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Medical Forum / Diseases and Disorders / Diabetes / May 2006Quick Set Question
I switched from the Sof-Sets to the Quick-Sets a few months ago. I've been using these without a serter, just manually inserting them. I notice that when I remove the set, there is a raised area of skin that looks like a very miniature donut on my skin, today more so than ever before - almost bubble-like. I never had this happen with the Sof-Sets. Is this normal? ~Lindy~ type 1 since 1960, pumping since 1997 That sounds about like what mine looks like, too, Lindy, especially if I let it go beyond the 72 hours, but it goes down fairly quickly. I also get something similar to that with my duragesic patch if I leave it on longer, too. I chalked mine up to my skin, and the problems I've been having with bruising, and sensitivity. I also manually insert; easier than fooling with the serter, but I *do* keep my serter in my pump bag that goes with me. Not sure why, no good reason. Think I just threw it in there once, and never took it back out. I tried using my upper thigh this time. It was fine, but something caused me to be in a rush, and I accidentally pulled it out, so had my first experience at replacing the tubing, but still keeping the same reservoir. I made the switch just fine. Oh, how did I ever get by before pumping!! Only four months, but I just dare anyone try to take my pump from me! What control! Have you tried the Silhouettes? My CDE gave me one, and I'm thinking of trying it on my thigh since it is supposedly thinner. I think Elizabeth (Liz) Blake has used them, or has switched to them recently, or something. Excellent facts, huh?! Billie A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life! :I switched from the Sof-Sets to the Quick-Sets a few months ago. I've been : using these without a serter, just manually inserting them. I notice that [quoted text clipped - 3 lines] : : ~Lindy~ type 1 since 1960, pumping since 1997 Billie said: > That sounds about like what mine looks like, too, Lindy, especially if I > let it go beyond the 72 hours, but it goes down fairly quickly. Oh good. I've been trying to not pinch up my skin when I insert, thinking maybe that is what was causing it. It just sort of creeps me out to insert without doing that. I'm getting better with it though. >Oh, how did I ever get by before pumping!! Only four months, but I >just dare anyone try to take my pump from me! What control! I'm with you there! My doc tried for years to get me to use a pump and I stubornly refused. When I finally did, I could have kicked myself. My life is soooooooo much easier with the pump. I'd never *ever* go back to injections! > Have you tried the Silhouettes? My CDE gave me one, and I'm thinking > of trying it on my thigh since it is supposedly thinner. I think Elizabeth <(Liz) Blake has used them, or has switched to them recently, or > something. Excellent facts, huh?! Now aren't the Silouettes the ones that go in at an angle? I think I tried those when I first got my pump. It worked it's way out and the disconnect was really hard for me to maneuver with my arthritis. I loved the Sof-sets but the last batch I got before switching to the Quick-sets just wouldn't stick. I much prefer the straight-in kind. ~Lindy~ type 1 since 1960, pumping since 1997 > Billie said: > [quoted text clipped - 28 lines] > > ~Lindy~ type 1 since 1960, pumping since 1997 If you can make do with the short tubing length, try the Sure-T's. They are often on back order . I don't think MM expected such a strong demand for them. I started using them about a month ago after 5 bent cannulas within less than a 2 month period after using them w/o problems for a year. Before that, I used Soft Sets and they too didn't kink up on me in 8 years of usage. Dave : > Billie said: : > [quoted text clipped - 22 lines] : > : > Now aren't the Silouettes the ones that go in at an angle? Yes. I think I tried : > those when I first got my pump. It worked it's way out and the disconnect : > was really hard for me to maneuver with my arthritis. Why did you disconnect? Shower/bathe? I cannot do either right now in my current state of health, and with my physcial limitations. Have to do the ole hand bathing.... UGH!!! How did your arthritis make it difficult? I have RA. I loved the Sof-sets : > but the last batch I got before switching to the Quick-sets just wouldn't : > stick. Have you tried using Tegraderm over your Sof-sets? All I know is what I've been reading on the IP group list. The outer edges of my last two sets have been a tiny bit loose around the edges, but not a real problem since my time was up by about the time this started. I much prefer the straight-in kind. That is the only one I've used, but I *think* I would prefer them, too. I just swipe with the iv prep, then a quick jab and she's in there. Still, I'd like to see if they are flatter. I'd like to vary my sites, but having it on my thigh, at least where I had put it, it didn't work too good there as far as getting in the way. My arms/hands do not work real good, and that is how I accidentally yanked it out. LOL PLOP! There it went! : > ~Lindy~ type 1 since 1960, pumping since 1997 : > [quoted text clipped - 4 lines] : for a year. Before that, I used Soft Sets and they too didn't kink up : on me in 8 years of usage. Dave, I've been using the short tubing because that is what they started with, and I didn't get my call in to them in time for my shipment. I thought if I tried the sillouettes I would try the longer tubing. I am finding it is hard to vary your sites with the shorter length. I have had absolutely no problems with any of my sets - so far. What is the advantage of the Sure-T's? Without having to go to the site to look them up, aren't they the ones with the differnt cannula/needle/or something or other???? It is just a vague blur in my memory from having read them all. With my limited mobility, I am finding I have been limited to only the areas directly in front for my sites. I *did* put one further over to my side, but it was a little bit tedious; add some fluid retention, and I cannot reach the sides without huffin' and puffin'. I'm