When you're perspiring in the summer heat, or enjoying a swim in the pool, your infusion set tape may not stick well to your skin. Several products are available that may help you secure your site. For example, Medtronic Diabetes carries IV
PrepTM, which you can use on your skin as an antiseptic skin preparation; Mastisol adhesive and its remover, Detachol
- which many pump wearers choose for keeping infusion set adhesive in place when nothing else works
- and IV3000TM tape, which can help secure the infusion set when you sweat or bathe. Here are some tips to keep in mind if you have a difficult time keeping your infusion set in place.
The following tips come courtesy of Medtronic
Diabetes pumpers Mathew Whitaker, an IronmanTM triathlete, and Jessica Ching, who
rows and runs marathons.
- Change the site when you are showering: Before you shower, remove your old
infusion set. Clean off all of the old adhesive with an adhesive remover such
as Uni-SolveTM or Detachol (for removing Mastisol). In the shower, wash off the
solvent with soap.
- Let skin dry THOROUGHLY before applying either the infusion set or the
adhesive.
- Apply IV Prep in a large area around the site and fan it, allowing it to
become tacky. (You can also try a stronger adhesive, such as Mastisol.
However, be sure to have Detachol solvent available for removal.)
- Touch as little of the adhesive as possible on the infusion set so as to
avoid getting skin oils on it.
- On days you know you will be very active, sweating or swimming, cover the
site with a piece of IV3000 tape.
- To prepare the IV3000 for the Silhouette® or Quick-set® infusion sets,
fold it in half with only a slight crease. Cut out a half-moon that's half
the size of the plastic "bump" on the infusion set. When you unfold it, it will be
just the right size. If the tape peels off, you can replace it to last until
the next site change.
- You can try using additional tape on the corners to prevent them from
peeling up and lifting the entire infusion site out.
Additional suggestions:
- Keep the infusion site clean-shaven and try exfoliating (removing dead
surface skin cells) with a facial scrub, brush or loofah, followed by an
alcohol swab, then soap and water.
- Stretch skin taut before using bonding agent or tape.
- Use antiperspirant spray (not stick or roll-on) around the site.
- After you apply the tape, go back around the edge of the tape with the IV
Prep pad to seal the edges to your skin.
- Try applying an IV3000 patch before inserting the needle, and then apply
another over the top.
- Use medical cloth tape (the really sticky stuff) over the infusion set
when you have to be absolutely sure the infusion set doesn't come loose - for
instance, when you compete in athletic events.
- Check regularly to make sure the tubing is not pulling on the site and
adding stress on the adhesive.
- Avoid wearing seams or waistbands over the site because they may rub and
loosen the tape.
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If all else fails, check with your Health Care Provider