Maddie, this video was so helpful as I 'came down' emotionally after inserting AutoSoft 30 for the 1st time. You answered questions I didn't know I had about the 30's design features. & your description about all the ways the AutoSoft XC can go wrong was my story! You asked re TruSteel. It rescued me from the XC, & I like its simplicity, but I want a set that can take a little pressure on the slightly outer thigh, as I sleep on my sides only (cuz of other health issues). So again your details about design helped me. Also appreciated your normalizing the option of breast tissue for sites. I've used the side of my breast & may again, for the sake of rotation. It was physically less sensitive for me than my abdomen but I'll admit it felt (psychologically?) vulnerable. I'm on the pump less than 2 mo. but am T1D 50 yr--with erratic digestion from autonomic neuropathy. I've felt unsupported by endo's. So UA-cam in general, & this video of yours in particular, have been invaluable--truly a Gift. Syd PS Sorry this is perhaps a record for a 'comment'--but please take it as an outworking of your building community!
I'm T1D for 29 years, once I found Dr. Bernstein's Diabetes Solution, it was EXACTLY what I needed. Low carbohydrate diet (I do Keto, but he doesn't like that label... kind of the same thing though). It's a game changer, really is!
Great job explaining what the different types of infusion angles are! These are things that weren't explained to me when I started pumping many years ago. Luckily they set me up with the 30s and I've never had a problem. I'm happy to have assisted with this great video topic. Keep em coming!
Forty years of diabetes. My Dr. suggested a pump. He suggested Tandem. I came here to found out what was the "30" and "90" meant amongst other aspects of the pump. Ms. Nielsen gave a very through explanation of this! My hat is off to her!
I just recently started with the Tandem tslim this past November. Before that I was on a Medtronic pump. The Medtronic Minimed Silhouette is very similar to the Tandem Varisoft infusion set I use. Both have 17mm canola's and inserted at a 45 degree angle. When changing to the Tandem I was disappointed in that there was no inserter for their infusion set. So it was a bare-handed, push it in operation. But looking it over I found that the Minimed inserter could be used with the Tandem Varisoft with a modification. On the Minimed inserter there are two small "hooks or teeth" that fit into recesses in the insertion needle in the upper "clamp". My removing those two "hooks or teeth" the Varisoft fits nicely and inserts the set just fine. If only Tandem had flipped their insertion needle around to the other side no modification would have been necessary. Personally going straight in at 90 degrees freaks me out. At an angle doesn't bother me at all. Everyone is different! Also heard that the stainless needle infusion set my Tandem needs to be changed every two days. But don't quote me on that. Enjoying your channel. Keep it up!
Thank you! And thanks for sharing the information about Medtronic as I wasn’t sure how their infusion sets were. 😊 Omnipod was a 45 degree as well. I respond well to both 90 and 30 which is good since I need different ones for different areas of my body. I have yet to try a varisoft and tru steel yet! I hope to do that in the near future! 😀
Great video! Thank you for explaining all about Tandem and their infusion sets. At the moment in Australia the TGA(Australia’s FDA) has suspended the TSlim x2 pending review. Can’t wait to try tslim!
Whenever I've used 30° insertion sites, I would have issues with leaking. I never had any leak issues with 90° insertion. Also, there's no guessing on the angle of insertion when you pull the trigger either (you can bend the 30° cannula if you pull up the skin first like I do).
I have had a pump since 1982 until March of2023. I have had minimed pumps I always use a manual insertion infusion set light your Verisoft infusion set with a 17 mm tangelo and a 43 inch tubing. I tried using an auto soft30 infusion set but after misinserting seven infusion sets none of them staying properly in the skin I went back to the verisoft set. Next Insertion I will try putting it in my arm . I find manual insertion much easier than the injectors.
Thanks for the info. I vaguely knew that there were different types of infusion sets but never gave it much thought. Seems to me like the angled one would be more dimensionally stable since the cannula has a larger surface area supported by the the skin hence less likely to move or bend. Just speculating though.