thinking of training Jim to jab it in for me. I just asked him if he thought if he reached deep down deep into his greatest bravery (after all, he *was* a big Air Force guy :) and jab my set in when I got ready, and he said, "Sure, as long as it didn't hurt me." Exactly what I thought he'd say!! LOL "Nursing" is not his chosen profession, but he *has* been doing fairly good at it. He did a good job of changing dressings after my fall last September. HeHe Our sixteen year old granddaughter says for $25 a day, she'd take care of us when we could no longer care for ourselves. LOL Sounds like a teenager logic doesn't it. Funny part is, she originally told me $50 a day, and I think my reaction caused her to lower her price. Our 25 year old granddaughter actually works in a nice nursing home in Dayton. However, given the two of them when we are out some place, the 16 year old does a better job with me than the 25 year old. I think it is because *I* am her grandmother, and not one of her patients, whereas the 16 year old has been helping me out for years, and is used to helping me in many conditions, even to helping me bathe when I could still get in the tub (I have a tub chair, but it is the whole process that is hard on me now. Tell us more about the Sure-T's, Dave. I want to learn all I can; I'm going to be doing this for a long time, and I get bored with repetition. Variety is the spice of life!!!! LOL Billie A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life!: : Dave > : > Billie said: > : > [quoted text clipped - 96 lines] > Today is the first day of the rest of my life!: > : Dave Billie, The Sure-T's were designed for kids--hence the short tubing and short cannula length (6 mm). They are straight metal needles that terminate in a soft round disk that's attached to the adhesive (round) patch. You squeeze the round soft plastic between your thumb and index finger to install it. No inserter is made for it. It's by FAR the least painful type of set I've ever used and it remains comfortable for the 3 days that I wear it (officially, it's supposed to be worn only 2 days because it's metal). about 4 inches up the tubing is located the quick disconnect, which also has a round adhesive patch. that doubles as a "strain relief" between the set and the pump. The tubing is quite short, so I use the tubing from a Silhouette that is the 43" version for a couple of set changes. If I wear a Sure-T on the right side of my belly, then the short tubing isn't such an issue because I like to wear the pump on my right side waistband. If cost is an issue, you'll be glad to know the Sure-T's are the cheapest set MM makes. (and NOW my favorite) Dave Let me clarify: the Silhouette's tubing is identical to that supplied with the Sure-T's with the exception being the length. I'll probably order some Silhouette's to cannibalize them for the tubing so that I can use Sure-T's and still have the advantage of using the long tubing that I like. Dave Thanks for the info. I will keep it in mind in the event I have any problems with the Quick Sets. They do not hurt with insertion, nor with wearing. In fact, I often forget where I have mine located. As far as the cannula length, once past the outer layer, I cannot feel a needle or cannula of any kind. In all, wearing a pump has been very simple, and pain-free. Much more so than DMI. I love having the easy bolus for those times my meter is not handy, and I can bolus just for what I am about to eat. This is especially helpful now that I am having *more normal* readings, with fewer extreme highs and lows. I am anxious for my next A1C to see if I have come down some. It would feel good to have some victory over the Prednisone! LOL I woke early this morning, and was hungry. There was about one bite of a dark chocolate bar left, so rather than mess up my fbg, I checked it before eating that one bite. Did not bolus; was just getting the fbg reading for the morning. Later, when ready for breakfast, my bg was actually two points lower than before I ate the chocolate. This has happened before for me with chocolate, and Dr. Endo said it is just the way our bodies are different, backing up YMMV. I'm learning to like the dark chocolates; haven't been able to go above the 60% yet, but am working on it. Anyway, I thought my chocolate experience might be a fairly good indicator of my basal settings. Billie...... loving my pump more and more every day!! A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life! "David" <David@invalid.com> wrote in message : > : Billie, : [quoted text clipped - 16 lines] : : Dave > Thanks for the info. I will keep it in mind in the event I have any problems with the Quick > Sets. They do not hurt with insertion, nor with wearing. In fact, I often forget where I have [quoted text clipped - 4 lines] > normal* readings, with fewer extreme highs and lows. I am anxious for my next A1C to see if I > have come down some. It would feel good to have some victory over the Prednisone! LOL I had a few Quick-Sets that hurt after I had been waring them for awhile. The pain would start while I was walking so I guess the cannula was rubbing up against something, but it didn't happen all the time. It was really painful, but it was at the time I had so many bad sets and if my BGs were okay, I wouldn't remove it. I never use the easy bolus feature. If I eat something without testing I still use the Bolus Wizard, but just hit ACT at the BG screen without putting in a reading, then enter my carbs and take what the pump recommends. > I woke early this morning, and was hungry. There was about one bite of a dark chocolate bar > left, so rather than mess up my fbg, I checked it before eating that one bite. Did not bolus; [quoted text clipped - 4 lines] > on it. Anyway, I thought my chocolate experience might be a fairly good indicator of my basal > settings. I usually don't bolus for very small amounts of anything. Not sure how big your bite of chocolate was, but if it was under 5g of carb I wouldn't have bothered. I really like dark chocolate and now milk chocolate tastes pretty bland, at least on its own. If it's milk chocolate that's covering some caramel or graham crackers it's another story! I usually keep a bag of Hershey's Dark Chocolate Kisses or the mini dark bite sized bars at work for a chocolate fix. I also have a bunch of Cocoa Via bars, which are supposed to have all kinds of stuff in it to help cholesterol. They're really good (only come in dark), small and each is 100 calories so I never feel like I'm going crazy if I eat an entire bar. Cocoa Via also makes chocolate covered almonds and some snack bars which have a lot of crispy rice in them. Of course I want chocolate now!  