T:slim X2 Timed Site Change | Tips & Tricks with Using The Pump & Control IQ System

I have been using the Tslim X2 insulin pump from Tandem for over a year now. I hope this video was helpful in seeing how to change a pump site, approximately how long it takes, and tips and tricks with using the pump and the NEW Control IQ system upgrade.
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[@michaelgonzalez6834]

I'm a T1D and a nurse with a few comments; 1- When drawing up insulin from the vial, inject air into your vial so that you can draw up the insulin more easily and faster. This also reduces the chance you get bubbles in your syringe. (if you want to draw up 3 cc of insulin, inject 3cc of air before drawing up the insulin) 2- Before you insert your insulin into your new cartridge, try to draw out any air inside of the new cartridge. 3- I don't insert the infusion set until after the tubing is primed. There's no need to leave it there dangling while you complete the other steps.

[@guitarforudude]

Bingo. This is NOT the video to watch as a guide. No cleaning of the site area with alcohol? Plus, she just pressed the cannula into her body? I have to "cock" mine by pulling up on the opposite side, and the cannula is "ballistically" inserted. Also, the orientation of the tubing should have been discussed.

[@Nobodyknowsreally]

That was the first thing I noticed and came to comment on. I am a retired diabetes educator and have had T1 for 59 years. Just adding to your comment, turn your vial of insulin upside down first and inject the air into the air-space:- Hold it so you keep the needle in the vial, turn upside down, and THEN draw up your insulin. Even less bubbles!

[@lillicats5262]

Im getting this and the dexcom within this week, I AM SO EXCITED!! got very blessed by the Lord and having my stuff covered. I am so happy. I was diagnosed in april of 2019 and been on injections

[@smaris3978]

Same thing happened to me recently and got it a few days ago! God is so good, he always provides! He is so amazing! God bless 🙏🏻❤️☺️

[@jacklynst.julien1775]

Great video. If you folks out there are new to the system, it may take a few times to feel comfortable. No worry, you will get it. I love the T Slimx2 and G6. Oh yes, if you aren't seeing a diabetic educator, get one. Education is KEY.

[@wendyconnelly2551]

I saw a few problems with the way this person handled the Tandem slim x2. If I were new to this pump I would not watch this video. I’m new to Tandem but not to diabetes having had it for 61 years and having been on a pump for 10 years. Run don’t walk away from this video!

[@andrewbortle9072]

What about removing air from cartridge or injecting air into the vial?

[@TheDiabeticJourney]

Andrew Bortle I’ve heard many ask why I don’t do it. Never have and I haven’t had a problem so I figure why change something that isn’t broken. 🤷‍♀️

[@tinamuchesko8631]

I was taught to do both (remove air from cartridge, and then inject the same amount of air into the insulin vial...just got trained on my new Tandem pump a week ago)

[@amandaray7329]

I also hold my pump vertically while filling the tubing to get any extra air bubbles out.

[@mechellecook5034]

@@TheDiabeticJourney It makes it easier to pull the insulin and less bubbles

[@Nobodyknowsreally]

@@TheDiabeticJourney Hi Brittany. I totally get why you say “if it ain’t broke don’t fix it” it can feel confronting when something is working for you and others are telling you to change. Apart from resulting in less bubbles to have to expel, by the time you are nearly at the end of your bottle/vial of insulin, the vacuum in the bottle can make it difficult to draw up the last of the insulin. And as we all know insulin is expensive! I am not meaning to be patronising, just trying to help.

[@JohnNesbit1957]

I have found your tips to be exactly what I also discovered on my own with the 2 1/2 months that I've been using the TslimX2 as well. Good confirmation on that.

[@Shadal18]

This is incorrect. You should not be inserting the site prior to filling the tubing!

[@elizabethplotnek3512]

Why not? There's no risk of insulin getting into the body if the tubing is disconnected from the body while filling

[@Shadal18]

@@elizabethplotnek3512 While rare, should your site hit an artery and you inject air into it, this is called an air embolism. Air embolisms may travel to your brain, heart, or lungs and cause a heart attack, stroke, or respiratory failure.

[@Shadal18]

@@elizabethplotnek3512 Hrm.. you're right, I rewatched and do see that she disconnected prior to filling the tubing. For some reason I thought she had left the tubing connected. It's still not best practice though as it leaves room for error.

[@joannecummings5443]

Very good advice, I've always done it. But I'm sure there are new T1 d's that this information is very useful good job.

[@selinalee1077]

Tip: when you change your site its best to clean off the area with an alcohol pad

[@michaeldavis2845]

Appreciate the videos and tips I feel a lot better about my decision to switch from Medtronic to Tslim x2

[@stevencoutu9578]

Thanks for the Tips.Im going check out the sleep mode. I was a Medrontic user for years it seems like a Dinosaur compared to the Tslim .Thanks

[@malaroo11]

Thanks for the video! I just started the process to switch from Omnipod to the X2.