I have had TID for over 45 yrs now, and have much more fat in my thighs and buttocks Plus, scar tissue lower abdomen. Hard to use upper, get reaction to the adhesive. For me, the 90 degree works best. I raise up my tissue just before inserting and then once I push the areas on the casing, it is still up. This way, it tends to not hit any blood vessels.
When i took shoot im very limited in dite as i dont have a lot of fat tissue in my arms or legs so the 30 sounds great ive just ordered them looking firward to trying them!
I'd be interested in your opinion about using your arms. I found putting the ("water/shower") guards on difficult and cumbersome and occasional asking my spouse to do it for me.
I use my arms all the time! I have a video I am in the process of getting up where I show you how I can unclip and clip in the shower guard without any assistance from someone else! :)
You actually don’t need to use those for showering. It’s mainly for where you are in water that is at a high pressure so could push water into the cannula. Just showering or bathing won’t cause that so it’s not necessary to use one :)
I actually have better luck with 90s vs 30s. I kept getting occlusions with the 30s, so even though I sometimes have issues with placement for the 90s, they wake me up less at night with those annoying alarms. I did find out that using a shorter cannula (6mm vs 9mm) helps with the 90s.
@@MaddieNielsen Yeah, I was enjoying the VariSoft I was sent to try, but then last night my blood sugar sky rocketed after a workout, and I had not eaten much for dinner and had bolused for twice as many carbs as I ended up eating. For now, I'm back on 90, but I've got one last VariSoft, and hoping it works, because I think it would be a better option going forward. (Plus I had a video idea where I was going to show how to put a VariSoft into the upper arm, which has to be done one handed.)
I don't use it (I use the Omnipod), but thanks for going over this. Everybody's body is different and different in different spots so sometimes the challenge is just learning your own body. So having different options make sense. When does school start back? :o)
The insulin still in the tubing or catheter will be tossed at the site change. Whatever is left in your cartridge (measured in units) is not part of the tubing until it gets pushed through via a bolus. I hope this makes sense!
So my 90's keep leaking. I had my tandem rep send me a couple of the 30's to try, only sent me 3 but I had no leaks even sticking one into a spot that would always leak. Also when I use my love handle area, I can't sleep on that side with a 90 because it hurts. Have you noticed this aswell? I am thinking about just going to all 30's
wow that is interesting that the 90's leak for you. everyone is completely different though. I haven't had too many issues with either the 90 (other than an occasional bent cannula upon insertion) or 30 degree sites. I hope you find a site that works well for you.
It would be good to remember that some type I diabetics are blind. So when you use pronouns or refer to something as "this," it leaves them at a loss for understanding your information. Explain what you are doing while you "show" the sighted users. It's like audio description for a movie. Thanks. You are very informative, and we got a lot out of it despite the handicap.
Thank you sooo much for the info !!!!
Maddie, this video was so helpful as I 'came down' emotionally after inserting AutoSoft 30 for the 1st time. You answered questions I didn't know I had about the 30's design features.
& your description about all the ways the AutoSoft XC can go wrong was my story!
You asked re TruSteel. It rescued me from the XC, & I like its simplicity, but I want a set that can take a little pressure on the slightly outer thigh, as I sleep on my sides only (cuz of other health issues). So again your details about design helped me.
Also appreciated your normalizing the option of breast tissue for sites. I've used the side of my breast & may again, for the sake of rotation. It was physically less sensitive for me than my abdomen but I'll admit it felt (psychologically?) vulnerable.
I'm on the pump less than 2 mo. but am T1D 50 yr--with erratic digestion from autonomic neuropathy. I've felt unsupported by endo's. So UA-cam in general, & this video of yours in particular, have been invaluable--truly a Gift. Syd
PS Sorry this is perhaps a record for a 'comment'--but please take it as an outworking of your building community!
I am so glad this video was helpful for you! Thank you for such a kind and thoughtful comment! 😊
I'm T1D for 29 years, once I found Dr. Bernstein's Diabetes Solution, it was EXACTLY what I needed. Low carbohydrate diet (I do Keto, but he doesn't like that label... kind of the same thing though). It's a game changer, really is!
