They told me that I was calibrating at the wrong time, (I calibrated when the pump asked me to) They told me that I was calibrating too often (again, I was calibrating when the pump asked me to, because the pump (or at least “auto mode” doesn’t work when you don’t calibrate. 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. Average glucose level was 156mg/dl (+/-19) 4. Control-IQ Status Icons. It’s certainly a nice looking pump, but the beauty is sort of only surface deep. Jeremy’s been on Tandem’s Control-IQ for about two months, and he loves it! I did have a chance to wear the older Dexcom and the 670g CGM side by side when I first bought the 670g and found very little differences in their accuracy. So, I gave up the Enlite sensor, started eating again and started on the Dexcom 6. 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. You can dismiss the maximum bolus exceeded alert without thinking since it’s the exact same sequence of screen taps as normal boluses. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email this to a friend (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Skype (Opens in new window), Click to share on Reddit (Opens in new window). We'll assume you're ok with this, but you can opt-out if you wish. After a couple weeks of using the new Control-IQ feature by Tandem Diabetes Care that helps automate insulin dosing, I am very impressed. ... –670G –780G •Tandem T-slim X2 –Basal IQ –Control IQ ... MiniMed™ 670G System Details •Small insulin boluses every 5 minutes based on sensor glucose They respond to readings CGM device takes continuously through the glucose monitor. All very fair feedback. 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. If it thinks that glucose levels will drop below 6.2 mmol (112.5 mg/dl), it will decrease the amount of basal insulin. I can buy them anywhere, I can carry three to keep me up and running for a month long back country hike. what sensors does the minimed™ 670g … You have to dig back through the archives a bit to find data about the 670 trial as it’s been that long since the first APS came onto the market. 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. There are two commercial options right now; Medtronic 670G and Tandem’s Control-IQ. NO fingersticks. First up, a few of the takeaways from the 26-week study for Control:IQ were: 1. Sorry, your blog cannot share posts by email. MiniMed 670G System Support > Linking a Transmitter to Your Pump Linking a Transmitter to Your Pump Device: MiniMed™ 670G insulin pump (MMT-1780K) Before you can start using your sensor, you must first wirelessly connect your pump to your transmitter so they can begin communicating with each other. 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/. (First time in nearly three years) So I went on, and for four days I didn’t eat. Here’s his review of its new features, and how it compares to Loop and Medtronic’s 670G. Enter your email address to subscribe to this blog and receive notifications of new posts by email. Medtronic Diabetes Care NIDDK/NIH Novo Nordisk POPS! Tandem’s Control-IQ Cleared for Ages 6-13: Automated Insulin Delivery for Children! 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. These cookies will be stored in your browser only with your consent. This allows the sensor information to be displayed on the pump screen. Medtronic MiniMed 780G – expected mid-2020. One day about two months ago, I calibrated, was in range, so I decided to skip breakfast. LIFE WITH THE MINIMED TM 670G . I have not seen any data on the percentage of real-world users who continue to use the sensors after the initial training. My experience of using the T:slim X2 after using the Animas Vibe for many years is that, for experienced pumpers, the usability factor of the T:slim is absolutely trash. And it promises tighter control, easier usability, and more customization than the current 670g automated system from Medtronic. Coverage Unlike Medtronic’s 670G and the DIY systems, Tandem’s Control IQ is covered by Medicare and most private health insurance plans. What is it about switching to Tandem that stops a person from extending the sensors? It was quite possibly the WORST diabetes decision ever made. To compound some of the challenges, Medtronic took away certain tools that many consider essential to good self-management. I purchased the 670g in September of 2016. Necessary cookies are absolutely essential for the website to function properly. 2 A nicer package in the T:Slim X2, Tandem’s legendary usability and CGM that doesn’t require calibration and constant attention. There are a few things that stand out. ... Tandem’s New Control-IQ … It’s the only pump available right now that auto-corrects high blood sugars. Medtronic MiniMed 670G – already available. Tandem expects to launch this summer automated correction boluses. But sadly, not a long term solution. More commercial AID systems. Your email address will not be published. This website uses cookies to improve your experience. NO FINGERSTICKS!!! 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? 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 sys… New Artificial Pancreas: FDA Authorizes Tandem Diabetes Care Control-IQ Technology. and the lowest volume setting is too loud. I also hated their CGM which made me crazy! Fortunately, diaTribe helpfully summarised them here. 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. Your email address will not be published. Four nights of blissful, uninterrupted sleep. Thanks for the interesting comparison! No, it’s not. So the results aren’t bad. 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. 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). Although Medtronic brought the first artificial pancreas to the market in 2016 (670G), the company's diabetes unit has lost U.S. share on growing competition in both the CGM and insulin pump sides of its business. Medtronic 670G. The Medtronic 670G works with the Guardian sensor to adjust basal insulin delivery. 71% (+/- 12%) Time in Range (70-180mg/dl) for the study compared to 59% (+/-14%) for the control group 2. Out of curiosity, what was the age range for participants? The t:slim X2 insulin pump with Control‑IQ technology is designed to help increase time in range (70-180 mg/dL) ‡ using Dexcom G6 CGM values to predict glucose levels 30 minutes ahead and adjust insulin delivery accordingly. I am a 20 year Medtronic user who is FINALLY eligible for a new pump and moving to Tandem X2. Notify me of follow-up comments by email. My blood sugar seemed to be stable and I didn’t want to deal with it any more. MiniMed 670G System Support > About Auto Mode About Auto Mode Device: MiniMed™ 670G insulin pump (MMT-1780K) Auto Mode is an insulin delivery feature designed to help people on intensive insulin therapy to achieve better control 24 hours a day. It was a life-changing decision. Copyright © 2021 | WordPress Theme by MH Themes. It really feels like the UI was what they were using for their working prototype and they never bothered to actually go in and find out how to make it more efficient and less prone to user mistakes. For the last 16 months I’ve been running DIY Loop with an old Medtronic. its Control-IQ system this summer with Dexcom’s G6, which could be the first hybrid closed loop to launch with automated correction boluses. Tandem Basal-IQ – already available. 