Using a well-functioning infusion set is a critical step in making your insulin pump experience successful. The infusion set and insertion site are often the weakest links in pump therapy. If a particular set causes skin irritation, falls off when swimming or sweating, or is easily dislodged, it can lead to significant issues with blood glucose control.

Why Infusion Set Selection Matters

Choosing the correct infusion set can significantly impact your comfort, convenience, and glucose management. Infusion set issues, such as detachment, crimping, or set failure, can cause unexpected high glucose readings and disrupt your diabetes management. Metal sets are often recommended for their reliability and ease of use for infants, young children, and during pregnancy.

Key Considerations When Selecting an Infusion Set

When choosing an infusion set, keep the following factors in mind:

Body Composition: How much body fat do you have? Certain infusion sets work better with specific body types.
Preferred Sites: Which areas of your body are most suitable for infusion sites? Rotating sites can help avoid irritation and improve absorption.
Lifestyle & Clothing: Do your belt or clothing choices limit where you can comfortably wear a set, especially near the waistline?
Activity Level: Does your level of physical activity restrict you to specific sites or set types?
Set Type & Size: Which infusion set type and size are best for your preferred body locations?
Ease of Disconnection: Is the set easy to disconnect? Does it disconnect directly at the infusion site, or is there a connector a few inches away?
Insertion Device: Will you need an insertion device for this infusion set? Some people prefer the convenience of an inserter, while others may opt for manual insertion.

Types of Infusion Sets

Straight-In Metal Sets: These sets have the smallest gauges and are the simplest to insert, even with one hand. They are often recommended for their reliability.
Slanted Teflon Sets: These sets may be more reliable for some users, particularly if they experience issues with straight-in Teflon sets.

Pro Tips for Using Infusion Sets

Start Small: Unless you experience leaking or control problems, the shortest metal needle or Teflon catheter lengths usually work best.
Secure Your Set: If you encounter issues with the set coming loose, try anchoring the infusion line with tape or adhesive patches.
Experiment with Sets: A trial run with different sets can help you find the one that works best for your skin type and lifestyle.
Troubleshooting: If you consistently experience high glucose readings, inspect your infusion set for potential issues like crimping, detachment, or skin irritation.

When to Consider a Change

If you notice ongoing problems with your infusion set, such as frequent disconnections, site irritation, or unexplained high glucose readings, it may be time to try a different set. Always discuss any persistent issues with your healthcare professional.

Mastering Infusion Set Application

Good technique when applying an infusion set is crucial to avoiding many common issues. Proper site preparation, correct insertion angle, and secure adhesion can help ensure optimal performance.

For the latest information on how to succeed with infusion sets, refer to “Pumping Insulin” and check out our detailed Infusion Set Comparison page for more insights and options.