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If you use an insulin pump, when do you change your infusion set after getting a “no insulin delivery” alarm?
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T1d exchange you need to fix your website! The email that comes asks a question but when you get to the site it’s asking a totally different question. Plus I haven’t received one of these questions in a week or so.
Me too. I’m not getting emails with T1D Question of the Day anymore. It’s been several weeks.
My inbox has been empty of these questions for a while, now, too.
Me to, it’s been a couple months since I got the questions in my email inbox. I looked forward to them. Now I goggle T1D exchange, get to the Unvio (?) home page for T1D exchange, have to click on site and I get a message (I think it’s404) and then get directed to the home page to get to the questions. In think the troubles started with the switch to Unvio – whatever that is.
I don’t know if it is my computer or if the problem I am having is with this website, but the whole question can’t be seen on my screen nor can everyone’s comments. This problem only happens with the questions from the T1D Exchange.
Two days since I started using Omnipod 5, so I have not yet encountered this problem! However, if it does occur I will likely contact my care team.
First, I consider where my infusion site is located, and how long it’s been in. What is happening at the time of the alarm? Am I just putting in an new cartridge? Am I putting in a new cartridge of insulin? Am I exercising? I check all parts, including the infusion set. If I find nothing, I clear the alarm, and allow the pump to work. If it continues to alarm, I change the infusion site. If it continues, I change the tubing. If it continues, I change the entire insulin and infusion set.
I haven’t experienced this alarm since beginning to use the Tandem x2 pump several years ago. Before that with the Accu-Chek pump I received them perhaps once a year or less over 20 + years of use.
I’ve been pumping for about 10 years (Omnipod Dash and previously Medtronic Paradigm) and have never had a “no insulin delivery alarm”.
The Omnipod no delivery alarm is a screeching sound that can only be stopped by deactivating the pod. There is no choice but to start a new pod.
I second this. The question doesn’t take into account the way Omnipod alarms.
Over the last 10 years or so (I’ve been on a pump for 17 years) I’ve never gotten a “no insulin delivery” alarm. My first alarm is when the pump thinks there are 5 units left in the reservoir. Then another at 2.5 units. The final alarm is at 0 units. However, I know from experience that there are 10 to 15 units left in the tank. Last night around 2:30, I got the “empty” alarm. I changed the set when I got up at 6:30. 95% of the time I change the set sometime after the “Empty” alarm.
This has never happened to me. I would probably just change the set.
I don’t have an infusion set with my pump – I use the OmniPod
I would think that the “infusion set” with your omnipod is the part that goes into your skin?
There are multiple answers for this question. First I clear the alarm and wait, hopefully this fixes it. If it alarms again, I’ll detach it and see if any insulin is flowing from the cannula , if there’s not I know what the issue is and get new tubing and cartilage , if that doesn’t fix it it’s time for a new site.
I clear the error, then I disconnect the set from the site, deliver 0.5 units to make sure the tube is clear, reattach and it always works. It’s only happened a couple of times in 23 years.
That’s a great idea to deliver half a unit to see what’s happening! I just had one of those, “why didn’t I think of that?!” moments! LOL 🙂
I don’t get (or haven’t seen in a long time) a “no insulin delivery” alarm. Since switching to TruSteel infusion set I’ve also not gotten an occlusion alarm. If I were to get one, I’d go through troubleshooting steps. Check to make sure insulin is going thru tubing, if moving site I check to make sure insulin is being delivered before sticking it in.
Just got the alarm last week the problem was my set came loose. I’ve been on the pump for 34 years. I think this is only happened to me a couple of times
I change the set right away if its empty. I attempt one restart with an occlusion but if I get the same alarm again immediately following or if my BS is rising then I change.
Back to the question of the day, ever since switching to TruSteel I haven’t gotten a no delivery alarm – not once and it’s been years (I used Connect-Detach before -the TruSteel under a different name)
Tried to select both “wait” and “watch CGM.” I usually decide on a timeframe i.e. “I’ll wait two hours.” Exception was while pregnant, then I’d switch it out right away or give it a shorter time period.
Can’t recall ever getting a no insulin delivery alarm (been lucky I guess)
I don’t get those types of alarms since switching to metal infusion sets
I do both, clear the error and watch my CGM. If my blood glucose is high, I will try to give a bolus, and then watch to see what happens.
I take steps to determine why the error may have occurred. A bent cannula is only one reason. Sometimes, the cannula is just in a bad spot or there is minor bleeding with clotting around the cannula. A hot shower or exercise will increase blood flow correcting the problem. Tubing can also be twisted/bent where it joins the infusion set. Straightening it out and taping it down may clear the error as well. If it is only 24 hours before time for a new set, I will use extended/square boluses over 15 mins to deliver the insulin. Sometimes that is successful in getting the 3 days out of a site. If all else fails or I see blood around the site or in the tubing, then I change it.