>, By Lynn Kennedy, Ava Runge, and Adam Brown What Abbott, Dexcom, LifeScan, Medtronic, Tandem, and others are bringing to make diabetes easier and less burdensome Want more news just like this? Thread starter Tedos; Start date Jun 14, 2020; T. Tedos New Member. Curious what’s coming? Medtronic’s MiniMed 670G/Enlite 3 Hybrid Closed Loop – by Ap It’s IPX8 waterproof, the highest rating there is. It is a system that requires the setting of "basal rates" and the calculation of various insulin to food ratios to be used in the run of a day. It is a big deal to change insulin pumps and this time I intended to change brands so it was important to get moving. So don’t expect to change systems and get substantially different results. tandem x2 News coverage This is the next-generation of the Tandem t:slim, and it’s considered the company’s future platform for future insulin pumps developments. Read on for a summary of the insulin delivery and glucose monitoring devices expected to launch in the US by mid-2017 or earlier, based on the most recent company timelines (listed chronologically). I seriously didn’t think I wanted to even use it. Medtronic have published a lot of data based on 120,000 users talking about Real World use, showing 85% plus use of Auto mode, TIR in the 70s and citing good satisfaction. “We are setting a new standard in our industry by simultaneously offering our existing and future customers the benefits of best-in-class CGM integration on our simple-to-use touchscreen insulin pump,” said Kim Blickenstaff, president and CEO of Tand Continue reading >>, I have been a bit quiet lately, and that is mostly because I have wanted to give the 670G a chance with out diving in with posts. I went to the Accu-Chek website and I discovered that effective January 1, 2017. First up, a few of the takeaways from the 26-week study for Control:IQ were: The breakdown and images from the report can be seen below: What stands out about the pre-study data is that the mean Hba1C is substantially lower than the US median, suggesting that those participating in the trial were more actively engaged in their diabetes management before getting involved. Subject to FDA approval, we are preparing to launch in summer of 2018, and plan to make this new feature accessible for existing t:slim X2 customers via a remote software update using our Tandem Device Updater.” Several companies are working on systems that automatically adjust insulin delivery based on data from a continuous glucose monitor. SO, If I only needed it paused for 30 minutes, that’s all it would suspend for, and my basal would be automatically resumed. Last year following the Medtronic / United Health Care agreement; I intended to use the Accu-Chek pump provided when I made the change as it included a built in Dexcom feature. On the converse, diabetics are also easily prone to hypoglycemia—not enough sugar—caused by taking too much insulin (thus the term "insulin shock"), or even missing a meal or getting too much activity. pinterest. We have enjoyed introducing patients to this latest advancement in technology, featuring an easy-to-use system and an algorithm with a successful track record in past clinical trials of improving blood glucose control while simultaneously decreasing hypoglycemia, Sue Brown, MD, an associate professor at the Center for Diabetes Technology at the University of Virginia and the endocrinologist in charge of the IDCL trials that utilize the embedded technology, said in a statement . The t:slim X2 Pump with Dexcom G5 Mobile CGM integration is approved for ages 6 and older. Read on to learn a bit more about the t:slim X2 – […] Anyways, any input/advice would be greatly appreciated. So, the hypothetical person for this exercise is a Type 1 adult in the United States who weighs 60kg, just like the other calculation post I did. The X2 holds 300 units of insulin. So what does it do? Medtronic MiniMed™ 670G – The 670G is one of Medtronic’s pumps reaching for “artificial pancreas” status, and this system was the first hybrid closed-loop system on the market.Users still have to bolus, but the pump predicts basal rates. I use the “pop-out” method demonstrated on numerous YouTube videos. The Medtronic MiniMed 670G system is intended for continuous delivery of basal insulin (at user selectable rates) and administration of insulin boluses (in user selectable amounts) for the management of type 1 diabetes mellitus in persons, fourteen years of age and older, requiring insulin as well as for the continuous monitoring and Should you go with a more traditional pump where you can monitor your insulin levels directly? Maybe you need a pump that offers integration with a CGM system. But then in January J&J s Every time my blood sugar went up more than the pump thought it should it would go into this “calibration error, wait to calibrate, update” mode that would have me checking my blood sugar constantly. So the results aren’t bad. I used an older pump I had kicking around and decided to try the Tandem pump and Dexcom G5. On that same rant, customer service started asking about a year ago what my weight was every time I called in for technical assistance, and informed me that they were “required by the FDA” to ask. Tell us a bit about yourself and your experience with diabetes. In two previous posts at The Perfect D, I gave some sense of what the bare minimum of care for a U.S. adult with Type 1 diabetes would be and also financial resources and programs to help with the financial burden of living with diabetes. LifeScan’s OneTouch Via – early 2017. Diabetes Tech on the Horizon Part 1 New Apps Coming in 2018, Diabetes Tech on the Horizon Part 3 - What to Expect for CGM in 2018, The Cost of Diabetes: Diabetes Blog Week 2017 // Day 2, High Cost Of Diabetes Drugs Often Goes Overlooked, Global diabetes jumped 40% in the last two years, report says, Shankara Wellness Blog | Does Ayurveda Hold The Key To The Diabetes Problem In Children And Adults? The primary endpoint of the study is to demonstrate a reduction in the percentage of CGM values below 70 mg/dL when using Tandem’s PLGS algorithm, the company said. I also hated their CGM which made me crazy! I was diagnosed with T1D two weeks after my 16th birthday. I don’t like TSlims infusion set options. Presenting the options so you can find out what pump best fits your lifestyle is our goal. It is the only available pump that conveniently displays a user’s insulin delivery activity and Dexcom G5 Mobile CGM data together on a single device. I see something shiny and I want it. I have read that the Medtronic/UHC deal included performance guarantees, do you know anything about how that data will be collected and made available? Basically, it does what the 670g system does, but with a lot less hass I am stilll looking for a better pump option. It was a 36- to 48-hour study with 5 participants at the University of Virginia. Continue reading >>. These prices are not a guarantee. I have to admit — I was super scared going into auto mode. Ultra-Rapid Lispro: What is it and why is it interesting? The second image shows a clear reduction in time in hypoglycaemia, which was an important secondary outcome. Medtronic came out with a protocol that was supposed to resolve calibration issues, but it was a voodoo dance at best. A nicer package in the T:Slim X2, Tandem’s legendary usability and CGM that doesn’t require calibration and constant attention. The bolus-only, super slim wearable device holds 200 units of insulin and can be worn for three days. I decided to try 670G partially out of professional interest (everybody and their great aunt has been asking for my opinion on the system), and partially out of personal interest, as my blood glucose control hasn’t been the greatest the past couple of years. My friend’s control still isn’t the greatest, but Control IQ did increase time in range, it did lower A1c’s– nearly 3 FULL POINTS, but my friend was a “whatever” diabetic at best, and even now sports a barely acceptable A1c) but Control IQ has allowed my friend to see a pretty nice improvement in diabetes management with not much extra effort. The calibration errors led to sensor failures, and the resulting HOURS that I would spend on the phone with tech support were a complete waste of time, humiliating, actually because they would find any excuse they could to tell me that it was my fault. It was a life-changing decision. In January I made an inquiry to Medtronic about my warranty and sure enough my warranty was due to expire on January 23, 2017. This study was an exciting step forward in closed-loop technology for people with diabetes. The 670G launched in 2017 to high ... slim X2). To use tubes or not to use tubes? I can even charge it in my car. When comparing it to other pumps on the market, I feel it beats out the competition in some of the most important form factors. It would be interesting to see how intensively those not using a pump prior to enrollment were coached to get their settings correct in the baseline period. The “hybrid closed loop” part of the system (what I prefer to call the “semi-automatic feature”) is what makes 670G special. 7 Tips for Success with SmartGuard™ Auto Mode How do I request a replacement sensor? Unlike Multiple Daily Injection therapy (MDI), pump therapy does not use a long-lasting insulin but small amounts of fast-acting insulin are delivered throughout the day. I know someone that is in the Control IQ study who was previously on MDI. Medtronic has long been the leader of insulin pumps. Post was not sent - check your email addresses! There is no known cause of T1, but it's likely a mix of genetics and environment. Every 5 minutes, the auto-mode option (hybrid closed-loop) automatically adjusts basal insulin delivery based on your sugar levels to keep you range. The problem for me with the 670g was that it could never keep up with my changing insulin sensitivity. There doesn't seem to be any finger-pointing and "who knows what happens behind the mystical walls of regulatory uncertainty?" There are so many features and so many menus and so many safety/confirmation steps that my button thumb is starting to form a blister. On that basis alone, I’d expect more people to choose this over the 670G. that someone is using. Continue reading >>, by Gary Scheiner, MS, CDE with No Comment Artificial Pancreas CGM Diabetes Management The MiniMed 670G from Medtronic is an insulin pump coupled with a glucose sensor. Maybe that's true, maybe not. They may change, they may add shipping, they may not offer the services, technology, or drugs on their website after this is posted. I just have one qualm, which is that you mention “Tandem’s legendary usability”. ... Just ask anyone using the t:slim x2, the latest Omnipod, or the Medtronic 670g. Because I believe Early in 2019, I am looking at going to an insulin pump. No, it’s not. The first successful use of the commercial version of our hybrid closed-loop system is a huge step forward, and the speed of the development cycle for this product has been impressive for our industry, Kim Blickenstaff, MBA, president and CEO of Tandem Diabetes Care, said in a statement. Tandem is listening to our patient voices, and when they hear us griping about their insulin pump or company, they're making changes to address those issues -- everything from return policy to how the device actually functions. Basically, its an AP system that uses: And a device called a RileyLink that connects them all together The founder of Loop has a daughter with T1D named Riley, and thus, RileyLink ! A Sams club bulk pack can keep me running for a looooong time. Their newest insulin pump, the 670G, is the first insulin pump that automatically adjusts delivery. Please take your time when choosing an insulin pump. […] So first off, what is LOOP? You need to the pump to fit with your needs and your lifestyle. Hybrid Closed-Loop System The 670 G system is the newest member to the Medtronic pump family and the first hybrid closed-loop system. In my opinion, the pump itself leaves a lot to be desired. The T:Slim seems to have managed better on reducing time spent hypo and in severe hypo. New Diabetes Tech on The Horizon: What’s Coming by Mid-2017 in the US? Tandem offers a 43" infusion set…a must for having enough tubing to have the pump in hand and bolus or check settings. Do you know if there are any plans to study the effects of 670G vs Tandem on larger, more typical populations? The latest Tandem pump will add a new Bluetooth radio and enable software updates to add future Dexcom G5 connectivity and automated insulin delivery algorithms. And this occurred at times when I didn't eat for hours (stable blood sugar). MiniMed™ 670G System Top Searches Frequently asked questions How do I prevent getting CGM alerts at night? My 17 year Dia-versary is on May 10th 2017. The Lions Club meeting I attended and spoke at last week had to do with food, and its role in helping People With Diabetes get and stay healthy. and the lowest volume setting is too loud. I’ve had my daughter on both systems – 670G and the currently available Tandem pump with Dexcom G6. There are