Veo-occlusions....

Hi

Thank you so much yesterday to my query...I have yet another one....

How often would veo users expect to get occlusions?

Got gentleman stable during night running at 7's....brill. 2 hrs after breakfast this morn levels went up to 16....from 5.5....so we did a correction as suggested by machine.....then it went to 18 and I told hime he would have to change EVERYTHING.....cartridge, line and set.....made him also give himself 4 units by injection.....by the time he did this and I asked him to do another blood test before he did cartridge change his reading had gone to 21.

When he phoned me back 20 mins after changing everything his reading had started to comedown to 18.....

When his reading went up to 16, the pump told him to check for occlusions, and the rest of the high readings as well.....he has not got a CGM...

With occlusion warnings with the veo-what do most users find to be the cause-I had to tell him to change everything...he has a plastic cannula of some sort. What do most users find is the increase in levels due to if it is not the body- I know that everything from his carb count and input of bolus for breakfast was right this morning, as I went through with him whilst he told me what he was eating and what the machine was suggesting as his bolus.....

Many thanks again.......Sha x

Hi Anna Marie

Thankyou so much for your response.

He had what he sai looked like an airbubble in the tube, but despite trying to get it out, it wouldn't move......so I had to ask him to change everything. Since changing everything we have managed to get levels down to normal..... after removing the line, he has said it looks like it was an abrasion on the line somehow. I don't know whether this was the cause or not. He said the set was still at a 90degree angle when he took it out, but he didn't check to see if it was bloody....

Just so glad that we have got his levels back to normal for him to go to bed with. His DSN hasn't contacted him at all. His rep phoned him last night and told him not change his basals down, as he still had insulin in him from his injections. I overode that and got him to change his levels down, and thankfully he stayed in the 7's during the night.....hoping tonight will be good too......

Thank you so much for helping me. iHs has yet again been a star with giving me info as well.
It is hard trying t help another different type pump person to change settings when only used to a different machine for myself. Thankfully I have got the online training manual fo rthe veo now, although the page numbers don't match up to the manual that he was reading from......still allmanaged, and apart from the odd high due to something (??) mechanical he has had some good readings today with the changes made to his basals.......

Thank you so much for your help...Sha x

I got a lovely bouquet of roses today from gentleman and his wife. Totally unnecessary, but very, very much appreciated!!!

They came over this afternoon and he has a very good knowledge of all his pump menu's now. Just needs confidence to see the patterns and adjust. He has no follow up appointment with his DSN that set him up on the pump, just for the consultant sometime in May!!!!

Having looked at his levels today, I believe he was having the equivalent of a dawn phenomen at 11am... not so sure that it was an occlusion, as the increase has been there again today, but not so big, because I did get him to raise his basal rates yesterday morning just a little bit, just incase it wasn't an occlusion!!!!! It was his second morning of waking up with pump. His levels still went up again this morning but no more than 5mmol (yesterday was an 11mmol increase!!) , so he has increased the basals gently again, and see what happens tomorrow.

It does quite concern me that somebody can be put on a pump straight off (without ever being shown one)-(except he met me last Sun)- and go live on a pump on a Thursday without even a call on a Friday from a HCP to see how he was getting on, and then being equivalently left to it for a weekend with the manufacturers as back up......after a 2 hour initiation to a pump.......

Thank goodness for the internet, it puts you in touch with people that can try to help.......thank you for your help Anna Marie. Accuchek pump tells you that you have an occlusion (might be really sky high by then!!!)-but I didn't realise the veo warns you to look for an occlusion!!!!!

Thanks iHs for you unfailing support to me to support others!!! and for Anna Marie....very, very much appreciated as always......