How to Load a New Cartridge Onto Your Insulin Pump
Вставка
- Опубліковано 5 лип 2024
- In this video, we show you how to load new cartridges on your Tandem Diabetes Insulin Pumps (t:slim X2, and t:flex). We discuss the things needed to load a cartridge onto your insulin pump, insulin levels, treatment values of glucose, installing a cartridge for an insulin pump, and filling the tubing with insulin.
Timestamps:
00:00 Things Needed to Load a New Cartridge Onto Your Insulin Pump
00:45 Insulin Levels
01:13 How To Load a New Cartridge Onto Your Insulin Pump
02:56 Install a Cartridge for an Insulin Pump
03:51 Fill the Tubing With Insulin
05:40 Connect With Tandem Diabetes
For more information about t:slim X2 Insulin Pump, visit: www.tandemdiabetes.com/en-ca/...
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The t:slim Insulin Pump is intended for the subcutaneous delivery of insulin, at set a by an external pump. - Наука та технологія
My training is today @1:30p I’m so excited
My oldest son is in his early 20's and he has type 1 diabetes. But thank God for this piece of article ua-cam.com/users/postUgkxVYhghKWmrUgXARZ_ydZTvmmcrw5L0I5i At first he thought he had the flu and was lying down on the bed for three days until his sister took him to the hospital. They took his blood and it was 600. What I do not understand is how he could have gotten it, since no one in the family has it. But he is winning the battle now. This is good stuff.
I do my training for my x2 in about two weeks! Too excited!
Awesome Manda! We would like to welcome you to the Tandem Family!
Just configured my tslim:x2, got my first infusion set in and connected, got my first dexcom g6 in and running. All done with youtube videos. Used Medtronic for years and got so i could so set and sensor training literally in my sleep. Tandem/Dexcom will get there. Love having my sugars displayed on my watch & phone.
We're so glad you're up and running Mike!!
I was a medtronic user for 14 years!! I am now on the tslim and dexcom g6. This is game changing. I wish I had had a doctor that suggested this sooner. Omg game changer. This is 1 trillion times better. Its tiny cute easy to use and the IQ is so much easier then medtronic.
We're so happy to hear that you're having a great experience Sheena! Thank you for sharing and for the trust you put in us.
I’m so glad to hear you say this! I start my takin today after being on Medtronic.
Hi sheena this is Krystle. Do u have any trouble filling ur insulin?
Can you guys develop a insulin reservoir system like in Medtronic pump which is simple to fill and more cost friendly.
Fangxiao Yang I would like to have prefilled cartridges
The downside with Medtronic is it's so big, but I agree the tandem cartridges are a faff and seem very wasteful of insulin. I would also prefer if they were made of clear plastic so you could visually check everything is ok inside.
The current design for the cartridge actually allows for significantly more insulin stored in the form factor of the pump. It also is much safer than the Medtronic design
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You all probably dont give a shit but does anyone know of a trick to log back into an Instagram account??
I was stupid forgot the password. I appreciate any help you can offer me!
I love my new T=Slim.. My educator was awesome. Thank you for the video.
Thanks for your feedback Candace! We're thrilled you're enjoying your new Tandem pump and welcome to the Tandem Family!
i start my training today!!
yikes
This pump is new to me. I had a Medtronic, and an Animas pump before this. The Animas pump was a good decision, and the Medtronic to replace it was rather forced on me. So Far, the T-Slim puts the others to shame. I find it wild, intriguing, and amazing that the pump does everything, corrections, and maintenance without asking for input. This is a well-engineerd instrument! I hope the quality of what it seems to be stands up. I'll not go backwards in my care, this pump won't allow it.
We're so happy to hear that you're enjoying your experience so far Brian. Thank you for sharing this with us and for putting your trust in us!
T1D since ‘91 abouts 😖 started on the 512’s in around ‘03, have had A1c’s in the 13’s… last was 6.5. Hope to be like my wife!! She’s T2 but on tslim, and at a 4.8 A1c!!
I can't wait to start my training. So excited.
Have been doing saline trials for 2 weeks. Go next week to switch to insulin and make the connection between Dexcom 6 and T-slim 2
CAN'T WAIT, SO EXCITED!!!
