FIASP

[SB2015]

i have now been using FIASP, in place of NOvorapid since August.

I have found benefits in that it is more turn off and onable (apologies to British Gas for those of you that are old enough to remember the adverts), so needs less time ahead for pre-blousing, setting Temporary basal rates on my pump, ... BUT it stings whenever it is delivered. I think that this is giong to outweigh all the advantages, and I may well change back. I had hoped that it would settle.
Has anyone else found that FIASP stings?

 

[Pumper_Sue]

Has anyone else found that FIASP stings?

Nope.

 

[m1dnc]

I used to find that with Humalog in my first pump (Roche Combo) and I changed to Novorapid which was a bit better. The Medtronic has a slower rate of delivery and I have not had this since I got it. See if your pump has a controllable delivery rate and try slowing it down.

 

[SB2015]

Nope.

Hi Sue, is it that you use FIASP and it does not sting, or you haven’t used FIASP?

 

[SB2015]

I used to find that with Humalog in my first pump (Roche Combo) and I changed to Novorapid which was a bit better. The Medtronic has a slower rate of delivery and I have not had this since I got it. See if your pump has a controllable delivery rate and try slowing it down.

Thanks m1dcn. A good idea as I don’t notice for the background insulin, but I do find that sites go skanky within a day so I am changing cannulas a lot more often than when I was on Novorapid. I did try extended delivery to 15 min for blouses but it just stung for longer.

 

[trophywench]

I know Sue does pump Fiasp, so I gather it simply doesn't sting her. Lantus doesn't sting everyone, either!

 

[Pumper_Sue]

Hi Sue, is it that you use FIASP and it does not sting, or you haven’t used FIASP?

I use Fiasp and it does not sting, been using it from July 21st last year.

I often hear people commenting about insulin stinging/hurting as it's infused, so wonder if it's anything to do with the wrong cannula length being used and or the delivery speed.

 

[SB2015]

I use Fiasp and it does not sting, been using it from July 21st last year.

I often hear people commenting about insulin stinging/hurting as it's infused, so wonder if it's anything to do with the wrong cannula length being used and or the delivery speed.

Thanks Sue.

With the benefits I get from it I would like to overcome this if I can.
I shall see what happens if I extend the delivery a little further.

How often do you change your cannula. Do yours last for more than one day.

 

[everydayupsanddowns]

Fiasp did sting for me, and left often infusion sites feeling quite tender to the touch. You are not the first person who has felt it, several others on Twitter found the same.

What made me stop using it was erratic performance, spiralling doses and the loss of the fast action though.

Glad it’s workin for you and Sue!

 

[Pumper_Sue]

Thanks Sue.

With the benefits I get from it I would like to overcome this if I can.
I shall see what happens if I extend the delivery a little further.

How often do you change your cannula. Do yours last for more than one day.

Hot weather cannula and cartridge changed every two days, winter months all is fine for 3 days on both haven't tried any longer for the cartridge.

Glad it’s workin for you and Sue!

On some occasions that's debatable as Fiasp does tend to have a mind of it's own at times, but then again I've had to learn all over again to pump as it's duration and action is so different to the bovine I was using so as to whether it's the Fiasp or me getting things wrong is open to question. 🙂

 

[SB2015]

Hot weather cannula and cartridge changed every two days, winter months all is fine for 3 days on both haven't tried any longer for the cartridge. 🙂

Hi Sue

I had to increase my changes to daily when I changed to FIASP. You mentioned the length of needles. I use 6mm which is the shortest available for the Combo, as I had used the shortest possible when injecting. I am wondering whether you use a longer one. Would the insulin”n ging I lower down effect the site less?

I have found that FIASP sometimes seems to have a mind of its own, but there are so many variables we are managing it is sometimes difficult to work out the cause of an anomaly.

Thanks for your help.

 

[Pumper_Sue]

I use angled sets but when using 90 degree I always used 9mm after finding the 6mm left plenty of variation in absorption and stung with a bolus.
No idea how much of a bolus you give but mine is less than 5 units most of the time and ore often less than 4 units so if you are a heavy user of insulin for a bolus this might be causing problems as well.

 

[SB2015]

I use angled sets but when using 90 degree I always used 9mm after finding the 6mm left plenty of variation in absorption and stung with a bolus.
No idea how much of a bolus you give but mine is less than 5 units most of the time and ore often less than 4 units so if you are a heavy user of insulin for a bolus this might be causing problems as well.

Thanks Sue, that sounds like worth a try changing to a longer needle. My doses are very rarely mor than 4units so similar to yours. I have used an e tended bolus all day today and it has been better.