I also found my T-slim very fiddly and frustrating after Accu Check. It was so much easier to pop in the pre-filled glass vial of insulin. Because I have problems with my fingers, I actually asked to have T-slim changed to an Ypsomed but the 'system' doesn't allow. Now I tend to fill the cartridges when I have plenty of time and put the 'spare' in the fridge.Had the t slim just over 6 weeks and I don't like it. Have issues with filling it as there are so many fiddling bit to manage compared to Accu Check Insight. Twice of which one is now 3.30am changed site and cartridge and blood sugars have risen in 6 hours to 26.3.....site changed and tubing checked. I have never in 15 years of having a pump known such wastage and poor control.
Take care with this. My understanding is that the cartridges are not designed for long term storage so the advice was not to pre-fill cartridges as it can affect the insulin.Now I tend to fill the cartridges when I have plenty of time and put the 'spare' in the fridge.
Oh, thank you. I have been wondering but crossing my fingers. From now on, it will be one cartridge at a time.Take care with this. My understanding is that the cartridges are not designed for long term storage so the advice was not to pre-fill cartridges as it can affect the insulin.
I am sure it will be fine if you fill one cartridge when you have time between set changes but building up a supply in your fridge will mean the insulin sits in the cartridges for too long.
Had the t slim just over 6 weeks and I don't like it. Have issues with filling it as there are so many fiddling bit to manage compared to Accu Check Insight. Twice of which one is now 3.30am changed site and cartridge and blood sugars have risen in 6 hours to 26.3.....site changed and tubing checked. I have never in 15 years of having a pump known such wastage and poor control.
Yes my sugar was 26+ !!! It's the cost to the NHS which I find hard too with all the different buts and plastic and packaging they said it's environment friendly as no batteries however uses more plastic packaging than anything in 47 years of T1 diabetes. It was the best of a nit so good choice. I work in primary school and sometimes have to deal with challenging behaviour! Anything too big was not practical that could be visible. I have left a message for the team to call as not good today.It's incredibly hard transitioning from one pump to another and the differences are more apparent when faced with more obstacles, just to start off why are changing your set at 3.30am is it because you've gone high and alarms ? What cannula sets are you using ?
Getting used to something does take time and patience, as t1d's we want instant relief but a new pump will bring new challenges, it took me a while to get used to my T Slim, I use trusteel sets as didn't get on with the mios/teflon sets, had many fails but I don't with trusteel as I manually insert the steel tip, a set can last me 3 days, yes the change is fiddly but with time/practice it does get easier, the benefits though with T Slim are great, more stability, better sleep quality, these far out weigh the negatives but that's only happened over time.
You mention readings over 26. What I tend to do in a similar situation is to give myself a correction with a pen, and let it work while I change the infusion set.Yes my sugar was 26+ !!! It's the cost to the NHS which I find hard too with all the different buts and plastic and packaging they said it's environment friendly as no batteries however uses more plastic packaging than anything in 47 years of T1 diabetes. It was the best of a nit so good choice. I work in primary school and sometimes have to deal with challenging behaviour! Anything too big was not practical that could be visible. I have left a message for the team to call as not good today.
I've been on the T-Slim X2 since late June. There have been some good periods but sadly, so far, my results are worse than when I was on pens.
Although the pump has sometimes been brilliant, when it goes wrong it goes very wrong. I've had a few instances where my levels start going up and no doses will bring them down. A site change always makes this better but I wonder if I keep the pump on too long. Does the insulin go off after more than three days once it's in the pump?
What I find weird is how you can store about 250 units in the cartridge, yet you're supposed to change it once every three days. That's enough insulin to last me five days, and it would certainly be easier if I could do less frequent site changes.
I think because the insulin in a pump is out of the fridge and generally is kept close to your body so for 3 days it’s kept at around body temperature it does start to go “bad” which is why they say to change your sets or at least they did with me every 3 days. The cartridges are designed to hold a lot of insulin but it doesn’t mean you have to fill it completely to the 250. My pump holds 300 units but I only fill it to about 200 as that’s all I need for 3 days with a little extra just incase. Everyone’s insulin needs are different so some people will need more and some less than what a cartridge holds.
Okay, I will strictly adhere to three days from now on. It's a shame how many problems I've had so far with this pump. It's kind of annoying because the benefits are too great to switch back to pens, but it's just not going well enough at the moment.
My average glucose has been stuck on 8.0mmol for about two weeks now. This is worse than most of the year before late June, which is when I started on the pump. A common problem is what I'd call long highs: it goes up then stays there for hours. Today I went for a 10k run, and normally on such a day my requirements would be lower for the rest of the day. However, it went up to 16mmol after breakfast (I must have undercounted my carbs) and three hours later it's still on 12.4mmol. So now I can't have anything else to eat until it goes down, and even then there's the fear it will just spike back up and be high until late afternoon/evening. I have far too many of these days where the graph looks absolutely horrible: just a series of huge spikes.
The NHS is not bothered about this because I'm above the threshold of 70% in target, and I'm told that "as long as it comes down again" it's fine.
The big problem with a pump is you don't know straight away when it's gone wrong. For example, maybe right now something has gone wrong and I need to change the site. But it requires a few hours of results that don't make sense to come to that conclusion. I only changed the site little over 48 hours ago.
You can turn that off (if you weren't aware) .the change cannula set alarm
Have you done any basal rate testing? You can make your own diary or download a form for this. But your diabetes team should have their own process.Okay, I will strictly adhere to three days from now on. It's a shame how many problems I've had so far with this pump. It's kind of annoying because the benefits are too great to switch back to pens, but it's just not going well enough at the moment.
My average glucose has been stuck on 8.0mmol for about two weeks now. This is worse than most of the year before late June, which is when I started on the pump. A common problem is what I'd call long highs: it goes up then stays there for hours. Today I went for a 10k run, and normally on such a day my requirements would be lower for the rest of the day. However, it went up to 16mmol after breakfast (I must have undercounted my carbs) and three hours later it's still on 12.4mmol. So now I can't have anything else to eat until it goes down, and even then there's the fear it will just spike back up and be high until late afternoon/evening. I have far too many of these days where the graph looks absolutely horrible: just a series of huge spikes.
The NHS is not bothered about this because I'm above the threshold of 70% in target, and I'm told that "as long as it comes down again" it's fine.
The big problem with a pump is you don't know straight away when it's gone wrong. For example, maybe right now something has gone wrong and I need to change the site. But it requires a few hours of results that don't make sense to come to that conclusion. I only changed the site little over 48 hours ago.
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