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<blockquote data-quote="LittleSue" data-source="post: 219237" data-attributes="member: 6295"><p>I start by removing clothes, so I don't need extra hands to keep clothing out of the way. First I put the new set in, while still connected to the old one. That way if a site bleeds or I'm indecisive about where to put it, the delay doesn't affect the time I'm disconnected. (This was expecially useful the first few times.) Next I prepare the new reservoir (if not done in advance), change battery etc if necessary. I only disconnect from the old site when I'm ready to load the pump and prime, so I'm only disconnected for a few minutes. Then spray the old site with Lift Plus and leave it to work while I note the time & new site in my log book and test BG as baseline. Double-check I'm connected to the new site (not the old one through habit) and remove the old set. I don't bolus any extra or bolus to compensate for disconnected time. Test BG 2 hours later to make sure its working.</p><p></p><p>Initially was told to do changes in the morning, but on work days that meant getting up extra early and/or doing the change under time pressure, not good. BG seemed to go awry after 2 days, so I started changing after 2.5 days, thus alternate changes were around 6pm when I got in from work, with dinner bolus after. That works well for me, BG doesn't rise much after dinner so plenty of time to make sure everything's OK before bedtime. BG now more settled so I'm going to try changing after 3 days, early evening.</p><p></p><p>I have a little melamine tray, the size that comes in 'tea for one' mug & coaster sets. Cleaned it with alcohol rub before use. On there I put the next reservoir, set, inserter etc and put the whole thing inside a clean freezer bag. When I come in to do a set change all I need except the insulin & meter is in one place ready. Between changes it lives in the supplies drawer.</p><p></p><p>Recently started following iHs' suggestion of filling the reservoir 12-24 hours in advance then wearing it or carrying in my pocket. The insulin reaches body temp before it goes in the pump and any bubbles seem to form/expand during that time. I purge them before the insulin goes into the pump which reduces bubbles during use.</p><p></p><p>I use angled teflon sets with an inserter. It looks like a blunderbus but I don't mind it. Not sure I'd get such a long needle in by hand without bending or snapping it. Have learnt if it doesn't go right in, there's no point pushing it as there's probably a small blood vessel in the way which will hurt & bleed.</p></blockquote><p></p>
[QUOTE="LittleSue, post: 219237, member: 6295"] I start by removing clothes, so I don't need extra hands to keep clothing out of the way. First I put the new set in, while still connected to the old one. That way if a site bleeds or I'm indecisive about where to put it, the delay doesn't affect the time I'm disconnected. (This was expecially useful the first few times.) Next I prepare the new reservoir (if not done in advance), change battery etc if necessary. I only disconnect from the old site when I'm ready to load the pump and prime, so I'm only disconnected for a few minutes. Then spray the old site with Lift Plus and leave it to work while I note the time & new site in my log book and test BG as baseline. Double-check I'm connected to the new site (not the old one through habit) and remove the old set. I don't bolus any extra or bolus to compensate for disconnected time. Test BG 2 hours later to make sure its working. Initially was told to do changes in the morning, but on work days that meant getting up extra early and/or doing the change under time pressure, not good. BG seemed to go awry after 2 days, so I started changing after 2.5 days, thus alternate changes were around 6pm when I got in from work, with dinner bolus after. That works well for me, BG doesn't rise much after dinner so plenty of time to make sure everything's OK before bedtime. BG now more settled so I'm going to try changing after 3 days, early evening. I have a little melamine tray, the size that comes in 'tea for one' mug & coaster sets. Cleaned it with alcohol rub before use. On there I put the next reservoir, set, inserter etc and put the whole thing inside a clean freezer bag. When I come in to do a set change all I need except the insulin & meter is in one place ready. Between changes it lives in the supplies drawer. Recently started following iHs' suggestion of filling the reservoir 12-24 hours in advance then wearing it or carrying in my pocket. The insulin reaches body temp before it goes in the pump and any bubbles seem to form/expand during that time. I purge them before the insulin goes into the pump which reduces bubbles during use. I use angled teflon sets with an inserter. It looks like a blunderbus but I don't mind it. Not sure I'd get such a long needle in by hand without bending or snapping it. Have learnt if it doesn't go right in, there's no point pushing it as there's probably a small blood vessel in the way which will hurt & bleed. [/QUOTE]
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