advertisement
 

  Back to Chat Choosing an Infusion Set

Natalie Bellini, diabetes nurse educator, pump trainer, and pump user from Animas Corporation, joined us for a special chat about choosing an infusion set on Tuesday, February 18, 2003.

For more information about pump therapy, see our Insulin Pumps section.

Chat Room Administrator Tue Feb 18 2003 20:00:00 Eastern US
The 'Natalie Bellini' chat room is now open.


Tue Feb 18 2003 20:55:05 Eastern US
Jeff Hitchcock from 216.68.227.14
Our chat will begin in a couple minutes.

Tue Feb 18 2003 20:55:59 Eastern US
cort from 63.16.15.61
ok

Tue Feb 18 2003 20:59:52 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Jeff. How are you?

Tue Feb 18 2003 21:00:09 Eastern US
Laura (am 20 yrs old dx'd 8 yrs ago today ... .. . Pumping) from 12.90.109.154
Hi All

Tue Feb 18 2003 21:00:17 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie, good evening. We're fine here -- kids had off of school today though :-(

How's the snow where you are?

Tue Feb 18 2003 21:01:07 Eastern US
Shauna (mom to Laine 13 dx 4/02) from 64.233.218.157
Hello

Tue Feb 18 2003 21:01:10 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
About 3 feet in Baltimore...Erin may not go to school until Thursday...

Tue Feb 18 2003 21:01:37 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Jeff, no CWD cruise?

Tue Feb 18 2003 21:01:49 Eastern US
Jeff Hitchcock from 216.68.227.14
3 feet! ... wow, the kids here would love it. Brenda and I would of course go nuts.

Tue Feb 18 2003 21:01:50 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Hello

Tue Feb 18 2003 21:02:07 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie ... no, I can't be away from technology that long.

Tue Feb 18 2003 21:02:11 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Natalie, do you know Carol Hebron and Anne Sides?

Tue Feb 18 2003 21:02:22 Eastern US
Shauna (mom to Laine 13 dx 4/02) from 64.233.218.157
You could send some of that snow my way, we need 80" to get out of our drought, lol!

Tue Feb 18 2003 21:03:05 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie, since this chat is about infusion sets, I'll ask the first question: why do people still use bent needle sets? I've always wondered.

Tue Feb 18 2003 21:03:05 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
We are very nuts at this point. I am thinking about boarding school, but so is Erin..Let's get started.

Tue Feb 18 2003 21:03:32 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Kristy, I do they are our great AL team

Tue Feb 18 2003 21:04:25 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Love them both Natalie..I am in Alabama..:-)

Tue Feb 18 2003 21:05:39 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Some people use bent needle because they are guaranteed to get insulin and for VERY thin athletes...I used them when first pumping and they can be pinful if knocked into, but never problems with delivery...

Tue Feb 18 2003 21:06:06 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Kristy- which sets do you use?

Tue Feb 18 2003 21:06:24 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Natalie, any suggestions for a pumper of 6 years..do you think it would help him to take a pump break to give his belly a break?

Tue Feb 18 2003 21:07:00 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
How long have you been pumping?

Tue Feb 18 2003 21:07:07 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Drew has mainly used tender/sill since he started pumping..we tried quick sets once before and went back to sills...

Tue Feb 18 2003 21:07:39 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Drew has pumped for 6 years..

Tue Feb 18 2003 21:09:33 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
The Tender/comfort/sils are the most reliable. What about his hips?

Tue Feb 18 2003 21:09:34 Eastern US
Jeff Hitchcock from 216.68.227.14
Marissa has only ever used the tender/sil also. She's very happy with it and has no interest in anything else.

Tue Feb 18 2003 21:10:03 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Does he have scar tissue? and finally how are you rotating sites?

Tue Feb 18 2003 21:10:55 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
We try to do hips in the summer..that way he is home from school and not in such a rush in the bathroom..you have to imagine a 10 yr old that rushes thru everything...even bathroom visits..

Tue Feb 18 2003 21:11:37 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
I think he does have scar tissue in his belly..sometimes we change a site and have no absorption..

Tue Feb 18 2003 21:12:04 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Roatating sites by switching sides that he wears the set..

Tue Feb 18 2003 21:13:05 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Pump vacations are more for Psychological reasons than for site reasons. Can you feel and toughness on his skin when you move your hands over his belly?

Tue Feb 18 2003 21:13:52 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
I can't feel it..but at last check up the endo showed me some places to avoid.

Tue Feb 18 2003 21:14:48 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Any new sets on the market Natalie?

Tue Feb 18 2003 21:15:09 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
I recommend that people try to use one side and move over the length of the tape starting from one side of the stomach to the other then moving down an inch and continuing. You will give each site as long a rest as possible and use all site possible. I recommend the same on the hips.

Tue Feb 18 2003 21:15:44 Eastern US
Shauna (mom to Laine 13 dx 4/02) from 64.233.218.157
We are new to pumping, we don't have it yet, hopefully in a week.
My son is 92 lbs and 5'3", very thin, any hints

Tue Feb 18 2003 21:16:35 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Good luck Shauna..hope he likes pumping:-)

Tue Feb 18 2003 21:16:48 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Kristy took my question :-)

Tue Feb 18 2003 21:17:00 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Disetronic has a 'newer' set called the flex set. angled, with 8 and 10 mm cannula..are you having problems with the comfort/sils?

Tue Feb 18 2003 21:17:13 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Drats, when I have an expert to ask questions, kids get needy...thanks for your advice Natalie!

Tue Feb 18 2003 21:17:38 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
What's the difference in a flex and a sill?

Tue Feb 18 2003 21:17:54 Eastern US
Shauna (mom to Laine 13 dx 4/02) from 64.233.218.157
Me too, I think he is going to love the new life it will give him. He is excited about sleeping in

Tue Feb 18 2003 21:19:02 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Zack uses the UltraFlex without EMLA...but still wants EMLA for the Tenders.

Tue Feb 18 2003 21:19:43 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Flex has a 8 or 10 mm catheter sil/comfort has a 17-but you do not have to inset the whole way. Comfort stays in the best by far...

Tue Feb 18 2003 21:20:07 Eastern US
Kristy (Drew 10, dx @ 3) from 24.175.152.156
Thanks again Natalie...night all!

Tue Feb 18 2003 21:20:13 Eastern US
Shelley (Mom to Joshua, 3, dx'd. @ 20 mos.) from 204.146.85.150
I understand Spectrx is working on a new patch-based insulin infusion set called "Simple Choice". Have you seen that?

Tue Feb 18 2003 21:21:13 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Good night Kristy.

Tue Feb 18 2003 21:22:10 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Yes...we all are as we still have none that is perfect. You can all try any set...

Tue Feb 18 2003 21:22:12 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie, what set do you recommend to new pumpers? Does it vary by age?

Tue Feb 18 2003 21:22:55 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
I have heard nothing recently about the effectiveness or accuracy in delivery of the Simple set

Tue Feb 18 2003 21:24:21 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Is anyone making a sil type infusion set with a less daunting length insertion needle?

Tue Feb 18 2003 21:24:36 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Jeff It varies by age and body type..but I like comfort for it's reliability

Tue Feb 18 2003 21:25:23 Eastern US
Shauna (mom to Laine 13 dx 4/02) from 64.233.218.157
Natalie, my son is 13 and thin, any recommendations, we are getting ready to pick out our pump next week.

Tue Feb 18 2003 21:26:25 Eastern US
Jeff Hitchcock from 216.68.227.14
Ellen: That needle is a big hurdle for kids to overcome in doing their own insertions. Took Marissa about two years before she did her own.

Tue Feb 18 2003 21:26:58 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
I like comfort sets. They disconnect at the site and stay in..and can be inserted at any angle so you can adjust for his thin body type..

Tue Feb 18 2003 21:28:02 Eastern US
Shauna (mom to Laine 13 dx 4/02) from 64.233.218.157
Thanks, what about locations for him. He doesn't do shot in his stomach, no fat, wish I were that lucky, lol!

Tue Feb 18 2003 21:28:07 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Jeff
What do you think of Elamax? I love it. A numbing cream for ease of the insertion?

Tue Feb 18 2003 21:29:31 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Also do we have swimmers in the crowd? I just went to the carribean for a week and kept my site in with Mastisol for 2-3 days at a time. I had never used it myself-just changed more often on vacation.

Tue Feb 18 2003 21:29:33 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie: To quote a famous commercial, regarding ELA-Max, "don't pump without it."

Marissa would never consider doing an insertion with out it. It works better than EMLA for her too.

Tue Feb 18 2003 21:31:03 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Shauna, his hips are perfect. use the area just below his pant line. Start at one side and just move over an inch at a time.

Tue Feb 18 2003 21:31:24 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Shauna, my son never used the ab area before pumping either...now that's all he uses *sigh* I'd like to convince him to try another area - )(perhaps he would try it if I bought him another video game console)

Tue Feb 18 2003 21:31:54 Eastern US
Shelley (Mom to Joshua, 3, dx'd. @ 20 mos.) from 204.146.85.150
What would you recommend for "pudgy" toddlers? I've been looking at the Quick-set & Sof-Set. I like that they have an insertion device & the big needles scare me.

Tue Feb 18 2003 21:32:05 Eastern US
Jeff Hitchcock from 216.68.227.14
Marissa uses abdomen and hips -- hips usually in the summer so she can wear her swim suit.

Tue Feb 18 2003 21:32:40 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Ellen in FL-another videop game to preserve the tissue is a bargan.; use hips if you can..

Tue Feb 18 2003 21:33:03 Eastern US
hutch33221 (Im me @ overuled86) from 152.163.189.201
i use my infusion set in the hip i have a disetronic pump and i use the ultra flex 90* angle

Tue Feb 18 2003 21:33:50 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
If it was just a game, that would be easy - do we want another console (xbox...) :-)

Tue Feb 18 2003 21:34:04 Eastern US
Jeff Hitchcock from 216.68.227.14
hutch, do you have any problems with the ultra flex coming out?

Tue Feb 18 2003 21:34:46 Eastern US
DaveCVIS (Dad to Jeff 13, dx @ 7) from 205.188.208.41
We are new to pumping - like Shauna, new pump in a few weeks. There are so many sets to chose from and try. Are samples available?

Tue Feb 18 2003 21:35:02 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Shelley, I can fax you a comparison sheet on all the sets. I like the angles much better as they stay in better. We say easy in easy out..

Tue Feb 18 2003 21:35:50 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
What's the MM equivalent to UltraFlex? I heard that the turning causes it to come out more frequently.

Tue Feb 18 2003 21:35:53 Eastern US
hutch33221 (Im me @ overuled86) from 152.163.189.201
no it stays in unless i get it really wet but i use tegaderm so it never comes out unless i want it to

Tue Feb 18 2003 21:36:02 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Dave CVIS, Your pump company should be at your house going over set choices. We send our clinicians if your endo/MD does not know or wants a second opinion.

Tue Feb 18 2003 21:36:46 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie ... I need the comparison sheet to put online!

Tue Feb 18 2003 21:37:57 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
MMT has no Ultra Flex. All companies have a Comfort/ Silhoutte/Tender made by Mersk. MMt has Quick set in 6 and 9 mm catheter that is a 90 degree set Disetronic had an angled set in 8 and 10 mm lengths. ANimas is coming out with an angled set in 2 lengths 13 and 17 mm...

Tue Feb 18 2003 21:38:08 Eastern US
ms from 205.188.208.41
Natalie, just personal experience talking here... I have had little success with sets that go in on an angle. An educator once mentioned that she thought it was because my skin was tough (probably from so many injections over the years)- The sets crimp upon insertion or take multiple tries to get in and then cause me to spike - I am fine with the sets I use, just thought I'd pass on the info.

Tue Feb 18 2003 21:38:11 Eastern US
Shelley (Mom to Joshua, 3, dx'd. @ 20 mos.) from 204.146.85.150
Natalie & Jeff - I'll look for it on the CWD web site. It would be really helpful.

Tue Feb 18 2003 21:38:17 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Jeff for the right price I will give you anything.

Tue Feb 18 2003 21:39:23 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie ... we can chat tomorrow :-)

Tue Feb 18 2003 21:39:57 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
Hi. I received a sample quick-set infusion set for Andrew. It is a 9mm. Is that too long for him. He is 93 lbs and 4'10"

Tue Feb 18 2003 21:40:08 Eastern US
hutch33221 (Im me @ overuled86) from 152.163.189.201
does ne one know anything about ultraflex2 infusion sets in here

Tue Feb 18 2003 21:41:17 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
You have to keep in mind that what you want is consistent insulin delivery. In most children, Angled sets stay in better. The twiusting of the Quick set worries me and has a lot of my pts develop problems.

Tue Feb 18 2003 21:41:49 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Linda where are you going to put it?

Tue Feb 18 2003 21:42:14 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Linda
Hips or stmach?

Tue Feb 18 2003 21:42:25 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
What sets do you use Ms?

Tue Feb 18 2003 21:42:49 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
It would be in his belly but if it might be a problem then I won't bother trying it.

Tue Feb 18 2003 21:43:14 Eastern US
Mary Beth (mom to Catie, 12- pumping with Animas 12-2-2002) from 68.67.3.213
hello...sorry I missed most of the chat...

Tue Feb 18 2003 21:43:29 Eastern US
ms from 205.188.208.41
i think ive tried most sets - i still use the good ol' sofsets

Tue Feb 18 2003 21:43:31 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Linda, Did you say you got ONE? You need that one to take apart and figure out how it works-like in a pillow. call and ask for more if that is all you got.

Tue Feb 18 2003 21:43:42 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
He doesn't have any complaints about the comfort sets he uses.

Tue Feb 18 2003 21:43:50 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
ms how long have you been pumping?

Tue Feb 18 2003 21:44:22 Eastern US
hutch33221 (Im me @ overuled86) from 152.163.189.201
natalie do you know anything about ultraflex2 infusion sites from disetronic

Tue Feb 18 2003 21:44:23 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
Yes, I just got one sample.

Tue Feb 18 2003 21:44:32 Eastern US
ms from 205.188.208.41
5 years

Tue Feb 18 2003 21:44:35 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Mary Beth Hello! Weelcome

Tue Feb 18 2003 21:45:36 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
ms if you are getting decent #'s and are happy I am happy. I used to use soft sets, too.

N

Tue Feb 18 2003 21:45:44 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Do some people need different basal rates depending upon the location of their infusion sets?

Tue Feb 18 2003 21:46:28 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
hutch33221
I emailed them and asked for samples and have not gotten them yet...

Tue Feb 18 2003 21:46:38 Eastern US
Mary Beth (mom to Catie, 12- pumping with Animas 12-2-2002) from 68.67.3.213
i am sure this was covered...but when is Animas coming out with thier new infustion set with an inserter?

Tue Feb 18 2003 21:46:51 Eastern US
hutch33221 (Im me @ overuled86) from 152.163.189.201
ok

Tue Feb 18 2003 21:47:54 Eastern US
hutch33221 (Im me @ overuled86) from 152.163.189.201
natalie i just wanted to know if the needles stayed in so i could start using them i know that the tubic disconnects from the middle not on the infusion port

Tue Feb 18 2003 21:47:59 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie -- Mary Beth brings up an interesting question. In your experience, what percentage of people use mechanical insertion devices?

Tue Feb 18 2003 21:48:25 Eastern US
ms from 205.188.208.41
the only difficulty i have with them is that as of late the tape i use under the set (polyskin) has been irritating my skin - but...its the best ive found so far

Tue Feb 18 2003 21:48:26 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Ellen
I find that stomach and hips are similar unless we are working with an athlete that uses large muscles in the hips. Arms and legs are more variable and MAY need some adjustment. Remember stomach and then hips have the mostr consistent absorption.

Tue Feb 18 2003 21:49:34 Eastern US
ms from 205.188.208.41
natalie, do you find that numbers with the sofset are not as good or consistent?

Tue Feb 18 2003 21:49:36 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
Does it hurt any more in the hip than the belly?

Tue Feb 18 2003 21:49:59 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
ms you could try IV 3000 or Tegaderm. Both are sinilar to Polyskin, but less irritating.

Tue Feb 18 2003 21:50:41 Eastern US
ms from 205.188.208.41
when you say hips, are you referring to the area below the hip bone, or more toward the behind?

Tue Feb 18 2003 21:50:52 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Thanks Natalie.

Tue Feb 18 2003 21:50:54 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Jeff about 1/4 to 1/3 of pts actually use an inserter. You loose a lot of control with an inserter and I think that is why.