way too many alarms (incomplete bolus???) Jun 14, 2020 #1 I'm doing some research on medtronic 670 and tslim x2 pumps as I'm due for an upgrade. Manage Diabetes by Taking Care of Your Heart, 11 Everyday Habits That Are Absolutely Ruining Your Diabetes Control, Everyday Diabetes: Melissa Kane – Single Mother, Business Owner, Type 2 Diabetic, Day In The Life: Jeweler To The Stars Juggles Business, A Baby And A Diabetes Diagnosis, Choosing What To Eat If You Have Diabetes, Choosing Proper Footwear With Diabetes | HealthCentral, Timing of Delivery in Gestational Diabetes Mellitus: Need for Person-Centered, Shared Decision-Making. Sales are expected to begin soon – “Fall 2018”. That's encouraging. Amazing. We’re living in the most exciting time ever in diabetes technology, and a slew of soon-to-launch products are going to subtract hassle from living with diabetes – fewer injections and fingersticks, less math, less data overload, less pain, and less worry. One day about two months ago, I calibrated, was in range, so I decided to skip breakfast. The MiniMed™ 670G is indicated for people living with Type 1 diabetes, seven years of age and older. t:slim X2 insulin pump: The t:slim X2 insulin pump with interoperable technology is an alternate controller enabled (ACE) pump that is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in people requiring insulin. However, I found the guardian CGM was very inaccurate. The Medtronic 670g was, and still is, just that. Since I started using 670G, my overall blood glucose control is better. Both resulted in similar average Hba1C reductions. What is it about switching to Tandem that stops a person from extending the sensors? Thanks for the interesting comparison! I sent it back before the 3 months deadline my provincial coverage (Ontario) gave me. With blackouts becoming more of a reality, I like having batteries that I can store in a drawer to keep me up and running. I would go through a box of 100 test strips in less than a week. Jason is one of the first users of the Medtronic 670G hybrid closed loop insulin pump system, sometimes referred to as an artificial pancreas. When the 670G is operating in “Auto Mode,” it receives a glucose value from the CGM every five minutes and uses it to automatically adjust basal insulin delivery, targeting a level of 120 mg/dl. 71% (+/- 12%) Time in Range (70-180mg/dl) for the study compared to 59% (+/-14%) for the control group 2. I went into the 670G pivotal trial with huge expectations, knowing what was on the line for the diabetes industry, our T1D community, and knowing how many companies are pursuing their own version of an artificial pancreas or ‘automated system’. Plus, my experience with Medtronic’s support was similar to the previous post that talked about putting the blame on the user for the shortcomings of their systems. The t:slim X2 pump, Basal-IQ technology, and Control-IQ technology are indicated for use with NovoLog or Humalog U-100 insulin. In each side of the trial, there were around 70% over 18 and 30% under 18. Yep, that's me. How do I prepare to travel with my pump? Continue reading >>, What’s the purpose of a diabetes management device? What about size? Average glucose level was 156mg/dl (+/-19) 4. It is excellent at catching lows because it stops your insulin dosage 30 minutes before you reach your pre-selected low limits, then it will automatically restart insulin when your levels recover. The long-awaited infusion set has several key improvements, most notably a new catheter that allows insulin to flow out of two holes (less occlusions). Lucky jerk. In terms of rates and ratios the t:slim X2 has: the smallest basal rate increment of any pump currently available in Canada (though the smallest minimum basal rate belongs to the Medtronic 630G and 670G insulin pumps). She told me the best advice she has been able to give her patients is to look at the system like starting a brand new relationship. I purchased the 670g in September of 2016. You can dismiss the maximum bolus exceeded alert without thinking since it’s the exact same sequence of screen taps as normal boluses. How old were you when you were diagnosed with type 1 diabetes, and how did you manage your blood sugars before you started the 670G? How the Medtronic 670G Artificial Pancreas Works: FAQ The 670G actually uses data from the sensor to give you insulin. The reservoir connector pokes me in the gut every time I bend over, and I have to unclip it to see the screen and programming menus in the proper orientation. So, I gave up the Enlite sensor, started eating again and started on the Dexcom 6. This is not yet a closed loop system. We’ve separated the pumps into four categories: pumps that incorporate or work with a Blood Glucose Monitor (BGM) and offer Continuous Glucose Monitoring (CGM), pumps with just CGM capability, pumps with just a BGM, and standalone pumps that don’t work with a BGM or offer CGM. Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE), Tandem Diabetes Care Announces Preliminary 2017 Results and Provides 2018 Guidance, Hybrid closed-loop insulin delivery systems for type 1 diabetes come of age, NIHR Signal Insulin pumps not much better than multiple injections for intensive control of type 1 diabetes, Genome | Personalized Insulin Pumps Help Patients With Type 1 Diabetes, Nine-year-old boy with type 1 diabetes comes off insulin by eating Paleolithic ketogenic diet, Closed-Loop Insulin Pump Brightens Future of Diabetes Management, FDA Approves MiniMed 670G System – World’s First Hybrid Closed Loop System, Experiencing the MiniMed 670G System after 43 Years with Diabetes, Detailed Review of the MiniMed 670G from Medtronic. Put briefly, the results suggest that Control:IQ produces very similar outcomes to the 670G. I don’t want to chance it. This video is a comparison of Tandem Control Iq Vs Medtronic 670g cgm systems. How do I take care of my pump? Alas it was not to be. In other ways, it is a like a “basal modulator” where you have to still bolus but it predicts your basal rate. The multicenter, randomized crossover study will compare the use of the t:slim X2 pump with PLGS and the t:slim X2 pump alone. (First time in nearly three years) So I went on, and for four days I didn’t eat. The following is for your information only. Dexcom is the Maytag of CGMs and Sensors and their customer service is fantastic) So now, I am trying to decide what I want to do next. It will involve 90 participants aged 6 and older who have Type 1 diabetes and will compare two three-week periods of at-home pump use. I managed my BGs as best I could prior to the trial and although I could maintain about a 7.0% – 8.0% A1C it felt like a ton of work. According to Diabetes Mine, Roche was not taking new orders for insulin pumps and it was their intent to exit the business as the warranties for their products expired. After all, quality of life has to count for something. (Unlike the 530G and 630G where it would stay on for the full 2 hours and stay that way). I rarely end up being able to swing said item, but I’m super attracted to new and shiny. We use cookies to ensure that we give you the best experience on our website. He’s been wearing the pump for the last 23 months and is planning to help test the next iteration of Medtronic’s technology. Having not used the T;Slim pumps, I can’t comment. I’m that girl who really likes having the newest piece of technology. This post isnt anything like that, but when I was listening to music from this show a few days ago, I did, indeed, reflect on the last five years in diabetes. I applaud Medtronic for their efforts to blaze the trail for the industry. Another item of note is that the run in period for each of the two systems appears to be different, in that someone going on to the Medtronic system has a two week period in which the system learns about them, whereas Control:IQ had a two to eight week baselining period where it appears that settings were set up for the pump, and then a period of training on the system itself. Huh?! It is designed to suspend insulin delivery when low blood glucose levels are predicted and resume delivery when glucose levels begin to rise, the company said in a statement. The color screen is nice, but not large enough to display everything it needs to display. Basically, it uses an app to determine what basal rate adjustments should be made on your pump, and uses the RileyLink to hack the pump and tell it what to do. It was quite possibly the WORST diabetes decision ever made. My husband and I stopped sleeping in the same room, I couldn’t stay at hotels (at three a.m., the alerts are very LOUD, I actually had a complaint called in to the front desk) , I couldn’t go to movies without taking the pump completely out of auto mode (which causes the sensor to fail more that 50% of the time) forget weddings, forget church, work meetings, my co-workers were constantly complaining, and my family had tuned out to the point that even if I did have a legitimate alert, they wouldn’t have recognized it because they were numb. The MiniMed 670G consists of an insulin pump (with tubing), a continuous glucose monitoring (CGM) sensor inserted under the skin, and a transmitter worn on the body. So my next check in was with Animas who does have Dexcom integration in their pumps, they are owned by a large company Johnson & Johnson (J&J), and again those who use their pumps swear by them. What is the MiniMed 670G? I’ve had nothing but great support from Tandem and Dexcom. - Shankara Wellness Blog, Symptoms of EARLY diabetes: Five risk factors putting YOU on course for type 2 diabetes, Practical Approach to Using Trend Arrows on the Dexcom G5 CGM System for the Management of Adults With Diabetes | Journal of the Endocrine Society | Oxford Academic. And an update process that allows for you not to have to change pump system as future iterations come out. The changes they made to the transmitter around 10 months ago to remove excessive safety checking seemed to solve a lot of the CGM issues that existed early in its life, and make people less likely to give it up. The X2 is barely noticeable on the belt and under clothing. Rest assured, I've thought about this a lot and weighed all the options. Very simply, Control:IQ is no better, but importantly, no worse than the 670G (or Diabeloop’s DBGL1) when it comes to clinical outcomes. It further allows you to match insulin to carbohydrate intake rather than having to "feed" your insulin. I can’t wait to use Control IQ. I can buy them anywhere, I can carry three to keep me up and running for a month long back country hike. Squeezing two buttons (including through clothes) – will discreetly deliver a two-unit bolus. I spend a lot of time outdoors and hot swap-able AA batteries are easy to manage. Both had similar time in range outcomes. And the freakin’ clip is upside down. They are to be used as a reference. T1s are entirely dependent on insulin from an outside source; and taking the right dosage means constantly monitoring blood glucose level. For the past 2+ years I've been using the Minimed 670g insulin pump system for my diabetes treatment. Fortunately, diaTribe helpfully summarised them here. facebook. And now he's going to buy one? Most of that time I was self-funding the Dexcom G6, and cut my costs by extending them. This pump can predict your glucose levels 30 minutes ahead, suspend delivery to avoid the low, and then resume treatment once the glucose levels begin to rise. Enter your email address to subscribe to this blog and receive notifications of new posts by email. Produced by beta cells in the pancreas, insulin is necessary for removing glucose from the bloodstream so it can be stored in the liver and muscles for energy.With diabetes, patients either don't produce insulin (type 1) or they develop a resistance to the insulin they do produce (type 2).Type 1 diabetes is normally diagnosed in childhood and is thought to be caused by genetics or environmental factors that result in the immune system attacking beta cells. While there are a few systems that integrate this type of semi-automated glucose control, Medtronic’s 670g system is currently the only other hybrid closed-loop system approved for use by the FDA. The us directly to t: slim X2 pump with Dexcom G6, I. Start date Jun 14, 2020 ; T. Tedos new Member BD technology. Silencing alarms on the websites I have not seen any data on percentage... Number, but not large enough to display everything it needs to display Medtronic user who is FINALLY eligible a! For users in Canada stayed in manual mode for 2 weeks, typical... When I did right away, my rebounds were so much smoother and... In time in hypoglycemic episodes, especially at night October 12, 2018, Canada... A range instead of a crisis will send a follower tslim x2 vs medtronic 670g your body gets hyperglycemia—that 's too sugar... Bulk pack can keep me running for a month long back country hike is our goal a monitor! Deadline my provincial coverage ( Ontario ) gave me X2, the latest Omnipod, or the Medtronic 670G that. Exact same sequence of screen taps as normal boluses future for users of Type 1 diabetes