- advertisement -

Mm cgms - question

Discussion in 'Parents of Children with Type 1' started by blbrocky, May 17, 2009.

  1. blbrocky

    blbrocky Approved members

    Joined:
    Apr 25, 2007
    Messages:
    410
    We just received the CGMS and were wondering when doing an insertion of the sensor do you pinch up some fat?

    My son is very thin and we are a little concerned that there isn't enough fat to insert into..:confused:
     
  2. Noel

    Noel Approved members

    Joined:
    Feb 17, 2007
    Messages:
    1,450
    No we don't pinch up anything, Aidan is very thin too, we use the injecter that it came with but we do not pinch up like we doing with a shot or site.
     
    Last edited: May 17, 2009
  3. rachabetic

    rachabetic Approved members

    Joined:
    Mar 18, 2008
    Messages:
    577
    I was told by the MM trainer not to pinch up. Apparently it messes up the interstial (sp?) fluid, and makes it not as accurate. :confused: I pinched up the first time (before training:eek:), and it was completely inaccurate, so I haven't pinched up since.
     
  4. Tigerlilly's mom

    Tigerlilly's mom Approved members

    Joined:
    Dec 3, 2007
    Messages:
    3,492
    I kind of pinch up, mostly to give myself some leverage and a bigger target. Tyler is VERY LEAN, the only place on his body with meat is his tush and theres not much there. We use the inserter, I "pinch up" a bigger area than I would if giving an injection. His last 4 sensors have been right on with his meter, so I will say that it hasn't caused any problems.

    I think this is another of those YDMV.
     
  5. stevecu

    stevecu Approved members

    Joined:
    Jan 14, 2008
    Messages:
    403
    When Sean wears it on his arm we pinch up (I'm afraid I'd hit muscle otherwise), when he wears it on his hip we do not, when he wears it on his abdoment I insert it with him standing (sitting or laying down the sensor will hurt later).
     
  6. lotsoftots

    lotsoftots Approved members

    Joined:
    Sep 11, 2007
    Messages:
    1,161
    I was told by our trainer to pull the skin taunt, that you cant pinch up
     
  7. Darryl

    Darryl Approved members

    Joined:
    May 8, 2008
    Messages:
    4,313
    Sounds like the trainers have different approaches!

    We use only the upper butt area, and do not pinch up the skin.

    Most important - angle the inserter a little more straight upwards than
    45 degrees (around 10 degrees more straight up), as this helps to
    prevent bleeding.
     
  8. Jilleighn

    Jilleighn Approved members

    Joined:
    Jan 25, 2009
    Messages:
    746
    We were told no pinched also. We were also trained to go in about at 45-50% angle to help with bleeding. Both of our trainers are have Type 1 diabetes and both wear the MM. They actually let us poke them 2 times each before we were did Loren's. Then our CDE let us do her 1 each time so we have 3 practices before we were able to do it on Loren.
     
  9. TheFormerLantusFiend

    TheFormerLantusFiend Approved members

    Joined:
    Sep 10, 2006
    Messages:
    4,925
    They told me to pinch up. When using the inserter, the one time I didn't pinch up, the needle just pushed my fat down and didn't go more than a teeny bit in- that really hurt. The skin's not firm enough without a pinch.
     
  10. hawkeyegirl

    hawkeyegirl Approved members

    Joined:
    Nov 15, 2007
    Messages:
    13,157
    We use the upper butt exclusively, and do not pinch up.
     
  11. jules12

    jules12 Approved members

    Joined:
    May 26, 2007
    Messages:
    2,333

    I do the same as above - so far no problems.
     
  12. Darryl

    Darryl Approved members

    Joined:
    May 8, 2008
    Messages:
    4,313
    I would avoid pinching up for a CGM insertion. It is not like an injection, where you withdraw the needle after the insulin is injected - with a CGM, even after the needle is retracted, the filament remains (the filament is longer than some pump cannulas) and if there was not enough fatty there in the first place to accomodate the CGM needle, then the needle or the filament might hit some muscle once the skin in relaxed, and become kinked or irritated.

    We were advised to used the butt area because dd is skinny and there are no other options, whereas the butt area has plenty of depth so there is no need to pinch up the skin.

    I would also be concerned that the pressure caused by pinching up the skin might cause internal bleeding, which in turn will make the sensor less accurate because it prevents the interstitial fluid from surrounding the sensor.

    We've never pinched up the skin, and have only had 1 bad sensor insertions out of more than 100... we also tilt the inserter about 10 degreed more straight up than the 45 degree skids on the inserter.