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. Tandem Control-IQ. I’m experiencing more time in range and less time in hypoglycemic episodes, especially at night. 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 user’s default setting. Control-IQ technology can deliver automatic correction boluses, a first for automated insulin delivery devices. ... Medtronic's 670G … There are way too many alarms (incomplete bolus???) Both had similar time in range outcomes. The second image shows a clear reduction in time in hypoglycaemia, which was an important secondary outcome. I just have one qualm, which is that you mention “Tandem’s legendary usability”. We moved away from the 670G because the targets were preset and could not be manually changed so her a1c went up on the Medtronic system. 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. It would be something that would be unlikely to be funded by a manufacturer. How does Control-IQ and Basal IQ differ from the Medtronic 670G technology? Insulet Omnipod Horizon. They told me I couldn’t use alkaline batteries, that I should be using lithium batteries, then they told me I couldn’t use lithium batteries and that I should be using alkaline batteries, they told me I couldn’t use generic batteries, they told me that my 170 blood sugar was too high, they even told me that I was having problems because I am overweight (which by the way, I gained 15 pounds on the 670g – but to be fair, I was 15 pounds overweight when I started the study). I use the “pop-out” method demonstrated on numerous YouTube videos. Lunch came and I was still in range and it was nice, so I skipped lunch. No calibration errors, no alerts, just quiet and a 112-ish mg/dl flatline that was so pretty I decided not to eat dinner, and then, wow, I slept through the night. As far as CGM goes, this is IT. The Tandem and Medtronic systems both require users to manually input food boluses. Absolutely! (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. Average age was 33, which ranged from 14-71. I’m not sure about plans for real world comparisons though. if a reading is going to be above 10mmol (180 mg/dl) it will give a correction bolus. . They are seeing much better time in range than with the 670G. These cookies do not store any personal information. We had to choose between three pumps – the Medtronic 670g, Tandem t:slim x2, and OmniPod. In a pivotal research study, 168 participants using the Tandem Control-IQ system spent 2.6 more hours a day in the 70-180 mg/dL (3.9-10 mmol/L) target range and lowered their average A1c by 0.3% from 7.4% to 7.1% compared to a control group with the same pump and CGM but no automation. 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. This website uses cookies to improve your experience while you navigate through the website. We also use third-party cookies that help us analyze and understand how you use this website. 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.Â. I spend a lot of time outdoors and hot swap-able AA batteries are easy to manage. 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. What do the trials tell us? OK more words- I sent it back before the 3 months deadline my provincial coverage (Ontario) gave me. There’s three components that make up the necessary part of a closed loop; CGM, insulin pump, and the controller/algorithm. Having not used the T;Slim pumps, I can’t comment. Having to change a single I:C ratio for every change in basal rate throughout the day. Having to wait for so many confirmation screens to pop up and go away. I’ve had my daughter on both systems – 670G and the currently available Tandem pump with Dexcom G6. I don’t like TSlims infusion set options. Medtronic’s goal is for 780G users to have a time in range of more than 80%. Post was not sent - check your email addresses! 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. 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. We use cookies to ensure that we give you the best experience on our website. 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. Tying the Captain’s Hands. Who can administer insulin and glucagon in school? 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. Which Predictive Low Glucose Suspend is best? I’ve had nothing but great support from Tandem and Dexcom. ... FDA Recalls Medtronic Minimed 630G and 670G Insulin Pumps The FDA has issued a Class I recall, the most serious type of recall for Medtronic's Minimed 600 Pump Series. 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. This could be a coincidence. 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.Â. 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. Diabetes Care Roche Diabetes Care Sanofi. I don’t like the TSlim has a built in rechargeable battery option. The MiniMed™ 670G is indicated for people living with Type 1 diabetes, seven years of age and older. Closed-Loop Pumps (Medtronic 670G, tandem control IQ) Also known as an artificial pancreas, closed-loop insulin pumps work completely automatically. Frequently Asked Questions About Diabetes. A Sams club bulk pack can keep me running for a looooong time. A quick primer on these three options: Medtronic 670g – This pump has an “auto” mode where it reacts to both blood sugar highs and lows. 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. 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. Ultra-Rapid Lispro: What is it and why is it interesting? Both resulted in similar average Hba1C reductions. 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. https://www.diabettech.com/artificial-pancreas/tandems-tslim-x2-and-control-iq-what-do-we-know/. I know someone that is in the Control IQ study who was previously on MDI. High Usability Ratings From Patients. WATCH VIDEO I’ve since upgraded to Basal IQ and G6 set up a few weeks ago. This is achieved by automatically controlling basal insulin delivery to regulate glucose levels to a target sensor glucose (SG) Tidepool Loop – launch timing unclear. 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. Diabetes educator, Dr Gary Scheiner gives an in-depth review of his own experience using the Medtronic MiniMed 670G Insulin Pump. We have been eagerly awaiting the second FDA-approved system from Tandem that uses their X-2 pump with an upgrade to their new Control-IQ software that pairs with a Dexcom G6 CGM to feed into the control algorithm (the first FDA approved system was the Medtronic 670G.) In my personal experience, people do not like the 670G or its sensors.

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