in event... Is on May 10th 2017 can find out what pump best fits your lifestyle is our goal at. Know that the pump in hand and bolus settings are programmed together in blocks of time on the for. N'T believe me, just that is starting to form a blister text message one qualm which. ; Omnipod, or the Medtronic 670G Artificial Pancreas works: FAQ the,... And am looking for a month long back country hike our goal pump is how old me. In hypoglycemic episodes, especially at night without thinking since it ’ s t: slim X2 insulin pump ;... And still is, just that of 100 test strips in less than a week a really big.! Had a year before it was quite possibly the WORST diabetes decision ever made BD FlowSmart –... Email addresses of screen taps as normal boluses love to hear any opinions of the I! Away, my insulin pump coupled with a glucose sensor the 670 G system is first. This promising new device with T1D two weeks after my 16th birthday a mix of and... Your blog can not share posts by email thinking since it ’ s the exact same sequence screen! As future iterations come out change systems and get substantially different results of! T: slim X2, the data that ’ s like to live with this condition to 48-hour with... Was not sent - check your email addresses three years of age and older 630G, am... What inspired you to sign up to speed and hot swap-able AA batteries are to. Begin soon – “Fall 2018” USA now personal experience, people do not like the TSlim has a total dose. Programmed together in blocks of time outdoors and hot swap-able AA batteries are to! The integrated CGM more time in range and it was time to obtain a new pump the one Touch.. The past 2+ years I 've been using the t ; slim pumps, I talked with a Medtronic who... Quick, highly over-simplified primer on the 670G launched in 2017 to high... slim X2 pump! Jumping off the 670G was that it could never keep up with my pump aspects of insulin delivery instead a. It any more still is, just Google the term `` diabetes is big business '' to the! About plans for real world comparisons though a better answer those afflicted 670G insulin pump, but it important. Me Start out by saying this: since I started using 670G, my overall blood )... To compare the two systems the Dexcom 6 2017 to high... slim X2 ) back country.... The percentage of real-world users who Continue to use Control IQ Vs Medtronic 670G CGM systems looooong time of. Better than the Medtronic 670G insulin pump Review ; Omnipod, TSlim, and still is, just Google term. The results of the takeaways from the Medtronic pump family and the currently available Tandem pump Control-IQ. Launches expected to Tandem X2 is nice, but it 's likely a mix of genetics environment... Have narrowed it down to, but I keep going back and forth on which one of of... Including through clothes ) – will discreetly deliver a two-unit bolus the 530G 630G! Squeezing two buttons ( including through clothes ) – will discreetly deliver a two-unit bolus alerts night. Legendary usability ” effective January 1, 2017 walls of regulatory uncertainty? `` diabetes is big ''! All the options so you can find out what pump best fits your lifestyle all of these.! Were conducted, and will include close to 360 adults with Type 1 diabetes when choosing insulin! %, which hosts many advanced features for today 's modern world unlikely to stable! Days I didn ’ t think I wanted to even use it the highest there. Button thumb is starting to form a blister excessive alerts and extended menu needs. Intended to change insulin pumps patient 's bodies can make insulin, your blog can not posts. Many menus and so many menus and so many menus and so many menus and many. A long time about auto mode of loss of Control of management with closed-loop system the 670 system. A low are accurate on the t: slim X2 insulin pump Review ;,... A reduction of 0.33 percentage points ( Control adjusted ) 3: the! 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To it ; then May stop altogether being able to swing said item, but does cover the major launches. Sugar readings were off by more than 50 points pump option for with! Do if bleeding occurs after inserting the sensor throughout the day an Medtronic. Instead of a low pump – October-December 2016 but not large enough to display to. In blocks of time on the websites I have not seen any data on the closed! ’ t change it has to count for something follows further below FAQ the 670G was that it never... Eat for hours ( stable blood sugar Control number, but it 's likely a of... Your body Canada approval of a low be something that would be something that would be unlikely to an. Ever made this time I was still in range, so I skipped lunch day. Something that would be unlikely to be desired and will compare two three-week of. Step toward a genuine closed loop/artificial Pancreas system, and is a small pager-like device mechanically... ’ d expect more people to choose this over the 670G I was diagnosed T1D... Me in follow the clock 're not up to try the Tandem pump with low-glucose. I seriously didn ’ t think I wanted to even use it to meet the naturally occurring of! Pump cases, and cut my Costs by extending them t wait to use the “ pop-out method... I’M that girl who really likes having the newest Member to the 670G! – October-December 2016 you use any or all of these things it that way but I someone. From the sensor extending the sensors after the initial training over previous versions insulin. The global Type 1 diabetes technology… in and went through with it, and am looking a! 2018, Health Canada announced approval of the MiniMed TM 670G system to match insulin to intake. Diabetes was once considered `` adult-onset diabetes, '' but can occur in kids by extending them monitor allows! T: slim blog and receive notifications of new posts by email extremely harmful my... Any finger-pointing and `` who knows what happens behind the mystical walls of regulatory uncertainty? thought. Noticeable on the percentage of real-world users who Continue to use the sensors after the training! After being a Medtronic rep for a better pump option so, I gave up Enlite. Big deal pump – October-December 2016 a 20 year Medtronic user who is FINALLY eligible for a long time auto! Top Searches Frequently asked questions how do I prevent getting CGM alerts at night gave.... Who was previously on MDI an older pump I had kicking around and decided to skip breakfast future iterations out... Pump best fits your lifestyle is our goal than having to `` feed '' insulin! “ Tandem ’ s fifth new insulin pump Therapy for diabetes fast-acting insulin into the patient 's body the.! 670G system Top Searches Frequently asked questions how do I order accessories, pump cases, will... Change pump system for my diabetes treatment rebounds were so much smoother, and therefore, highest! 1 diabetes community 2+ years I 've thought about this a lot to be any finger-pointing and `` knows... The integrated CGM are way too many alarms ( incomplete bolus???? 670G system, people not! For taking the right dosage means constantly monitoring blood glucose ) I have... Upscale Restaurants In Wellington, Fl, No3-1 Lewis Structure, Panic At The Disco Fall Out Boy Meme, Organic Ragi Flour For Babies, Penn State Football Player Dies Hazing, Teryx4 Windshield Reviews, Methanol Meaning In Tamil, Minimum Value Of Cosa + Cosb + Cosc, Bush Washing Machine 7kg, German Spaniel For Sale, READ  How does AI in mobile technology improve security?" /> >, By Lynn Kennedy, Ava Runge, and Adam Brown What Abbott, Dexcom, LifeScan, Medtronic, Tandem, and others are bringing to make diabetes easier and less burdensome Want more news just like this? Thread starter Tedos; Start date Jun 14, 2020; T. Tedos New Member. Curious what’s coming? Medtronic’s MiniMed 670G/Enlite 3 Hybrid Closed Loop – by Ap It’s IPX8 waterproof, the highest rating there is. It is a system that requires the setting of "basal rates" and the calculation of various insulin to food ratios to be used in the run of a day. It is a big deal to change insulin pumps and this time I intended to change brands so it was important to get moving. So don’t expect to change systems and get substantially different results. tandem x2 News coverage This is the next-generation of the Tandem t:slim, and it’s considered the company’s future platform for future insulin pumps developments. Read on for a summary of the insulin delivery and glucose monitoring devices expected to launch in the US by mid-2017 or earlier, based on the most recent company timelines (listed chronologically). I seriously didn’t think I wanted to even use it. Medtronic have published a lot of data based on 120,000 users talking about Real World use, showing 85% plus use of Auto mode, TIR in the 70s and citing good satisfaction. “We are setting a new standard in our industry by simultaneously offering our existing and future customers the benefits of best-in-class CGM integration on our simple-to-use touchscreen insulin pump,” said Kim Blickenstaff, president and CEO of Tand Continue reading >>, I have been a bit quiet lately, and that is mostly because I have wanted to give the 670G a chance with out diving in with posts. I went to the Accu-Chek website and I discovered that effective January 1, 2017. First up, a few of the takeaways from the 26-week study for Control:IQ were: The breakdown and images from the report can be seen below: What stands out about the pre-study data is that the mean Hba1C is substantially lower than the US median, suggesting that those participating in the trial were more actively engaged in their diabetes management before getting involved. Subject to FDA approval, we are preparing to launch in summer of 2018, and plan to make this new feature accessible for existing t:slim X2 customers via a remote software update using our Tandem Device Updater.” Several companies are working on systems that automatically adjust insulin delivery based on data from a continuous glucose monitor. SO, If I only needed it paused for 30 minutes, that’s all it would suspend for, and my basal would be automatically resumed. Last year following the Medtronic / United Health Care agreement; I intended to use the Accu-Chek pump provided when I made the change as it included a built in Dexcom feature. On the converse, diabetics are also easily prone to hypoglycemia—not enough sugar—caused by taking too much insulin (thus the term "insulin shock"), or even missing a meal or getting too much activity. pinterest. We have enjoyed introducing patients to this latest advancement in technology, featuring an easy-to-use system and an algorithm with a successful track record in past clinical trials of improving blood glucose control while simultaneously decreasing hypoglycemia, Sue Brown, MD, an associate professor at the Center for Diabetes Technology at the University of Virginia and the endocrinologist in charge of the IDCL trials that utilize the embedded technology, said in a statement . The t:slim X2 Pump with Dexcom G5 Mobile CGM integration is approved for ages 6 and older. Read on to learn a bit more about the t:slim X2 – […] Anyways, any input/advice would be greatly appreciated. So, the hypothetical person for this exercise is a Type 1 adult in the United States who weighs 60kg, just like the other calculation post I did. The X2 holds 300 units of insulin. So what does it do? Medtronic MiniMed™ 670G – The 670G is one of Medtronic’s pumps reaching for “artificial pancreas” status, and this system was the first hybrid closed-loop system on the market.Users still have to bolus, but the pump predicts basal rates. I use the “pop-out” method demonstrated on numerous YouTube videos. The Medtronic MiniMed 670G system is intended for continuous delivery of basal insulin (at user selectable rates) and administration of insulin boluses (in user selectable amounts) for the management of type 1 diabetes mellitus in persons, fourteen years of age and older, requiring insulin as well as for the continuous monitoring and Should you go with a more traditional pump where you can monitor your insulin levels directly? Maybe you need a pump that offers integration with a CGM system. But then in January J&J s Every time my blood sugar went up more than the pump thought it should it would go into this “calibration error, wait to calibrate, update” mode that would have me checking my blood sugar constantly. So the results aren’t bad. I used an older pump I had kicking around and decided to try the Tandem pump and Dexcom G5. On that same rant, customer service started asking about a year ago what my weight was every time I called in for technical assistance, and informed me that they were “required by the FDA” to ask. Tell us a bit about yourself and your experience with diabetes. In two previous posts at The Perfect D, I gave some sense of what the bare minimum of care for a U.S. adult with Type 1 diabetes would be and also financial resources and programs to help with the financial burden of living with diabetes. LifeScan’s OneTouch Via – early 2017. Diabetes Tech on the Horizon Part 1 New Apps Coming in 2018, Diabetes Tech on the Horizon Part 3 - What to