    (Just my opinion)
     
  13. mom of four

    mom of four Approved members

    Joined:
    Oct 23, 2008
    Messages:
    215
    This is interesting. I've never thought about it really. Owen won't let me use the inserters for site or sensor insertions so we are doing it manually and I always pinch up.:confused: He is so thin and legs are the best sites for sensors for us, so I feel like I need to. We always have great sensors.....:)
     
  14. blbrocky

    blbrocky Approved members

    Joined:
    Apr 25, 2007
    Messages:
    410
    Thanks for all the responses.

    My son does not want to use the inserter either. He would prefer to do a manual insertion like he does with the Silhouette. I have done some reading on the manual insertion and read it was a lot harder to insert the sensor. My son uses EMLA so maybe that will help.

    I did read that the angle needed to be more than 45 degrees. Some even said 90 degrees.

    It will be interesting to hear what they say at training.

    We are a little nervous about the whole thing. A big concern is that the BG should be stable when calibrating. What happens if it isn't when you are due to calibrate? One of the manuals said to calibrate twice a day and in another area it said three to four times a day? The whole thing sounds like a lot of work. I hope my teenager is up to the task.:eek:
     
  15. mom of four

    mom of four Approved members

    Joined:
    Oct 23, 2008
    Messages:
    215
    We always use EMLA and he doesn't even feel it. I do use a slightly greater angle than what they recommend.....maybe 60 degrees? It makes insertion easier and we never get any bleeding when we do this. Good luck!
     
  16. OSUMom

    OSUMom Approved members

    Joined:
    Sep 10, 2006
    Messages:
    5,324
    This to my son is absolutely the most challenging and doing all this amidst his normal schedule. Keep us posted!!!
     
  17. M&MMOM

    M&MMOM Approved members

    Joined:
    Jan 3, 2008
    Messages:
    182
    My son has NO where to put a site except for his butt. We don't pinch anything, just set inserted up against the skin and go!
     
  18. rachabetic

    rachabetic Approved members

    Joined:
    Mar 18, 2008
    Messages:
    577
    For me, the insertion is scary. I have to have my mom push the button on the inserter because I was freeking out to much.:eek: But I could never even imagine doing a manual insertion for it. With the inserter, I have an idea of what angle I am doing, and it is in so quickly.

    I have lost quite a bit of info because I am not stable enough to callibrate when it's due for a calibration. For me, I don't even really plan how many times or when I calibrate each day. It sounds like you are worried about when he will be stable and able to calibrate, this was my main concern to. I just calibrate whenever my bg is stable enough to calibrate. If that was 2 hours after the previous one, then so be it. That just means I have 2 more hours to get my bg stable enough to calibrate again.

    The calibrations, and the whole thing is a lot of work(at least for me, 1 month in it is). If he is really into it and excited about it, then it should be ok. If he doesn't really want it already, then it might be to much for him.

    Good luck, and it really is worth all of the hard work!:cwds:
     
  19. hawkeyegirl

    hawkeyegirl Approved members

    Joined:
    Nov 15, 2007
    Messages:
    13,157
    We manually inserted the Sils, but use the inserter on the sensor. I'd really recommend trying the sensor inserter - it does it really fast. We use EMLA, and my needle-phobic 5 year old doesn't flinch.

    One thing to keep in mind with respect to calibrations is that you don't have to wait until it asks for a cal to do one. We calibrate upon waking, once during the day, and once at my bedtime. So if you calibrate upon waking, and you see that BG is really steady at 11:00 a.m. - go ahead a calibrate. You've then "reset" the 12 hour window that you have, and you can go another 12 hours without a calibration. For us, it works very well to stay "ahead" of the calibrations, because you're right - if you wait until it calls for one, it's likely to be a bad time.
     
  20. stevecu

    stevecu Approved members

    Joined:
    Jan 14, 2008
    Messages:
    403
    We do pretty much the same thing on school days (he does not normally cal at school). I'll usually get a stable BG either when he gets off the bus or before dinner. But I don't buy into the instructions to calibrate no more that 3 or four time a day. MM always says this but I've never heard an adequate explanation as to why. My feeling is, if he's stable and well within range (say 80-120), Then I see no reason not to push my next cal window out to 12 hours. On weekend days, I may calibrate 6 times or more (not usually).
     

Share This Page

- advertisement -

  1. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
    By continuing to use this site, you are consenting to our use of cookies.
    Dismiss Notice