complaints from some Animas pumpers that the bolus delivery was too fast and could sting. They might have the quickest bolus delivery. I'm used to Minimed's slow delivery and it's not an issue for me.

--
Liz
Type 1 dx 4/1987
Minimed 722 + CGMS

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