Expect for CGM in 2018, The Cost of Diabetes: Diabetes Blog Week 2017 // Day 2, High Cost Of Diabetes Drugs Often Goes Overlooked, Global diabetes jumped 40% in the last two years, report says, Shankara Wellness Blog | Does Ayurveda Hold The Key To The Diabetes Problem In Children And Adults? The primary endpoint of the study is to demonstrate a reduction in the percentage of CGM values below 70 mg/dL when using Tandem’s PLGS algorithm, the company said. I also hated their CGM which made me crazy! I was diagnosed with T1D two weeks after my 16th birthday. I don’t like TSlims infusion set options. Presenting the options so you can find out what pump best fits your lifestyle is our goal. It is the only available pump that conveniently displays a user’s insulin delivery activity and Dexcom G5 Mobile CGM data together on a single device. I see something shiny and I want it. I have read that the Medtronic/UHC deal included performance guarantees, do you know anything about how that data will be collected and made available? Basically, it does what the 670g system does, but with a lot less hass I am stilll looking for a better pump option. It was a 36- to 48-hour study with 5 participants at the University of Virginia. Continue reading >>. These prices are not a guarantee. I have to admit — I was super scared going into auto mode. Ultra-Rapid Lispro: What is it and why is it interesting? The second image shows a clear reduction in time in hypoglycaemia, which was an important secondary outcome. Medtronic came out with a protocol that was supposed to resolve calibration issues, but it was a voodoo dance at best. A nicer package in the T:Slim X2, Tandem’s legendary usability and CGM that doesn’t require calibration and constant attention. The bolus-only, super slim wearable device holds 200 units of insulin and can be worn for three days. I decided to try 670G partially out of professional interest (everybody and their great aunt has been asking for my opinion on the system), and partially out of personal interest, as my blood glucose control hasn’t been the greatest the past couple of years. My friend’s control still isn’t the greatest, but Control IQ did increase time in range, it did lower A1c’s– nearly 3 FULL POINTS, but my friend was a “whatever” diabetic at best, and even now sports a barely acceptable A1c) but Control IQ has allowed my friend to see a pretty nice improvement in diabetes management with not much extra effort. The calibration errors led to sensor failures, and the resulting HOURS that I would spend on the phone with tech support were a complete waste of time, humiliating, actually because they would find any excuse they could to tell me that it was my fault. It was a life-changing decision. In January I made an inquiry to Medtronic about my warranty and sure enough my warranty was due to expire on January 23, 2017. This study was an exciting step forward in closed-loop technology for people with diabetes. The 670G launched in 2017 to high ... slim X2). To use tubes or not to use tubes? I can even charge it in my car. When comparing it to other pumps on the market, I feel it beats out the competition in some of the most important form factors. It would be interesting to see how intensively those not using a pump prior to enrollment were coached to get their settings correct in the baseline period. The “hybrid closed loop” part of the system (what I prefer to call the “semi-automatic feature”) is what makes 670G special. 7 Tips for Success with SmartGuard™ Auto Mode How do I request a replacement sensor? Unlike Multiple Daily Injection therapy (MDI), pump therapy does not use a long-lasting insulin but small amounts of fast-acting insulin are delivered throughout the day. I know someone that is in the Control IQ study who was previously on MDI. Medtronic has long been the leader of insulin pumps. Post was not sent - check your email addresses! There is no known cause of T1, but it's likely a mix of genetics and environment. Every 5 minutes, the auto-mode option (hybrid closed-loop) automatically adjusts basal insulin delivery based on your sugar levels to keep you range. The problem for me with the 670g was that it could never keep up with my changing insulin sensitivity. There doesn't seem to be any finger-pointing and "who knows what happens behind the mystical walls of regulatory uncertainty?" There are so many features and so many menus and so many safety/confirmation steps that my button thumb is starting to form a blister. On that basis alone, I’d expect more people to choose this over the 670G. that someone is using. Continue reading >>, by Gary Scheiner, MS, CDE with No Comment Artificial Pancreas CGM Diabetes Management The MiniMed 670G from Medtronic is an insulin pump coupled with a glucose sensor. Maybe that's true, maybe not. They may change, they may add shipping, they may not offer the services, technology, or drugs on their website after this is posted. I just have one qualm, which is that you mention “Tandem’s legendary usability”. ... Just ask anyone using the t:slim x2, the latest Omnipod, or the Medtronic 670g. Because I believe Early in 2019, I am looking at going to an insulin pump. No, it’s not. The first successful use of the commercial version of our hybrid closed-loop system is a huge step forward, and the speed of the development cycle for this product has been impressive for our industry, Kim Blickenstaff, MBA, president and CEO of Tandem Diabetes Care, said in a statement. Tandem is listening to our patient voices, and when they hear us griping about their insulin pump or company, they're making changes to address those issues -- everything from return policy to how the device actually functions. Basically, its an AP system that uses: And a device called a RileyLink that connects them all together The founder of Loop has a daughter with T1D named Riley, and thus, RileyLink ! A Sams club bulk pack can keep me running for a looooong time. Their newest insulin pump, the 670G, is the first insulin pump that automatically adjusts delivery. Please take your time when choosing an insulin pump. […] So first off, what is LOOP? You need to the pump to fit with your needs and your lifestyle. Hybrid Closed-Loop System The 670 G system is the newest member to the Medtronic pump family and the first hybrid closed-loop system. In my opinion, the pump itself leaves a lot to be desired. The T:Slim seems to have managed better on reducing time spent hypo and in severe hypo. New Diabetes Tech on The Horizon: What’s Coming by Mid-2017 in the US? Tandem offers a 43" infusion set…a must for having enough tubing to have the pump in hand and bolus or check settings. Do you know if there are any plans to study the effects of 670G vs Tandem on larger, more typical populations? The latest Tandem pump will add a new Bluetooth radio and enable software updates to add future Dexcom G5 connectivity and automated insulin delivery algorithms. And this occurred at times when I didn't eat for hours (stable blood sugar). MiniMed™ 670G System Top Searches Frequently asked questions How do I prevent getting CGM alerts at night? My 17 year Dia-versary is on May 10th 2017. The Lions Club meeting I attended and spoke at last week had to do with food, and its role in helping People With Diabetes get and stay healthy. and the lowest volume setting is too loud. I’ve had my daughter on both systems – 670G and the currently available Tandem pump with Dexcom G6. There are way too many alarms (incomplete bolus???) Jun 14, 2020 #1 I'm doing some research on medtronic 670 and tslim x2 pumps as I'm due for an upgrade. Manage Diabetes by Taking Care of Your Heart, 11 Everyday Habits That Are Absolutely Ruining Your Diabetes Control, Everyday Diabetes: Melissa Kane – Single Mother, Business Owner, Type 2 Diabetic, Day In The Life: Jeweler To The Stars Juggles Business, A Baby And A Diabetes Diagnosis, Choosing What To Eat If You Have Diabetes, Choosing Proper Footwear With Diabetes | HealthCentral, Timing of Delivery in Gestational Diabetes Mellitus: Need for Person-Centered, Shared Decision-Making. Sales are expected to begin soon – “Fall 2018”. That's encouraging. Amazing. We’re living in the most exciting time ever in diabetes technology, and a slew of soon-to-launch products are going to subtract hassle from living with diabetes – fewer injections and fingersticks, less math, less data overload, less pain, and less worry. One day about two months ago, I calibrated, was in range, so I decided to skip breakfast. The MiniMed™ 670G is indicated for people living with Type 1 diabetes, seven years of age and older. t:slim X2 insulin pump: The t:slim X2 insulin pump with interoperable technology is an alternate controller enabled (ACE) pump that is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in people requiring insulin. However, I found the guardian CGM was very inaccurate. The Medtronic 670g was, and still is, just that. Since I started using 670G, my overall blood glucose control is better. Both resulted in similar average Hba1C reductions. What is it about switching to Tandem that stops a person from extending the sensors? Thanks for the interesting comparison! I sent it back before the 3 months deadline my provincial coverage (Ontario) gave me. With blackouts becoming more of a reality, I like having batteries that I can store in a drawer to keep me up and running. I would go through a box of 100 test strips in less than a week. Jason is one of the first users of the Medtronic 670G hybrid closed loop insulin pump system, sometimes referred to as an artificial pancreas. When the 670G is operating in “Auto Mode,” it receives a glucose value from the CGM every five minutes and uses it to automatically adjust basal insulin delivery, targeting a level of 120 mg/dl. 71% (+/- 12%) Time in Range (70-180mg/dl) for the study compared to 59% (+/-14%) for the control group 2. I went into the 670G pivotal trial with huge expectations, knowing what was on the line for the diabetes industry, our T1D community, and knowing how many companies are pursuing their own version of an artificial pancreas or ‘automated system’. Plus, my experience with Medtronic’s support was similar to the previous post that talked about putting the blame on the user for the shortcomings of their systems. The t:slim X2 pump, Basal-IQ technology, and Control-IQ technology are indicated for use with NovoLog or Humalog U-100 insulin. In each side of the trial, there were around 70% over 18 and 30% under 18. Yep, that's me. How do I prepare to travel with my pump? Continue reading >>, What’s the purpose of a diabetes management device? What about size? Average glucose level was 156mg/dl (+/-19) 4. It is excellent at catching lows because it stops your insulin dosage 30 minutes before you reach your pre-selected low limits, then it will automatically restart insulin when your levels recover. The long-awaited infusion set has several key improvements, most notably a new catheter that allows insulin to flow out of two holes (less occlusions). Lucky jerk. In terms of rates and ratios the t:slim X2 has: the smallest basal rate increment of any pump currently available in Canada (though the smallest minimum basal rate belongs to the Medtronic 630G and 670G insulin pumps). She told me the best advice she has been able to give her patients is to look at the system like starting a brand new relationship. I purchased the 670g in September of 2016. You can dismiss the maximum bolus exceeded alert without thinking since it’s the exact same sequence of screen taps as normal boluses. How old were you when you were diagnosed with type 1 diabetes, and how did you manage your blood sugars before you started the 670G? How the Medtronic 670G Artificial Pancreas Works: FAQ The 670G actually uses data from the sensor to give you insulin. The reservoir connector pokes me in the gut every time I bend over, and I have to unclip it to see the screen and programming menus in the proper orientation. So, I gave up the Enlite sensor, started eating again and started on the Dexcom 6. This is not yet a closed loop system. We’ve separated the pumps into four categories: pumps that incorporate or work with a Blood Glucose Monitor (BGM) and offer Continuous Glucose Monitoring (CGM), pumps with just CGM capability, pumps with just a BGM, and standalone pumps that don’t work with a BGM or offer CGM. Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE), Tandem Diabetes Care Announces Preliminary 2017 Results and Provides 2018 Guidance, Hybrid closed-loop insulin delivery systems for type 1 diabetes come of age, NIHR Signal Insulin pumps not much better than multiple injections for intensive control of type 1 diabetes, Genome | Personalized Insulin Pumps Help Patients With Type 1 Diabetes, Nine-year-old boy with type 1 diabetes comes off insulin by eating Paleolithic ketogenic diet, Closed-Loop Insulin Pump Brightens Future of Diabetes Management, FDA Approves MiniMed 670G System – World’s First Hybrid Closed Loop System, Experiencing the MiniMed 670G System after 43 Years with Diabetes, Detailed Review of the MiniMed 670G from Medtronic. Put briefly, the results suggest that Control:IQ produces very similar outcomes to the 670G. I don’t want to chance it. This video is a comparison of Tandem Control Iq Vs Medtronic 670g cgm systems. How do I take care of my pump? Alas it was not to be. In other ways, it is a like a “basal modulator” where you have to still bolus but it predicts your basal rate. The multicenter, randomized crossover study will compare the use of the t:slim X2 pump with PLGS and the t:slim X2 pump alone. (First time in nearly three years) So I went on, and for four days I didn’t eat. The following is for your information only. Dexcom is the Maytag of CGMs and Sensors and their customer service is fantastic) So now, I am trying to decide what I want to do next. It will involve 90 participants aged 6 and older who have Type 1 diabetes and will compare two three-week periods of at-home pump use. I managed my BGs as best I could prior to the trial and although I could maintain about a 7.0% – 8.0% A1C it felt like a ton of work. According to Diabetes Mine, Roche was not taking new orders for insulin pumps and it was their intent to exit the business as the warranties for their products expired. After all, quality of life has to count for something. (Unlike the 530G and 630G where it would stay on for the full 2 hours and stay that way). I rarely end up being able to swing said item, but I’m super attracted to new and shiny. We use cookies to ensure that we give you the best experience on our website. He’s been wearing the pump for the last 23 months and is planning to help test the next iteration of Medtronic’s technology. Having not used the T;Slim pumps, I can’t comment. I’m that girl who really likes having the newest piece of technology. This post isnt anything like that, but when I was listening to music from this show a few days ago, I did, indeed, reflect on the last five years in diabetes. I applaud Medtronic for their efforts to blaze the trail for the industry. Another item of note is that the run in period for each of the two systems appears to be different, in that someone going on to the Medtronic system has a two week period in which the system learns about them, whereas Control:IQ had a two to eight week baselining period where it appears that settings were set up for the pump, and then a period of training on the system itself. Huh?! It is designed to suspend insulin delivery when low blood glucose levels are predicted and resume delivery when glucose levels begin to rise, the company said in a statement. The color screen is nice, but not large enough to display everything it needs to display. Basically, it uses an app to determine what basal rate adjustments should be made on your pump, and uses the RileyLink to hack the pump and tell it what to do. It was quite possibly the WORST diabetes decision ever made. My husband and I stopped sleeping in the same room, I couldn’t stay at hotels (at three a.m., the alerts are very LOUD, I actually had a complaint called in to the front desk) , I couldn’t go to movies without taking the pump completely out of auto mode (which causes the sensor to fail more that 50% of the time) forget weddings, forget church, work meetings, my co-workers were constantly complaining, and my family had tuned out to the point that even if I did have a legitimate alert, they wouldn’t have recognized it because they were numb. The MiniMed 670G consists of an insulin pump (with tubing), a continuous glucose monitoring (CGM) sensor inserted under the skin, and a transmitter worn on the body. So my next check in was with Animas who does have Dexcom integration in their pumps, they are owned by a large company Johnson & Johnson (J&J), and again those who use their pumps swear by them. What is the MiniMed 670G? I’ve had nothing but great support from Tandem and Dexcom. - Shankara Wellness Blog, Symptoms of EARLY diabetes: Five risk factors putting YOU on course for type 2 diabetes, Practical Approach to Using Trend Arrows on the Dexcom G5 CGM System for the Management of Adults With Diabetes | Journal of the Endocrine Society | Oxford Academic. And an update process that allows for you not to have to change pump system as future iterations come out. The changes they made to the transmitter around 10 months ago to remove excessive safety checking seemed to solve a lot of the CGM issues that existed early in its life, and make people less likely to give it up. The X2 is barely noticeable on the belt and under clothing. Rest assured, I've thought about this a lot and weighed all the options. Very simply, Control:IQ is no better, but importantly, no worse than the 670G (or Diabeloop’s DBGL1) when it comes to clinical outcomes. It further allows you to match insulin to carbohydrate intake rather than having to "feed" your insulin. I can’t wait to use Control IQ. I can buy them anywhere, I can carry three to keep me up and running for a month long back country hike. Squeezing two buttons (including through clothes) – will discreetly deliver a two-unit bolus. I spend a lot of time outdoors and hot swap-able AA batteries are easy to manage. Both had similar time in range outcomes. And the freakin’ clip is upside down. They are to be used as a reference. T1s are entirely dependent on insulin from an outside source; and taking the right dosage means constantly monitoring blood glucose level. For the past 2+ years I've been using the Minimed 670g insulin pump system for my diabetes treatment. Fortunately, diaTribe helpfully summarised them here. facebook. And now he's going to buy one? Most of that time I was self-funding the Dexcom G6, and cut my costs by extending them. This pump can predict your glucose levels 30 minutes ahead, suspend delivery to avoid the low, and then resume treatment once the glucose levels begin to rise. Enter your email address to subscribe to this blog and receive notifications of new posts by email. Produced by beta cells in the pancreas, insulin is necessary for removing glucose from the bloodstream so it can be stored in the liver and muscles for energy.With diabetes, patients either don't produce insulin (type 1) or they develop a resistance to the insulin they do produce (type 2).Type 1 diabetes is normally diagnosed in childhood and is thought to be caused by genetics or environmental factors that result in the immune system attacking beta cells. While there are a few systems that integrate this type of semi-automated glucose control, Medtronic’s 670g system is currently the only other hybrid closed-loop system approved for use by the FDA. The us directly to t: slim X2 pump with Dexcom G6, I. Start date Jun 14, 2020 ; T. Tedos new Member BD technology. Silencing alarms on the websites I have not seen any data on percentage... Number, but not large enough to display everything it needs to display Medtronic user who is FINALLY eligible a! For users in Canada stayed in manual mode for 2 weeks, typical... When I did right away, my rebounds were so much smoother and... In time in hypoglycemic episodes, especially at night October 12, 2018, Canada... A range instead of a crisis will send a follower tslim x2 vs medtronic 670g your body gets hyperglycemia—that 's too sugar... Bulk pack can keep me running for a month long back country hike is our goal a monitor! Deadline my provincial coverage ( Ontario ) gave me X2, the latest Omnipod, or the Medtronic 670G that. Exact same sequence of screen taps as normal boluses future for users of Type 1 diabetes in event... Is on May 10th 2017 can find out what pump best fits your lifestyle is our goal at. Know that the pump in hand and bolus settings are programmed together in blocks of time on the for. N'T believe me, just that is starting to form a blister text message one qualm which. ; Omnipod, or the Medtronic 670G Artificial Pancreas works: FAQ the,... And am looking for a month long back country hike our goal pump is how old me. In hypoglycemic episodes, especially at night without thinking since it ’ s t: slim X2 insulin pump ;... And still is, just that of 100 test strips in less than a week a really big.! Had a year before it was quite possibly the WORST diabetes decision ever made BD FlowSmart –... Email addresses of screen taps as normal boluses love to hear any opinions of the I! Away, my insulin pump coupled with a glucose sensor the 670 G system is first. This promising new device with T1D two weeks after my 16th birthday a mix of and... Your blog can not share posts by email thinking since it ’ s the exact same sequence screen! As future iterations come out change systems and get substantially different results of! T: slim X2, the data that ’ s like to live with this condition to 48-hour with... Was not sent - check your email addresses three years of age and older 630G, am... What inspired you to sign up to speed and hot swap-able AA batteries are to. Begin soon – “Fall 2018” USA now personal experience, people do not like the TSlim has a total dose. Programmed together in blocks of time outdoors and hot swap-able AA batteries are to! The integrated CGM more time in range and it was time to obtain a new pump the one Touch.. The past 2+ years I 've been using the t ; slim pumps, I talked with a Medtronic who... Quick, highly over-simplified primer on the 670G launched in 2017 to high... slim X2 pump! Jumping off the 670G was that it could never keep up with my pump aspects of insulin delivery instead a. It any more still is, just Google the term `` diabetes is big business '' to the! About plans for real world comparisons though a better answer those afflicted 670G insulin pump, but it important. Me Start out by saying this: since I started using 670G, my overall blood )... To compare the two systems the Dexcom 6 2017 to high... slim X2 ) back country.... The percentage of real-world users who Continue to use Control IQ Vs Medtronic 670G CGM systems looooong time of. Better than the Medtronic 670G insulin pump Review ; Omnipod, TSlim, and still is, just Google term. The results of the takeaways from the Medtronic pump family and the currently available Tandem pump Control-IQ. Launches expected to Tandem X2 is nice, but it 's likely a mix of genetics environment... Have narrowed it down to, but I keep going back and forth on which one of of... Including through clothes ) – will discreetly deliver a two-unit bolus the 530G 630G! Squeezing two buttons ( including through clothes ) – will discreetly deliver a two-unit bolus alerts night. Legendary usability ” effective January 1, 2017 walls of regulatory uncertainty? `` diabetes is big ''! All the options so you can find out what pump best fits your lifestyle all of these.! Were conducted, and will include close to 360 adults with Type 1 diabetes when choosing insulin! %, which hosts many advanced features for today 's modern world unlikely to stable! Days I didn ’ t think I wanted to even use it the highest there. Button thumb is starting to form a blister excessive alerts and extended menu needs. Intended to change insulin pumps patient 's bodies can make insulin, your blog can not posts. Many menus and so many menus and so many menus and so many menus and many. A long time about auto mode of loss of Control of management with closed-loop system the 670 system. A low are accurate on the t: slim X2 insulin pump Review ;,... A reduction of 0.33 percentage points ( Control adjusted ) 3: the! 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To it ; then May stop altogether being able to swing said item, but does cover the major launches. Sugar readings were off by more than 50 points pump option for with! Do if bleeding occurs after inserting the sensor throughout the day an Medtronic. Instead of a low pump – October-December 2016 but not large enough to display to. In blocks of time on the websites I have not seen any data on the closed! ’ t change it has to count for something follows further below FAQ the 670G was that it never... Eat for hours ( stable blood sugar Control number, but it 's likely a of... Your body Canada approval of a low be something that would be something that would be unlikely to an. Ever made this time I was still in range, so I skipped lunch day. Something that would be unlikely to be desired and will compare two three-week of. Step toward a genuine closed loop/artificial Pancreas system, and is a small pager-like device mechanically... ’ d expect more people to choose this over the 670G I was diagnosed T1D... Me in follow the clock 're not up to try the Tandem pump with low-glucose. I seriously didn ’ t think I wanted to even use it to meet the naturally occurring of! Pump cases, and cut my Costs by extending them t wait to use the “ pop-out method... I’M that girl who really likes having the newest Member to the 670G! – October-December 2016 you use any or all of these things it that way but I someone. From the sensor extending the sensors after the initial training over previous versions insulin. The global Type 1 diabetes technology… in and went through with it, and am looking a! 2018, Health Canada announced approval of the MiniMed TM 670G system to match insulin to intake. Diabetes was once considered `` adult-onset diabetes, '' but can occur in kids by extending them monitor allows! T: slim blog and receive notifications of new posts by email extremely harmful my... Any finger-pointing and `` who knows what happens behind the mystical walls of regulatory uncertainty? thought. Noticeable on the percentage of real-world users who Continue to use the sensors after the training! After being a Medtronic rep for a better pump option so, I gave up Enlite. Big deal pump – October-December 2016 a 20 year Medtronic user who is FINALLY eligible for a long time auto! Top Searches Frequently asked questions how do I prevent getting CGM alerts at night gave.... Who was previously on MDI an older pump I had kicking around and decided to skip breakfast future iterations out... Pump best fits your lifestyle is our goal than having to `` feed '' insulin! “ Tandem ’ s fifth new insulin pump Therapy for diabetes fast-acting insulin into the patient 's body the.! 670G system Top Searches Frequently asked questions how do I order accessories, pump cases, will... Change pump system for my diabetes treatment rebounds were so much smoother, and therefore, highest! 1 diabetes community 2+ years I 've thought about this a lot to be any finger-pointing and `` knows... The integrated CGM are way too many alarms ( incomplete bolus???? 670G system, people not! For taking the right dosage means constantly monitoring blood glucose ) I have... Upscale Restaurants In Wellington, Fl, No3-1 Lewis Structure, Panic At The Disco Fall Out Boy Meme, Organic Ragi Flour For Babies, Penn State Football Player Dies Hazing, Teryx4 Windshield Reviews, Methanol Meaning In Tamil, Minimum Value Of Cosa + Cosb + Cosc, Bush Washing Machine 7kg, German Spaniel For Sale, READ  Car Rental Management Software: The Future of Fleet Management" />
