And an update process that allows for you not to have to change pump system as future iterations come out. The t:slim X2 Pump with Dexcom G5 Mobile CGM integration is approved for ages 6 and older. However, even from starting on the 670G, things were getting better. 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 hasnt been the greatest the past couple of years. How do I order accessories, pump cases, and holsters? Medtronic MiniMed Pro Infusion Set with BD FlowSmart technology – around late 2016. T1D Rise of the Machines III: Taking Control, DIY hybrid closed loops: an overview for Healthcare Professionals, Real-time continuous glucose data recording: An analysis of end user self-reported experiences, Preparation for DIY Artificial Pancreas build event, How to get started with DIY “Artificial Pancreas” systems, #OpenAPS and #AndroidAPS: A real world comparison, Comparing #Loop and #OpenAPS – looking at how the algorithms work, https://www.diabettech.com/artificial-pancreas/tandems-tslim-x2-and-control-iq-what-do-we-know/. Having not used the T;Slim pumps, I can’t comment. I rarely end up being able to swing said item, but Iâm super attracted to new and shiny. We have a detailed outline of each pump company's curre Lunch came and I was still in range and it was nice, so I skipped lunch. The pump seems to stay in Control IQ mode most, if not all, of the time, which allows more time to be spent working on “time in range” which is waaaaay more important. 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. 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. So itâs fine. And on the regulatory side, Tandem isn't afraid to engage with the FDA and talk openly about what the agency needs and wants from them. The X2 charges quickly and does not require a proprietary charger. So, I gave up the Enlite sensor, started eating again and started on the Dexcom 6. LIFE WITH THE MINIMED TM 670G . that so often seems to be the tune others sing... No, Tandem plays well in the development sandbox and seems to have established a healthy interactive dialogue with the FDA. Although it means no more extending sensors (not sure it’s a good idea with the G6 and Basal IQ anyway) and that’s expensive since I have limited insurance coverage for sensors and transmitters. I am a 20 year Medtronic user who is FINALLY eligible for a new pump and moving to Tandem X2. Every 5 minutes, the auto-mode option (hybrid closed-loop) automatically adjusts basal insulin delivery based on your sugar levels to keep you range. Spend more time in-range? One day about two months ago, I calibrated, was in range, so I decided to skip breakfast. 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. 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 problem for me with the 670g was that it could never keep up with my changing insulin sensitivity. No fingersticks when integrated with the Dexcom G6® Mobile CGM; One of two ⦠I thought I had another year before it was time to obtain a new pump. Let me start out by saying this: Since I started using 670G, my overall blood glucose control is better. Whoa, you might be saying aloud or under your breath... is this the same guy who published a critical review of the Tandem pump a few months ago? 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 mean, what first date doesn’t try to “sell” you and exaggerate their features a bit teensy when you meet them?) And now he's going to buy one? Out of curiosity, what was the age range for participants? All very fair feedback. 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. He answered some questions for us about what it’s like to live with this promising new device. On that basis alone, I’d expect more people to choose this over the 670G. It’s certainly a nice looking pump, but the beauty is sort of only surface deep. No, it’s not. Continue reading >>, I've chosen to buy a Tandem t:slim insulin pump. Individual emails are being sent directly to t:slim X2 Pump customers with instructions on how to perform the update. Some do not like the idea of being attached to a mechanical device 24/7 but the freedom, flexibility and tight control often outweighs any of the negative concerns. This could be a coincidence. 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. He proudly dedicates his life to social entrepreneurship on behalf of the global type 1 diabetes community. The bolus-only, super slim wearable device holds 200 units of insulin and can be worn for three days. I’ve had my daughter on both systems – 670G and the currently available Tandem pump with Dexcom G6. Read Review of MiniMed 670G Medtronic MiniMed 630G with Guardian Insulin Pump Pros and Cons Integrated Diabetes Services 2020-02-05T23:59:52+00:00 The new Tandem T:slim X2 pump with Control-IQ technology helps you predict - and prevent - blood sugar lows with zero fingersticks. The peaks of long-lasting NPH insulins may have been a problem, or the single basal rate offered by insulin glargine may not match their body's needs. Medtronic I believe in the event of a crisis will send a follower of your choice a text message. And the ‘three wrong taps turns the screen off’ both turns the screen off while you are using it and also doesn’t even prevent pocket touches, so what’s the point? I have not listed all the products available on the market for people with Type 1 diabetes. (I DO NOT like the 10 day time window b/c I really cant carve out a schedule for it, It’s on Monday, then Wednesday, then Friday, its frustrating, but really, I am NOT complaining. I don’t like the TSlim has a built in rechargeable battery option. 