I’ve often written ab out how Type-1 Diabetes affects just about everything in a person’s life. And this is true. But on occasion, it hits a particular level of annoying. This was the case with a particularly troublesome infusion set change that took place a little over a week ago. For those who aren’t familiar with insulin pump therapy, the infusion set and reservoir for an insulin pump needs to be changed out every three days. This is because after three days, insulin will start to crystallize within the tubing walls, causing an inaccurate delivery of insulin.
On this particular Monday, I noted that I only had about two or three units left in the reservoir. Usually, this means that I’ll need to change it up before I reach my next meal, since I won’t have enough to bolus for any carbs I may consume. I was walking towards my home office and had just finished a round of rather hot, sweaty yard work at home. The weather was summery as fuck and I was wearing khaki cargo shorts. I pulled the pump from my waistband and raised my shirt enough to access the infusion set. A quick twist of the infusion set disconnected it from the cannula injected into my abdomen.
Then, came the bloody part. The cannula is injected into the abdomen using an IV-style injection method. This means that the cannula sits over a surgical needle that injects into the abdomen. As I pull the needle out, the cannula stays in. Seems pretty simple, right? It usually is… The infusion set is then held in place by a significantly solid adhesive. This not only prevents the cannula from prematurely coming out of the abdomen but provides some water-proofing as well, for when I shower, swim, etc.
Ever use wax strips? Had a piece of packing tape, a sticker, anything, stuck to your flesh and pulled it off suddenly? It’s uncomfortable and irritates the skin at the best of times. It’s even worse for people with body hair that wasn’t MEANT to be waxed off! As I walked towards my desk, I gripped the cannula cover and pulled hard in order to peel the adhesive from my abdomen and free the cannula.
While it’s normally never comfortable to start with, I felt a searing sting, not unlike walking into an area with a number of wasps buzzing around. I felt skin stretch and hair tear away; once again, hair that wasn’t meant to be removed. I whimpered ever so slightly, aware that being any louder would likely alert my two young sons, who absolutely LOVE any excuse to expose daddy’s weaknesses. I continued to walk towards my desk to get fresh components to refill my pump and thought the worst was over.
Oh, how wrong I was… As I was filling a fresh reservoir with insulin, I felt an odd dampness every time I leaned forward. Not one to usually wet myself, I looked down and saw a grapefruit-sized blood stain across the front of my shorts. I also noticed a trail of quarter-sized droplets of fresh blood on the basement floor, starting roughly where I had pulled the cannula patch out. Looking like something out of a shitty horror “B” movie, there was blood everywhere.
I quickly stemmed the bleeding at its source and proceeded to install a fresh infusion set so that I could restore insulin delivery. I made my way upstairs, only to be greeted by my wife and both my kids in the kitchen. They looked at me with a horrified look. My wife asked what happened. The boys were just fascinated. After quickly explaining what took place, the boys ran downstairs, enthralled by the prospect of spilled blood. Little psychos.
They came back up giggling, with the oldest saying “Wow, dad… It looks like you murdered someone in the basement!” This prompted a tirade of “Daddy murdered someone, Daddy murdered someone” from the youngest. I had to calmly explain how perhaps we didn’t want to be yelling that Daddy murdered someone. But they were having way too much fun. I spent the next thirty minutes cleaning up my floor and spot treating my shorts before the blood could set.
Pulling out any of my pump equipment will rarely cause such a level of bleeding. But once in a while, the stars align JUST right for there to be a gushing comparable to an arterial spray! This was just such an occasion. Just one more aspect of type-1 Diabetes that causes extra work and issues. What is one to do? Luckily, everything my pump does to keep me alive and healthy far outweighs any occasional, negative aspect that rears its ugly head. ☯️
The Blogging Buddhist 