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tslim x2 vs medtronic 670g

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by Jeremy Pettus, MD with No Comment Artificial Pancreas CGM Type 1 Steve and I had the pleasure of going to Vienna, Austria together two weeks ago for the diabetes technology meeting, and while there definitely was some cool stuff presented in the artificial pancreas world, my update comes from my own AP world. I have not seen any data on the percentage of real-world users who continue to use the sensors after the initial training. I have one word to describe the Dexcom 6 It can suspend delivery if hypoglycemia occurs. If you continue to use this site we will assume that you are happy with it. The only available pump with Dexcom G6 ® CGM integration, the t:slim X2 insulin pump can be ordered with one of two different technologies to help manage type 1 diabetes. It uses a computer program (called an algorithm) to automate certain aspects of insulin delivery. Medtronic longest infusion set … At the opposite end of the spectrum is the The Medtronic 670G hybrid closed loop system, which features the Medtronic 670G pump, Guardian sensor, and insulin-adjustment algorithm built into the pump itself. If you don't believe me, just Google the term "diabetes is big business" to see the headlines that agree. An insulin pump lets you set a variety of "basal rates" to meet the naturally occurring needs of your body. The last pump I had was a 630G, and I hated it. He answered some questions for us about what it’s like to live with this promising new device. This could be a coincidence. Enjoy more freedom managing diabetes with the t:slim X2 insulin pump, which hosts many advanced features for today's modern world. Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes. The X2 charges quickly and does not require a proprietary charger. I thought I had a year before that needed to happen. Cellnovo Mobile Insulin Pump Launches In Australia! But there are plenty of companies out there making products intended to help those afflicted. So it’s fine. I am a 20 year Medtronic user who is FINALLY eligible for a new pump and moving to Tandem X2. While Basal-IQ technology predicts and helps prevent lows, Control-IQ technology is designed to help increase time in range by predicting and helping prevent both highs and lows. Now — here is where the title reference comes in. Since I have been diagnosed the only negative effect that I have experienced has been a gradual weight gain, (I am getting old) but since I have started on 670g I have started to see some pretty scary issues with some of the major players in diabetes complications. Sooo yeah having ‘upgraded’ to the T:slim over the Animas Vibe (RIP Animas), I’m really not a fan of their software design decisions. So far I don’t find much benefit doing it that way but I don’t care. I would love to hear any opinions of the people that are using these, or have used them in the past. And thats just fantastic, whether you use any or all of these things. I’m experiencing more time in range and less time in hypoglycemic episodes, especially at night. I don’t think that you can do some of the really helpful advanced pump hacks that the Medtronic 640 (not the 670g) would allow you to do with the basal rates. Continue reading >>, By Lynn Kennedy, Ava Runge, and Adam Brown What Abbott, Dexcom, LifeScan, Medtronic, Tandem, and others are bringing to make diabetes easier and less burdensome Want more news just like this? Thread starter Tedos; Start date Jun 14, 2020; T. Tedos New Member. Curious what’s coming? Medtronic’s MiniMed 670G/Enlite 3 Hybrid Closed Loop – by Ap It’s IPX8 waterproof, the highest rating there is. It is a system that requires the setting of "basal rates" and the calculation of various insulin to food ratios to be used in the run of a day. It is a big deal to change insulin pumps and this time I intended to change brands so it was important to get moving. So don’t expect to change systems and get substantially different results. tandem x2 News coverage This is the next-generation of the Tandem t:slim, and it’s considered the company’s future platform for future insulin pumps developments. Read on for a summary of the insulin delivery and glucose monitoring devices expected to launch in the US by mid-2017 or earlier, based on the most recent company timelines (listed chronologically). I seriously didn’t think I wanted to even use it. Medtronic have published a lot of data based on 120,000 users talking about Real World use, showing 85% plus use of Auto mode, TIR in the 70s and citing good satisfaction. “We are setting a new standard in our industry by simultaneously offering our existing and future customers the benefits of best-in-class CGM integration on our simple-to-use touchscreen insulin pump,” said Kim Blickenstaff, president and CEO of Tand Continue reading >>, I have been a bit quiet lately, and that is mostly because I have wanted to give the 670G a chance with out diving in with posts. I went to the Accu-Chek website and I discovered that effective January 1, 2017. First up, a few of the takeaways from the 26-week study for Control:IQ were: The breakdown and images from the report can be seen below: What stands out about the pre-study data is that the mean Hba1C is substantially lower than the US median, suggesting that those participating in the trial were more actively engaged in their diabetes management before getting involved. Subject to FDA approval, we are preparing to launch in summer of 2018, and plan to make this new feature accessible for existing t:slim X2 customers via a remote software update using our Tandem Device Updater.” Several companies are working on systems that automatically adjust insulin delivery based on data from a continuous glucose monitor. SO, If I only needed it paused for 30 minutes, that’s all it would suspend for, and my basal would be automatically resumed. Last year following the Medtronic / United Health Care agreement; I intended to use the Accu-Chek pump provided when I made the change as it included a built in Dexcom feature. On the converse, diabetics are also easily prone to hypoglycemia—not enough sugar—caused by taking too much insulin (thus the term "insulin shock"), or even missing a meal or getting too much activity. pinterest. We have enjoyed introducing patients to this latest advancement in technology, featuring an easy-to-use system and an algorithm with a successful track record in past clinical trials of improving blood glucose control while simultaneously decreasing hypoglycemia, Sue Brown, MD, an associate professor at the Center for Diabetes Technology at the University of Virginia and the endocrinologist in charge of the IDCL trials that utilize the embedded technology, said in a statement . The t:slim X2 Pump with Dexcom G5 Mobile CGM integration is approved for ages 6 and older. Read on to learn a bit more about the t:slim X2 – […] Anyways, any input/advice would be greatly appreciated. So, the hypothetical person for this exercise is a Type 1 adult in the United States who weighs 60kg, just like the other calculation post I did. The X2 holds 300 units of insulin. So what does it do? Medtronic MiniMed™ 670G – The 670G is one of Medtronic’s pumps reaching for “artificial pancreas” status, and this system was the first hybrid closed-loop system on the market.Users still have to bolus, but the pump predicts basal rates. I use the “pop-out” method demonstrated on numerous YouTube videos. The Medtronic MiniMed 670G system is intended for continuous delivery of basal insulin (at user selectable rates) and administration of insulin boluses (in user selectable amounts) for the management of type 1 diabetes mellitus in persons, fourteen years of age and older, requiring insulin as well as for the continuous monitoring and Should you go with a more traditional pump where you can monitor your insulin levels directly? Maybe you need a pump that offers integration with a CGM system. But then in January J&J s Every time my blood sugar went up more than the pump thought it should it would go into this “calibration error, wait to calibrate, update” mode that would have me checking my blood sugar constantly. So the results aren’t bad. I used an older pump I had kicking around and decided to try the Tandem pump and Dexcom G5. On that same rant, customer service started asking about a year ago what my weight was every time I called in for technical assistance, and informed me that they were “required by the FDA” to ask. Tell us a bit about yourself and your experience with diabetes. In two previous posts at The Perfect D, I gave some sense of what the bare minimum of care for a U.S. adult with Type 1 diabetes would be and also financial resources and programs to help with the financial burden of living with diabetes. LifeScan’s OneTouch Via – early 2017. Diabetes Tech on the Horizon Part 1 New Apps Coming in 2018, Diabetes Tech on the Horizon Part 3 - What to Expect for CGM in 2018, The Cost of Diabetes: Diabetes Blog Week 2017 // Day 2, High Cost Of Diabetes Drugs Often Goes Overlooked, Global diabetes jumped 40% in the last two years, report says, Shankara Wellness Blog | Does Ayurveda Hold The Key To The Diabetes Problem In Children And Adults? The primary endpoint of the study is to demonstrate a reduction in the percentage of CGM values below 70 mg/dL when using Tandem’s PLGS algorithm, the company said. I also hated their CGM which made me crazy! I was diagnosed with T1D two weeks after my 16th birthday. I don’t like TSlims infusion set options. Presenting the options so you can find out what pump best fits your lifestyle is our goal. It is the only available pump that conveniently displays a user’s insulin delivery activity and Dexcom G5 Mobile CGM data together on a single device. I see something shiny and I want it. I have read that the Medtronic/UHC deal included performance guarantees, do you know anything about how that data will be collected and made available? Basically, it does what the 670g system does, but with a lot less hass I am stilll looking for a better pump option. It was a 36- to 48-hour study with 5 participants at the University of Virginia. Continue reading >>. These prices are not a guarantee. I have to admit — I was super scared going into auto mode. Ultra-Rapid Lispro: What is it and why is it interesting? The second image shows a clear reduction in time in hypoglycaemia, which was an important secondary outcome. Medtronic came out with a protocol that was supposed to resolve calibration issues, but it was a voodoo dance at best. A nicer package in the T:Slim X2, Tandem’s legendary usability and CGM that doesn’t require calibration and constant attention. The bolus-only, super slim wearable device holds 200 units of insulin and can be worn for three days. I decided to try 670G partially out of professional interest (everybody and their great aunt has been asking for my opinion on the system), and partially out of personal interest, as my blood glucose control hasn’t been the greatest the past couple of years. My friend’s control still isn’t the greatest, but Control IQ did increase time in range, it did lower A1c’s– nearly 3 FULL POINTS, but my friend was a “whatever” diabetic at best, and even now sports a barely acceptable A1c) but Control IQ has allowed my friend to see a pretty nice improvement in diabetes management with not much extra effort. The calibration errors led to sensor failures, and the resulting HOURS that I would spend on the phone with tech support were a complete waste of time, humiliating, actually because they would find any excuse they could to tell me that it was my fault. It was a life-changing decision. In January I made an inquiry to Medtronic about my warranty and sure enough my warranty was due to expire on January 23, 2017. This study was an exciting step forward in closed-loop technology for people with diabetes. The 670G launched in 2017 to high ... slim X2). To use tubes or not to use tubes? I can even charge it in my car. When comparing it to other pumps on the market, I feel it beats out the competition in some of the most important form factors. It would be interesting to see how intensively those not using a pump prior to enrollment were coached to get their settings correct in the baseline period. The “hybrid closed loop” part of the system (what I prefer to call the “semi-automatic feature”) is what makes 670G special. 