CHANGE MY INSULIN PUMP SITE WITH ME! // t:slim X2
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- Опубліковано 27 чер 2024
- Today I am bringing you guys along as I change my insulin pump site! This is something I do every 3 days. Since I've only been on the t:slim X2 insulin pump for 3 months, I've never shown a full site change here on my channel. I hope this is helpful for those of you wanting to know what changing an insulin pump site is like, especially for the t:slim X2 :)
My t:slim pump clip: amzn.to/3v9k1ak
Make sure to check out my other t:slim videos:
• t:slim X2 insulin pump...
NOTE: This video is not an official step-by-step tutorial. I made this to show the general process of changing an insulin pump site. If you want to follow a proper tutorial, I would highly recommend the official video by Tandem: • How to Load a New Cart...
Instagram: @miche_lo
DISCLAIMER: I am not a healthcare professional. Do not take any of the content on this channel as medical advice. Always talk with your diabetes education team or primary care physician before making changes to your diabetes management.
So my diabetic educator trained me on my tslim 3 days ago. Today was my first solo site change and all that I learned 3 days ago during training was forgotten. It was like a million steps! Thanks for making this video. I used it to help me put my site on just now. I had some small difficulties but it was just due to the awkwardness and newness of it all. But I successfully did it! Thanks a million. Now to wait and see if I really did it right. I’m sure my dexcom will start yelling at me if I didn’t. 😂
ditto!
Yes. Lots of steps. Thanks for the help
Me too! Wasted one tubing set because tubing was taped under insertion site. Don’t ask.
I was just diagnosed a year ago as T1 and the diabetic education where I live is so limited and God-awful. I was supposed to go through training after getting my pump but when I called in to let them know I was ready to schedule it, they had no idea what I was talking about! So glad you have these videos out. Thank you so much.
Dear Michelle, I have had T1DM since age 11, now 51. Just changed from Medtronic to Tandem. Was just thinking how brilliant it would have been to have had someone like you ( young, fit and positive) doing these sorts of videos when I was a teenager....
Thank you for the tip about how to separate the used needles from all the plastic junk, so you can safely recycle the plastic. So simple & I never thought of it.
As a type 1 diabetic this is a whole new way to take insulin and I was scared to start the pump but I absolutely love it!
Hi Michelle! Just wanted to thank you for this video. I've been a diabetic for over 20 years, however I've only been on the t:slim X2 for two weeks. I follow this guide each time I change the pump. It is really well done!! You have made a confusing process for a beginner simple, and clear. I can't thank you enough! I hope you guys are safe and healthy. Enjoy the rest of your summer!
this is so helpful cause I forget everytime this is what I follow literally every time I change mine Thank you so much you are the best 🙂
Thank you for this! I'm a 10yr T2 diabetic. Dr has tried to get me into insulin for a few years, but I heavily resisted due to extreme needle phobia and other concerns. It took a lot of work to achieve an a1c of 7.4-8.6. Now I had a heart attack and needed bypass and hospital and surgeon have me no option but insulin. Now in the last 45 days in seeing a GMI of 6.3 with only slightly increasing exercise. I had a life event now that made me come to the realization that I'm done playing and willing to do insulin, but I want /need a pump for even better control and less needless than MDI!
Thank you from the bottom of my heart Michelle! What an amazing video showing so much detail! I Love it so much! You make it so easy and your step-by-step instructions showing us as you go are amazing!!! I am so grateful for your video and the gift you give us by posting it! This is my first change and I had forgotten lots :). You reminded me everything my Diabetes Educator shared and made it super easy and fast!
Just switched to the x2. Doing my first site change tomorrow. Thank you for the refresher.
I got a Tslim a few weeks ago and every time I have I sit chnage I come back to this video to make sure I’m doing it right!
I was briefly trained by tandem dealer, than spent 5 minutes with my doctor who just gave me my settings and that was it - after 5 years on MDI, I was sent home to figure out the switch to the pump on my own. So obviously, I did my first ever site insertion watching your video, one step after the other, THANK YOU!
My boy will be getting that pump very soon. Thank you for a very informative and simple video.
