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Site changes every 5-7 days?

Discussion in 'Parents of Children with Type 1' started by Willy, Mar 20, 2011.

  1. Willy

    Willy Approved members

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    I always thought the sites should be changed every 3 days. My SO is of a differing opinion. What are the risks (if any) of keeping the site in for 5-7 days if they are still functioning perfectly fine?
     
  2. PatriciaMidwest

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    3 days is usually recommended. Some people can go 4. If you leave a site in too long it could become infected, you could develop absorption issues or skin allergy issues.
     
  3. Kaylas mom

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    We have done 5 occasionally, not intentionally tho. We haven't had any issues doing that but I don't want to make it a habit for her.
     
  4. Sarah Maddie's Mom

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    We once had a site that lasted 7 days ( I think, it was 7). It became a bit of a science experiment after 4 and we let it run out of curiosity and dumbfoundedness.:p Granted , she was much younger and it was summer so she was not in school and with us all the time so we felt safe in pushing it just to see how long it would carry on. But that was akin to finding a potato that looks like George Washington. Cool, but not a common occurrence :cool:
     
  5. BrendaK

    BrendaK Neonatal Diabetes Registry

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    Infection would be the risk.
     
  6. obtainedmist

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    Also, besides infection couldn't that site be more prone to developing scar tissue?
     
  7. Marcia

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    I think scar tissue and hyperlipodystrophy occur. Our kids need to hang on to good, usable real estate for many years, we need to protect that real estate.
     
  8. Scribe

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    I use mine (silhouettes) for at least seven days - often longer - and have never had a problem in more than 10 years of pumping. Never an infection; no scarring or absorption issues. My numbers are almost always good. I also reuse reservoirs and tubing.
    I honestly have a hard time getting past the conflict of interest in the manufacturers dictating rotation time. The shorter the time, the more they sell.
    The bottom line is you do what's comfortable for you, both literally and emotionally. My numbers and my health have been fantastic for years and years so why change?
    But if someone else has a different approach, that's fine too.
     
  9. Lee

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    You are 51, this little monkey is 17 months. Do not leave sites in for 5 to 7 days. All the reasons mentioned above - infection, poor absorption, those bumpy things that make it so you can't use the arm for 3 months, etc, etc, etc.

    ETA - I am only pointing this out because you are responsible for your own care and have only yourself to blame if something happens. These parents have much more at risk with a much longer time span ahead of them, as well as a toddler who is not vocal enough to tell them about stinging, burning, painful lumps, etc ,etc, etc.
     
    Last edited: Mar 20, 2011
  10. Connie(BC)Type 1

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    I "used" to leave sites in longer then 3 days, I've learned my lesson, lots of scar tissue now!
     
  11. StacyMM

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    We used to do 3 1/2 days because it was so convenient and easy to remember when it was Sunday morning and Wednesday night. Then...we ran into "no delivery" twice and the pump people checked everything and decided that she was healing too quickly - growing tissue over the cannula. They said go to 2 days. We typically 2 1/2-3 but even at that point we have issues with her going high. 2 days is really, really effective in her. Not sure about the whole 'tissue growth' theory but I do know that for us the recommended length of time is pretty ideal.
     
  12. Beach bum

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    We are supposed to change every 2.5 days, we stretch to 3. We've gone 4 by mistake, but with fair results. Numbers weren't as good, sets started to peel, skin was really irritated.

    The biggest thing to worry about is infection.
     
  13. obtainedmist

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    We always do 2 days now. We would regret when we'd go beyond that. It seems that we'd get blood in the canula (that we couldn't see in the tube) or just suddenly be looking at a 300 number!
     
  14. Midwestmomma

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    We never go over 4 days. I can't say I would recommend any longer than 3-4 days for a young one...too many what if's.
     
  15. hawkeyegirl

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    I try to change every 3 days, but sometimes it's day 4 before I remember. We've never had a site infection, but I can tell that the sites take longer to heal the longer I leave them in. I would make it your goal to try to change every 3 days.
     
  16. Willy

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    OMG I love this!!!!
     
  17. Willy

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    Thank you every one for your wonderful responses. It made me cry to think that he may be in pain, develop scar tissue, have issues down the road....all very valid points.
     
  18. SarahKelly

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    I think part of it is to watch how your child heals, too. For us we have to change Isaac's site every two days because his skin is sensitive, he takes a long time to heal and his absorption becomes very slow if we go over two days. Often we push it to 2.5 days due to timing problems, but even then we can tell that it's an overdue site change for him.
     
  19. C6H12O6

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    What?s SO ? Significant Other ?
     

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