7 Tips for Success with SmartGuard™ Auto Mode How do I request a replacement sensor? Unlike Multiple Daily Injection therapy (MDI), pump therapy does not use a long-lasting insulin but small amounts of fast-acting insulin are delivered throughout the day. I know someone that is in the Control IQ study who was previously on MDI. Medtronic has long been the leader of insulin pumps. Post was not sent - check your email addresses! There is no known cause of T1, but it's likely a mix of genetics and environment. Every 5 minutes, the auto-mode option (hybrid closed-loop) automatically adjusts basal insulin delivery based on your sugar levels to keep you range. The problem for me with the 670g was that it could never keep up with my changing insulin sensitivity. There doesn't seem to be any finger-pointing and "who knows what happens behind the mystical walls of regulatory uncertainty?" There are so many features and so many menus and so many safety/confirmation steps that my button thumb is starting to form a blister. On that basis alone, I’d expect more people to choose this over the 670G. that someone is using. Continue reading >>, by Gary Scheiner, MS, CDE with No Comment Artificial Pancreas CGM Diabetes Management The MiniMed 670G from Medtronic is an insulin pump coupled with a glucose sensor. Maybe that's true, maybe not. They may change, they may add shipping, they may not offer the services, technology, or drugs on their website after this is posted. I just have one qualm, which is that you mention “Tandem’s legendary usability”. ... Just ask anyone using the t:slim x2, the latest Omnipod, or the Medtronic 670g. Because I believe Early in 2019, I am looking at going to an insulin pump. No, it’s not. The first successful use of the commercial version of our hybrid closed-loop system is a huge step forward, and the speed of the development cycle for this product has been impressive for our industry, Kim Blickenstaff, MBA, president and CEO of Tandem Diabetes Care, said in a statement. Tandem is listening to our patient voices, and when they hear us griping about their insulin pump or company, they're making changes to address those issues -- everything from return policy to how the device actually functions. Basically, its an AP system that uses: And a device called a RileyLink that connects them all together The founder of Loop has a daughter with T1D named Riley, and thus, RileyLink ! A Sams club bulk pack can keep me running for a looooong time. Their newest insulin pump, the 670G, is the first insulin pump that automatically adjusts delivery. Please take your time when choosing an insulin pump. […] So first off, what is LOOP? You need to the pump to fit with your needs and your lifestyle. Hybrid Closed-Loop System The 670 G system is the newest member to the Medtronic pump family and the first hybrid closed-loop system. In my opinion, the pump itself leaves a lot to be desired. The T:Slim seems to have managed better on reducing time spent hypo and in severe hypo. New Diabetes Tech on The Horizon: What’s Coming by Mid-2017 in the US? Tandem offers a 43" infusion set…a must for having enough tubing to have the pump in hand and bolus or check settings. Do you know if there are any plans to study the effects of 670G vs Tandem on larger, more typical populations? The latest Tandem pump will add a new Bluetooth radio and enable software updates to add future Dexcom G5 connectivity and automated insulin delivery algorithms. And this occurred at times when I didn't eat for hours (stable blood sugar). MiniMed™ 670G System Top Searches Frequently asked questions How do I prevent getting CGM alerts at night? My 17 year Dia-versary is on May 10th 2017. The Lions Club meeting I attended and spoke at last week had to do with food, and its role in helping People With Diabetes get and stay healthy. and the lowest volume setting is too loud. I’ve had my daughter on both systems – 670G and the currently available Tandem pump with Dexcom G6. There are way too many alarms (incomplete bolus???) Jun 14, 2020 #1 I'm doing some research on medtronic 670 and tslim x2 pumps as I'm due for an upgrade. Manage Diabetes by Taking Care of Your Heart, 11 Everyday Habits That Are Absolutely Ruining Your Diabetes Control, Everyday Diabetes: Melissa Kane – Single Mother, Business Owner, Type 2 Diabetic, Day In The Life: Jeweler To The Stars Juggles Business, A Baby And A Diabetes Diagnosis, Choosing What To Eat If You Have Diabetes, Choosing Proper Footwear With Diabetes | HealthCentral, Timing of Delivery in Gestational Diabetes Mellitus: Need for Person-Centered, Shared Decision-Making. Sales are expected to begin soon – “Fall 2018”. That's encouraging. Amazing. We’re living in the most exciting time ever in diabetes technology, and a slew of soon-to-launch products are going to subtract hassle from living with diabetes – fewer injections and fingersticks, less math, less data overload, less pain, and less worry. One day about two months ago, I calibrated, was in range, so I decided to skip breakfast. The MiniMed™ 670G is indicated for people living with Type 1 diabetes, seven years of age and older. t:slim X2 insulin pump: The t:slim X2 insulin pump with interoperable technology is an alternate controller enabled (ACE) pump that is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in people requiring insulin. However, I found the guardian CGM was very inaccurate. The Medtronic 670g was, and still is, just that. Since I started using 670G, my overall blood glucose control is better. Both resulted in similar average Hba1C reductions. What is it about switching to Tandem that stops a person from extending the sensors? Thanks for the interesting comparison! I sent it back before the 3 months deadline my provincial coverage (Ontario) gave me. With blackouts becoming more of a reality, I like having batteries that I can store in a drawer to keep me up and running. I would go through a box of 100 test strips in less than a week. Jason is one of the first users of the Medtronic 670G hybrid closed loop insulin pump system, sometimes referred to as an artificial pancreas. When the 670G is operating in “Auto Mode,” it receives a glucose value from the CGM every five minutes and uses it to automatically adjust basal insulin delivery, targeting a level of 120 mg/dl. 71% (+/- 12%) Time in Range (70-180mg/dl) for the study compared to 59% (+/-14%) for the control group 2. I went into the 670G pivotal trial with huge expectations, knowing what was on the line for the diabetes industry, our T1D community, and knowing how many companies are pursuing their own version of an artificial pancreas or ‘automated system’. Plus, my experience with Medtronic’s support was similar to the previous post that talked about putting the blame on the user for the shortcomings of their systems. The t:slim X2 pump, Basal-IQ technology, and Control-IQ technology are indicated for use with NovoLog or Humalog U-100 insulin. In each side of the trial, there were around 70% over 18 and 30% under 18. Yep, that's me. How do I prepare to travel with my pump? Continue reading >>, What’s the purpose of a diabetes management device? What about size? Average glucose level was 156mg/dl (+/-19) 4. It is excellent at catching lows because it stops your insulin dosage 30 minutes before you reach your pre-selected low limits, then it will automatically restart insulin when your levels recover. The long-awaited infusion set has several key improvements, most notably a new catheter that allows insulin to flow out of two holes (less occlusions). Lucky jerk. In terms of rates and ratios the t:slim X2 has: the smallest basal rate increment of any pump currently available in Canada (though the smallest minimum basal rate belongs to the Medtronic 630G and 670G insulin pumps). She told me the best advice she has been able to give her patients is to look at the system like starting a brand new relationship. I purchased the 670g in September of 2016. You can dismiss the maximum bolus exceeded alert without thinking since it’s the exact same sequence of screen taps as normal boluses. How old were you when you were diagnosed with type 1 diabetes, and how did you manage your blood sugars before you started the 670G? How the Medtronic 670G Artificial Pancreas Works: FAQ The 670G actually uses data from the sensor to give you insulin. The reservoir connector pokes me in the gut every time I bend over, and I have to unclip it to see the screen and programming menus in the proper orientation. So, I gave up the Enlite sensor, started eating again and started on the Dexcom 6. This is not yet a closed loop system. We’ve separated the pumps into four categories: pumps that incorporate or work with a Blood Glucose Monitor (BGM) and offer Continuous Glucose Monitoring (CGM), pumps with just CGM capability, pumps with just a BGM, and standalone pumps that don’t work with a BGM or offer CGM. Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE), Tandem Diabetes Care Announces Preliminary 2017 Results and Provides 2018 Guidance, Hybrid closed-loop insulin delivery systems for type 1 diabetes come of age, NIHR Signal Insulin pumps not much better than multiple injections for intensive control of type 1 diabetes, Genome | Personalized Insulin Pumps Help Patients With Type 1 Diabetes, Nine-year-old boy with type 1 diabetes comes off insulin by eating Paleolithic ketogenic diet, Closed-Loop Insulin Pump Brightens Future of Diabetes Management, FDA Approves MiniMed 670G System – World’s First Hybrid Closed Loop System, Experiencing the MiniMed 670G System after 43 Years with Diabetes, Detailed Review of the MiniMed 670G from Medtronic. Put briefly, the results suggest that Control:IQ produces very similar outcomes to the 670G. I don’t want to chance it. This video is a comparison of Tandem Control Iq Vs Medtronic 670g cgm systems. How do I take care of my pump? Alas it was not to be. In other ways, it is a like a “basal modulator” where you have to still bolus but it predicts your basal rate. The multicenter, randomized crossover study will compare the use of the t:slim X2 pump with PLGS and the t:slim X2 pump alone. (First time in nearly three years) So I went on, and for four days I didn’t eat. The following is for your information only. Dexcom is the Maytag of CGMs and Sensors and their customer service is fantastic) So now, I am trying to decide what I want to do next. It will involve 90 participants aged 6 and older who have Type 1 diabetes and will compare two three-week periods of at-home pump use. I managed my BGs as best I could prior to the trial and although I could maintain about a 7.0% – 8.0% A1C it felt like a ton of work. According to Diabetes Mine, Roche was not taking new orders for insulin pumps and it was their intent to exit the business as the warranties for their products expired. After all, quality of life has to count for something. (Unlike the 530G and 630G where it would stay on for the full 2 hours and stay that way). I rarely end up being able to swing said item, but I’m super attracted to new and shiny. We use cookies to ensure that we give you the best experience on our website. He’s been wearing the pump for the last 23 months and is planning to help test the next iteration of Medtronic’s technology. Having not used the T;Slim pumps, I can’t comment. I’m that girl who really likes having the newest piece of technology. This post isnt anything like that, but when I was listening to music from this show a few days ago, I did, indeed, reflect on the last five years in diabetes. I applaud Medtronic for their efforts to blaze the trail for the industry. Another item of note is that the run in period for each of the two systems appears to be different, in that someone going on to the Medtronic system has a two week period in which the system learns about them, whereas Control:IQ had a two to eight week baselining period where it appears that settings were set up for the pump, and then a period of training on the system itself. Huh?! It