Just moved to the Tslim and I've already used this vid so many times. Thank you!
Exactly what I needed, thank you so much! Comprehensive and easy to follow along! I've got this!!
Changed this morning for first time. Just started 3 days ago. Thanks for being here to help.
Hi Michelle…I just started using the TandemTslim 2 weeks ago. I had my 3 hr training but was still very stressed when it came time to do my first change. I watched your video and now each time I change I watch it. It is very helpful to me. Step by step instructions is exactly what I needed. Had a few difficulties but am getting the hang of it. There’s so many steps but I’m learning. I otherwise love the tandem pump. Thank you for your help.
Thank you! I wasn't getting good vibes from the manual lol so thanks for being my instructor!
This video was super helpful as I will be doing my first site change without my educator tomorrow! Thank you for posting this!!
Finished my first cartridge on my new Tslim! Woke up for work at 430am and watched your video to help me load up cartridge #2!!! Thank you so much. LOVE your videos!!!
I’ve only been using the t:slim X2 for a few weeks with the same tubing you demonstrated. From the beginning I’ve had trouble cocking the spring for the insertion. I stumbled on giving the mechanism a slight twist as I pull it up and that has seemed to alleviate the difficulty I was having. Nice presentation.
That's a good tip about slightly twisting when setting up the spring. Thanks for sharing :)
Watching this on the eve of my training Michelle. Thanks so much for doing videos like this!
Oh how exciting!! Best of luck with the pump start! I hope it is going smoothly for you!
After 25+ years on a Medtronic pump, I started using a t:slim x2 a week ago… best decision ever! I have to say, though, I prefer Medtronic’s Quickset infusion sets and reservoirs; they’re much easier to load and insert. Since set/site change is every three days, I can deal with the Autosoft 90 versus Medtronic’s pump!😊
WOW I've seen a few of your videos and you are extremely helpful. I'm just now getting approved for a pump. The T:Slim was recommended as well as the Omnipod but I'm not sure my MEDicare Part D will be the best option since Pods are part D not Part B. Love your videos. I was running 600 as a Type 2 for a year and my pancreas had stopped several years ago. I had allergic reactions to long acting insulin but can tolerate Lispro very well. My prognosis was not very good as they told me I wouldn't be here much longer w/o insulin multiple times this year. I've gone from 600 to 91 on 3 injections daily of 10 units but to stay stable I need a pump. I subscribed so I can follow you on your journey and your journey is so helpful for me as someone just starting into this .. Thank you so much Michelle for your detailed videos and sharing of your life with diabetes.
Something I've noticed helps is to leave the old site on until you are sure the new one is working properly, or using the alcohol swab to sanitize the old site if you do remove it immediately
Great video--thank you for sharing your process!! Much more complex than I thought it would be
Thank you for this video and all of them. Today was my 11yr old son's 1st site change and we walked through it with you.
🙂Michelle your video is excellent! I was really nervous to do this for the first time, but thanks to you being such a demonstrator I was able to do it so easily. Thank-you and Thank-you!
Thanks so much, it was my first time home alone. great video!
The beautiful moment when you take your pump off and you spend like 2 minutes scratching the area where the needle was on... 🤣
This is soooo me 😂💕
omlll frrrr!!!
Me to! In my opinion it makes it hurt less or it’s just irritated
So incredible true
I AGREEE SOOOOO MUCH
Aa this happens with my Dexcom
I have never used a pump before always had the flex pens ( Diabetic since 2016) but I finally took the leap and switched this was my first time ever attempting to put on my tandem pump and it was a success! Thank you so much this video really helped me 😊
Indescribably helpful. Critical DURING my 1st site change today. Thank you so very much.
I'm a brand new user of this excellent pump system. Today is my first time changing my site and filling the cartridge. Your clear instructions will help me enormously. Thank you :o)
Thanks, Michelle. I am a former Animas -> Medtronic -> now t-slimmer. Cutting over from the Gurardian G3 to Dexcom G6 CGM. You are a wonderful inspiration and easy to follow fellow T1D. Love your vids. New subscriber!!
