Well like the title says!
In my big pump start post I had mentioned that I was having issues with pods leaking a bit, usually on day 2 or 3. Not like a flood or anything, but the adhesive around the cannula would be damp and smell of insulin. I haven't been keeping an exact count but it's definitely happened on at least 5-6 pods in the past month (so about half of them, maybe more). It's happened on my lower back, upper and lower abdomen, and on my thigh so I don't think it's a "bad site" issue.
I did some reading, discovered the concept of "tunnelling" with teflon cannulas and started making sure that I never bolus more than 5u at a time - if I need more than 5u of insulin I extend the rest of the bolus for 30-60 minutes so it goes in gradually. When I first started doing this, the very next pod I tried never developed a leak, so I thought ta-daa! I have found the solution. Except the two pods after that one have both done it, the latest being this morning after a correction bolus of 2.75u.
So BGs are not a total disaster when this happens, I don't think I'm losing more than half a unit, and probably less than that. So it isn't exactly an emergency. But it is frustrating and a bit worrying - because if overlarge boluses aren't the issue, then it seems like it's more down to the cannula getting jostled too much or just not being the right length/angle/type for me. And that would mean that Omnipod just won't work with my body/lifestyle (I sleep on my stomach and both sides; I do yoga and cardio - I try to put them "out of the way" but there is just nowhere I can put the pods that they won't experience ANY movement or jostling through the 3-day lifespan). And that would put me in a really tough spot, because I really do not want to have to deal with a tubed pump, but I also don't really want to lose the benefits I've gained thus far by going back to MDI. So I am putting a lot of pressure on these little pods to WORK DAMN YOU
I'm due touch base with my CDE tomorrow, and I'll discuss it with her again. So far the solutions that I know of are
(1) try and secure the pods more firmly (so with Skin-tac or a "tape sandwich") but frankly the pods feel pretty securely attached to me, and no amount of tape is going to keep them from moving if they get bumped or laid on, plus I really don't want to deal with MORE tape if I can help it.
(2) Change pods every 2 days instead of 3. That would be slightly more expensive (after government assistance + insurance, $50/month instead of $20) and a bit of a hassle, but I think doable. As far as I can see, I'm not having problems with highs at pod change so it wouldn't have too much effect on BGs to change more often and since most of my problems occur on day 2 or 3 could be a viable solution.
And of course (3) Lump it.
I mean, as I've said, it doesn't seem to be having disastrous results, it's more just a pain that it throws another variable in the mix (am I sat at 11.0 because I'm getting sick, because I missed a drop or two of bolus/the site is going off, because the insulin is going off, because my settings need adjusting, because I made a mistake in my carb counts...?). And other than this one issue, Omnipod is working pretty well for me, still better than MDI or, for me personally, a tubed pump. No system will be perfect, right, so maybe I can just work around this.
Anyway, just putting this out there first of all to hear your thoughts if you have any, and second for anyone who might be lurking now or in the future that's having similar problems to know they're not alone!