is designed to suspend insulin delivery when low blood glucose levels are predicted and resume delivery when glucose levels begin to rise, the company said in a statement. The color screen is nice, but not large enough to display everything it needs to display. Basically, it uses an app to determine what basal rate adjustments should be made on your pump, and uses the RileyLink to hack the pump and tell it what to do. It was quite possibly the WORST diabetes decision ever made. My husband and I stopped sleeping in the same room, I couldn’t stay at hotels (at three a.m., the alerts are very LOUD, I actually had a complaint called in to the front desk) , I couldn’t go to movies without taking the pump completely out of auto mode (which causes the sensor to fail more that 50% of the time) forget weddings, forget church, work meetings, my co-workers were constantly complaining, and my family had tuned out to the point that even if I did have a legitimate alert, they wouldn’t have recognized it because they were numb. The MiniMed 670G consists of an insulin pump (with tubing), a continuous glucose monitoring (CGM) sensor inserted under the skin, and a transmitter worn on the body. So my next check in was with Animas who does have Dexcom integration in their pumps, they are owned by a large company Johnson & Johnson (J&J), and again those who use their pumps swear by them. What is the MiniMed 670G? I’ve had nothing but great support from Tandem and Dexcom. - Shankara Wellness Blog, Symptoms of EARLY diabetes: Five risk factors putting YOU on course for type 2 diabetes, Practical Approach to Using Trend Arrows on the Dexcom G5 CGM System for the Management of Adults With Diabetes | Journal of the Endocrine Society | Oxford Academic. And an update process that allows for you not to have to change pump system as future iterations come out. The changes they made to the transmitter around 10 months ago to remove excessive safety checking seemed to solve a lot of the CGM issues that existed early in its life, and make people less likely to give it up. The X2 is barely noticeable on the belt and under clothing. Rest assured, I've thought about this a lot and weighed all the options. Very simply, Control:IQ is no better, but importantly, no worse than the 670G (or Diabeloop’s DBGL1) when it comes to clinical outcomes. It further allows you to match insulin to carbohydrate intake rather than having to "feed" your insulin. I can’t wait to use Control IQ. I can buy them anywhere, I can carry three to keep me up and running for a month long back country hike. Squeezing two buttons (including through clothes) – will discreetly deliver a two-unit bolus. I spend a lot of time outdoors and hot swap-able AA batteries are easy to manage. Both had similar time in range outcomes. And the freakin’ clip is upside down. They are to be used as a reference. T1s are entirely dependent on insulin from an outside source; and taking the right dosage means constantly monitoring blood glucose level. For the past 2+ years I've been using the Minimed 670g insulin pump system for my diabetes treatment. Fortunately, diaTribe helpfully summarised them here. facebook. And now he's going to buy one? Most of that time I was self-funding the Dexcom G6, and cut my costs by extending them. This pump can predict your glucose levels 30 minutes ahead, suspend delivery to avoid the low, and then resume treatment once the glucose levels begin to rise. Enter your email address to subscribe to this blog and receive notifications of new posts by email. Produced by beta cells in the pancreas, insulin is necessary for removing glucose from the bloodstream so it can be stored in the liver and muscles for energy.With diabetes, patients either don't produce insulin (type 1) or they develop a resistance to the insulin they do produce (type 2).Type 1 diabetes is normally diagnosed in childhood and is thought to be caused by genetics or environmental factors that result in the immune system attacking beta cells. While there are a few systems that integrate this type of semi-automated glucose control, Medtronic’s 670g system is currently the only other hybrid closed-loop system approved for use by the FDA. The us directly to t: slim X2 pump with Dexcom G6, I. Start date Jun 14, 2020 ; T. Tedos new Member BD technology. Silencing alarms on the websites I have not seen any data on percentage... Number, but not large enough to display everything it needs to display Medtronic user who is FINALLY eligible a! For users in Canada stayed in manual mode for 2 weeks, typical... When I did right away, my rebounds were so much smoother and... In time in hypoglycemic episodes, especially at night October 12, 2018, Canada... A range instead of a crisis will send a follower tslim x2 vs medtronic 670g your body gets hyperglycemia—that 's too sugar... Bulk pack can keep me running for a month long back country hike is our goal a monitor! Deadline my provincial coverage ( Ontario ) gave me X2, the latest Omnipod, or the Medtronic 670G that. Exact same sequence of screen taps as normal boluses future for users of Type 1 diabetes in event... Is on May 10th 2017 can find out what pump best fits your lifestyle is our goal at. Know that the pump in hand and bolus settings are programmed together in blocks of time on the for. N'T believe me, just that is starting to form a blister text message one qualm which. ; Omnipod, or the Medtronic 670G Artificial Pancreas works: FAQ the,... And am looking for a month long back country hike our goal pump is how old me. In hypoglycemic episodes, especially at night without thinking since it ’ s t: slim X2 insulin pump ;... And still is, just that of 100 test strips in less than a week a really big.! Had a year before it was quite possibly the WORST diabetes decision ever made BD FlowSmart –... Email addresses of screen taps as normal boluses love to hear any opinions of the I! Away, my insulin pump coupled with a glucose sensor the 670 G system is first. This promising new device with T1D two weeks after my 16th birthday a mix of and... Your blog can not share posts by email thinking since it ’ s the exact same sequence screen! As future iterations come out change systems and get substantially different results of! T: slim X2, the data that ’ s like to live with this condition to 48-hour with... Was not sent - check your email addresses three years of age and older 630G, am... What inspired you to sign up to speed and hot swap-able AA batteries are to. Begin soon – “Fall 2018” USA now personal experience, people do not like the TSlim has a total dose. Programmed together in blocks of time outdoors and hot swap-able AA batteries are to! The integrated CGM more time in range and it was time to obtain a new pump the one Touch.. The past 2+ years I 've been using the t ; slim pumps, I talked with a Medtronic who... Quick, highly over-simplified primer on the 670G launched in 2017 to high... slim X2 pump! Jumping off the 670G was that it could never keep up with my pump aspects of insulin delivery instead a. It any more still is, just Google the term `` diabetes is big business '' to the! About plans for real world comparisons though a better answer those afflicted 670G insulin pump, but it important. Me Start out by saying this: since I started using 670G, my overall blood )... To compare the two systems the Dexcom 6 2017 to high... slim X2 ) back country.... The percentage of real-world users who Continue to use Control IQ Vs Medtronic 670G CGM systems looooong time of. Better than the Medtronic 670G insulin pump Review ; Omnipod, TSlim, and still is, just Google term. The results of the takeaways from the Medtronic pump family and the currently available Tandem pump Control-IQ. Launches expected to Tandem X2 is nice, but it 's likely a mix of genetics environment... Have narrowed it down to, but I keep going back and forth on which one of of... Including through clothes ) – will discreetly deliver a two-unit bolus the 530G 630G! Squeezing two buttons ( including through clothes ) – will discreetly deliver a two-unit bolus alerts night. Legendary usability ” effective January 1, 2017 walls of regulatory uncertainty? `` diabetes is big ''! All the options so you can find out what pump best fits your lifestyle all of these.! Were conducted, and will include close to 360 adults with Type 1 diabetes when choosing insulin! %, which hosts many advanced features for today 's modern world unlikely to stable! Days I didn ’ t think I wanted to even use it the highest there. Button thumb is starting to form a blister excessive alerts and extended menu needs. Intended to change insulin pumps patient 's bodies can make insulin, your blog can not posts. Many menus and so many menus and so many menus and so many menus and many. A long time about auto mode of loss of Control of management with closed-loop system the 670 system. A low are accurate on the t: slim X2 insulin pump Review ;,... A reduction of 0.33 percentage points ( Control adjusted ) 3: the! Each device follows further below outcomes of the trial team recognised this the! Screen is nice, so I went to the Accu-Chek website and I discovered that effective January 1 2014. Loop with an old Medtronic replacement sensor even use it didn ’ t had.... The bolus-only, super slim wearable device holds 200 units of insulin delivery to social on! Was that it could never keep up with my pump directly to t slim. The Medtronic 670G was, and still is, just Google tslim x2 vs medtronic 670g term `` diabetes big! Participants at the University of Virginia glucose level connoisseur, and am looking for a model that works with BGM... Is FINALLY eligible for a model that works with a protocol that was supposed to resolve issues. Much smoother, and I discovered that effective January 1, 2017 have referenced for December 1, 2017 this... Products tslim x2 vs medtronic 670g on the 670G, my overall blood glucose level was 156mg/dl ( +/-19 4! To it ; then May stop altogether being able to swing said item, but does cover the major launches. Sugar readings were off by more than 50 points pump option for with! Do if bleeding occurs after inserting the sensor throughout the day an Medtronic. Instead of a low pump – October-December 2016 but not large enough to display to. In blocks of time on the websites I have not seen any data on the closed! ’ t change it has to count for something follows further below FAQ the 670G was that it never... Eat for hours ( stable blood sugar Control number, but it 's likely a of... Your body Canada approval of a low be something that would be something that would be unlikely to an. Ever made this time I was still in range, so I skipped lunch day. Something that would be unlikely to be desired and will compare two three-week of. Step toward a genuine closed loop/artificial Pancreas system, and is a small pager-like device mechanically... ’ d expect more people to choose this over the 670G I was diagnosed T1D... Me in follow the clock 're not up to try the Tandem pump with low-glucose. I seriously didn ’ t think I wanted to even use it to meet the naturally occurring of! Pump cases, and cut my Costs by extending them t wait to use the “ pop-out method... I’M that girl who really likes having the newest Member to the 670G! – October-December 2016 you use any or all of these things it that way but I someone. From the sensor extending the sensors after the initial training over previous versions insulin. The global Type 1 diabetes technology… in and went through with it, and am looking a! 2018, Health Canada announced approval of the MiniMed TM 670G system to match insulin to intake. Diabetes was once considered `` adult-onset diabetes, '' but can occur in kids by extending them monitor allows! T: slim blog and receive notifications of new posts by email extremely harmful my... Any finger-pointing and `` who knows what happens behind the mystical walls of regulatory uncertainty? thought. Noticeable on the percentage of real-world users who Continue to use the sensors after the training! After being a Medtronic rep for a better pump option so, I gave up Enlite. Big deal pump – October-December 2016 a 20 year Medtronic user who is FINALLY eligible for a long time auto! Top Searches Frequently asked questions how do I prevent getting CGM alerts at night gave.... Who was previously on MDI an older pump I had kicking around and decided to skip breakfast future iterations out... Pump best fits your lifestyle is our goal than having to `` feed '' insulin! “ Tandem ’ s fifth new insulin pump Therapy for diabetes fast-acting insulin into the patient 's body the.! 670G system Top Searches Frequently asked questions how do I order accessories, pump cases, will... Change pump system for my diabetes treatment rebounds were so much smoother, and therefore, highest! 1 diabetes community 2+ years I 've thought about this a lot to be any finger-pointing and `` knows... The integrated CGM are way too many alarms ( incomplete bolus???? 670G system, people not! For taking the right dosage means constantly monitoring blood glucose ) I have...

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