That's awesome!! We can't wait to follow along on your #tsliminthewild journey 😃
I’ve been on Medtronic pumps for over 20 years. I received my Dexcom last week and the X2 yesterday and look forward to an improved experience. The only thing I don’t look forward to is the reservoir filling process!
Thank you for letting us know your thoughts on this Ali. We will be sure to share this with our Product Development team for consideration.
Good luck to you, Ali! I love the Dexcom - have used off & on since 2014. It's a very good CGM. This T-slim, though, is giving me major doubts. I may be switching and am doing research.
Think of filling the cartridge (reservoir) like mixing & taking insulin via a vial & syringe, if you were diagnosed long enough ago to remember that process. That's what this "cartridge filling" brings to mind. I wish you the best & hope for improved control & easier care for you!
Hey, I was thinking about this same . I made the filing cannula in less the 10 min, of course Medtronic have other cons to compare..
@@cinne2135 yes! I thought the same thing watching the video.
There has got to be an easier way. 2nd site change. Its very hard to hold the vial upright, along with the syringe and flick it at the same time. It would be nice just to inject a pen directly into the cartridge without having to prime, suck air out, flick bubbles, etc.
We understand your thoughts here and will be sure to document this feedback with our team. Thank you for reaching out.
@@tandemdiabetes Thanks for the response. My wife loves the Tslim X2 pump, its just he site changes that are a bit overwhelming at this time. I'm sure it will get better over time.Thanks again
@@lobaker1 No problem! We always take customer feedback into consideration. So happy to hear that she is having a good experience with the pump!
Easier already. We were just overwhelmed the first few times.
Yeah let's remember that for the 15-20 minutes it takes to fill change site now. Great this is two step's backwards in my opinion. Old way was much quicker and less air bubble's. My old T slim finally died, now i have to use a new model. Almost tempted to find a used one online
I agree. The whole Tandem pump process is a new way to totally screw up your Diabetes management. I tried Tandem , and went back to Medtronic insulin pump immediately. Will not change again. Good Luck
We're sorry to hear that this didn't work well for you Ed. We completely understand your choice and only wish you the best along this new journey.
so I've had a Medtronics pump for 20 years and made the jump to the tandem pump (just today) and Dexcom G6 (three weeks ago). I love them BOTH BUT I really hate the way to fill the Tandem pump. Please look at how SUPER EASY Medtronics makes it. Now I'm looking for a "fill syringe"? on the net to buy :( The Medtronics pump reservoir has an attachment that connects directly to an insulin vial bottle and none of this ridiculous transfer insulin via "fill syringe" then inject it to the cartridge. Then after attaching the quickset tubing I can add more insulin back to the cartridge? This seems like the ONLY part of this new pump that I really dislike/hate.
Thank you for reaching out and sharing this feedback with us James. We are always looking for ways to improve our products, so your message will be documented and shared with our Product Development team for consideration.
How’s it going? My t slim failed on day 2 and I’m scared to retry it.
@@mastandstars5869 We're so sorry to hear that. We take this very seriously and would like to be sure that this gets addressed. Please reach out to our team directly at (877) 801-6901, Option 1, and they will be able to assist further.
@@mastandstars5869 no issues at all other than a dislike with the refill process. As something as nice and technically better than the Medtronics I think they could have done better.
Agree they need to do something about refilling cartridges insulin waste and a pain. Like medtronics for that better. Also how about a see through cartridge to see what's left.
Can U-40 insulin be used with this please? How much does this cost in US$?
I am new to using pumps I have question about. Refilling then insulin cartridge. Is there a syringe with the cartridge or does my doctor need to prescribe separate
Hi Urooj. Great question! We do include the syringes in the order with the cartridges and the infusion sets.
starting my t slim raining tomorrow on a pump for 12 years 10 with animas who were amazing 2 with medtronic who were horrific, ive only heard good things about tandem and im so excited to start using it.
Thank you for choosing to put your trust in us! We won't let you down!
How’s it going? I tried my pump last week after being off a pump for 10 plus years. It failed on the next day. I’m scared to try again.
@@mastandstars5869 Hi there. We replied to your other comment on our page about this. Please let us know if you have any questions or concerns about this. Thank you.
