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Offline everydayupsanddowns

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Re: Sites
« Reply #15 on: 03 May 2017, 09:59:00 AM »
With the flexlink It's not inserting the cannula in my back that I find difficult.  It's firstly removing the plastic clip, then withdrawing the needle and attaching/detaching the tubing each time I shower.  Hate having to rely on Julian who is normally elsewhere doing something when I get into or out of the shower.

The release button on the Silhouette inserter is pretty easy to find, and the inserter needle simply pulls out with no clip/fiddling so that's easy enough.

Detaching and attaching around shower etc I can manage by touch, though it is a little fiddly some times. The Mio has an advantage in that respect because the tubing can attach 'either way up' (ie you can rotate the tubing 180-degrees along its axis and the connection still fits. Silhouettes will only fit one way, so i just have to be careful that the smooth side is facing outwards rather than the side with the two little holes in. (I realise, of course, that this makes absolutely NO SENSE to the users of other pumps!)
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline sedge

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Re: Sites
« Reply #16 on: 03 May 2017, 10:35:30 AM »
On the Combo Flexlinks, the needle has a blue head on it, much like a map pin.  To be sure of not unsticking/dislodging the cannula before it's had a chance for the adhesive to 'set' - you really need to use both hands.  Ditto attaching or detaching the tubing - it has to be level with the plastic bit on the top of the cannula un order to slide on - however they can be rotated through 360 degrees, same one side as the other.  Because they slide over the side of the cannula past the little humps and click into place.  Then when wanting to remove the tubing for a shower etc, you need to squeeze the sdes of the plastic bit on the end of the tubing to get it back off the little humps, but need to put  a finger from your other hand on the other end of the cannula to jeep it firmly attached to you, cos if not squeezed exactly right there will be resistance as you try and slide the tubing catch off.

Much easier to do if you can see!

I have exactly the same prob so eg if Pete's eg cleaning the car or moho so outside for a while, I can't shower at that time. 3 sites either side of my bum, so 12 days in total, so 12 days a month.  (2 sites each side of my tum and 3 on each thigh - rest of tum doesn't absorb well at all.)
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: Sites
« Reply #17 on: 03 May 2017, 11:25:05 AM »
Quote
(I realise, of course, that this makes absolutely NO SENSE to the users of other pumps!)

You're absolutely right Mike, it doesn't!  LOL!

I think Sedge has explained better than I did, removing/reattaching the tubing requires both hands with the Flexlink.  This is, as you can imagine, very difficult to do behind your back, specially since by nature of the thing, it will be on one side or the other of your back and not in the centre.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline Liam

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Re: Sites
« Reply #18 on: 03 May 2017, 01:10:14 PM »
I don't mean to be cheeky but maybe it is partly an age thing? I mean I'd need to use both hands like Jenny has said but that wouldn't be a problem for me. I can get my hands together easy enough to hold the cannula while pinching the tubing connector. I kind of want to try one in the back now to see what it would be like. I only really have enough fat right on the 'love handles' to try it. 

I'm glad I'm not the only one that didn't have a clue what Mike was talking about detaching his tubing.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: Sites
« Reply #19 on: 03 May 2017, 08:42:25 PM »
It's maybe an age thing Liam, but it's partly lining up two very small parts that have to be precise to connect and you are doing it blind behind your back.  Both arms will meet behind my back, still... considering my advanced age!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: Sites
« Reply #20 on: 03 May 2017, 09:58:47 PM »
Yes mine do too - and I'm better off in the RHS of my bum, since I can hold the cannula with my left and do the dextrous bit with my right, but it will take me like a minute instead of 10 secs when I can see.

OTOH when its in my left-hand cheek - I'm a bit more challenged, being right handed - and not a contortionist!
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Liam

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Re: Sites
« Reply #21 on: 04 May 2017, 01:32:50 PM »
Do you normally look at it when connecting or removing it? I do it totally by feel even if it is somewhere I could look. I've never tried one in the back so can't say it would be as easy as I think.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline everydayupsanddowns

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Re: Sites
« Reply #22 on: 04 May 2017, 03:32:19 PM »
Quote
(I realise, of course, that this makes absolutely NO SENSE to the users of other pumps!)