Tue Feb 18 2003 21:51:26 Eastern US
ms from 205.188.208.41
natalie, thanks... been there, tried that - polyskin is the only one that adheres to the skin with minimal irriation (until recently. :-)

Tue Feb 18 2003 21:51:42 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
Would the comfort be inserted horizontal or vertical in the hip?

Tue Feb 18 2003 21:51:43 Eastern US
Shauna (Laine 13, dx 4/02) from 64.233.218.157
Natalie, what type of control?

Tue Feb 18 2003 21:51:53 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Buttocks..as in the area from right below you belt line to the 1/2 way point on his/her buttocks.

Tue Feb 18 2003 21:52:16 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Shauna Control of the angle and depth.

Tue Feb 18 2003 21:52:29 Eastern US
Mary Beth (mom to Catie, 12- pumping with Animas 12-2-2002) from 68.67.3.213
my daugther does her own sites...and doesn't use an inserter....but sometimes it takes her about ten minutes to get the nerve to shove that Comfort in. ugh

Tue Feb 18 2003 21:52:58 Eastern US
Shauna (Laine 13, dx 4/02) from 64.233.218.157
Natalie, are the inserters easier for beginners or is best to start without one?

Tue Feb 18 2003 21:53:07 Eastern US
ms from 205.188.208.41
thanks, just wanted clarification - i do use that area -

Tue Feb 18 2003 21:53:26 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Linda, horizontal and at an angle dependant on the body fat ion the hips.

Tue Feb 18 2003 21:53:38 Eastern US
Jeff Hitchcock from 216.68.227.14
Mary Beth -- does Catie use ELA-Max to numb the site?

Tue Feb 18 2003 21:53:58 Eastern US
ms from 205.188.208.41
Shauna, I started without a serter - now I use it all the time! I think it does help with accuracy. Probably less scary for kids, too.

Tue Feb 18 2003 21:54:25 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
Does it hurt more in the hip?

Tue Feb 18 2003 21:54:40 Eastern US
Mary Beth (mom to Catie, 12- pumping with Animas 12-2-2002) from 68.67.3.213
nope...we never bothered. she is one brave cookie...she is getting better at it.

Tue Feb 18 2003 21:55:16 Eastern US
Jeff Hitchcock from 216.68.227.14
Mary Beth -- you might want to give Ela-MAX a try -- it's amazing.

Tue Feb 18 2003 21:55:19 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
Usually he doesn't feel anything significant when he inserts in his belly.

Tue Feb 18 2003 21:55:21 Eastern US
Shauna (Laine 13, dx 4/02) from 64.233.218.157
ms, thanks, I feel it will be less scary also

Tue Feb 18 2003 21:55:43 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Shauna, an inserter is an aid. If you decie to use one, just purchase several so that if it breaks you have a back up. School, home and cars each need one. They are ~$50.00 each.(ouch)

Tue Feb 18 2003 21:56:33 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
I like my hips and it hurts no more at all. I think using tissue that is 'fresh' is best..

Tue Feb 18 2003 21:56:53 Eastern US
Shauna (Laine 13, dx 4/02) from 64.233.218.157
Hmm, that is a nice penny, course nothing with this disease is cheap! Great advice though

Tue Feb 18 2003 21:57:10 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
ELA Max is a staple that should be in all pump 'kits'.

Tue Feb 18 2003 21:57:15 Eastern US
Linda (Mom of Andrew, 11, dxd at 8, pumping) from 24.70.149.30
Great, thank you Natalie!

Tue Feb 18 2003 21:57:37 Eastern US
mom of Jen (mom of Jen, 14, dx'd at 9) from 68.7.78.83
Jenny, 14, has an Animas pump and uses Comfort sets. That's all she has used. What are the other choices.

Tue Feb 18 2003 21:58:23 Eastern US
ms from 205.188.208.41
sometimes if you call the company, you can get them to send them out for free

Tue Feb 18 2003 21:58:30 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
mom of Jen we will post a whle comparison in the next few days of all the sets. are you haveing problems now?

Tue Feb 18 2003 21:58:39 Eastern US
Ellen (FL) (Zack 15, dx'd 14 yrs ago today, pump 7 yrs) from 152.163.189.201
Why do so many doctors discourage using Ela-Max (or EMLA previously)

Tue Feb 18 2003 21:58:47 Eastern US
Shauna (Laine 13, dx 4/02) from 64.233.218.157
I need to go, by the next chat we should be pumping and I will be more knowledgeable. Thanks for the advice!