[@warrior4454]

Your videos are motivating.Pls make videos subjects beyond diabetes.😍😎

[@angiemax292]

When you’re Taking your cartridge out there is a little dip that you can use it easier with a coin or a key or something don’t just pull it out because that can damage the pump.

[@amandalewis3122]

My 12 year old is type 1, we just switched from Omnipod to Tslim. You can also draw the insulin from the cartridge as well.

[@lornameinke]

Hey! Just wanted to give a heads up that I used to re-use cartridges and it caused some pretty crazy reactions under my skin, similar to scar tissue. The insulin crystalizes as it ages, touches plastic, and warms up being near the body. Also, the sleep mode actually gives less insulin and the control is not as good! I also learned this the hard way when my A1c went up at a 3 month appt 😂😩 it gives more micro doses of insulin than when it's not in sleep mode, but it takes longer for any correction doses to make an impact. Just a heads up! Loved the rest of your video!!

[@kirstenkay1399]

So discouraging that it took you a year to get used to it. I went from medtronic for 18 years to Omnipod and SO LOVED the no tube. Now going back to tandem tslim feels like a step backwards to me too

[@sigalsmadar4547]

Oh dear, I hope you've fixed that just pulling the cartridge out! There's a slot to insert the little plastic rectangle that came with pump or you can use the edge of a spoon or coin to leverage the cartridge out.

[@sydneytoburen3140]

I know you are a fairly new pumper, but most of this would be detrimental to people newly diagnosed. Your first tipis halfway right, but you have to make sure people know to go back into the settings and make sure the tubing is full. When you hook a new infusion set on part of the tubing is left without insulin which could cause highs. Good luck!

[@spodee55]

My 11 year old son just started how do you anchor the tubing?

[@evelong6550]

I siphon out any leftover insulin and use it in the new cartridge. I can't always wait till my cartridge is empty to change my site and cartridge. And I hate to waist insulin. So I clean the place on the old cartridge with a alcohol swab and use my new syringe to pull out what insulin I can. I then pull the plunger on the syringe to desired amount of insulin I need, clean insulin bottle, insert syringe and push the air into the vile till I get to the left over insulin. The syringe will automatically start the pull out the insulin till it gets to the point of the needed amount. Remove any air and insert into cartridge and pull on plunder to remove any air from new cartridge. Remove air from syringe and fill cartridge.

[@terryoetzel1828]

Thanks for the tips

[@gurugamer8632]

Wonder if the Omnipod 5 Horizon will give better blood glucose control than Tandem X2? Better algorithm? Better cannula?

[@minnieT1978]

I am getting training this Wednesday. Just wonder u have to disconnect from the body be4 shower right? I am so used to using omnipod this is first time wired one.

[@karyn4]

I have a question that somehow I cannot find an answer for, I am also using the tslim x2 insulin pump, so my question is how do you do it when it comes to removing the used infusion site and not getting marks on the skin, I have been on the pump for 2 years and I already have spot marks from the infusion set, I saw that you don't pull back and use the infusion set so it can automatically stick to you, could that be that by doing that it leaves marks on the skin???

[@juliabolding9284]

I'm switching from pen to pump insulin, trying to decide on which pump to use. Can you please tell me why you switched from Omnipod after 6 years?

[@angeladorsey5506]

I’m on my second pump first one malfunction and I had a terrible time with customer support with troubleshooting it that my levels ran into the high 300’s for a month before they would replace it now I’m on my second replacement and I’m getting multiple occlusions alarms. High glucose again. Just feels like I’m back on the hamster wheel with customer support and my pump not working properly. This really sucks I was really excited about switching to an insulin pump. Not so much anymore. I see so many good reviews but I’ll have to be honest and say my experience has been a complete headache. They need to have way better training on troubleshooting and listen to the client when they need a replacement for faulty equipment.

[@sarahwolfmoon]

New T: Slim x 2 insults pump

[@user-fk3gd8zx5p]

You didn't purge the air from the cartridge

[@tinamuchesko8631]

Where did you get the cute sticker graphic on the top of your pump?

[@AmySmith-hu1ir]

Maybe pump peelz? If not it might be on expression med but I’m not completely sure

[@kirstenkay1399]

Not sure I'll last with a year for this

[@kristenarmond3226]

I’m disappointed in your non clean technique- No alcohol wipe on the actual insulin vial or anything on the skin. There are several other things that i cringed at- but those are mostly preference Having a clean site isn’t up for debate or preference