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To Keep Sets/Sensors On + Minimize Skin Irritation
The goal of a preparatory wipe, which you use right before inserting an infusion set or sensor, is to reduce irritation and/or keep the set on for the expected time period (2-3 days between pump infusion set changes; 6-7 days for CGM sensors; 14 days for Libre sensors). If you are finding that the sets are falling off too soon, or if your child’s skin is reacting negatively to the sensor or its adhesive, then skin preparatory wipes may be useful.
When the infusion set is removed, if you find that your child’s skin is red, inflamed, raised, “bubbly”, or blistered, it may be reacting to some component of the cannula or the adhesive.
In the case of sensitivity to the tape/adhesive, your child’s diabetes health care team may recommend the use of barrier wipes. Barrier wipes do just that: they provide a protective barrier between the infusion set and the skin, so that the troublesome components in the infusion set tape/adhesive don’t come in direct contact with your child’s skin. Examples of barrier film products available in Canada include: Cavilon™, Coloplast, SkinPrep™ and SkinTac™. With these products, you apply a liquid barrier film that dries quickly to form a breathable, transparent coating on the skin. They are designed to protect skin from (among other things) fluids, tape trauma, and friction.
Coloplast, SkinPrep™ and SkinTac™ all contain alcohol, and so act as both a cleanser and a protective barrier. That is, if you use these products before inserting an infusion set, you may be able to skip cleansing with an alcohol wipe. (Check with your child’s diabetes health care team for individual recommendations.)
On the other hand, Cavilon™ wipes provide a sting-free, alcohol-free barrier film. So they are a great alternative if your child finds that alcohol-containing products sting on contact, or if you find that alcohol wipes tend to dry out your child’s skin too much. Since Cavilon™ wipes don’t contain alcohol, they act simply as a barrier, without any cleansing properties. Therefore, it’s important to include a cleansing step before using Cavilon™ wipes. If economics are important to you, you may also be interested to know that Cavilon™ wipes do tend to be more expensive than other alcohol-based barrier wipes.
In the case of a reaction to the cannula on a pump infusion set, since the cannula is inserted under the skin barrier wipes are not likely to solve the problem. Your child’s diabetes health care team may recommend an infusion set manufactured by a different company, using different components. You may also find it valuable (as we have!) to chat with the pump specialists at insulinpumps.ca for further information on infusion set options.
Getting Into a Sticky Situation
In addition to providing a protective barrier film, some of the above products also increase adhesion, so the infusion set or sensor stays on better, for a longer period of time. To keep pump infusion sets and CGM or Flash sensors “stuck where you put ‘em” longer, you could try an adhesive barrier wipe, such as SkinPrep™, or SkinTac™. These products essentially provide a “sticky” layer between the patch and the skin; this increased adhesion keeps the infusion set on longer. If your child is involved in athletic activities which tend to create “sweaty situations”, or if he spends lots of time in the water, then you may find that skin preparatory wipes are a critical part of your child’s diabetes care routine. (Note: If you also use a topical anesthetic cream, you should apply it – and remove it – before the use of any skin prep wipes. The skin prep wipes are the final step before you insert the infusion set.)
The above information was reviewed for content accuracy by clinical staff of the Alberta Children’s Hospital Diabetes Clinic.
This material has been developed from sources that we believe are accurate, however, as the field of medicine (in particular as it applies to diabetes) is rapidly evolving, the information should not be relied upon, as it is designed for informational purposes only. It should not be used in place of medical advice, instruction and/or treatment. If you have specific questions, please consult your doctor or appropriate health care professional.
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