SignatureLiz Type 1 dx 4/1987 MM Paradigm 5/2005 Billie said: > Why did you disconnect? Shower/bathe? I cannot do either right now in my current state of > health, and with my physcial limitations. Have to do the ole hand bathing.... UGH!!! How did > your arthritis make it difficult? I have RA. I have RA too. Since about 1973. I had a total elbow replacement about 7 years ago. My wrists are pretty much frozen and my hands are in an awful state, no strength in them whatsoever. I would disconnect before my water aerobics class. I just didn't have the strength to push in the sides and pull the thing out. Had to have one of the ladies do it for me. After that I never used another one. > Have you tried using Tegraderm over your Sof-sets? All I know is what I've been reading on the > IP group list. The outer edges of my last two sets have been a tiny bit loose around the edges, > but not a real problem since my time was up by about the time this started. I tried several things because I loved the Sofsets and didn't want to change. It just made the tapes real stiff and they would separate or pop apart. I used the Sofsets for several years and they were fine. On that last batch, I called MiniMed and they said they had received several calls with the same problem. Said they were working on it but who knows how long before they would have done something about it (if ever). Dave suggested I switch to the Quicksets which I did and, other than the donut raised-skin issue, I like them. ~Lindy~ type 1 since 1960, pumping since 1997 > I tried several things because I loved the Sofsets and didn't want to > change. It just made the tapes real stiff and they would separate or pop [quoted text clipped - 8 lines] > > ~Lindy~ type 1 since 1960, pumping since 1997 I think that one of the adhesives that comes with the Sof-Sets was changed by the manufacturer (the IV3000 tape). I think a lot of people found that the reformulated IV3000 didn't stick nearly as well. I have some that I've used on occastion to hold down a set that started to peel up before 3 days, and had nothing but problems . I'd end up having to tape over the IV3000 using Tegaderm, which is smilar. I just recently got a roll of something called Hypafix, another type of tape. It comes in a wide roll (mine is wide, but I think it comes in different widths) and it's not like the clear plastic Tegaderm or IV3000. It's actually just like the adhesive patches on the Quick-Sets. Now if I see an edge of the adhesive peeling up I just cut a strip of Hypafix and use that to hold down the edge. It holds really well, and you can just cut what you need. I still have 2 boxes of Sof-Sets and I use them once in awhile on my hips. Since they have a low profile, I'm less likely to yank it out when using the restroom. I've yanked out a bunch of Quick-Sets when I inserted them in my hips. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 I just recently got a roll of something > called Hypafix, another type of tape. It comes in a wide roll (mine is > wide, but I think it comes in different widths) and it's not like the clear > plastic Tegaderm or IV3000. It's actually just like the adhesive patches on > the Quick-Sets. Now if I see an edge of the adhesive peeling up I just cut > a strip of Hypafix and use that to hold down the edge. It holds really > well, and you can just cut what you need. Elizabeth, May I ask where you purchase the Hypafix tape? TIA, Janet Signature----------- Janet Wilder The Road Princess http://janetwilder.blogspot.com > Elizabeth, > > May I ask where you purchase the Hypafix tape? > TIA, > Janet I got it from eBay. I don't think it's something sold in drugstores, or generall something an average consumer buys. I guess it's mostly a hospital item. You might be able to find it in a surgical supplies store, or maybe even get a local pharmacy to order it. I did a Google search first and found some places online that carried it, but after shipping it got expensive. Found it cheaper on eBay and even though I paid something like $16 for it with shipping, it's a big roll that will last a long time. SignatureLiz Type 1 dx 4/1987 MM Paradigm 5/2005 >>Elizabeth, >> [quoted text clipped - 9 lines] > expensive. Found it cheaper on eBay and even though I paid something like > $16 for it with shipping, it's a big roll that will last a long time. Thank you. Signature----------- Janet Wilder The Road Princess http://janetwilder.blogspot.com That's what I did when I tried putting it in my thigh. There was no problem other than my forgetting it was there, and ending up yanking it out accidentally. Wonder if the Sof-Sets would do better there? Liz, I've appreciated all of your experiences related on IP. Your explanations are always so clear; I've learned a lot from you. :) How are you and your CDE getting on these days? Are you still doing things her way.... at least more or less??? <vbg> Billie A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life! "Elizabeth Blake" I've yanked out a bunch of Quick-Sets when I inserted them in my : hips. > That's what I did when I tried putting it in my thigh. There was no > problem other than my > forgetting it was there, and ending up yanking it out accidentally. > Wonder if the Sof-Sets > would do better there? Or you could just put extra tape down over the Quick-Sets. The Sof-Sets worked for me because they were not only lower profile, but they had all that extra tape as well. I've cut a hole out of a piece of Tegaderm and put it over the Quick-Sets if I saw an edge was peeling. I've also done that with the Silhouettes. > Liz, I've appreciated all of your experiences related on IP. Your > explanations are always so [quoted text clipped - 3 lines] > > Billie Thanks, Billie. I have left all of my CDE's changes alone. I hate to admit it, but they're working better than my previous settings. And, I think I may have to lower some ratios and basal rates some more. My CDE made me promise that I would e-mail or call her and I haven't done that yet. It's been 6 weeks since I saw her and I know I should do it soon. If she doesn't hear from me before my next appointment in July I'm sure I'll get yelled at again! And, it will probably make her very happy if she can tell me to take less insulin. I should probably e-mail her tonight and get it over with. Not sure why I'm so resistant to asking her for help/advice. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 > Have you tried the Silhouettes? My CDE gave me one, and I'm thinking of trying it on my thigh > since it is supposedly thinner. I think Elizabeth (Liz) Blake has used them, or has switched to > them recently, or something. Excellent facts, huh?! > > Billie Are you mad at Lindy? Why else would you recommend he try a Silhouette? Dave David said: > Are you mad at Lindy? Why else would you recommend he try a Silhouette? I'm a "she". I'm normally mistaken as a "he" because of my first name but this is the first time I've been mistaken for the Lindy part. ;-) ~Tommie Melinda (aka Lindy)~ > David said: > [quoted text clipped - 4 lines] > > ~Tommie Melinda (aka Lindy)~ Darn pronouns!! Dave Okay, Dave, we know Lindy is a "she" (I have a friend with a daughter called Lindy), but I do not get the Silhouette connection. Clue me in. This is a *tired brain* day for me today. Will it embarrass me? <vbg> I figure I'd better not ask any more questions for fear of embarrassing myself. Billie A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life! : > Have you tried the Silhouettes? My CDE gave me one, and I'm thinking of trying it on my thigh : > since it is supposedly thinner. I think Elizabeth (Liz) Blake has used them, or has switched to [quoted text clipped - 5 lines] : : Dave > Okay, Dave, we know Lindy is a "she" (I have a friend with a daughter called Lindy), but I do > not get the Silhouette connection. Clue me in. This is a *tired brain* day for me today. Will [quoted text clipped - 21 lines] > : > : Dave I was given a couple of free Silhouettes (Sils) to try earlier this year. I hated them! I used one for a scant 3 hours, before I ripped it off me. Anyway, the tubing can be used with the Sure-T's because I like long tubing and Sure-T's come only in the short version. Sils are considered torture devices by many that have braved their 17 mm long needle. I'm always in awe of anyone who says they like them. :) Mine hurt going in, and continued to be extremely sore for the entire 3 hour ordeal. Dave > I was given a couple of free Silhouettes (Sils) to try earlier this year. > I hated them! I used one for a scant 3 hours, before I ripped it off me. [quoted text clipped - 7 lines] > > Dave Not only do I like the Sils, but I have also been able to finally insert them manually. I still wince when I do it, but I haven't been doing it for too long. I'm sure I'll just start jabbing them in without thinking soon enough. I had inserted the last few manually and then on Sunday, when it was time to change, I decided to use the Serter again. I ended up with a raise bruise at the point where the cannula enters the skin. By early evening it was feeling really sore so I pulled it out and inserted a new one manually. Normally the Serter works great and I barely feel it, so I must have hit something. Blood did ooze out when I removed the bad set. It wasn't even bad, because my BGs were great, just painful. I've got a collection of 43" Sil tubing set aside because I use the same tubing for 3 or 4 sets. I'm going to see if I can get a box of Sure-T's in my next order. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 > I tried using my upper thigh this time. It was fine, but something caused > me to be in a rush, [quoted text clipped - 4 lines] > pumping!! Only four months, but I just dare anyone try to take my pump > from me! What control! You didn't even need to replace the tubing. Just insert the new set without priming the tubing. Once the set is in, disconnect the new, empty tubing and hook your old one (attached to the reservoir) up to that. All you'll have to do is the usual fixed prime to fill the new cannula. > Have you tried the Silhouettes? My CDE gave me one, and I'm thinking of > trying it on my thigh [quoted text clipped - 3 lines] > > Billie I am using the Silhouettes and I really like them. I was a little disappointed that the profile isn't much lower than it is. It's still not as high as the Quick-Sets, but when I put one in an unusual spot I am very careful not to yank it out. I've never tried my thighs yet, because I *know* I'll pull it out! For a thin profile, the Sof-Sets really are the best but they're also a chore to use, because there's no built-in adhesive. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 For a thin profile, the Sof-Sets really are the > best but they're also a chore to use, because there's no built-in adhesive. Actually, NO, the Sof-Sets aren't the lowest profile: the Sure-T's are, by a wide margin. > For a thin profile, the Sof-Sets really are the > > best but they're also a chore to use, because there's no built-in adhesive. > > Actually, NO, the Sof-Sets aren't the lowest profile: the Sure-T's are, > by a wide margin. Forgot about those, since I haven't actually seen them in person yet. But, isn't the connector the same as the Silhouettes? I was disappointed when I first got the Sils and saw they weren't a whole lot lower than the QS. I haven't yanked a Sil out yet but I also haven't put them in my most yankable sites yet (my hips). I know the part of the Sure-T that houses the cannula is flat, but thought the disconnect portion is probably as high as a Silhouette. SignatureLiz Type 1 dx 4/1987 MM Paradigm 5/2005 > I switched from the Sof-Sets to the Quick-Sets a few months ago. I've been > using these without a serter, just manually inserting them. I notice that [quoted text clipped - 3 lines] > > ~Lindy~ type 1 since 1960, pumping since 1997 Yes. Mine do the same thing. I switched to Sure-T sets--no more bent cannulas and insertion is compeletely painless. The needle is 6 mm, .016" vs the Quick Set's .026 cannula. Dave David said: > Yes. Mine do the same thing. Good, this is what I was hoping to hear. It's been bugging me for awhile but this morning it was bigger than usual and I finally posted about it. > I switched to Sure-T sets--no more bent cannulas and insertion is > compeletely painless. The needle is 6 mm, .016" vs the Quick Set's .026 > cannula. Well damn you Dave! You're the one who got me to switch to the Quicksets! Now you're using something else?? Lol! I'm satisfied with the Q's, now that I'm comfortable with the manual insertion. But seriously, that serter is the worst design I've ever seen. ~Lindy~ type 1 since 1960, pumping since 1997 > David said: > [quoted text clipped - 13 lines] > > ~Lindy~ type 1 since 1960, pumping since 1997 Hey, I can't help it if MM came out with a better set, can I? <g> The QS are fine IF they don't kink up on you. I still like them when the cannula remains straight for 3 days. :) But because I'm not much of a gambler, I've switched to the Sure-T's. Besides, I went a whole year+ using QS without ONE bent cannula. I've yet to determine precisely the cause of my recent problems with them. I have better luck when I use their QuickSerta. Dave Dave said: > Hey, I can't help it if MM came out with a better set, can I? <g> Oh alright! I take the "damn you" back. :-) ~Lindy~ type 1 since 1960, pumping since 1997 > Dave said: > [quoted text clipped - 5 lines] > :) The Quick Sets really are nice, aren't they? As long as the cannulas don't get bent (using the Quick Serta supposedly reduces that problem significantly, according to MM), they are a well designed set according to many users, including myself. Dave David said: > :) The Quick Sets really are nice, aren't they? As long as the > cannulas don't get bent (using the Quick Serta supposedly reduces that > problem significantly, according to MM), they are a well designed set > according to many users, including myself. They aren't bad. If I had my druthers, I'd want them to fix the adhesion problem with the Sof Sets because the inserter tool was just the best. MM wouldn't say so but as far as I'm concerned they *had* to have changed something there. After 9 years of being perfectly fine, then they started falling out in the shower, something was different. I didn't mind the tail and they were very comfortable. But since they weren't sticking anymore, that was the end of that. So far I haven't had a problem with bent cannulas on the Quick Sets. ~Lindy~ type 1 since 1960, pumping since 1997 > David said: > [quoted text clipped - 13 lines] > > ~Lindy~ type 1 since 1960, pumping since 1997 I used Soft Sets for over 8 years and never got them to stick well. I used IV3000 tape and Skin Prep to make them work for me, so I don't know how much worse they could have gotten lately. :) Dave Okay, I've not had any trouble with the QS's, so why would I want to switch? Wouldn't I have to wait until my next order to make a change? Why is using the serter better for you? I give a good jab, and it is in, and sticking good. The serta is just extra work, and I don't like dealing with that sticky stuff any more than is necessary. I have a total change down to five minutes now. Wouldn't have believed it if my pump hadn't recorded my last bolus at x:xx, and the start of my new reservoir at five minutes later. Swish! A breeze!! Now that is with having everything already laid out, but really, there is nothing to it is it? And I still am reeling at the better control I am getting. It seems as if I have my basals going good. Like everything else, couldn't there just be some flaws pop up unexpectedly without it being a total flaw flop? Sell me the Sure-T's Dave, other than a few bent cannulas after a flawless year, plus the fact I am doing fine with what I am using now. *s* I think I'm going to have to run over to the site and reread about them. Billie A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life! : > David said: : > [quoted text clipped - 23 lines] : : Dave > Okay, I've not had any trouble with the QS's, so why would I want to switch? Wouldn't I have to > wait until my next order to make a change? [quoted text clipped - 15 lines] > > Billie Stick with what works, Billie. I don't believe in fixing things that aren't broken. :) The 'Serta was recommendly strongly by MM for being the answer to bent cannulas. I'm only 1/2 convinced on that score. Dave > The 'Serta was recommendly strongly by MM for being the answer to bent > cannulas. I'm only 1/2 convinced on that score. > > Dave I had bent cannulas whether I used the Serter or did it manually. I was told to stand up when I inserted, which I always did. Since I didn't have any bent cannulas with Sof-Sets during the same time, I really do think there was a problem with a batch or batches of sets. I had many bent cannulas from at least 3 different lots. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 >>The 'Serta was recommendly strongly by MM for being the answer to bent >>cannulas. I'm only 1/2 convinced on that score. [quoted text clipped - 6 lines] > there was a problem with a batch or batches of sets. I had many bent > cannulas from at least 3 different lots. I agree that it's most likely a mfgr problem, because I went 15 months on QS without one bent cannula. MM ticks me off with their "it must be something the user is doing" attitude. I've given up on the FDA, after making 2 complaints and nothing was done more than a year later, on some other issues. MM is a sleazy company that makes a generally good product. I liked them before Medtronics bought them out. Dave That seems to be the general consensus on the Insulin Pumpers list, too. I am happy with my choice to go with them. I've told Jim to keep up with the billing just in case. Billie A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life! I liked them before Medtronics bought them out. : Dave > That seems to be the general consensus on the Insulin Pumpers list, too. I am happy with my > choice to go with them. I've told Jim to keep up with the billing just in case. [quoted text