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Accu-chek Insight V Medtronic 640g?
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<blockquote data-quote="kitedoc" data-source="post: 1826917" data-attributes="member: 468714"><p>hi [USER=468865]@wildtoast[/USER],</p><p>I have an Animas pump so cannot give you any direct experience.</p><p>However,<strong> ask both pump reps/educators if the pump can detect a reservoir or cartridge which is air-filled vs fluid filled.</strong></p><p>I have heard of a case where a person was woken by their pump alarm to indicate the reservoir/cartridge was empty and in their sleepy state accidentally filled the cartridge/reservoir with air rather than insulin. ( i shall not indicate the pump brand as the fault may well have been rectified from 6 years ago!) They woke up later with high BSLS and feeling very unwell !</p><p>I do not use <strong>CGM</strong> often because it is too expensive here in Australia for me but <strong>I like that I have the option to use CGM </strong>in the future. And <strong>if night-hypos are a concern</strong>. then being able to <strong>link up CGM with a insulin rate reduction program</strong> when bsls are low is a neat option - but only if that is a priority in future (<strong><em> probably more important for a child than an adult</em></strong>).</p><p><strong>How easy is it to use the pump screen</strong>? Unfortunately Animas pumps are being phased out but it was my choice prior to knowing this because its screen was easy to read, even in the middle of the night.</p><p>With <strong>changing reservoir/cartridges</strong> regularly, <strong>how difficult or easy is each of the two pumps' procedures</strong> for this?</p><p><strong>Needle inserts</strong> : I found that the <strong>90 degree insert devices </strong>for Animas could sometimes go in crooked. The <strong><em>'kink' in the plastic needle left under the skin could slow the infusion of insulin, without setting off the obstruction alarm and result in me developing high BSLS. </em></strong> There is<em> no easy way to know if a kink has occurred except by suspicion and being prepared to change the needle insert.</em> I always stock more needle inserts than reservoirs/cartridges because of this possibility. <strong><em>You need to know whether you can be supplied with more inserts than reservoirs, although this is probably a NHS policy thing.</em></strong></p><p>I would think this situation of bent needle inserts is a possibility with all brands and is largely a matter of education and practice but others on site might have experiences to share.</p><p>If you look up <strong>each pump company's website the Accessories tab </strong>should list the various options for carrying a pump, including belt clips, body bands, pouches etc. ( the soft toy lion is my favourite, just kidding !!).</p><p>A <strong>belt clip </strong>works well for me, provided I am careful with tucking in and pulling out shirts. I often wear a shirt/coat/etc which covers the pump as added protection and slide the pump to nearer my back if I am concerned about bumping the pump whilst walking through a crowd or between lampposts etc. </p><p>The <strong>tubing between pump and needle insert is bendy but stiff and relatively inflexible</strong> so that the insulin pushed through by the pump goes through into the needle and under your skin rather than just swelling up the tubing. The springiness of the tubing can make it a bear to keep in place under one's shirt !! </p><p>Another point, just to remember with which ever pump you choose is the the need to <strong>allow for sufficient length of tubing</strong> for a belt mounted pump to be able to lower trousers, pants/slacks when sitting on the loo so that you do not put tension on the needle insert.</p><p>I am carrying a rucksack with hip flaps, I move my pump from belt to<strong> a pouch slung across neck to opposite under armpit area</strong> on same side as my needle insert (but above and clear of said insert). My pouch happens to be an old travel wallet pouch. I wear a collared shirt to save the pouch strap rubbing on my neck and a pullover, shirt ect over to help hold the pouch in place a bit. The other solution maybe a body band.</p><p>In the Insulin pump thread (Omnipod) you will find information about wearing pumps in hot weather. </p><p>Best Wishes for your choice !!</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1826917, member: 468714"] hi [USER=468865]@wildtoast[/USER], I have an Animas pump so cannot give you any direct experience. However,[B] ask both pump reps/educators if the pump can detect a reservoir or cartridge which is air-filled vs fluid filled.[/B] I have heard of a case where a person was woken by their pump alarm to indicate the reservoir/cartridge was empty and in their sleepy state accidentally filled the cartridge/reservoir with air rather than insulin. ( i shall not indicate the pump brand as the fault may well have been rectified from 6 years ago!) They woke up later with high BSLS and feeling very unwell ! I do not use [B]CGM[/B] often because it is too expensive here in Australia for me but [B]I like that I have the option to use CGM [/B]in the future. And [B]if night-hypos are a concern[/B]. then being able to [B]link up CGM with a insulin rate reduction program[/B] when bsls are low is a neat option - but only if that is a priority in future ([B][I] probably more important for a child than an adult[/I][/B]). [B]How easy is it to use the pump screen[/B]? Unfortunately Animas pumps are being phased out but it was my choice prior to knowing this because its screen was easy to read, even in the middle of the night. With [B]changing reservoir/cartridges[/B] regularly, [B]how difficult or easy is each of the two pumps' procedures[/B] for this? [B]Needle inserts[/B] : I found that the [B]90 degree insert devices [/B]for Animas could sometimes go in crooked. The [B][I]'kink' in the plastic needle left under the skin could slow the infusion of insulin, without setting off the obstruction alarm and result in me developing high BSLS. [/I][/B] There is[I] no easy way to know if a kink has occurred except by suspicion and being prepared to change the needle insert.[/I] I always stock more needle inserts than reservoirs/cartridges because of this possibility. [B][I]You need to know whether you can be supplied with more inserts than reservoirs, although this is probably a NHS policy thing.[/I][/B] I would think this situation of bent needle inserts is a possibility with all brands and is largely a matter of education and practice but others on site might have experiences to share. If you look up [B]each pump company's website the Accessories tab [/B]should list the various options for carrying a pump, including belt clips, body bands, pouches etc. ( the soft toy lion is my favourite, just kidding !!). A [B]belt clip [/B]works well for me, provided I am careful with tucking in and pulling out shirts. I often wear a shirt/coat/etc which covers the pump as added protection and slide the pump to nearer my back if I am concerned about bumping the pump whilst walking through a crowd or between lampposts etc. The [B]tubing between pump and needle insert is bendy but stiff and relatively inflexible[/B] so that the insulin pushed through by the pump goes through into the needle and under your skin rather than just swelling up the tubing. The springiness of the tubing can make it a bear to keep in place under one's shirt !! Another point, just to remember with which ever pump you choose is the the need to [B]allow for sufficient length of tubing[/B] for a belt mounted pump to be able to lower trousers, pants/slacks when sitting on the loo so that you do not put tension on the needle insert. I am carrying a rucksack with hip flaps, I move my pump from belt to[B] a pouch slung across neck to opposite under armpit area[/B] on same side as my needle insert (but above and clear of said insert). My pouch happens to be an old travel wallet pouch. I wear a collared shirt to save the pouch strap rubbing on my neck and a pullover, shirt ect over to help hold the pouch in place a bit. The other solution maybe a body band. In the Insulin pump thread (Omnipod) you will find information about wearing pumps in hot weather. Best Wishes for your choice !! [/QUOTE]
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