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Cannula fail and possible ketones
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<blockquote data-quote="megan" data-source="post: 2756665" data-attributes="member: 6160"><p>Thanks for the replys.</p><p>I have tried 6mm and 9mm needles. I've tried the trusteel and autosoft 90. I find on the 3 rd day no matter which cannula that I get a big lump left behind from the insulin and it stays for a long time even after daily massaging the area.</p><p>The two recent leaks have been on day 2. No leaking into the adhesive, I've only had that once. The evidence I have is droplets in the plastic cannula window that smell strongly of insulin and my blood sugars are high and won't come down. I take that as insulin failure to go in.</p><p>It doesn't make sense to me for there to be an issue in the first few hours of a cannula change because we'd expect absorption from an injection so why not a fresh cannula?</p><p>I do give a little extra insulin now during the change over. As someone else has said I also leave the old cannula in place for a little longer incase it helps.</p><p>I use Novorapid.</p><p>All ketone testing equipment is in date. Urine this morning is still high in ketones which doesn't make sense but I've ordered more from the dr. I don't have access to 111 or anything similar. I will inform my pump team but people on here are always great at responding with suggestions. Much appreciated</p></blockquote><p></p>
[QUOTE="megan, post: 2756665, member: 6160"] Thanks for the replys. I have tried 6mm and 9mm needles. I've tried the trusteel and autosoft 90. I find on the 3 rd day no matter which cannula that I get a big lump left behind from the insulin and it stays for a long time even after daily massaging the area. The two recent leaks have been on day 2. No leaking into the adhesive, I've only had that once. The evidence I have is droplets in the plastic cannula window that smell strongly of insulin and my blood sugars are high and won't come down. I take that as insulin failure to go in. It doesn't make sense to me for there to be an issue in the first few hours of a cannula change because we'd expect absorption from an injection so why not a fresh cannula? I do give a little extra insulin now during the change over. As someone else has said I also leave the old cannula in place for a little longer incase it helps. I use Novorapid. All ketone testing equipment is in date. Urine this morning is still high in ketones which doesn't make sense but I've ordered more from the dr. I don't have access to 111 or anything similar. I will inform my pump team but people on here are always great at responding with suggestions. Much appreciated [/QUOTE]
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