clipped - 11 lines] > : > : Dave oh, I'm perfectly happy using MM pumps. I tried an Animas 1250 and I didn't like it. I spent a great deal of time with Animas discussing my issues with it. Many of them were familiar to the person I spoke with. she was genuinely interested in hearing what I thought of their pump. Dave > oh, I'm perfectly happy using MM pumps. I tried an Animas 1250 and I > didn't like it. I spent a great deal of time with Animas discussing my > issues with it. Many of them were familiar to the person I spoke with. > she was genuinely interested in hearing what I thought of their pump. > > Dave What was it that you didn't like about the Animas? I'm still almost 3 years away from being out of warranty with my Paradigm, but if I was pump shopping right now I think Animas is the only other pump I'd consider. The things I like about the Paradigm are: being able to set 24 (or is it 48?) basal rates - not that I'd ever need to change it every single hour or half hour!; being able to set many I:C ratios; being able to set many targets for different times of day (I think the Animas has that set differently... where you can only set a target to correspond to a specific meal? that would be a drawback if it's true); the screen is very easy for me to read; I like the shape of the pump, no pointy corners; it comes with two types of clips, and the low profile clip is great! Things I'd change if I could: Make the alarms louder and have different alarms for different problems; smaller basal/bolus increments - I'd really like to be able to bolus in .05 instead of .1 increments as I've become extremely sensitive to insulin after losing weight on the pump; be able to set the BG reminder alarm in at least 15 minute intervals instead of 30, and same goes for setting a temp basal. I'd also like to be able to set a BG reminder even if I don't bolus any insulin, and I know I can use the alarm clock function but that's so many more steps. I also wish the pump history held every BG, not just those associated with a bolus. I think the Animas has some of the features I'd like, especially the carb database for on-the-go meals, but I'm pretty sure it's lacking some of the MM features that I have. SignatureLiz Type 1 dx 4/1987 MM Paradigm 5/2005 >>oh, I'm perfectly happy using MM pumps. I tried an Animas 1250 and I >>didn't like it. I spent a great deal of time with Animas discussing my [quoted text clipped - 29 lines] > database for on-the-go meals, but I'm pretty sure it's lacking some of the > MM features that I have. Bad timing, Liz. I threw away a full sheet of my thoughts on the 1250. I'll try to remember my observations (good OR bad). some of the items are nitpicks and unimportant, but I've noted them anyway. I don't want anyone reading this post and then getting on their high horse to claim I'm "whatever" because these are my OPINIONS and observations. Let me make it clear to everyone reading this that I REALIZE that the top three pumps will all work fine to keep one's bg's in check, lest I be branded as a MiniMed crusader and cheerleader. I've got plenty of gripes with MM. :) 1. The pump makes a small noise every 3 minutes or when bolusing 2. I DETEST the old style syringes that have an externally accessible plunger (meaning you can squeeze the plunger while holding it outside the pump). the Paradigm reservoirs have a removable plunger to prevent insulin mishaps (like death, from inattention). I also don't like the exposed needle. I can't count how many times I've stuck myself with the needles used with my 508 and 507 pumps. 3. There is no "Escape" key for programming, and the programming is not nearly as elegant as the MM pumps (opinion). 4. Their version of the Bolus Wizard requires one to manually input the bolus, after getting a bolus suggestion from the Animas. They have received tons of complaints about that one from users. 5. They don't offer a decent and streamlined way to carry the pump on a belt or waistband. 6. No remote available. 7. IIRC you have to reprime the pump if the battery is removed. 8. The audio beeps are a bit less loud than the already-wimpy sounds of the 515. I didn't realize that on first inspection, but the next day I was in my kitchen setting up an audio bolus on my 515 with the TV and microwave running. I could barely hear the confirmation beeps, but the point is that I COULD hear them. I tried the Animas and couldn't hear them at all. (Point to the MM) 9. some of the settings must be made in 4 hour blocks, as opposed to the MM which allows customization of the same features starting every 30 minutes. I forgot precisely what those 2 items were, but for me it was a serious drawback for the Animas. 10. The MM allows the user to choose between percentage or u/hr rates for the temporary basal rate. The Animas allows only percentage adjustments. 11. On the plus side, for those who need small amounts of insulin, the Animas wins hands down for it's finer basal and bolus settings. AAMOF my wife almost got one, but when we found out it would cost us over $2k instead of the $800 we thought it would, she decided to stick with her current pump. We got bum info from Animas about their trade in policies. Had I know the truth of the matter, I wouldn't have had their rep drive 60-80 miles to show us the pump. It was a waste of his and my time, especially considering he had to pick the pump up 3 days later. I would expect that a first time pumper would be impressed with the 'gee whiz" features like the carb database. I'm not one to care about such feature creep stuff. I don't even use the Bolus Wizard on my 515 except to check my IOB. Dave > Bad timing, Liz. I threw away a full sheet of my thoughts on the 1250. > [quoted text clipped - 5 lines] > will all work fine to keep one's bg's in check, lest I be branded as a > MiniMed crusader and cheerleader. I've got plenty of gripes with MM. :) Yes, but the same people who will bash you (or me or anyone else) for using MM pumps & saying we like them will then be just as vocal about their pump choice being the best. Since I'm on my first pump, it's all I know and even if I switched tomorrow, I'd probably have a hard time getting used to another company. > 