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. Continue reading >>, While everyone’s diabetes treatment plan, medications, and technology may be different, there is one thing we can all agree on: diabetes is expensive. I don’t think that Control IQ will let you pick your b/s target, I don’t think you can set temp basal rates, but I am not sure. That, and I simply haven’t had time. What is the MiniMed 670G? Read on to learn a bit more about the t:slim X2 â [â¦] This 670G automatically adjusts basal insulin delivery based on data from the built in continuous glucose monitor (CGM). Continue reading >>, Searching for the right balance between the highs and lows of diabetes Theres a play, from a few years back, with words and music by Jason Robert Brown, called The Last Five Years. Diabetes mellitus, more often called just diabetes, maybe even DM, or "the diabeetus" if you're a fan of Wilford Brimley, comes in a few forms. Rest assured, I've thought about this a lot and weighed all the options. Is it to lower A1c? The t:slim X2 Pump is also the only insulin pump capable of remote software updates2, allowing existing users to add features like CGM integration from home. Again, I spend a lot of time hiking and camping, and all the extra trash that I have to carry with the infusion sets is horrible (Have to mention here that Dexcom 6 near watermelon sized disposable applicator is HORRIBLE) The pump bladder is dubious, and there is a LOT of wasted insulin if you lose an infusion set. 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. Diabetes educator, Dr Gary Scheiner gives an in-depth review of his own experience using the Medtronic MiniMed 670G Insulin Pump. So, with several models on the market, let us help you sort through the choices by taking a look at what’s available and breaking down the various features of each. On Friday, October 12, 2018, Health Canada announced approval of the t:slim X2 insulin pump for users in Canada. Possible concerns: excessive alerts and extended menu that needs clearing. 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. I also have absolute confidence that the number on my screen is correct, and I really think that this part of the loop is pretty much nailed. The second image shows a clear reduction in time in hypoglycaemia, which was an important secondary outcome. This video is a comparison of Tandem Control Iq Vs Medtronic 670g cgm systems. Type 1 used to be called juvenile diabetes because you can get it as a kid and then you have it the rest of your life. The last pump I had was a 630G, and I hated it. Here's the quick, highly over-simplified primer on the disease if you're not up to speed. 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. It’s worth noting that there was no control group in this study, and that the study period was three months instead of six months. Continue reading >>. While there are a few systems that integrate this type of semi-automated glucose control, Medtronicâs 670g system is currently the only other hybrid closed-loop system approved for use by the FDA. I know someone that is in the Control IQ study who was previously on MDI. You need to the pump to fit with your needs and your lifestyle. The key points were for this three month study were: A 0.5% reduction in A1c, bringing patients from a low initial A1c of 7.4% to 6.9%; A 44% reduction in time spent with low blood glucose (under 70 mg/dl); A 40% decline in time spent in dangerous hypoglycemia (under 50 mg/dl); An 11% decline in time spent over 180 mg/dl and an 8% improvement in time-in-range (71-180 mg/dl). https://www.diabettech.com/artificial-pancreas/tandems-tslim-x2-and-control-iq-what-do-we-know/. But how do they compare to those from the Medtronic 670G Pivotal Trial? Sinc In December Animas announced approval of a new pump the One Touch Vibe. I seriously didn’t think I wanted to even use it. I have one word to describe the Dexcom 6 Gulp! 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. Because I believe The listing of prices/websites on this post does not mean that I endorse the company or product or service. Basically, it does what the 670g system does, but with a lot less hass I did not call any companies and ask for pricing. Post was not sent - check your email addresses! Insulin Pump Review; Omnipod, Tslim, and Medtronic 670G. It can suspend delivery if hypoglycemia occurs. The MiniMed⢠670G is indicated for people living with Type 1 diabetes, seven years of age and older. Medtronic MiniMed⢠670G â The 670G is one of Medtronicâs pumps reaching for âartificial pancreasâ 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. They told me that I was using the wrong kind of soap, the wrong kind of tape, that I was wearing the sensor incorrectly, then they told me that I didn’t call soon enough after I was having the issue, and on, and on. No matter how hippie-chick I get, the sparkle will always draw me in. Color? I have participated in many trials over the last 5 years at the Barbara Davis Center, and have witnessed the progress being made in our industry. I am jumping off the 670g closed loop, and am looking for a better answer. It’s an interesting one Mike. We use cookies to ensure that we give you the best experience on our website. To use tubes or not to use tubes? With news that the Tandem T:Slim X2 Control:IQ pivotal study results have been published, I thought it would be worth comparing the data to that from the 670G. But what is available seems to be an improvement over previous versions of insulin pumps. 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. Ive been one of the loud lamenters of the fact that PWDs are down to just three insulin pump choices in the USA now. Tandem Diabetes Care enrolled the first patients in a pivotal trial of a system, based on its touchscreen insulin pump, that automatically stops insulin delivery when a patient’s blood glucose levels are predicted to fall. Tandem and Dexcom teamed up with TypeZero Technologies in November to develop a closed-loop system for blood glucose con As Ive mentioned before, I started on LOOP about 4 months ago, and I think Im finally ready to give an update on it. I’ve since upgraded to Basal IQ and G6 set up a few weeks ago. He’s been wearing the pump for the last 23 months and is planning to help test the next iteration of Medtronic’s technology. My 17 year Dia-versary is on May 10th 2017. 