Great job explaining what the different types of infusion angles are! These are things that weren't explained to me when I started pumping many years ago. Luckily they set me up with the 30s and I've never had a problem. I'm happy to have assisted with this great video topic. Keep em coming!
😊❤️ let me know if you want an auto soft 90...I’ve got plenty 😅😉
Forty years of diabetes. My Dr. suggested a pump. He suggested Tandem.
I came here to found out what was the "30" and "90" meant amongst
other aspects of the pump. Ms. Nielsen gave a very through explanation
of this! My hat is off to her!
I'm glad this video was helpful for you! :)
I just recently started with the Tandem tslim this past November. Before that I was on a Medtronic pump. The Medtronic Minimed Silhouette is very similar to the Tandem Varisoft infusion set I use. Both have 17mm canola's and inserted at a 45 degree angle. When changing to the Tandem I was disappointed in that there was no inserter for their infusion set. So it was a bare-handed, push it in operation. But looking it over I found that the Minimed inserter could be used with the Tandem Varisoft with a modification. On the Minimed inserter there are two small "hooks or teeth" that fit into recesses in the insertion needle in the upper "clamp". My removing those two "hooks or teeth" the Varisoft fits nicely and inserts the set just fine. If only Tandem had flipped their insertion needle around to the other side no modification would have been necessary. Personally going straight in at 90 degrees freaks me out. At an angle doesn't bother me at all. Everyone is different! Also heard that the stainless needle infusion set my Tandem needs to be changed every two days. But don't quote me on that. Enjoying your channel. Keep it up!
Thank you! And thanks for sharing the information about Medtronic as I wasn’t sure how their infusion sets were. 😊 Omnipod was a 45 degree as well. I respond well to both 90 and 30 which is good since I need different ones for different areas of my body. I have yet to try a varisoft and tru steel yet! I hope to do that in the near future! 😀
Great video!
Thank you for explaining all about Tandem and their infusion sets.
At the moment in Australia the TGA(Australia’s FDA) has suspended the TSlim x2 pending review.
Can’t wait to try tslim!
Thanks Tim! hope they are able to get it approved fast for you in Australia! 😊 the pump is literally a life changer! I love it 😊
Loved your explanation. Though I'm familiar with autosoft 30, I don't know which one is the 90 and what it looks like. new to Tandem pump
Whenever I've used 30° insertion sites, I would have issues with leaking. I never had any leak issues with 90° insertion. Also, there's no guessing on the angle of insertion when you pull the trigger either (you can bend the 30° cannula if you pull up the skin first like I do).
I find the 90 degree with any shifting from activity it will cause a bite of irritation especially if your using the steel infusion set ups!
I just got off injections and this is my first pump this helped so much thank you
This video helps me so much i am switch to the t:slim x2 and this is so much good info
I have had a pump since 1982 until March of2023. I have had minimed pumps I always use a manual insertion infusion set light your Verisoft infusion set with a 17 mm tangelo and a 43 inch tubing. I tried using an auto soft30 infusion set but after misinserting seven infusion sets none of them staying properly in the skin I went back to the verisoft set. Next Insertion I will try putting it in my arm . I find manual insertion much easier than the injectors.
Thanks for the info. I vaguely knew that there were different types of infusion sets but never gave it much thought. Seems to me like the angled one would be more dimensionally stable since the cannula has a larger surface area supported by the the skin hence less likely to move or bend. Just speculating though.
Yep. It’s the way it goes into your body and how it is built. Or like the way I explained it. More or less room for error on insertion 😊
I have had TID for over 45 yrs now, and have much more fat in my thighs and buttocks
Plus, scar tissue lower abdomen. Hard to use upper, get reaction to the adhesive. For me, the 90 degree works best. I raise up my tissue just before inserting and then once I push the areas on the casing, it is still up. This way, it tends to not hit any blood vessels.
My omni pid tended to shift and irritate the insertion site, i gave had no issue with any of the tandom insertion
I recogmined skip the true steel, 90 degree snd thst steel insertion does move around depending on your activity level and location just saying
When i took shoot im very limited in dite as i dont have a lot of fat tissue in my arms or legs so the 30 sounds great ive just ordered them looking firward to trying them!