1. The pump makes a small noise every 3 minutes or when bolusing I wouldn't mind a noise when bolusing (unless it was really loud) but I'm sure hearing it every few minutes would be annoying. The smallest noises can often drive me crazy! > 2. I DETEST the old style syringes that have an externally accessible > plunger (meaning you can squeeze the plunger while holding it outside the > pump). the Paradigm reservoirs have a removable plunger to prevent > insulin mishaps (like death, from inattention). I also don't like the > exposed needle. I can't count how many times I've stuck myself with the > needles used with my 508 and 507 pumps. Do their reservoirs go into the pump with the plunger still attached? I've seen pictures of other pump reservoirs and they did look just like giant syringes. Oh, and I have managed to poke myself with the blue MM connectors! When I fill a new reservoir, I keep the plunger & that blue connector in the box with my vial of Humalog, in case I need it. Several times I've gone to get it out of the box and... ouch! Of course that's always right after I've checked my BG, so that nice blood droplet goes to waste. > 3. There is no "Escape" key for programming, and the programming is not > nearly as elegant as the MM pumps (opinion). I really do like MM's programming and menus. They're very easy to follow. How do you get out of a program if you enter the wrong info on the Animas? I use my ESC button a LOT! > 4. Their version of the Bolus Wizard requires one to manually input the > bolus, after getting a bolus suggestion from the Animas. They have > received tons of complaints about that one from users. That could be annoying. > 5. They don't offer a decent and streamlined way to carry the pump on a > belt or waistband. I know that they're testing a small clip but it doesn't look nearly as nice as Minimeds, and doesn't seem to have any spring release. It looks like it just slips over the belt or pocket or whatever. I like that little hook at the end of the MM clips, because even if the pump does get pushed off that hook catches and won't let it fall off completely. > 6. No remote available. I don't care about remotes. > 7. IIRC you have to reprime the pump if the battery is removed. Annoying, but not a big deal. Does the Animas take a standard battery, or an odd sized one that you can't find at every single convenience store? > 8. The audio beeps are a bit less loud than the already-wimpy sounds of > the 515. I didn't realize that on first inspection, but the next day I > was in my kitchen setting up an audio bolus on my 515 with the TV and > microwave running. I could barely hear the confirmation beeps, but the > point is that I COULD hear them. I tried the Animas and couldn't hear > them at all. (Point to the MM) Many times it takes several minutes for me to realize my pump is alarming (usually just for a BG reminder). I think I've grown so used to the sound that I block it out easily. Even the vibrate doesn't really get my attention. When I got the pump my CDE set the option for turning off at 12 hours (if no buttons have been pressed). I was sleeping in, hadn't touched the pump since dinner the previous night, and I guess it wanted to get my attention. I know there was a loud alarm as part of that, and wish MM could turn up the normal alarm volume like that. It's also gone off on the bus going to work, if I skipped breakfast and didn't press any buttons. With my headphones/music on, I didn't hear or feel the pump at all. > 9. some of the settings must be made in 4 hour blocks, as opposed to the > MM which allows customization of the same features starting every 30 > minutes. I forgot precisely what those 2 items were, but for me it was a > serious drawback for the Animas. That's the main drawback for me. I think one of them is the insulin:carb ratios but not sure about the other. I don't always eat lunch at the same time. Sometimes it could be noon, sometimes after 4pm. Being able to set I:C by time of day is much more useful. > 10. The MM allows the user to choose between percentage or u/hr rates for > the temporary basal rate. The Animas allows only percentage adjustments. I have used both ways with my pump and I like having that option. Being able to do a set number is good, because your basal rate could change during a percentage temp basal. Takes a lot more thinking/math to use % in cases like that. > 11. On the plus side, for those who need small amounts of insulin, the > Animas wins hands down for it's finer basal and bolus settings. Probably the biggest plus on the Animas, for me. When I've gone carb crazy the last few weeks (happened a lot) I've still used maybe 25 units/day. Been watching it more the last week and am back down to closer to 20. Sometimes changing a basal rate by .05 units has a big impact so being able to change it by .025 is really nice. > I would expect that a first time pumper would be impressed with the 'gee > whiz" features like the carb database. I'm not one to care about such > feature creep stuff. I don't even use the Bolus Wizard on my 515 except > to check my IOB. > > Dave I always use the Bolus Wizard, especially since I always forget to write stuff down or enter it into my pump. At the end of the day I just go through the bolus history and it's all there. And since I can never remember carb counts, the database would come in handy. If, in the next 3 years, Animas makes changes to their programming to allow for more customization I would definitely consider them. Another plus is that they're partnered with Lifescan meters (didn't J&J buy Animas?) and if they make a pump that communicates with the meters in the next couple of years I would probably switch even if the other features aren't perfect. I'm a diehard Lifescan meter person. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 >>2. I DETEST the old style syringes that have an externally accessible >>plunger (meaning you can squeeze the plunger while holding it outside the [quoted text clipped - 4 lines] > > Do their reservoirs go into the pump with the plunger still attached? I've Yes. > seen pictures of other pump reservoirs and they did look just like giant > syringes. Oh, and I have managed to poke myself with the blue MM [quoted text clipped - 3 lines] > always right after I've checked my BG, so that nice blood droplet goes to > waste. I haven't yet managed to get a finger inside the transfer guard to poke myself. :) >>3. There is no "Escape" key for programming, and the programming is not >>nearly as elegant as the MM pumps (opinion). > > I really do like MM's programming and menus. They're very easy to follow. > How do you get out of a program if you enter the wrong info on the Animas? > I use my ESC button a LOT! Wait for it to time out? Sorry I can't remember for sure. >>7. IIRC you have to reprime the pump if the battery is removed. > > Annoying, but not a big deal. Does the Animas take a standard battery, or > an odd sized one that you can't find at every single convenience store? Yes, it's a standard battery. >>8. The audio beeps are a bit less loud than the already-wimpy sounds of >>the 515. I didn't realize that on first inspection, but the next day I >>was in my kitchen setting up an audio bolus on my 515 with the TV and >>microwave running. I could barely hear the confirmation beeps, but the >>point is that I COULD hear them. I tried the Animas and couldn't hear >>them at all. (Point to the MM) I'd like the MM pump to be louder than it is. I can't see how it could wake me up if I had the 522 and CGMS, if my bg dropped while sleeping (MM confirmed for me that the 522 is no louder than the 515) >>9. some of the settings must be made in 4 hour blocks, as opposed to the >>MM which allows customization of the same features starting every 30 [quoted text clipped - 5 lines] > time. Sometimes it could be noon, sometimes after 4pm. Being able to set > I:C by time of day is much more useful. You jogged my memory: one of the items set in 4 hour blocks IS the carb ratios. customization I would definitely consider them. Another plus is that > they're partnered with Lifescan meters (didn't J&J buy Animas?) and if they > make a pump that communicates with the meters in the next couple of years I > would probably switch even if the other features aren't perfect. I'm a > diehard Lifescan meter person. My main meter is also LifeScan. I use the Ultra2 and US. I just got a couple of Compact Pluses, and they are nice too, but they read high once the numbers get up to the low to mid 200's. Dave Thanks, Dave, and I will keep your Sure-T's info in mind for any future "fix needs." I would guess that my profuse polyneuropathy that affects my entire body, peripherably and autonomically, cuts down on my pain issue somewhat (plus the pain patch). There are many places where I have no feeling whatsoever, not only arms, legs, hands, feet, but the torso, as well. HA... But let something touch my skin, especially on my legs, and the pain is terrible. I am unable to hold my laptop on my legs any more, nor can my kitties lay on them. They seem to be worse when they are fluid-filled, and anything touching them leaves a marked depression in the skin. Not complaining here, just stating the fun-filled-facts of an autoimmune-crazed body! LOL Hope you have a nice day in CA. It is HOT here in AR, too, though we *do* have some clouds moving into the area, cooling it down to the lower 90's. Billie A Happy Pumper and new Power Chair user in Arkansas! bh-wages @ swbell.net Pumping with MiniMed Paradigm 715, 2/06 Humalog. Symlin, 20u On a recent trip, I discovered that "Home is where my kitties are." Today is the first day of the rest of my life! : Stick with what works, Billie. I don't believe in fixing things that : aren't broken. :) [quoted text clipped - 3 lines] : : Dave > Thanks, Dave, and I will keep your Sure-T's info in mind for any future "fix needs." I would > guess that my profuse polyneuropathy that affects my entire body, peripherably and [quoted text clipped - 25 lines] > : > : Dave Billie, sorry to hear you've got a few other problems beside your DM. We are expecting only to get up to 75. this has been a weird year for us in CA. By May we usually have endlessly cloudless skies and warm to hot weather until around Halloween. Stay cool! Dave Besides, I went a whole year+ > using QS without ONE bent cannula. I've yet to determine precisely the > cause of my recent problems with them. I have better luck when I use > their QuickSerta. > > Dave I don't think it's just your recent problems. I have read so many complaints in the last 4-5 months about Quick-Sets and bent cannulas. I was only pumping for 6 months before my problems began and by the end I think I was wasting more sets than I got to work. I really think MM had/has a manufacturing problem with them. I know they don't make them (Unomedical does, I think...?) but they must be getting so many complaints about them. I still have a few boxes and one of these days I might try them again. Like their name says, they *are* quick (and easy) to insert, and I miss that. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 >> I switched from the Sof-Sets to the Quick-Sets a few months ago. I've been >> using these without a serter, just manually inserting them. I notice that [quoted text clipped - 11 lines] > >Dave where is a link to this sure-T set? I can't find it anywhere. SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . > where is a link to this sure-T set? I can't find it anywhere. The Sure-T is only for Paradigm pumps, but I know there's an equivalent Luer Lock set available. I just don't know what it's called. Contact, maybe? http://tinyurl.com/qq4uw SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 >I switched from the Sof-Sets to the Quick-Sets a few months ago. I've been > using these without a serter, just manually inserting them. I notice that [quoted text clipped - 4 lines] > > ~Lindy~ type 1 since 1960, pumping since 1997 I've had that happen a few times with Quick-Sets. Is the raised part right in the center, underneath the plastic hub? Only one time did the raised area stay, for days! It was also hard and red but not sore. It was very weird, but that only happened once. Any other time I saw anything, it disappeared quickly. SignatureLiz Type 1 dx 4/1987 Minimed Paradigm 715 5/2005 |
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