Thank you so much all the other videos from Tandem are way to hard to follow. Definitely dropping a like!
your a blessing, your so good at explaining things! thank you !!!!
Great video! I loved your advice for getting rid of the air bubbles.
Thank you! I'm so glad you found it helpful :)
Thank you for this! very helpful- this will be my second time changing my site with the t;slim x2 so happy with is so far! tomorrow the Control Iq gets activated.
Thanks Michelle. This video is a lifesaver ❤
Dr. Michelle - Thanks so much for your videos. I just switched two months ago from 12 years on Medtronic Revel to the T-Slim 2 so your videos have been a big help. I have a Dexcom G6 CGM, so I agree with you that compatibility is a huge plus of the T-Slim. What really rattles my cage is the fact that Tandem has invested so much in their technology for this $5,000 pump but they forgot about the basics of customer service by providing a thoroughly useless (and dangerous) 50-cent clip on the case. You noted in your video that it's popped off your bra a few times. It's popped off my construction belt several times and yanked the set right out of me. Very dangerous. It's impossible to fasten to pajamas at night so I end up sleeping on it rather than the other way around. Somebody at Tandem's product design dept. needs a serious wake-up call. Anyway, you are the bomb! Keep those video tips coming. So grateful....David near SF.
Agree with you fully
I just started a pump, and by extension the Tandem, and I already agree lol. I've only had it for one night technically, and sleeping with it is going to take some getting used to. However, my sugars have already improved, I haven't risen passed 190 all day 😭 Right now I'm feeling low (I'm 94, but it went up from 80), so idk if anything I type makes sense, but I agree with you!
Thank you so much for this video. I have been struggling with this part of my pump training so I needed this extra instruction.
So I just started the Tandem t:slimX2 pump after using the medtronic paradigm for years. I went through the instructions with a live coach to get me started, but in a few days it was time for me to change my set-ALL BY MYSELF!! I began to get very nervous and anxious. Since I UA-cam for answers to many other things, I thought why not try to see if there was a tutorial I could follow. Michelle's was the best! She went through the change step by step and made it very easy for me to follow. I was a success and began feeling more confident about changing my site with my new pump.
Thanks Michelle! This was super helpful :)
Just want to say thank you it was the first time that I had to do it by myself and I was a little nervous but you made it smooth and easy thanks again xoxo
Thank you sooo much. You got me through my first site change!
I’m getting tslim just got called this evening and was approved so yay
yay!! I’m not the only one who uses the t slim
Thank you so much for your video, it really helped me change and add insulin my tslim 2 pump.
thank youuuu. my mom is out of town for a few days and she usually helps me and my dad couldn’t figure out why the site was peeling off when you remove the applicator. turns out all we needed was to hold it differently and press on the sides. tysm 💓💓💓💓💓
Thank you so much for this video. You have staved off a panic.
Thank you so much! My first site change and I couldn’t remember
Great content, thanks for creating. I watched your Dexcom G6 10day video as well since i just started using mine. Living in Southeast US provides plenty of adhesion challenges during the summer. Note if you ever need extra help keeping your insulin pump sites adhered you can also use the same IV prep wipe you used for your Dexcom G6. I do not worry about wiping in a circle/donut since the insulin site canulas are more robust than the sensor filaments. I'll be switching to the t-slim from 670G in OCT!
Thank you for doing this. It was very helpful.
Thank you so much this was so helpful! ^^
Thank u for your visual explanation, reading the instructions over and over, but thank god for UA-cam university, found your site as well as a few others, who provide personable information on the TX2, and site preparation... with your video assistance, I set up my TX2 and applied it before my training.. I was in the Omnipod system (great wireless system) but due to insurance changes, needed to switch to a wired system, so I chose the Tandem over the Metronix....new device means apprehensions of installation, until I’m used to the systematic and daily changes, thanks Michelle, u made it easy...
I got training in using mine on Dec. 7th (2021) and have found that I feel a lot better with how it controls my blood sugar. The Tslim is a great little machine.
This helped me a lot! Thanks!
I am always blown away by the amount of waste in the packaging of pump and CGM associated items.
