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Where do you put your cannula?
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<blockquote data-quote="kitedoc" data-source="post: 1946830" data-attributes="member: 468714"><p>Hi [USER=11529]@Nomi[/USER], whilst my tummy is my usual site I have 'expanded" to the side of my tummy, and my back .</p><p>Part of the issue is how much or little subcutaneous tissue (below the skin, above the muscle ) one has. And I have developed a bit of a hate of plastic cannulas. Too many bending and not reliably delivering insulin. 6 mm 90 degrees has been my preferred type of cannula* as I found even the shortest 30 to 45 degree cannulas bent at the tips, presumably at the junction of subcutaneous tissue and muscle.</p><p>Whilst I now use metal cannulas* for under the skin, I was very recently having trouble even with them but after talking with my DSN and pump rep there is the possibility, after 7 years on a pump and 52 years all up on insulin, that scar tissue may be extensive where I have been placing my cannulas.</p><p>So the strategy is moving the sites around to the side of my stomach, to nearer the back if I can avoid muscle (and prevent my rucksack dislodging the cannulas) and also trying a 8 mm metal cannulas as this might missed the scar tissue (so far so good).</p><p>I avoid my legs and arms as the muscle is close to the skin (serves me right for all those years of walking, kayaking, swimming and running) !! But on the very rare occasions when the BSLs shoot up and ketones appear, some judicious use of intramuscular insulin (with my DSN calling 'the shots') has saved me from hospital.</p><p>Best Wishes, fellow pumper ! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="kitedoc, post: 1946830, member: 468714"] Hi [USER=11529]@Nomi[/USER], whilst my tummy is my usual site I have 'expanded" to the side of my tummy, and my back . Part of the issue is how much or little subcutaneous tissue (below the skin, above the muscle ) one has. And I have developed a bit of a hate of plastic cannulas. Too many bending and not reliably delivering insulin. 6 mm 90 degrees has been my preferred type of cannula* as I found even the shortest 30 to 45 degree cannulas bent at the tips, presumably at the junction of subcutaneous tissue and muscle. Whilst I now use metal cannulas* for under the skin, I was very recently having trouble even with them but after talking with my DSN and pump rep there is the possibility, after 7 years on a pump and 52 years all up on insulin, that scar tissue may be extensive where I have been placing my cannulas. So the strategy is moving the sites around to the side of my stomach, to nearer the back if I can avoid muscle (and prevent my rucksack dislodging the cannulas) and also trying a 8 mm metal cannulas as this might missed the scar tissue (so far so good). I avoid my legs and arms as the muscle is close to the skin (serves me right for all those years of walking, kayaking, swimming and running) !! But on the very rare occasions when the BSLs shoot up and ketones appear, some judicious use of intramuscular insulin (with my DSN calling 'the shots') has saved me from hospital. Best Wishes, fellow pumper ! :):):) [/QUOTE]
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