Tue Feb 18 2003 21:59:27 Eastern US
mom of Jen (mom of Jen, 14, dx'd at 9) from 68.7.78.83
What is Ela-Max?

Tue Feb 18 2003 21:59:36 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Shauna, good luck and happy pumping. please feel free to call me 484.432.5666.

Tue Feb 18 2003 22:00:08 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
ELA Max is a numbing cream. You put it on 30 minutes before inserting

Tue Feb 18 2003 22:00:24 Eastern US
mom of Jen (mom of Jen, 14, dx'd at 9) from 68.7.78.83
We're not really having problems. Just wondering what else there is.

Tue Feb 18 2003 22:00:28 Eastern US
Shauna (Laine 13, dx 4/02) from 64.233.218.157
Thanks!

Tue Feb 18 2003 22:02:23 Eastern US
Jeff Hitchcock from 216.68.227.14
Natalie, thanks for taking the time to share your wisdom with us tonight. I'll have a transcript up tomorrow morning first thing.

Tue Feb 18 2003 22:03:09 Eastern US
DaveCVIS (Dad to Jeff 13, dx @ 7) from 205.188.208.41
Natalie, no, the pump vendor is not in my house showing me all the different infusion sets from all the different vendors. Although, learned a great deal from this chat. Thanks for hosting.

Tue Feb 18 2003 22:03:33 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
hutch33221
Nothing on D site as of now on a new set

Tue Feb 18 2003 22:04:39 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Dave CVIS
Call and ask for it. You have the right to make an informed decision or cal you MD. He she may start evey person and the same set..

Tue Feb 18 2003 22:05:47 Eastern US
Jeff from 216.26.26.68
hi

Tue Feb 18 2003 22:06:11 Eastern US
Beth from 64.214.169.147
Are Tender/Sil/Comfort the same set?

Tue Feb 18 2003 22:06:49 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Beth, Yes.

Tue Feb 18 2003 22:07:36 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
Mdae by Mersk in Denmark. Comes with 23 or 43 inch tubing choices and a satndard catheter length of 17 mm

Tue Feb 18 2003 22:09:00 Eastern US
Natalie (Nurse, diabetes educator and person with diabetes) from 66.7.139.98
I am on east coast time and have to go to bed. Please fee free to call me anytime tomorrow. 484.432.5666

Tue Feb 18 2003 22:09:51 Eastern US
Jeff Hitchcock from 216.68.227.14
Good night Natalie. Thanks again.

Tue Feb 18 2003 22:10:36 Eastern US
ms from 205.188.208.41
Good night Natalie - thanks

Tue Feb 18 2003 22:10:57 Eastern US
Mary Beth (mom to Catie, 12- pumping with Animas 12-2-2002) from 68.67.3.213
Thanks!!

Tue Feb 18 2003 22:11:12 Eastern US
Sharon from 205.188.208.41
Do insertion needles come in different guages -- like syringes' 'Ultra-Fine,' etc.

Tue Feb 18 2003 22:11:30 Eastern US
Jeff Hitchcock from 216.68.227.14
I'm signing off too ... kids go back to school tomorrow :-) :-) :-)

Tue Feb 18 2003 22:11:33 Eastern US
Beth from 64.214.169.147
Thanks Natalie and sleep well!

Tue Feb 18 2003 22:12:14 Eastern US
Jeff Hitchcock from 216.68.227.14
Sharon -- insertion needles come in one size ... and it would never be referred to as ultra-fine. That's why many people use Ela-MAX, a numbing cream.

Tue Feb 18 2003 22:12:23 Eastern US
Jeff Hitchcock from 216.68.227.14
'night all

Tue Feb 18 2003 22:15:34 Eastern US
Sharon from 205.188.208.41
Insertion needle is a little intimidating for my son. Considering insertion device to lessen the trauma. Any advice?

Tue Feb 18 2003 22:20:57 Eastern US
Sharon from 205.188.208.41
Gottta go. Thanks Natalie. Ela-MAX. Got it!



                 
  Home Return to Top

Last Updated: Wednesday February 19, 2003 09:21:26
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.