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    • 2 hours, 11 minutes ago
      Phyllis Biederman likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Its a Tandem. The main issue I have with the phone is the inability to do an extended bolus.
    • 2 hours, 12 minutes ago
      Phyllis Biederman likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 2 hours, 40 minutes ago
      Amy Schneider likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 11 hours, 3 minutes ago
      Daniel Bestvater likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 20 hours, 36 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 20 hours, 36 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 20 hours, 37 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 20 hours, 37 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 1 day ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 1 day, 7 hours ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 1 day, 11 hours ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 1 day, 11 hours ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 2 days, 8 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 2 days, 9 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 2 days, 9 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
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    For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?

    Home > LC Polls > For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
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    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. 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    35 Comments

    1. john36m

      I am on the Omnipod 5. No occlusions, but sometimes after 2 1/2 days the insulin effectiveness goes down. Sometimes, but not always.

      1
      3 years ago Log in to Reply
    2. TEH

      I have had about 4 bent canulas using Dexcom XC90. It is very hard to get the inserter off straight. I insert a plastic knife between the inserter and the infusion set now to pry it off.

      3 years ago Log in to Reply
      1. TEH

        Not Dexcom – Tandem

        3 years ago Log in to Reply
      2. mojoseje

        I had that problem with my Minimed inserter so I stopped using it all together and just commando it straight in by hand. I rarely insert it crookedly. I visually make sure the tape is paralleled to the injection site.

        3 years ago Log in to Reply
    3. Beckett Nelson

      Funny thing…I just took off a site that I had in for 6days because it was getting sore/itchy. When I took it out, it was bent in half and left a huge divot on my stomach. Sugars were rock solid, but not really sure how

      3 years ago Log in to Reply
    4. Barbara Bubar

      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to “notice” unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal…I’m talking about significant bubbles—-8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it’s being caused by a significant bubble…NO, not the champagne sized version that’s often mentioned to “ignore.” The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc….just plain silly. I am NOT new at this…LOL!!!

      2
      3 years ago Log in to Reply
      1. mojoseje

        Holy cow! 8 to 10” bubbles? There is definitely something wrong if that is happening to you. I occasionally get 1/4” inch 10” is excessive. Have you gone in and shown your pump instructor how you’re doing it so that they can help you figure out the problem?

        2
        3 years ago Log in to Reply
      2. Barbara Bubar

        This is exactly what I mean…I get “silly” comments –UNLESS you can tell me that you have frequently inspected the tubing in your pump, I have to respond that you do not understand what you are suggesting. Of COURSE it is excessive in bubble size and that’s what I’m saying. Why do you think I have heard from “my” company about changing to injections? This is not a “pump instructor person can help” issue. I am simply pointing out that IF you never check the tubing, you don’t know how often it “might” be happening.

        3 years ago Log in to Reply
    5. Kathleen Juzenas

      I have had occasions when insulin seems to be ineffective and I have to either increase my dosage by A LOT or change the infusion set. I don’t know how to identify an occlusion as the problem.

      3 years ago Log in to Reply
    6. Lawrence S.

      Years ago, I had many problems with bent cannulas and occlusions. I use the Tandem Vari Soft cannulas. I found that by switching from the 17mm syringe, to the 13 mm syringe, my bent cannula issues went away. I had occlusions more frequently years ago, and found that when I stopped using over-used sites, and switching my sites more frequently, that the occlusions almost completely stopped. I also found that I cannot insert my cannulas over my rib cage area.
      I do not have issues with bubbles in my tubing. I think it is because I make sure that I remove the air from my reservoirs before put the insulin into them (Tandem X2 pump).

      3 years ago Log in to Reply
    7. Henry Renn

      Tried to get use to tru-steel. Painful for 3 days everytime. After 4th attempt quit trying.

      1
      3 years ago Log in to Reply
    8. Jeanne McMillan-Olson

      I have had more incidents of occlusion with the Tandem x2 pump. Rarely had any problems with my older Medtronic Revel pump.

      2
      3 years ago Log in to Reply
    9. Mig Vascos

      I have absorption problems frequently.
      I use a tandem slim 2x and the thing to do to avoid the bubbles is to go thru the two steps to get the air out, first of the empty cartridge and then just before you’re ready to shoot the insulin into the cartridge. It more bothersome but it avoids the chances of getting bubbles.
      Tha absorption problem is a matter of luck. I recently changed from my abdomen to the upper front thigh but is difficult to find the exact right place. Every time I don’t reach the 80% in range is because of faulty absorption and not because I’m eating wrong. It’s pretty frustrating. All I can do is use another infusion set and find a new place since the cartridge is still full of insulin.
      That problem creates the additional problem of having more cartridge sets than infusion sets and I cannot get the vendor to send me 4 boxes of infusion sets and just 2 boxes of cartridges and my doctor says they don’t allow her to write and uneven prescription. Very frustrating!!!