I agree with you I wish Animas was still around. I miss being able to keep my pump attached while showering or swimming.
Hi Danica, I remember when I first started using the Anamis pump, I tuned to your videos for help using it. At this time I am Using the Medtronic 770G MMT-1881. I have switched back and forth from Medtronic sensors and Dexcom sensors. The Dexcom is great, not accurate usually until I calibrate it once, then clear sailing. Problem is cannot use the dexcom CGM with a Medtronic pump. I have made up my mind to switch the the Tandem Slim X2 Control IQ. I will be watching the rest of the related videos. Thanks again for Your Help.
We're honored to have you join the Tandem family Dean! If you have any questions, or need any assistance at all, please don't hesitate to reach out. We're here for you.
Awesome 😎
I’ve been waiting for a couple of months now for someone to call me after calling my endocrinologist about getting my insulin pump set up
Hi Josh. We apologize for this delay. Could you please send us an email to tandemcares@tandemdiabetes.com and we will follow up with you.
it took them a long time to schedule everything for me too. im doing my second training session today and i first talked to my endo about getting on a pump about 4 months ago
At the end of the tubing 5:10 where it connects to your body, is that a needle or a tube? I'm thinking of getting one but, ironically, I'm a diabetic afraid of big needles or of them being inside me too long x.x
Hi ElyKitt. This is the cannula on the infusion set, which inserts into the skin. We have a variety of infusion sets available some have stainless steel cannulas, and some have some soft flexible cannulas. You can learn more here: www.tandemdiabetes.com/products/infusion-sets
I am interested in obtaining the t:slim X2 insulin pump so that I will be able to utilize the Dexcom CGM so that I will be able to maintain much better control of my type 1 diabetes.
Afrezza, Inhalable Insulin, Peace.
Bishop the day that happen life is complete
How long does it take to get the training once you have your pump
Hi Kimberly! This can vary due to a number of reasons. Our team can help take a look into this for you. Can you please send this question to us at TandemCares@TandemDiabetes.com?
@Tandem: Why does the video show a new cartridge in the pump and an existing infusion set/site? Both should be changed every 48-72 hours, right? So what would be the occasion to put in a new cartridge but not change the infusion set? If this is a NEW infusion set, then you are not filling the cannula in this sequence.
Hi Ranjeet. You are correct, we recommend that both the infusion set and cartridge be replaced
every 48-72 hours. However, if you notice leaks around the site, or if you
suspect your infusion set cannula may have become dislodged, you should replace your infusion set right away. This may cause your cartridge change and infusion set change to be at different times.
Can you use a pin instead of needle to fill cardrege
Hi Deborah, we recommend using the syringe.
This is my first time doing this my mom does it for me so wish me luck
Good luck! We're here if you need us!
I have a question on removing residual air from the cartridge. The video says to pull the plunger until it is fully retracted, what does it mean for the plunger to be fully retracted, and is it possible that I could pull too much air out of the cartridge? My trainer said to pull until I see two air bubbles come out, just want to make sure this lines up with what the video is saying
Hi Jesse. Thanks for reaching out! Fully retracted means that the plunger is pulled back as far as it allows. As for the air bubbles, two is the most common amount you will see come out of the cartridge. Any more or less than this isn't bad.
@@tandemdiabetes Great, Thank you for replying
@@jessesmith8981 Always here to help!
How often I need to refile it if I am 60 kg? Is it reusable I am the cartridge?
Thanks for the question! A single cartridge must be changed every 48-72 hours, as recommended by your healthcare provider. Cartridges are not to be reused. Reuse of cartridges may result in over delivery or under delivery of insulin. This can cause hypoglycemia (low BG) or hyperglycemia (high BG) events. If you have any further questions, please don’t hesitate to reach out to us!
How long in advance can you store the cartridges which you already have filled with insulin before using it. Filling a cartridge costs time which you can’t do during work or travel.
Hi Hans, although it's convenient, We do not recommend pre-filling cartridges. Tandem has not done testing on the biocompatibility and stability of insulin stored in the cartridge
for extended periods of time, or of insulin refrigerated in the cartridge. In addition, insulin has dissolved
gasses and when cold insulin is warmed, the gas will come out of solution and form bubbles. So, putting a pre-filled cartridge of refrigerated insulin in the pump may result in bubbles in the system.
@@tandemdiabetes So you are tell us that Tandem did not bother testing the biocompatibility and stability of insulin stored in the cartridge. So how can Tandem claim it is safe to use without testing to see if it is safe? For this reason I will have to pass on getting a Tslim x2 and stick with Medtronic. Medtronic sucks but they at least did the testing to claim that insulin loaded into the reservoir is safe to use.
@@AB-hu4fc We have done testing on the biocompatibility and stability of insulin to support the way it is
intended to be used in the cartridge. This means changing the t:slim X2 cartridge every 48-72 hours, as
recommended by your healthcare provider, and not reusing it.
Pre filling the cartridges would speed things up for sure. Pull the old cartridge out and put the pre filled one in and prime it. Why can’t we do that? The insulin is stored in the cartridge and its in the fridge. Thats a great idea.
Where is the video for drawing insulin into the syringe?
How do I change the tubing only without changing the cartridge.
Hi Sarah. You can change the tubing by following the steps starting at 4:20 of this video. Please note, do not change your infusion set before
bedtime or if you will not be able to test your BG
1-2 hours after the new infusion set is placed. It
is important to confirm that the infusion set is
inserted correctly and delivering insulin. It is also
important to respond quickly to any problems
with the insertion to ensure continued insulin
delivery.
How often should the pump cartridge be changed
Hi Falcon. We suggest that you change your cartridge every 48-72 hours, as
recommended by your healthcare provider.
Can you reuse these cartridges? I am worried I won't have enough to get to my next order
Hi jcrestonm. No, you are not able to reuse the cartridges. Reuse of cartridges
may result in over delivery or under delivery of
insulin. This can cause hypoglycemia (low BG)
or hyperglycemia (high BG) events. If you would like to discuss your orders, please feel free to reach out to our Supplies Team at (858) 375-1473.
Yes you can - won't do any harm.
@@tandemdiabetes #ˋ
I'm getting the message: Cartidge Alarm (20A). This cartridge cannot be used. I tried a new cartridge and keep receiving the same message. What am I supposed to do?
Hi Pamela. Please be sure to contact our Technical Support team directly at (877) 801-6901, Option 1, and they will be able to help take a look into this.
Como activar la tandem t slim x2 para el Dexcom G7
Thanks for reaching out, Jose! This update requires the completion of online training via Tandem Source to update your pump software. You can start the software update process at bit.ly/3Sz2jMv. For detailed instructions, visit bit.ly/48w2xcM. If you’d like to connect with a team member directly, please contact customer support at (877) 801- 6901. The Tandem specialized Software Support Team is available seven days a week, from 6 am to 6 pm (Pacific).
A month ago I switched from the Dexcom G6 to the Dexcom G7. Unbeknownst to me the G7 IS NOT YET COMPATIBLE with the Tandem t:slim X2. I also found out that the OmniPod insulin pump is not compatible with the G7 either. I’m so disappointed to learn that none of the insulin pumps in the USA are not yet compatible with the Dexcom G7. I was told by Tandem that the Tandem t:slim X2 will be compatible closer to Fall 2023. However there is no release date as of August 18th. Meanwhile I have to manually enter my BG or number of carbs. 😮
Until the commercial launch of our integrated product, please continue to make it clear during your next CGM supply order that you use an integrated Tandem pump to ensure you continue receiving the CGM supplies that work with your device. If you do inadvertently change your CGM sensor supplies from Dexcom G6 to Dexcom G7, please contact Dexcom to arrange receiving Dexcom G6 supplies until we have completed integration with Dexcom G7.
The timing of integration is dependent on many factors and we are actively working to deliver an integrated solution as soon as possible. Tandem’s goal is to have the first FDA cleared insulin pump to integrate with three continuous glucose monitoring sensors. We anticipate that existing US in-warranty t:slim X2 pump users will be able to remotely update their pump software and choose their CGM: Dexcom G6, Dexcom G7 or Abbott Freestyle Libre 2 starting this fall. Thank you for your patience and understanding.
Hey tandem my pump charging port is fried how do I fix it
We're sorry to hear that Mario. Please contact our Technical Support team directly at (877) 801-6901, Option 1, and they will be able to assist further.
Hi, does anyone have a 30A error with the cartridge and know a solution to the issue? Thanks
Thank you for letting us know about this, Ziani. Our Technical Support team will be happy to assist you further. Please call +1(877)801-6901, Option 1, anytime, to connect with a specialist from our team.
Would be nice to see the whole video of changing New cartridge and New autosoft 90 at the same time,it feels so far impossible to change them both at the same time.
Hi Luliia. Thank you for sharing your thoughts with us. We will be sure to pass this suggestion along to our team for consideration.
If you would like, we can also connect you to a local representative who can help walk you through these steps. Just send an email to us about this at TandemCares@TandemDiabetes.com and we will be able to assist further.
if anyone has any tips to make sure you’re doing this right bc it’s so complicated. trying to help gf who had medtronic pump before and loading was a lot easier, we struggled trying to make sure it done properly the first time around
Hi Alfred! We're always here to help. Please don't hesitate to give us a call at +1(877)801-6901 anytime you have any questions. In the meantime, we encourage you to visit our website at support.tandemdiabetes.com/hc/en-us/articles/1500011414382-Cartridge-Load-Process for more tips and best practices for the cartridge load process.
Why not remove the residual air before drawing insulin into the syringe?
Hi Gino. Removing the air from the cartridge is performed this way so that you can see this air being removed, rather than just assuming that this is happening.
Can the cartridge be reused ?
Hi Paul. No, we do not recommend reusing your cartridges. The efficacy of your t:slim X2 Pump cannot be guaranteed if cartridges other than those manufactured by Tandem are used or if cartridges are filled more than once. Use of cartridges not manufactured by Tandem or reuse of cartridges may result in over-infusion or under-infusion and may cause serious injury or death.
Can you make up cartridges before you need them so I can change them in a hurry, when out or in hospital please?
We do not recommend this, as we have not done testing on the biocompatibility and stability of insulin stored in the cartridge for extended periods of time.
@@tandemdiabetes Thank you for your honest reply. Hopefully changing the cartridge isn’t as complicated or takes as long as it looks?!
@@katiefloyd8314 No problem! Our team is always here to help you through the process. We've been told by users that the more you do it, the easier it gets.
When you first started the video, I didn’t see you put insulin in the syringe?
Thanks for reaching out, Rodney! Please refer to 00:45s of the video for instructions on drawing insulin from the vial. You can also find these steps in our Quick Reference Guide, here: www.tandemdiabetes.com/docs/default-source/quick-reference/quick-reference-load-cartridge-tslimx2-global-ml1002614.pdf?sfvrsn=fefc36d7_72#:~:text=Remove%20the%20used%20cartridge.,Tap%20to%20continue.&text=Make%20sure%20the%20set%20is,the%20tubing%20to%20your%20cartridge.
Waiting on my grand baby tslim
We can't wait for your family to join our Tandem family!
@@tandemdiabetes can’t wait Sugar face was on animas and Medtronic for durability for a toddler... and pods keep falling off... back to tube we go...
The amount of faulty canisters and my sites being blocked is starting to annoy me. Why can’t you make your sites like Medtronic where I had little to no issues
Hi Gavin. We are very sorry to hear you are experiencing these issues. We will have a Technical Support representative reach out to you for assistance.
@@tandemdiabetes Thank you so much for taking the time to call me about the issues regarding my pump. Me and my family appreciate it, and nice to know that you care about the health and satisfaction of your customers. So thank you.
I can’t find “options.” All I see is a 1, a 2, and a 3. Can’t make sense of it.
I’m not sure I get what you mean by “unlock your pump” either.
Hi there. In order to unlock your pump, please be sure to press the number 1, then number 2, then number 3. Once in, you will see Options on your pump screen. If you have any trouble with this, our Technical Support team can assist further at (877) 801-6901, Option 1.
The pump is great but the loading of the cartridges is needlessly fiddly. I am sure the design can be easily improved.
We appreciate your feedback on the cartridge design, as we are always looking for ways to improve. We will make sure this gets logged for review by our Product Development team.
I have essential tremor. I would never be able to do this.
Hi Wayne. You may be interested in the Cierta tool which is a product manufactured by Ayuda Life that is intended to help users align the Tandem needle & syringe with the t:slim X2 insulin pump cartridge when filling insulin. To learn more, please visit: www.ayudalife.com/?gclid=Cj0KCQiAxoiQBhCRARIsAPsvo-xGa0mEJcQW5810eucd888AH3fPEx7hgEU8do36zIs7ch8H9xQsJ_oaAlSsEALw_wcB#Features
Please note: The Cierta product has not been tested by Tandem, therefore Tandem cannot endorse the use of this product.
Everyone wanted me to watch all the training videos but I hate getting recommended diabetes content 😭
Cartridges wont fill t slimX2 pump
The initial estimate of the insulin level is calculated during priming process and may occasionally
generate a low estimate of the cartridge’s actual insulin level. Each time insulin is delivered, the estimate of the remaining insulin is updated and refined. If the initial estimate made during priming is low, the displayed reading on the home screen will remain where it is until the actual contents are reduced to the displayed estimate. If you have concerns about your fill estimate amounts, call our Customer Support for guidance at (877) 801-6901.
DO NOT UPGRADE TO THE Dexcom G7 yet. As of August 18, 2023, there is no insulin pump compatible with the Dexcom G7.
We appreciate you sharing this reminder, Marcia! Until the commercial launch of our integrated product, please continue to make it clear during your next CGM supply order that you use an integrated Tandem pump to ensure you continue receiving the CGM supplies that work with your device.
If you do inadvertently change your CGM sensor supplies from Dexcom G6 to Dexcom G7, you will need to contact Dexcom to arrange receiving Dexcom G6 supplies until we have completed integration with Dexcom G7.
Sigma
The tslim isn’t a bad pump, but the infusion set design is incredibly awful and counterintuitive
We appreciate your feedback on the infusion set design, as we are always looking for ways to make improve the experience for our Tandem family. Please know, we are continually planning enhancements for our infusion set portfolio and we will be sure log your feedback for review by our Product Development team. Thank you for your message and for helping us to continue to focus on the right things as we work to optimize our offerings over time.
This video would have been much more effective without the distracting music piped in. I need to learn this this and the music gets in the way.
We appreciate your feedback on the background music selected for this video. We will be sure to share this information internally, as this was not our intention. Thank you for bringing this to our attention.
Be by by
welll expect lawsuits. this way is not very user friendly. I miss my old Tslim already. And iam dreading and actually frightned to change my site again. This wasnet a user request iamsure
We're sorry to hear that you feel this way. Our team would like to connect with you to discuss this further and see what we can do to help. You can reach out directly at (877) 801-6901, Option 1. Thank you.
Not interested in how the Tandem compares to other pumps.
Roger Skovly it’s way better
What a ridiculous refilling process. I have to do that every three days. Using a needle while holding a vile to pull out the insulin with no locking mechanism to secure it. then balance the cartridge on its thin base, get the needle just right, withdraw air?? Then insert insulin. Geez, what’s with the 1970s process. And after all that, still have to prime a line and sink a site. Way too long and complicated. They need to get rid of that needle and air removal process. Whoever designed that was not a diabetic or had endless free time to changeover sites.
We’re sorry to hear about the trouble you're experiencing with the cartridge fill process . We will be sure to document this feedback with our Product Development team.
In the meantime, please see the Cierta tool which is a product manufactured by Ayuda Life that is intended to help users align the Tandem needle & syringe with the t:slim X2 insulin pump cartridge when filling insulin. To learn more, please visit: www.ayudalife.com/?gclid=Cj0KCQiAxoiQBhCRARIsAPsvo-xGa0mEJcQW5810eucd888AH3fPEx7hgEU8do36zIs7ch8H9xQsJ_oaAlSsEALw_wcB#Features
Please note: The Cierta product has not been tested by Tandem, therefore Tandem cannot endorse the use of this product.
Ty, I did purchase that device. Including the aftermarket tape to keep your transmitter from simply falling out, I would encourage you to pass on to your development team that it is not a good look when an entire cottage industry springs up just to make your product functional and user-friendly.
@@frequencyharmonic2054 We appreciate your feedback and we will make sure to share this with our Product Development Team. Please let us know if there is anything else we can do to help.
Horrible video
Horrible comment.