• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Help with new medtronic veo pump - alarm!

Riri

Riri

Well-Known Member
Messages
1,174
Location
Mid Wales
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
The conservative party, people who are cruel to animals and aggressive people
Hello - well just when I thought it was all going great. Did my bolus for tea tonight and it came up with a warning message 'no delivery' . Pressed the resume option but still same message. What does the resume option do??? (also it surprised me when I went to check that it actually had delivered half of the bolus dose even though the message says 'no delivery')
 
I don't have your pump but my no delivery alarm goes off like that when the whole bolus couldn't be given. This is always when my cannula has kinked. I have to disconnect and prime the pump to stop the alarm.

This can happen on other pumps with airbubbles I think. Have you changed your set recently?
 
Hia - had the set fitted earlier this morning (new to pump today). Husband suggested I just disconnected from the cannula and re-connect - did this and re-tried giving bolus and it seemed to deliver it fine this time. What I dont know is, is this the right course of action to try in the first place. Logic suggests that it is as it's worked ?!
 
Meant to ask in my first post - what does the 'rewind' option do???
 
Unfortunately I've got a Combo but usually when the failed delivery alarm goes off it usually means that a. your cannula might be kinked, b. your tube is kinked or c. a bubble has got into the tube and blocked it?

Best thing to do first is put pump into STOP mode and then unclip the tube from the set and then find from the pump menu how to do a prime of insulin. Sometimes doing a prime can free any blockage in the tube although not always... Sometimes you need to replace the tube and then try to do a prime of insulin through it. If you can do a prime and any bubbles come out, then clip the tube back onto the set and put pump into RESume mode again. Pump should then be ok...... I hope

Rewind winds the piston in the pump back down to the bottom so that you can put a new cartridge in (with insulin) :)
 
Yes if this happens you should always try and give the rest of the bolus. I do this but as mine is always a kinked cannula it fails again.

Did you move while doing the bolus? Were you bent over etc and your position could have interrupted the delivery?

Sometimes these things can go off by accident as the pumps are so sensitive. Others on the same pump would be able to advise you better on this :)
 
Mushy is right ...... pumps are sensitive so even your clothes pressing tightly against the set can sometimes stop delivery. Sounds like what might have been your problem though Riri was maybe the tube clip wasn't connected to the set all that well. What set are you using?
 
Mini med paradigm veo by medtronic
 
Riri said:
Mini med paradigm veo by medtronic
Click to expand...

Are you using Quickset cannulas? I used them when I first got my Paradigm Veo but they kept getting kinked under my skin and I had a 'no delivery' a few times. I always had to take out the Quickset and insert a new one to make it work. I only used the Quicksets for two weeks though (and had a lot of kinks!) so I asked for different cannulas and got the Silhouette sets instead. Never had the problem again and I much prefer them over the Quicksets!
 
Thanks - interesting. Yes I am using the quick sets - they were the only ones offered to me. I'll see how things go but thanks for the name of the others which I will note in case I get more problems.
 
Good luck I hope you won't get any more problems! Did you say you are on saline at the moment? When will you start pumping insulin? How are you finding it so far, except for the 'no delivery' issues ;)
 
Hia - yes on saline until next Wednesday. Apart from the warning on first night and changing the set I really find it all quite ok. Changing the set (only done it once) I find very complicated at the moment. My husband said that our table looked liked the set of ER with everything laid out !! So at the moment all positive. My problem is that I'm quite nervy about hypos etc. after passing out some 10 months ago for the first time in 12 years so I think when go on insulin next week and have to change basal and bolus rates it will all become a bit more difficult for a while. I'll persevere though as these pumps seem t work for lots of people and are hard to get. :)))
 
Haha I was exactly the same with the set changes in the beginning, don't worry you'll get the hang of it soon enough! I can imagine you're a bit nervous about hypos. I think at the beginning when they have to set your first basal rates they will make sure they are not set too high so you might be a bit higher in the beginning. Then you can start altering and you can do it by 0.05 or 0.1 unit at a time so I don't think you have too high a chance of going hypo all of a sudden after you make a change :)

It took me a good 4 months to get everything sorted, but everything is working well now! I'm sure you will do fine! If you want to chat or have any questions feel free to PM me though I'll be here :)
 
That all sound good. Now for a silly question - when you talk about 0.1 unit changes is that equal to a tenth of a normal full unit on my usual injection pen? If it is, then the changes can be very small indeed which is good for me. At the moment on the pens 1 full unit of insulin can make too much of a change and it's then difficult to get good BSs. Thanks again. :))
 
Riri said:
That all sound good. Now for a silly question - when you talk about 0.1 unit changes is that equal to a tenth of a normal full unit on my usual injection pen? If it is, then the changes can be very small indeed which is good for me. At the moment on the pens 1 full unit of insulin can make too much of a change and it's then difficult to get good BSs. Thanks again. :))
Click to expand...

Yep, it's exactly like a tenth of a unit. It sounds like very little, but your hourly basal rates might only be 0.7 units/hour (this will obviously fluctuate throughout the day). Before I went onto the pump, I was taking 22 units of Levemir a day in total. My DSN detracted 10% (because on a pump you tend to need less insulin than on MDI because of better absorption) and then divided it by 24 to divide it fairly over every hour of the day. This means you end up with about 0.8 units/hour that is dripping out as your background insulin. 0.1 unit can make a bit of a difference depending on how sensitive you are :)

I now have around 7 different basal rates throughout the day, sometimes (in the afternoon) it's only 0.6 units/hour and sometimes (in the morning due to Dawn Phenomenon) I am using 1.3 units/hour!
 
Thanks - that makes perfect sense to me now. The fog is slowly lifting! My only other question for now (honest) is - can a cannula set kink at any time over the 3 days or is more likely to happen after a new once is inserted?
 
Riri said:
Thanks - that makes perfect sense to me now. The fog is slowly lifting! My only other question for now (honest) is - can a cannula set kink at any time over the 3 days or is more likely to happen after a new once is inserted?
Click to expand...

I think it's most likely to happen when you insert it, at least that's when I kept noticing it happening to me! It even went wrong on my very first one that I inserted at the hospital... I got back to work after my appointment and my BG was 18.1! :shock:

Even now I always make sure to test 1.5/2 hours after a set change to make sure everything's gone well.
 
2 more set changes and both have alarmed - no delivery. Looks like the quick set is not for me
 
Riri said:
2 more set changes and both have alarmed - no delivery. Looks like the quick set is not for me
Click to expand...

How annoying! Could you see anything wrong with the Teflon tube after you took the cannula out? Did it look bent? Have you tried giving a bolus when you're not attached to the cannula to see I it does deliver then? Maybe there is something wrong with the pump or the tubing.
 
Hia - I looked at the last 2 and yes they are quite bent. There's definitely saline coming out haven't tried a bolus when I'm not attached - will try that next. It could be that the quick set cannula doesn't suit me - maybe I need to try a steel cannula or some other one like the sillouhette?
 
Back
Top