Very helpful video! I am going for training on Monday!
Thank you! And Congratulations! Best of luck to you! 😊
@@MaddieNielsen Thanks! The training was good. Do you use the App?
@@jamie.andrews yes but I don’t use it while out and about. It jacked up my phone Bill by using all my cellular data
@@MaddieNielsen Oh wow. Yea that is how the tslim uploads data to the cloud for the website. I will be glad when I can bolus using the app.
So I have been using the XC but was sent 90's. Are the tubings between the two compatible?
Did you have issues with the 90 sticking to your skin? I can’t get them to work properly
Wow very helpful, thanks for the video
Prim til it drips a couple if time to clear the air bobble
45 yrs type 1
I'd be interested in your opinion about using your arms. I found putting the ("water/shower") guards on difficult and cumbersome and occasional asking my spouse to do it for me.
I use my arms all the time! I have a video I am in the process of getting up where I show you how I can unclip and clip in the shower guard without any assistance from someone else! :)
You actually don’t need to use those for showering. It’s mainly for where you are in water that is at a high pressure so could push water into the cannula. Just showering or bathing won’t cause that so it’s not necessary to use one :)
I actually have better luck with 90s vs 30s. I kept getting occlusions with the 30s, so even though I sometimes have issues with placement for the 90s, they wake me up less at night with those annoying alarms. I did find out that using a shorter cannula (6mm vs 9mm) helps with the 90s.
It is interesting how everyone responds differently to different sites. I hope to try a variety of other sites as I move forward with tandem! :)
@@MaddieNielsen Yeah, I was enjoying the VariSoft I was sent to try, but then last night my blood sugar sky rocketed after a workout, and I had not eaten much for dinner and had bolused for twice as many carbs as I ended up eating. For now, I'm back on 90, but I've got one last VariSoft, and hoping it works, because I think it would be a better option going forward. (Plus I had a video idea where I was going to show how to put a VariSoft into the upper arm, which has to be done one handed.)
I don't use it (I use the Omnipod), but thanks for going over this. Everybody's body is different and different in different spots so sometimes the challenge is just learning your own body. So having different options make sense. When does school start back? :o)
Online learning starts back January 11th. In person starts back up January 18th. Clinicals for patient treatment runs February-May. Then graduation 😀
@@MaddieNielsen It's going to go by so fast. Good luck 👍
Hi. I am on year 63 with type 1.
Welcome to my channel!
The end of next week will make 50 years that I have been a type 1 diabetic.
I was diagnosed at the age of 5 .
Wow! Congratulations on your 50 year Diaversary Lisa! 😊
Great video again !! Stay well
Thank you! Same to you Joe! 😊
where on your thigh do you put it? been putting it on my lower stomach and it’s been hurting
I use the very outer thigh or the very inner thigh. Anywhere else I do not get very good absorption.
When changing autosoft 30 site and your cartridge is still half full, do I just toss the insulin still in the catheter?
The insulin still in the tubing or catheter will be tossed at the site change. Whatever is left in your cartridge (measured in units) is not part of the tubing until it gets pushed through via a bolus. I hope this makes sense!
So my 90's keep leaking. I had my tandem rep send me a couple of the 30's to try, only sent me 3 but I had no leaks even sticking one into a spot that would always leak. Also when I use my love handle area, I can't sleep on that side with a 90 because it hurts. Have you noticed this aswell? I am thinking about just going to all 30's
wow that is interesting that the 90's leak for you. everyone is completely different though. I haven't had too many issues with either the 90 (other than an occasional bent cannula upon insertion) or 30 degree sites. I hope you find a site that works well for you.
It would be good to remember that some type I diabetics are blind. So when you use pronouns or refer to something as "this," it leaves them at a loss for understanding your information. Explain what you are doing while you "show" the sighted users. It's like audio description for a movie. Thanks. You are very informative, and we got a lot out of it despite the handicap.
I find the 90 degree with any shifting from activity it will cause a bite of irritation especially if your using the steel infusion set ups!