You're absolutely right Mike, it doesn't!  LOL!

I think Sedge has explained better than I did, removing/reattaching the tubing requires both hands with the Flexlink.  This is, as you can imagine, very difficult to do behind your back, specially since by nature of the thing, it will be on one side or the other of your back and not in the centre.

Haha! I know just what you mean - I have read with bemused and fuzzy brain several times when Sedge accurately describes various Combo/Insight procedures.

If you are intrigued, you can look at this video I made: https://www.youtube.com/watch?v=OPpzrlVRkUk

The cannula insertion bit is 11 min 35 seconds in. 13min 35seconds for the clipping of the tubing bit.

I'm inserting one just above hip level but you can more or less see that it's easy enough to do it by touch reaching behind me when a little further around towards the back. There are a few things that need both hands, but I can always hold one bit with one hand while reaching around with the other.
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline Pattidevans

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Re: Sites
« Reply #23 on: 04 May 2017, 03:52:10 PM »
Excellent video Mike.  It looks a bit easier to line up than the Combo tubing is. 

I may soon find out as I think my pump is due to be renewed in Nov and I understand I will be offered either the Animas or the Medtronic.  Somewhat nervous about not having a pump with a handset!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline sedge

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Re: Sites
« Reply #24 on: 04 May 2017, 04:40:50 PM »
Yeah - I'm often on a slightly different planet, after I've tested and subsequently entered the carbs, just pushing the button when needed, but still engrossed either in conversation or the News or something.  Can't do that if you have to remember your exact BG as well as the carbs!  and use two different machines too.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline everydayupsanddowns

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Re: Sites
« Reply #25 on: 04 May 2017, 09:47:00 PM »
Yeah - I'm often on a slightly different planet, after I've tested and subsequently entered the carbs, just pushing the button when needed, but still engrossed either in conversation or the News or something.  Can't do that if you have to remember your exact BG as well as the carbs!  and use two different machines too.

No problem with the Medtronic Sedge. The BG beams over wirelessly, so by the time you've put the meter down the bolus wizard on the pump is ready and waiting for you :)
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline Pattidevans

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Re: Sites
« Reply #26 on: 04 May 2017, 10:03:23 PM »
So it does have it's own meter?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline everydayupsanddowns

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Re: Sites
« Reply #27 on: 04 May 2017, 11:29:38 PM »
Yes. Medtronic pumps have paired with Contour Next Link USBs for a while now. Probably the most consistent and reproducible meter I've ever used. If I re-check a result I am unsure of - no matter where it is on the spectrum - the recheck is usually only a decimal point or two out.

You pair the meter with the pump (or multiple if you want another in different places) and then he BG results are automatically transmitted to the pump whenever you test. You can turn this off if you don't want it, of course. And if you wants to use a different fave meter you could (e.g. I know some who choose to use Libre as BG meter to save carrying extra, but you would have to manually insert the BG if you chose to do that).

I've always loved the paired meter route myself.
Mike

Type 1 since: 1991 Last HBA1c: 45 (6.3%)  Total Chol 5.0 (1.9HDL / 2.8LDL / Trigs 0.7)
Pumping NovoRapid in a MiniMed 640G
Blogging at: www.everydayupsanddowns.co.uk

Offline sedge

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Re: Sites
« Reply #28 on: 05 May 2017, 02:44:01 PM »
Oh that's great Mike - and pairing is exactly what the Roche pumps have, hence when Patti and I have been sat cheek by jowl at lunch etc, both testing and bolusing, my pump didn't pick up her BG or vice versa.

Med is looking more attractive by the day.  Now - when are they going to start using the Novorapid Pumpcarts did you say?  LOL - the only other snag I can think of at the mo!

But, needing to fill the reservoirs wouldn't actually stop me if a pump did everything else, and it's the 'pairing' that's the overriding factor here.  The prefilled cartridges are just a lovely additional feature for me.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: Sites
« Reply #29 on: 05 May 2017, 06:24:10 PM »
Been to clinic today.  My replacement is due this November and I am "on the list", so I guess I shall then have to choose.  I suppose on the rare occasions I am out wearing a dress I can go to the loo to fish the pump out... not like doing an injection in the loo is it?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans