Scar Tissue and Insulin Absorption

Richard157
By Richard157 Latest Reply 2014-04-14 13:48:54 -0500
Started 2013-05-28 21:41:33 -0500

I wrote a blog today about Scar Tissue and Insulin Absorption. This has been a major issue during my 67 years with diabetes. I like to advise younger insulin dependent diabetics about the dangers of scar tissue, and how to avoid it. The blog is too long to post here. If you are interested, here in my blog site.

http://almo0157.blogspot.com/2013/05/scar-tis...


12 replies

Dr Gary
Dr GaryCA 2013-05-31 11:42:28 -0500 Report

Richard!!! It is so great to see you. Believe it or not, I was thinking about you and wondering how you are doing. So nice to run into you. A great blog piece. Sounds like youare doing well. Gary

Stuart1966
Stuart1966 2013-05-29 21:15:59 -0500 Report

Appreciate your efforts and eloquence as always.

Yet more rotation is not a cure for the issue either. Necessary, yet entirely omitting the basic problem as well. After decades and decades scar tissue IS going to happen… regardless of how much we do rotate, only so many places to easily use! It is going to happen…

When are they going to fix this problem, instead of side stepping it completely (ie just rotate more) is my question!?

Richard157
Richard157 2013-05-30 08:24:04 -0500 Report

Interesting reply, Stuart. I do not see how the problem can be fixed. The potential for scar tissue has been with us since insulin injections began in 1921. If there was some way of avoiding it, I think a solution would have been discovered by now.

Type1Lou
Type1Lou 2013-05-29 17:12:43 -0500 Report

Thank you for that blog link Richard! I've been pumping nearly 2 years now (37 years as a Type 1) and have been rotating sites between my legs and upper and lower abdomen, changing the infusion set every 3 days. My last A1c was 6.7. Lately, I've been getting higher BG's, even though I'm eating the same things and bolusing appropriately. I've begun to wonder about effective insulin absorption. I'm planning on raising the issue with my endo and have readjusted some of the bolus rates in my Medtronics pump to get a better handle on this. May need to revisit basal rates as well…It's always a challenge but you are an inspiration for us all!

EmilyType1DM
EmilyType1DM 2014-04-14 11:18:47 -0500 Report

Hi! I'm experiencing the same issues right now. My pump seems to work great for a while. Occasionally I'll have to change my site a couple of times to get just the right place. Have you discovered any solutions for your higher BG's? I was considering asking for a longer cannula from my pump rep. When your BG is fine then one day you can't get it below 300 no matter how much you bolus & change your site…it's very discouraging. Any advice would be great!

EmilyType1DM
EmilyType1DM 2014-04-14 13:48:54 -0500 Report

Ok great! I'm going to give it a go with my upper arms, which I've never used with my pump. I've pretty much narrowed my problem down to absorption I believe! But yes you're right! Adaptation is everything with this disease. May we all find what works for us. Thank you for your response!! :)

Type1Lou
Type1Lou 2014-04-14 13:13:40 -0500 Report

I can't say that I've come up with any revelations. I have since also started to use my upper arms for infusion sites and do seem to get better absorption there. I am using the Medtronic Quick-set Infusion set with a 9mm cannula. One thing that I've learned in my 38 years as a diabetic is that it requires constant adaptation. I've also begun to use temporary basal settings for 30 minutes to an hour at 150% to 200% to try and get some of those spikes down rather than bolusing for the spikes.

re1ndeer
re1ndeer 2013-05-29 07:31:07 -0500 Report

I read your blog. Very interesting. As A Type 1 diabetic (not on Pump), injecting, up to 6 times per day. I know what you mean about scar tissue.
You really have to rotate sites.
I'm surprised that you you were not informed about rotating sites as you were growing up. My father who also was a Type 1 diabetic, rotated sites every time he injected the "Lentin U80 " . My father passed away in 1977, from diabetes complications. Thank you for informing all of us to rotate sites.

IronOre
IronOre 2013-05-28 22:23:55 -0500 Report

So are your scar tissues from pumping ?

Richard157
Richard157 2013-05-29 08:43:43 -0500 Report

My scar tissue started when I used modern day insulin in the 1990s. There were as many as 8 injections per day. I would use my upper abdomen most of the time and the scar tissue developed even though I would always keep the injections about an inch apart. Since I was not using other body parts back then, there was not enough time for healing before I would repeat using the same areas again.

IronOre
IronOre 2013-05-29 17:18:26 -0500 Report

Remember, back in the old days, when they told you that injections should be a couple inches apart, relative to the last one given in that area ? That rule disappeared really fast when the new insulin came out.
I would give almost anything to be back on two injections a day agaiin . . . to me that would be concidered a "cure".

IronOre
IronOre 2013-05-29 17:18:23 -0500 Report

Remember, back in the old days, when they told you that injections should be a couple inches apart, relative to the last one given in that area ? That rule disappeared really fast when the new insulin came out.
I would give almost anything to be back on two injections a day agaiin . . . to me that would be concidered a "cure".

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