BG Bliss

by Leighann on October 14, 2010

Sometimes I think we hit the sweet spot when it comes to blood glucose numbers. Other times I think we’ve got it sour.

Recently we had a week, of course when my husband was on his annual fishing trip and I was single parenting, that Q’s numbers were sky high. Following our DKA Prevention Decision Tree I had to replace several pods early and a couple of pods failed. (Not to mention burning through several boxes of blood ketone strips that are literally worth their weight in gold!)

I swear we had a bad box of pods. Because most had failed or were worn less than 24 hours, OmniPod replaced most, if not all, of them. But it was frustrating leaving me with a dwindling insulin supply and a serious lack of sleep.

(Don’t interpret that bad weekend as evidence against OmniPod; we love it and wouldn’t switch despite this bad weekend.)

Then there are other times when the stars align and we have a run of really good numbers. And I try to sit back and think about what we have been doing right. Maybe we did something a little differently that really worked.

I have to wonder if there aren’t some “sweet spots” where the pod just seems to work better or if there are spots where it doesn’t work so well.

The pod that I just removed worked really well. Interestingly, it was on her back where she doesn’t have much extra flesh and it’s a spot that our endo says not to use (though the CDE suggested it as a spot and you get a different opinion, it seems, from every person you talk to). But early in the week we put her pod on her backside because she has gymnastics and can’t do bar work with it on her belly.

Her target range is 100-200, though we begin correcting at 150. She typically goes a little high after her 4:00 pm pod change, reflected in her dinner or bedtime numbers. We try to offset this by giving a unit of insulin right before her pod change if her number is above range at that moment.

BreakfastLunchDinnerBedtime
263287
154107103115
15510869134
271124

That’s an average of 157! Perfectly respectable.

Do you find that there are insertion sites that result in better numbers?

Do you sometimes see better or worse numbers when you change a site?

Where do you place pods (or insertion sets) on your youngish child?

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{ 9 comments… read them below or add one }

1 Reyna October 14, 2010 at 7:38 am

We use the Animas Ping on Joe. The only area the kid has any “site” real-estate is on his tush. I find with the plastic cannula (the insets) we have to change them out every 36 hours (bummer when we have to do it in the am before school every other site change). We did try the steel tip insertions sets (the “contact-detach” ones), but they were extremely painful for Joe. I have found “better” numbers usually ensue from sites placed upper/lateral quadrant of his tush cheeks.

I cannot wait to see what works for others.

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2 Carrie October 14, 2010 at 8:08 am

We also use the Ping and it goes on her backside….She won’t let us do it anywhere else right now and since she is only 3 we just go with it for now. When she is a bit older we will try other spots.

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3 Denise October 14, 2010 at 10:11 am

My 5 year old is also on a Ping and will only use his backside. We usually know it is time to change out his site when his numbers get high and are hard to bring down. He hasn’t allowed us to try different spots so not sure what that would do to his numbers.

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4 AmyK October 14, 2010 at 10:28 am

We’ve only used the arm for Pod placement as that is the only spot she is comfortable with right now. I almost wish we’d hurry up and have our first Pod come off/be knocked off/fall off so she & I would both get over our nervousness about it! Like the previous moms, I am anxious to hear from others…

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5 Kimberly October 14, 2010 at 11:01 am

Hi Leighann! Lily also wears the pod and we use her arms mainly, and sometimes her belly. We have found her belly to have the best absorption.

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6 Kaileen October 14, 2010 at 12:02 pm

My 11 year old is also on a Ping and will only use her tummy. I’m sure she’ll be open to other sites as she gets older. I am perfectly happy with her choice right now, though. The one thing I hate: she changes out every three days, and it ends up the last 20 units or so are very weak or unusuable. Her sites stay in very well: I have been impressed with that. So she runs high toward the end, and we have to go ahead and change out before all the insulin is used.

We’ve had very few problems with occlusions and have had to do a site change a couple of times due to that.

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7 Kaileen October 14, 2010 at 12:03 pm

Oh, and I have to say: she is absolutely adorable!

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8 Penny October 14, 2010 at 12:45 pm

Oh the bliss of perfect numbers. It’s enchanting, isn’t it. Then like a fairy godmother – POOF! – they are gone. Grace wears her Pod on her tummy and the backs of her arms and when she does we are in heaven. But, alas, she must rotate and the legs and her tush give us crazy numbers – way too high for my liking. I set whole new basal rates – upping every basal rate by .05 when she has a leg or tush site. That seems to work for her and bring her down.

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9 Lani October 14, 2010 at 9:05 pm

Podder here! Taylar wears it on her back and we get good numbers too. She has worn it on her upper-outter leg (which was a site she liked) but had highs for 2 days until we changed it.

The first reading after a pod change is almost always in the 200s. We’ve been giving her an extra bolus right before or right after a change to compensate and that has worked out okay.

Taylar is open to wearing the pod on both sides of her belly, back, and both arms and she’s 8 🙂

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