Ugh – pump sites! The bane of my existence. Every 3 days we resite the Omnipod on Carter and cross our fingers we’ve picked a good spot for the next few days. This week, I think I have had at least one bad site. Huge peaks and valleys and corrections that really just didn’t touch his high blood sugar levels. Seems obvious it’s a site problem, right??
But it’s always so hard to tell! And I know Carter doesn’t enjoy Omnipod replacements, so I try as hard as I can to not overzealously pull the pump unless absolutely necessary. So I sit and ponder all the “what-ifs”. If we see higher numbers, is it because his ratios are off? Is he growing? Or is the pump site simply not absorbing insulin as efficiently as another site might?
If you talk to our DNE (Diabetes Nurse Educator), she will tell you that any presence of ketones at all means pull the site. And that is GREAT advice and a great rule to go by, especially with a toddler. Although, I will admit I don’t always follow this plan. Usually I give 1 correction via the pump and if that doesn’t knock out ketones, the site gets changed. But many times, small (less than 1.5) ketones can get knocked out fairly quickly with a 20% correction increase. All this to avoid a pump site change for our poor little guy. I cringe every time I hear the snap of the Omnipod needle upon insertion.
But I’m still working on noticing patterns of a “bad site”. Are high BGs immediate with a bad site? Do you notice big hills and/or valleys with a bad site?