Warming at room temperature
Insulin is not degassed in the manufacturing process for the filling. This causes that may form during a rapid warming air bubbles in the vial. The only remedy, before using the bottle of insulin at least 24 hours in a warm place (like for bathrooms) store. The insulin must be warmed slowly and quietly in the direction of the body temperature of 37 ° C can. Tricks such as rubbing and rolling in your hand or wearing the insulin bottle in the pocket or on a body does not help. The insulin is here shaking too much, which promotes more air bubbles. Unopened bottles of insulin should not be put in the refrigerator, otherwise air bubbles may also occur. This is not even necessary, because insulin is begun about one month at room temperature can be kept.
Proper mounting
The next step involves the insulin offer possible air bubbles in the reservoir of insulin injections and appropriate raise. For the manufacturer to get dressed. All have in common: the insulin vial is turned upside down, so do not get potential air bubbles into the syringe. And the insulin must be raised slowly. For Accu-Chek 3.15 vial system recommended by the manufacturer Roche to stick with your thumb, the Aufziehstange to release any excess pressure in the insulin bottle slowly. Medtronic suggests that the reservoir of insulin paradigm maximum at the maximum specified amount of insulin must be filled. From overfilling the piston can slide completely out of the reservoir body or it can prevent air bubbles. Ampoules should generally not be pre-loaded and stored, but only briefly before being placed in the insulin pump.
Remove air bubbles remaining
If the insulin is drawn into the syringe, hold it with the needle upwards and tap it gently against the side. Thus any air bubbles rise to the top and can be squeezed from the syringe by dispensing a small amount of insulin. Accu-Chek vials system push back the air with the extender bar in the insulin bottle and then slowly pull on the extra insulin.
Insulin in the pump
Here, conventional insulin pumps such as Accu-Chek Combo or MiniMed Paradigm differ from the insulin patch pump mylife OmniPod. In conventional insulin pumps, place the raised reservoir into the pump and start the catheter-filling program. In the insulin patch pump mylife OmniPod pour the insulin in the 2-ml reservoir of the pod. Do not include the pod and the PDM side by side on the table and wait for the PDM, the automatic safety check and the vent has been completed. If “Remove needle cover and self-adhesive protective film from the pod” in the display of the PDM prompt appears, the pod adhered to the skin and the automatic setting of the needle can be triggered.