I no longer use Libre sensors but I commend Abbott for actively pursuing and paying for their products to be returned to them for reuse/recycle.
Hopefully more manufacturers follow that mindset.
It is shocking. Metal and plastic mixed together. Paperwork. Cardboard. It is the metal spring that cannot be taken out which is so hard to believe that they don’t have a way to reclaim and recycle.
Thank you so much for this video, helped me out a lot
Thanks for sharing. Seems so much more complicated than a Medtronic change, but I’m sure, like anything, you get used to it.
Katie Petersen I agree. I use a Medtronic pump.
I just got my t-slim today! I was hoping to learn everything on UA-cam and just do it myself without the diabetes educator, but now I’m a little overwhelmed and worried. I think I have everything all set up. I may try tomorrow
Sue Christou it's not hard! Din't let fear get in your way. It seems like a lot but once you do it it becomes routine. And realize a youtube video narration of the steps is longer than it actually takes! Promise you will love it!
I have to say that I've been on medtronic ronic pumps for a long time and I switched to tslim so I could use the Dexcom G6 and because I felt like the scream was more user-friendly for me. I will say though in all honesty that I cannot stand all of the parts that need to be used to change an infusion set and the time is 10 to 15 minutes as opposed to less than 2 for me with my Medtronic pumps. I also feel like I have such weird changes with doing the same thing that I wonder if the mechanism is actually turning accurately, or there is something that happens with where you put the needle in to fill it on the Tx2. Sometimes I go to put the insulin in and my friends will not go down and I have to move it two or three times before it will take the insulin and there are times when I hear an audible like crackling noise that sounds like the peace inside is expanding because it's being filled that hole little mechanism to seems very arcade to me I wish they would do it the way Medtronic does. I want the Medtronic pump with the T slim screen and the Dexcom G6 compatibility
I like how she wishes that these thinks came is something eco friendly!
It's so doable yet they don't 😕. I'm on the libre 2 and every applicator I throw out is just heartbreaking. They could make it out of PLA (polylactic acid - bio plastic) and it would disappear forever in landfill. But they don't. Mental
Thank you for this video. I recently divorced Medtronic after the miserable 670G. Been on a TSlim for 6 days now. There are a lot more steps in changing infusion sites! I need to watch these videos during a few more site changes to get the steps down. T1 since 1985, using pumps for about 20-yrs.
Thank you for this video! My kiddo wants to try new infusion sets for her tslim(we have been truesteel). Needed to just see how the 90 worked but found more info and some refreshers!!
I'm definitely gunna try a few new things I saw here. I like these videos because my kiddo can also watch them and know she's not alone and start to learn!! ❤
Wow! That's definitely a process for a site change. I'm sure it gets easier the longer you have to do it. My Omnipod takes less than 5 minutes (may have to time it to be sure). But hey, it's a great pump from what I hear so I guess it's worth it.
Yes it's definitely a longer site change! It's faster than the length of this video, since I took more time to describe the process, but it's not faster than 5 min. The Omnipod looks super easy to change :)
@@MichelleLord HI Michelle, I am an active adult and my Endo doctor advised using the Omnipod system, I have been on it for 3 years. I just do not comprehend being active and having an IV tube to watch out for. Omnipod everything is in the pump itself. Thanks for the video and very well done
I'm so happy to know that I'm not the only one bothered by the amount of waste that is involved. Hopefully, that can be improved in the near future.
Great tutorial I've been on the tslim about 4 years so I'm very familiar the process it was definitely nice watching someone other than myself doing it ,,,,so the reason for my comment is because your comment about being a diabetic accumulating piles of trash when changing out your infusion site so I figured id share what I do to help with the trash clean up ,,so what I've done when I was first put on the pump and recieved a 6 month supply of cartridges and infusion sets and what I do is get a box of sandwich bags and put one of each piece into a bag so it kinda makes it a little portable site change tool bag so inside the bag is the cartridge infusion set syringe and needle and once your done changing out your site everything can go into the sandwich bag and tossed out hopefully that makes sense to someone thanks for listening
Happy Christmas and happy New year
Very detailed. Doing my courses for tslim or ypso pump. Been on insulin pens for 10 years now so the thought of change is a little scary 😅
I just started my tandem control IQ 3 days ago.This was a good video! Summarized everything in one! The curve ball is knowing when the pump isn’t going to dose you on the third day
@TheSte4991 Can you explain that "curve ball"? Does the pump just stop delivering after a certain time, or does it keep going until it runs out of insulin? Been on Medtronic pumps for 30+ years, and thinking about the TSlim. I realize the recommended time for a site change is 2-3 days, but I have NEVER done that, and just filled the pump with 300 units and kept it on until the pump warns me that the reservoir is low (usually 6 days or so). I'd hate to have the pump just "time-out" on me, and waste a reservoir full of insulin.
