Insertion Site Management

Key Taping Methods

Seasonal climates, skin lotions/creams, trapped moisture or different clothing may affect your tape adhesion or the way your body reacts to it. Here are some important things to remember and alternate tips to try.

Infusion Set & Sensor- General Suggestions
  • Keep the site clean-shaven.
  • Try removing dead surface skin cells with a facial scrub, brush or loofah or a washcloth with soap and water followed by an alcohol swab.
  • Stretch skin tight before using a prep wipe or tape.
  • After you apply the tape, go back over the tape with your finger.
  • Avoid placing your infusion or sensor site at your waistband which could rub and loosen the tape.
  • Avoid using lotions where you intend on applying tape as the tape won't stick well on top of lotion.
Infusion Set - Basic Method
  1. If possible, plan to change your site around your shower time so you can clean the site well. Before you shower, remove your old infusion set. You may clean off the old adhesive with an adhesive remover if the skin appears to be sticky. In the shower, wash off the area with soap.
  2. If your site change is not around your shower time, be sure to wash your hands with soap and water as well as the areas you intend to insert your infusion set.
  3. Disinfect the skin with isopropyl alcohol or an alcohol wipe.
  4. Let skin dry thoroughly before applying either the infusion set or the adhesive.
  5. Apply a prep wipe (for example IV Prep) in a large area around the site and fan it, allowing it to become sticky. You can also try a stronger adhesive, such as Mastisol. However, be sure to have Detachol solvent available for removal.
  6. Touch as little of the adhesive as possible on the infusion set to avoid getting skin oils on it.
  7. Insert your infusion set following the process and techniques your trainer showed you or review this support video.
  8. On days you know you will be very active, sweating or swimming, cover the site with additional adhesive tape.
  9. You can try using additional tape on the corners to prevent them from peeling up and lifting the entire infusion site out.
  10. Check regularly to make sure the tubing is not pulling on the site and adding stress on the adhesive.
  11. When all else fails, change the site!
Infusion Set - "Open Face" Sandwich Method

Important: The sandwich method should be used with infusion sets only. Do not use the sandwich method with sensors because the sensor electrode is sensitive and could become damaged if inserted through anything other than dry skin prepped with alcohol.

  • Prep the skin and allow the prep to dry.
  • Apply a clear adhesive dressing (for example: Infusion Set IV3000, Tegaderm, or Polyskin) directly to your skin.
  • Insert the infusion set through the clear adhesive dressing (follow the instructions for inserting infusion sets). The adhesive on the infusion set will be sticking to the clear adhesive dressing instead of sticking directly to your skin.
Infusion Set & Sensor – Antiperspirant Method

Using a non-deodorant antiperspirant on your infusion set or sensor site prior to insertion sometimes helps the tape stick better.

Important: The sandwich method should be used with infusion sets only. Do not use the sandwich method with sensors because the sensor electrode is sensitive and could become damaged if inserted through anything other than dry skin prepped with alcohol.

  1. Purchase a solid or spray antiperspirant for site use only (no gels or creams). 
  2. Apply around your chosen site and allow it to soak in for 10-15 minutes.
  3. Clean site with soap and water to remove any excess from skin.
  4. Follow insertion directions as usual.
  5. If you use a solid stick antiperspirant, clean it with an alcohol wipe after each use.

Did You Know:The antiperspirant formulas target a specific gland in your skin in order to 'turn-off' the production of moisture. This allows the infusion set to stick better with minimal need for extra tape or sticky stuff that might increase the risk of skin reactions.

Enlite Sensor - Basic Method

Proper taping is critical to ensure the smaller Enlite sensor remains inserted during the full six day wear.

Important: Inserting the glucose sensor through any barrier may damage the sensor. Therefore:

  • Do not use the “sandwich method” commonly used with infusion sets.
  • Do not use skin prep or barrier wipes where the glucose sensor goes into the skin.
  • Do not insert a sensor through tape.

Remember the steps for inserting Enlite: Insert, tape and lastly CONNECT the transmitter!

To apply the Enlite overtape:

  1. First, remove the large paper backing marked with a number 1 from the overtape (but not the two smaller tabs on the sides of the overtape just yet.) Hold the overtape by the covered ends and apply one side of the overtape so that the half of the side of the tape covers the round part of the sensor and the other half covers the skin securely. It is very important that both tthe skin and the sensor are covered to ensure the sensor stays inserted. 
  2. Next, stretch the remaining part of the overtape around the sensor connector so that it sticks to the adhesive pad but does not block the "bumble bee" or sensor connector. Smooth down the tape that was placed on the skin and then remove the two paper tabs marked with a number 2 from the sides of the overtape.
  3. Finally, press the remaining overtape against the skin to elimiate any air pockets.
    Important Reminders for Success Picture

    After inserting the sensor, remember to attach the sensor overtape to the rounded part of the sensor and the skin in front of it. Then stretch the remaining part of overtape around the sensor connector so that the tape sticks to the curved adhesive pad and does not block the sensor connector.

    Ref 1

    Ref 2
Enlite Sensor - Additional Taping Methods

During wear, the adhesive pad beneath the transmitter may loosen for some patients. Applying additional tape to the sensor and transmitter may reduce transmitter movement and protect the sensor and transmitter connection.

Before applying the additional tape, be sure that the MiniLink transmitter displayed the green light after connecting to the sensor, and that the adhesive tab has been placed properly over the transmitter. There are two options for the enhanced taping method:

  • Option 1 – Leaving the back of the transmitter open to allow for better ventilation
  • Option 2 – Covering the back of the transmitter to help reduce the chances of the transmitter catching on clothes.

    To see all of our recommended taping options, please refer to the 'additional taping' options section of the PDF Enlite Sensor Taping Tips Enlite Sensor Taping Tips »
    Enhanced Taping Method Picture

    Place the second piece of Enlite overtape where one band (a) is entirely on the skin and the other band is completely over the center of the transmitter. The back of the transmitter should remain exposed.

    Option 1

    Place the second piece of Enlite overtape where one band (a) is entirely on the skin and the other band is completely over the center of the transmitter. The back of the transmitter should remain exposed.

    Option 2
Sof Sensor - Basic Method

Important:Inserting the sensor through any barrier may damage the sensor. Therefore:

  • Do not use the “sandwich method” commonly used with infusion sets.
  • Do not use skin prep or barrier wipes where the glucose sensor goes into the skin.
  • Do not insert a sensor through tape.

 

  1. Wash your hands with soap and water.
  2. Clean the sensor site with isopropyl alcohol or an alcohol wipe. Let it air dry.
  3. Insert your sensor following the process and techniques your trainer showed you or review this support video.
  4. OPTIONAL Once both your sensor and transmitter are in place, cover with a transparent dressing such as IV3000 to secure everything and ensure the sensor remains fully inserted under the skin. Or try another type of tape from your local pharmacy or a simple Band-Aid over the transmitter.