      1
      3 years ago Log in to Reply
      1. Trina Blake

        One of the benefits of using the TruSteel sets is that if it is a n absorption site issue (or the rare time the set comes off) I can just pop it in a new place, and tape. I remember that my set got tugged off (again very rare) and I was at a hardware store. I decided to pick up a roll of blue painter’s tape that was near the register, popped the site in, taped over and didn’t lose my place in line.

        2
        3 years ago Log in to Reply
      2. Cheryl Weaver

        It’s just weird how insurances can dictate what we can have to control this diabetes beast. Medicare is very strict. For one thing, I can’t change my site every 2 days. It has to be every three days. One really nice thing though, if I have a problem with the catheters I can call Tandem, I can call Tandem, and they will send me a replacement. The same holds true with Dexcom. They’re really nice to work with.

        3 years ago Log in to Reply
    10. Mick Martin

      I have to change my infusion sets every 2-3 days as they become occluded. I can generally tell when it’s coming to the time when I need to change my infusion site, even though I have my pump set to alarm every 2 days informing me that I need to change my infusion set, as I begin to notice blood glucose levels higher than what I’m normally getting.

      3 years ago Log in to Reply
    11. Janice Bohn

      Once I started using Verisoft cannulas it has not been a problem.

      3 years ago Log in to Reply
    12. beth nelson

      My pump has alerted me to occlusions, but I’m not sure if it actully has had one as it resolved quickly.

      3 years ago Log in to Reply
    13. Ehamilton0722

      Only because i use tandem’s tru steel infusion sets. Honestly the best decision i ever made.

      1
      3 years ago Log in to Reply
    14. Edward Geary

      No problems since switching to TruSteel.

      3 years ago Log in to Reply
      1. Cheryl Weaver

        I tried Tru Steel, and they make me bleed, so I have to stick with the AutoSofts.

        1
        3 years ago Log in to Reply
    15. Cheryl Weaver

      I have to be so careful where I place my cannula because I’ve had Type 1 diabetes for 64 years, and I have some hardened lumps under my skin. Also, I think the needle to my infusion set is kind of wimpy, in that it bends too easily.

      3 years ago Log in to Reply
    16. Becky Hertz

      No more bent cannula with TruSteel!

      3 years ago Log in to Reply
    17. George Lovelace

      I use the Varisoft on a Tandem w/CIQ and usually change after 2 days but I can sometimes get 4 days/ BTW Best A1c was 5.4

      3 years ago Log in to Reply
    18. Jennifer Edmiston

      In the past 3 months, no issues.
      With my prior system I did. One episode gave me the gift of DKA and 4 days in the ICU…all because the occlusion alarm failed. The pump manufacturer has a default of 5 units to consider the pump defective…it alarmed at 4.9 when tested. My average daily units at the time was 30. The manufacturer didn’t see a problem. 😡

      3 years ago Log in to Reply
    19. Antsy

      In the last 4-5 months, I’ve been lucky. But usually, it tends to happen a few times per year. Luckily, the CGM helps catch them.

      3 years ago Log in to Reply
    20. Ernie Richmann

      How do I tell if I have a bent cannula? If I have
      an unexplained high, it could be a bad site, pump failure, bad insulin, broken line.

      3 years ago Log in to Reply
    21. Sherrie Johnson

      In the last five months I’ve been new to tandem I had to infusion sets that bent. I re-watched the insertion video and realized I was pulling up too hard on the tape and getting the needle out of alignment are getting it off-center somehow. I am careful now have not had a problem tandem did replace my two sets

      3 years ago Log in to Reply
    22. Maureen Helinski

      Yes, but it was my body problem. The insulin wasn’t going in and I changed the site placement. Then it worked. Some little bump formed on my stomach and the insulin didn’t go through that.

      3 years ago Log in to Reply
    23. Donna Condi

      Yes I’ve had two in the last two weeks.

      3 years ago Log in to Reply
    24. Nevin Bowman

      I no longer use a bendable cannula.

      3 years ago Log in to Reply
    25. KarenM6

      I had a recent issue that might have been caused by a bent trusteel and/or occluded insulin.
      When I took the site out the needle that was supposed to be 90 degrees was bent maybe 20 degrees (to maybe 30 degrees max) off of what it should have been. But, that site had 3 or so different issues that could have been one or two different issues within each issue.
      I decided not to bend my mind around trying to figure out if it was one or two issues or six…
      That one was just: “It just needs to change.” LOL!

      3 years ago Log in to Reply
    26. Elizabeth T.

      I answered yes , but I’m glad to say the first vent one in 4 or 5 years!

      1
      3 years ago Log in to Reply
      1. Elizabeth T.

        First one

        3 years ago Log in to Reply
    27. Randy Campbell

      The Omnipod 5 seems to have some issues. When the insulin from the pod doesn’t work, I switch to injections. I was almost to the point of stopping with the Omnipod until I started adding injections.

      3 years ago Log in to Reply

    For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion? Cancel reply

    You must be logged in to post a comment.




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