@@catatonicbug7522 so i have learned that at 3 days my skin gets irritated and that my sugar doesn't manage after that
@@TheSte4991 interesting. Never had that problem myself. Just wondering if the pump shuts off after 3 days by itself though.
@@catatonicbug7522 no. No worries in that regard it just fussed at you once the battery gets below 20%
Great video. Thanks for your help
I have Diabetes and dont like needles. You're very brave.
My go to video thank you so much
I just got put on this exact type of pump! My first site change is tomorrow, and I was admittedly worried about how to rip the site out lmao. I also got switched from Libre to Dexcom, so I've ripped needles out of my skin before, I don't know why I was nervous lmaoo. This video helped me, thank you! I wish there was a way to reduce the amount of plastic used, but I also understand the purpose of each part. I'm sure in the future the waste used will me reduced, but It still feels weird seeing just how much plastic is involved.
Thanks for the video!! This pump looks a lot slimmer than the medtronic pumps!! I'm on the Medtronic pump now but I am frustrated with it. At first I was excited because the because the auto mode but medtronic's CGM system stinks! The first couple days were great but the transmitter started having trouble sending data to the pump so in the first 2 weeks I had to get 2 new transmitters from medtronic. Every night my wife and I were woke up from alarms going off on the pump about the sensors/transmitter losing connection so about 2 months of this I finally gave up on their CGM. Now I just have to wait 3 years for my warrantee to expire before my insurance company will cover a new pump. Can't wait to make the move to the tslim and the dexcom CGM.
That was better than the actual tandem video 🤣😋
Haha wow thank you!
im starting my training today!!
Good luck! These refresher vids are really helpful, so bookmark it.
I am new on insulin pump after being type 1 over 18 years. And I just started using Omnipod and I am very very happy with that especially I don’t have tubes all around my body and it’s way easy then others I guess
Great video! I switched from the Animas Vibe to the t:slim X2 2 days ago. The Tandem rep at Northwestern Memorial Hospital had a 2-hour class where she helped me and 3 other newbies program the pump, fill cartridges and insert infusion sets. Tomorrow will be my first solo site change.
My T1D diagnosis was in 1963, and over the years I have worn 3 Medtronic, 1 Asante SNAP and 1 Animas Vibe pump. So far, I am impressed with the t:slim's user friendliness and Dexcom G6 integration. Your videos are informative and fun to watch. Congratulations on completing your PhD!
Commentary on the weird smell of insulin is hilarious!! I think that EVERY time!
My cats come running from across the room! Haha. They love the way it smells for some reason.
Smells like Band Aids to me
Just did this today lol! Thanks for the tips :)
Perfecting timing!! You are very welcome :)
Thanks for the video! I will be starting t:slim X2 in 2 weeks, I just got approved (it's a little longer process in the USA). I'm on insulin injections right now. From what my endocronologist has said to me, it sounds like the pump will make it easier to manage my blood sugar level. I do my best to try to stay on a schedule to have meals and snacks at the same time to try to manage my blood sugar levels but it's hard, the pump sounds like it will make my life easier! It's going to be a lot to get used to, looks like changing the cartridges seems tricky. Sounds like picking the spot for the site can be tedious knowing that you have to do it every 3 days, it's kind of the same with injections trying to pick a spot, I bruise really easily
Brian, I hope you've found you love being on a pump and like everything there are drawbacks, but the convenience and better control far outweigh those. As far as insulin pump sites, abdomen, side/back and hip...anywhere there's a little extra skin should work. If you haven't already, i suggest creating small backup pump site change kits with prep wipes and sites inside a ziplock bag...for the car, backpack, office as it never fails you'll need to change or accidentally rip one off at an inopportune time. Best of luck!
