I donât like the TSlim has a built in rechargeable battery option. I started using the T:slim X2 late last year after being a Medtronic user for over a decade. I donât 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. Iâve had my daughter on both systems – 670G and the currently available Tandem pump with Dexcom G6. (I DO NOT like the 10 day time window b/c I really cant carve out a schedule for it, Itâs on Monday, then Wednesday, then Friday, its frustrating, but really, I am NOT complaining. Tandem Control-IQ. They are seeing much better time in range than with the 670G. Diabetes educator, Dr Gary Scheiner gives an in-depth review of his own experience using the Medtronic MiniMed 670G Insulin Pump. I can’t wait to use Control IQ. OK more words- I sent it back before the 3 months deadline my provincial coverage (Ontario) gave me. Absolutely! ... Medtronicâs 670G Hybrid Closed Loop System: How to Customize Settings for the Best Performance. Plus, special guest appearance from Wilbur the diabetes support bunny. A potential future for users of type 1 diabetes technology…. Having to change a single I:C ratio for every change in basal rate throughout the day. In general though, the ratio of good to bad comments that I hear from users in the UK is about 5:1 (which is, of course, likely to be biased somewhere). . I used an older pump I had kicking around and decided to try the Tandem pump and Dexcom G5. Because the device is interoperable, as more insulin pumps are approved by the FDA for use in an interoperable closed-loop system, users will be able to build their own artificial pancreas systems by mixing and matching components. Your email address will not be published. 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 â looking at how the algorithms work, https://www.diabettech.com/artificial-pancreas/tandems-tslim-x2-and-control-iq-what-do-we-know/. Do you know if there are any plans to study the effects of 670G vs Tandem on larger, more typical populations? Insulet Omnipod Horizon. 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. 2 I would go through a box of 100 test strips in less than a week. 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). To compound some of the challenges, Medtronic took away certain tools that many consider essential to good self-management. Your email address will not be published. Thanks for the interesting comparison! I’m not sure about plans for real world comparisons though. Insulin Icodec – the once a week long acting insulin from Novo Nordisk, Comparing the Libre2 and Dexcom G6 as RT-CGM using #WeAreNotWaiting software, Patching LibreLink for Libre2 – clearing the FUD, 71% (+/- 12%) Time in Range (70-180mg/dl) for the study compared to 59% (+/-14%) for the control group, Average Hba1C after closed loop use was 7.06%, which was a reduction of 0.33 percentage points (control adjusted), Average glucose level was 156mg/dl (+/-19), The system was in use for 90% of the study period, Time-in-range (71-180 mg/dl) improved from 67% during the two-week run-in to 72% during the study, The system was in use for 87% of the study period. So, I gave up the Enlite sensor, started eating again and started on the Dexcom 6. The T:Slim seems to have managed better on reducing time spent hypo and in severe hypo. I am stilll looking for a better pump option. What you need to know if you have diabetes and want to get a tattoo, 10 Tips for Cruising with Type 1 Diabetes, Disability Tax Credit for people with diabetes. Control-IQ technology can deliver automatic correction boluses, a first for automated insulin delivery devices. All very fair feedback. Notify me of follow-up comments by email. Plus, I’m an actor and having a pump that’s smaller and lighter makes using it while working onstage or onset a lot easier. Medtronic 670G. I agree it is not best, but I find that with up front calibrations and occasional checks, they are usually very accurate for another 8-10 days. These cookies do not store any personal information. This is achieved by automatically controlling basal insulin delivery to regulate glucose levels to a target sensor glucose (SG) It was quite possibly the WORST diabetes decision ever made. Diabetes takes up a LOT of time, but the 670g and the insanely rude and malicious tech support at Medtronic took that to a level of abuse that I am not even coming close to describing. If it is going to be above 8.9 mmol (160 mg/dl) it will increase the basal rate, should it think blood sugars will be between 6.2-8.9 mmol (112.5-160 mg/dl) it will maintain the userâs default setting. Average glucose level was 156mg/dl (+/-19) 4. 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. There are way too many alarms (incomplete bolus???) What are Basal IQ⢠and Control IQ⢠technologies? Insulet Omnipod Horizon â expected in second half of 2020. The pump was constantly freaking out. It’s certainly a nice looking pump, but the beauty is sort of only surface deep. A Sams club bulk pack can keep me running for a looooong time. Time in Range is the percentage of time that people with type 1 diabetes spend in the optimal glycemic range between 3.9-10 mmol/L. 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. On a 5-point scale, with 5 representing the optimal score, study participants rated the Control-IQ system a 4.8 for desire to continue use of the system, 4.7 for ease of use, and 4.5 for trust. That is why I have not committed to another four years of closed loop, because I am not nearly as confident in the TSlim and I am hoping an even better pump will be available soon. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Tandemâs Control-IQ Cleared for Ages 6-13: Automated Insulin Delivery for Children! I’m experiencing more time in range and less time in hypoglycemic episodes, especially at night. I donât like TSlims infusion set options. Closed-Loop Pumps (Medtronic 670G, tandem control IQ) Also known as an artificial pancreas, closed-loop insulin pumps work completely automatically. Itâs the only pump available right now that auto-corrects high blood sugars. Diabetes Care Roche Diabetes Care Sanofi. Medtronic MiniMed 780G â expected mid-2020. To sum it up, I really feel like the last three years of my life have been extremely harmful to my health. To borrow Tandemâs wording, âThis new category of devices will make it easier for separate companies to integrate their products into advanced automated insulin delivery systems wi⦠I do not use either of the systems, but I know people who use them. My friend had been pretty resistant to insulin pumps, CGMs, and really ANY advanced diabetes technology, and somehow managed to get in on this trial (I know, some people, right) Watching my friend, Control IQ does not have ANY of the calibration error insanity that goes on with Medtronic. My blood sugar seemed to be stable and I didnât want to deal with it any more. The results seem to suggest that Control:IQ being dropped onto the underlying pump settings worked very effectively, however, given the population that was involved in the study; 70% of the patients were using a continuous glucose monitor and 79% were using an insulin pump at the time of enrollment; it’s likely that they were a) engaged and b) starting from a reasonably well set-up point.
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