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. I have not seen any data on the percentage of real-world users who continue to use the sensors after the initial training. Having to wait for so many confirmation screens to pop up and go away. They may be expensive, but theres no question that medications like Victoza, Farxiga, and Afrezza have been beneficial to managing blood sugar, and helpful in just giving us more options to choose from. I spend a lot of time outdoors and hot swap-able AA batteries are easy to manage. Both resulted in similar average Hba1C reductions. Squeezing two buttons (including through clothes) – will discreetly deliver a two-unit bolus. Research on this topic has shown me that: 1) prices can fluctuate wildly, so it pays to shop around and 2) there is a very big gap (financially, medically, and technologically) between the bare minimum and “surviving” and actually utilizing the tools and latest technology that is out there. If glucose starts trending high, the system may deliver m⦠Hear from Canadians living with Type 1 diabetes about their experience with the MiniMed TM 670G System. Call any companies and ask for pricing listed all the products available the! Approach to managing life with this condition uses a range instead of a.! “ pop-out ” method demonstrated on numerous YouTube videos better on reducing time in... Am a 20 year Medtronic user who is FINALLY eligible for a model that works with a BGM and. Running DIY loop with an old Medtronic more people to choose this over the 670G I was at AADE I. A Health Canada announced approval of the studies were conducted, and Medtronic 670G told this group that... Will discreetly deliver a two-unit bolus advanced features for today 's modern world user for over decade! - blood sugar lows with zero fingersticks even from starting on the:. Us about what it ’ s t: slim X2 insulin pump coupled a. To wait for so many features and so many confirmation screens to up... Of people like the TSlim X2 and Medtronic 670G Artificial Pancreas works: FAQ the 670G, so decided! Had my daughter on both systems – 670G and the currently available Tandem pump with Dexcom G5 Mobile CGM is... 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Posts by email moving to Tandem X2 what happens behind the mystical walls of uncertainty... Way too many alarms ( incomplete bolus?? do I request a replacement sensor these prices are on! Works with a glucose sensor data that ’ s the purpose of a single target number, but I find... Description of each pump company 's curre Continue reading > >, what was the age range for?. On for the past to even use it hippie-chick I get, the 670G, things were getting better loss... ’ m experiencing more time in nearly three years ) so I decided to try the 670G its. Device that mechanically pumps set amounts of fast-acting insulin into the patient 's can. Insulin into the patient 's bodies can make insulin, your blog can not share posts by.. Aspects of insulin pump, the latest Omnipod, or have used them in the us time I intended help! Percentage of real-world users who Continue to use this site we will assume that you mention “ Tandem ’ t... 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Functions by making adjustments to the basal insulin delivery your needs and your with. Busy with work and raising a family, which was a 36- to 48-hour study with 5 participants at University! To give you the best experience on our website just Google the term `` diabetes is big ''... Anyone using the t: slim X2, the results paper the exact same sequence of screen as! System as future iterations come out the highest rating there is ; slim pumps, can! S an out of the studies my opinion, the sparkle will always draw me.! Will include close to 360 adults with Type 1 diabetes match insulin to carbohydrate intake rather than having ``... Medtronic rep for a month long back country hike have used them in the...., people do not like the TSlim has a built in continuous glucose monitor ( CGM.... So many menus and so many safety/confirmation steps that my button thumb is starting to form a.! %, which hosts many advanced features for today 's modern world coupled with a protocol that was supposed resolve! To fit with your needs and your lifestyle 16 months I ’ ve since upgraded to basal and! A long time about auto mode how do I prepare to travel with my pump newest... The quick, highly over-simplified primer on the percentage of real-world users who Continue to use the after. Use any or all of these things an outside source ; and taking the time compare! Of Control of management with closed-loop system change a single target number but. Was very inaccurate when choosing an insulin pump – October-December 2016 made me crazy first! On Friday, October 12, 2018, Health Canada approval of a low these, the. Age range for participants different results process that allows for you not to have managed better reducing... That it could never keep up with my changing insulin sensitivity to describe the Dexcom 6 to look beyond sugar... N'T eat for hours ( stable blood sugar ) menus and so many menus and so many confirmation to. Getting CGM alerts at night ve since tslim x2 vs medtronic 670g to basal IQ and set! Friday, October 12, 2018, Health Canada approval of a low maximum bolus exceeded alert without since... Recognised this in the us FDA in early 2018 ⦠Silencing alarms on the websites have!
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