Yes, The TSlim X2 Refill is one of the biggest annoyances of this pump. It is complicated and tedious.The TSlim insulin management with the Dexcom is still the best though.
Thank you very much for explaining
Hi Michelle, I'm glad to see these videos, I'm going to make the change from a Minimed 460 G with sensor soon to a tandem Tslim as well. Do you have any videos discussing perhaps the difference, what it's like to sleep with the Tslim as opposed to the Minimed? I'd love to hear if there is a bit more peace from all the sensor alarm events that happen on the Minimed. ;-)
I have the T:slim and I love this video
Yay!! Thank you so much 😊
hi thank you for this video- i’m learning bc i now care for my 7 yr old grandson who is T1D - in soo nervous doing this 🤦🏼♀️
Thank you!!!! ❤️
Hi Michelle
Thank you for the tutorial. I have to go to T-slim training next week. I have been using the insulin pens for a couple of years. Did you have trouble regulating your blood sugar before the pump? I have that trouble now and I hope with the pump and the Dexcom sensor it will maintain my glucose level somewhere close to normal. It looks like this video is at least a year old, have you had any problems since you started using the t-slim? Thanks again.
Got my Tandem T Slim last week
Yay!! That's so exciting :D
I love that Michelle cares about environment so much that she pulls out the insertion needle with a pliers so that she can recycle the leftover serter.
You are great!
Thank you 🙏🏼🙂
love it
I want to say that I’m not a diabetic but I really enjoy these educational videos and it’s nice to learn something new
Deciding b/t upgrading to Medtronic 770/780G, or switching to T:Slim/Dexcom. Thankful for your insights. Wondering if you’ve reviewed the info on the 770/780G coming out.
great video. I am going to make a video about mine!
May you make a video of where you store all of your supplies? There's a lot! :)
thank you very much
I take the air out of the cartridge before drawing any insulin into the syringe
Your supposed to
Just started using the Tslim and received my 1st prescription of insulin in the vials... 3 vials cost me $985 US Dollars.... I live in Tennessee... Pay it or die...ridiculous! Thanks for the informative video, helped a bunch!
Your either full of it or trolling. If you could afford the pump and supplies out of pocket then why can’t you afford the insulin that’s a fraction of that cost? The pump is around $6,000 and the supples will run you around $400 per month.
If you have insurance then the insulin didn’t cost you $985. 🙄
@@Cerus98 The cost for 3 vials at Walmart was $985.... Doesn't matter if I paid, if insurance paid or if a stranger paid the bill, insulin is too expensive and people are dying because they can't afford it and many ration their insulin. Just because insurance pays a portion doesn't mean 3 vials didn't cost $985...
FreddyB - Except they didn’t cost that.
@@Cerus98 you must not be a type 1 diabetic or you would know that's exactly what 3 vials of insulin cost. I get the exact same prescription filled every 30 days at Walmart in Tennessee, and $985 is the cost.
FreddyB - Do you have insurance? If you do then it didn’t cost you $985 nor did anyone receive $985. The actual contracted price is much lower.
If you don’t have insurance then why aren’t you complaining about the $6k price of the pump or the hundreds of dollars per month in pump supplies?
If you think Canada or another country with socialized medicine is so much better then feel free to move there. Your insulin and supplies won’t be any cheaper. You might get them for “free” but you’re still paying the same price in the form of higher taxes.
Meanwhile someone without any lifelong disease is paying the same high taxes as a diabetic except they aren’t benefiting from the “free” medicine.
It’s a typical American mindset. Something must be cheaper if you’re paying $100 a month for a year instead of $900 up front. 🙄
And despite recent news reports about how a couple of guys sold the insulin patent for $1 that’s extremely misleading. They helped further refine and develop the older animal sourced insulin.
They had no part in the synthetic insulin that came out decades later which is what the majority use today.