DKA on the high seas - the pictures that you couldn't view at Diabetes1.org

Bent over cannula

If you're here - it's because you've just read my blog at Diabetes1.org - where my ability to post larger pictures is not possible  (they're working on it - allowing we the users more flexibility/ease of use for posting quickly/efficiently at their website as I test their system out for them like a faithful dog .. cat).

So, with further adieu - here are the more detailed pictures of my infusion set - the Inset II - that went bad!!!
I hope that this never happens again - and sad thing is - if I'd still been on MDI - this wouldnt' have happened - since I would have known I had injected the insulin - unless the insulin was not good.  In this case, due to problem with infusion set - no occlusion alarm - DKA (diabetic ketoacidosis) occurred - due to no alarms from my pump - and my slowness at reacting to what to do.

The cannula never entered the skin BUT went into the adhesive bit on the side

Me the next day - feeling like death warmed over ( and it was a warm day - but I was still feeling frozen from the ordeal)

1000 Islands in Canada

I'm in love with the i-port - it's like a mini-me insulin pump

UPDATE -** NOVEMBER 18TH 2013 ** - I HAVE FINALLY BEEN APPROVED TO USE THE I-PORT! Why it took my insurance company so long is beyond my comprehension - but now I'm so excited - especially when I take my next holiday!!!!

Okay, okay, don't get your nose out of joint - my fellow insulin pumping peeps - that I'm saying that the i-port is a mini-me insulin pump - but in away - when you look at it "logically" without any anger from my statement - I AM the "mini-me" pump - I am the brains behind what goes into my body - via the i-port - I AM IN CONTROL - not a machine - that I've programmed with best intentions to keep my diabetes health in control.

Yes, I still have to give a separate shot for my "basal" rate with long acting insulin  - I do this twice a day - 12 hours part seems to work best for me.   The basal rate is basically what your pancreas - if it's working - squirts out all the time - in order to keep your blood sugar in a normal range when your not eating, etc.   With diabetes - your pancreas can be abit on the wonky side and either work when it feels like (e.g. Type 2) or like myself as a Type 1 - where my pancreas is dead as a door nail. 

The recommendations of the i-port website is that only ONE type of insulin being put thru' the port via either a pen needle (no shorter than 5mm) OR a syringe (29 gauge is thickest - otherwise you will possibly punction the wall of the cannula) - and I'm fine with that.  With a "real" insulin pump - which has an insulin cartridge (the i-port does NOT - you INJECT insulin via the port) - it's programmed to squirt out ""X amount" of  rapid acting insulin - for your basal rate as well as your bolus rate (aka - if you have to correct a higher than normal blood sugar (BG) or for when you are eating a meal).  If this has got you abit confused about the types of insulin - check out the link from Diabetes.co.uk that explains how injected insulins work in our bodies.

My messy diary along with box from i-port

The thing I loved about my six day experiment with the i-port (I was only given 2 samples - boo! hoo!) - is that instead of my having to do the human dart board practise on my stomach for my bolus shots 5-8 times a day - I just did my insulin injections through the port in my skin.  It really is like an infusion set that we use with an insulin pump - except it has no tubing - or connections to a little machine that goes ping.   The port is changed EVERY 3 days - which is the recommendation for most infusion sets.  Usually in the past, I've had issues with the teflon coated plastic cannula that remains in my body for that length of time.  Luckily, with the i-port I had no such issues, removing the port left barely a mark in my skin. 

The good thing about the i-port - less expensive then the alternative of an insulin pump (I can purchase the i-ports at Diabetes Express for $149.99 CAD for a box of 10).  This is bit less expensive then what I was paying for my infusion sets with my insulin pump - but the even bigger saving for me?  I'm not having to pay for a pump which ranges from $5-7K depending on where you live - along with the other supplies that go along with the pump (insulin cartridges, batteries, replacement caps, etc.). 

i-port put in place (really easy)

One thing I did find was that I didn't cringe at having to give another shot of rapid insulin for a little sinful snack or a correction shot.  It reminded me so much of the insulin pump I used to use - where a simple touch of the key pad - squirted insulin into my body via the infusion set - except with the i-port - you are the brains behind what insulin you are injecting with.

I have submitted a predetermination form thru' my husbands workplace insurance in the hopes that these ports will be covered - hopefully at 100%.  So wish me luck - since I'm really REALLY missing my little i-port right now - I felt very spoiled using the two I was sent. It's almost how I felt when I first disconnected from my pump - and went back onto multiple daily injection (MDI).  After almost a month of learning how to stay in the BG zone with MDI - I can now say - that ANYONE can do it - if they put their mind to it - and now I'm not missing my pump as I go into my 4th month of being pump free.

It stands out about 1/2" or abit less

My conclusion?  For anyone without insurance coverage - dislikes injecting to the point of not wanting to inject (not good - tisk - tisk - who hasn't done that in their life time with diabetes?) - I really think this is the route to go - to keep a diabetic from suffering the effects of poorly controlled diabetes.  

NB:  The i-port Advance has regulatory clearance in Canada, US and the European Union.  In the EU they currently have distributors in Germany, Italy and the Nordic Region and are in conversations to add some additional countries in the near future. India and Australia will be further down the road.