Login required to started new threads

Login required to post replies

Insulin pump change
Quote | Reply
Looking for a new insulin pump. I have been on the Animas Vibe for around 8 years with the integrated CGM and haven't had any issues. Animas is leaving the market so I need to transition to a new brand. MiniMed is what is being recommended and I have an opportunity to switch over at a low to no cost. Does anybody have any experience with MiniMed? I have the option of going to the 630g or the 670g so any advice pertaining to either of those would be great.

Thanks in advance.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
happman23 wrote:
Looking for a new insulin pump. I have been on the Animas Vibe for around 8 years with the integrated CGM and haven't had any issues. Animas is leaving the market so I need to transition to a new brand. MiniMed is what is being recommended and I have an opportunity to switch over at a low to no cost. Does anybody have any experience with MiniMed? I have the option of going to the 630g or the 670g so any advice pertaining to either of those would be great.

Thanks in advance.

I’ve had the 670 for over a year and had the 630 before. I’m not sure if there's any good reason to go with the 630 over the 670. The main difference is the ability to use auto mode. Auto mode works, but requires a lot of user maintenance. I like to say '50% of the time it works every time'.

There are plenty of reasons go with omnipod or Tandem, but I ended up sticking with minimed bc of glucometer integration, sensor integration, customer service and the promise of auto mode.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
I have had the 670g for almost a year and I got it without getting the 630g. Basically they try to get you on the 630g before transitioning you to the 670g. The 670g has more features and to be honest there isn't any reason you would/should go with the 630g. The 670g has worked great for me and automode has worked pretty flawless. Here and there I have some problems with it but as long as you take your bg readings a few times a day it's not a problem at all. I did think about trying out omnipod but i have been with medtronic since I first got my insulin pump like 10-12 years ago and haven't had problems. In my opinion I think you will like automode and the stuff that you are able to do with the 670g. I haven't regretted it all.

Hope everything works for ya and good luck!
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
happman23 wrote:
Animas is leaving the market so I need to transition to a new brand.

This sucked because my daughter had an Animas Ping and as a parent, it was very convenient. I can't comment about the Minimed since they're only just being approved for use in Canada. All I can offer is that the Omnipod is not great, at all. We're using at least 50% more insulin vs. Animas and her numbers are awful. I'm looking forward to people's opinions on the MiniMed since I'm looking for a new choice.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
Get the 670. You get the closed loop auto mode and if u don't want the option u can shut off and run it like the 630.

David

H & A Racing
Quote Reply
Re: Insulin pump change [dbro1] [ In reply to ]
Quote | Reply
I am MDI and have nothing to add but wanted to say keep on rocking to fellow type 1 peeps
Quote Reply
Re: Insulin pump change [nicholasJ] [ In reply to ]
Quote | Reply
Me too! Curious how fellow MDI folk race long course with insulin. Am I the only one who has to have a gel mid swim? Coast on the bike to inject into the leg? Anyone feel like they just feed their face on the back half of the run because they can’t switcch off that basal?
Quote Reply
Re: Insulin pump change [IamSpartacus] [ In reply to ]
Quote | Reply
I’m MDI. Adrenaline is enough to keep my levels up in swim. On bike I just eat a gel every 40/45 minutes and go through a bottle of sports drink every hour. That’s in an Ironman or 70.3 though. Olympic distance and below I probably should just have sports drink and one gel in Olympic? I have real problems with going high in shorter races.
Quote Reply
Re: Insulin pump change [fulla] [ In reply to ]
Quote | Reply
Don’t you need to inject for a full bottle of sports drink and gel within an hour? I’d be high as a kite. Takes me a fair bit of effort early on to work those sugars down. Sometimes pay for it later too.

I am with you on short races. Sprints I don’t take anything and don’t check, I just race. Usually start high and finish around 8-10 maybe.

I am doing noosa in 5 weeks which is an non wettie swim 1.5k.... will need a gel mid way for that sucker, swimming destroys my blood sugar.
Sorry to the OP for thI side track
Quote Reply
Re: Insulin pump change [Durhamskier] [ In reply to ]
Quote | Reply
 
This sucked because my daughter had an Animas Ping and as a parent, it was very convenient. I can't comment about the Minimed since they're only just being approved for use in Canada. All I can offer is that the Omnipod is not great, at all. We're using at least 50% more insulin vs. Animas and her numbers are awful. I'm looking forward to people's opinions on the MiniMed since I'm looking for a new choice.[/quote]

Yeah, I feel the same way. I am interested to hear more about the Minimed and will likely give them a call today. On another note, I will likely have some supplies that I won't need. Let me know if you are interested. It would be nice for somebody to be able to use them.
Quote Reply
Re: Insulin pump change [Karl.n] [ In reply to ]
Quote | Reply
Karl.n wrote:
I’ve had the 670 for over a year and had the 630 before. I’m not sure if there's any good reason to go with the 630 over the 670. The main difference is the ability to use auto mode. Auto mode works, but requires a lot of user maintenance. I like to say '50% of the time it works every time'.

There are plenty of reasons go with omnipod or Tandem, but I ended up sticking with minimed bc of glucometer integration, sensor integration, customer service and the promise of auto mode.

Thank you this is very helpful. If you don't mind me asking do you now use the auto mode and what type of user maintenance? There is a price differential between the 2 models and while it isn't a ton of money, if there isn't any benefit I could go with the 630.
Quote Reply
Re: Insulin pump change [wei5209] [ In reply to ]
Quote | Reply
wei5209 wrote:
I have had the 670g for almost a year and I got it without getting the 630g. Basically they try to get you on the 630g before transitioning you to the 670g. The 670g has more features and to be honest there isn't any reason you would/should go with the 630g. The 670g has worked great for me and automode has worked pretty flawless. Here and there I have some problems with it but as long as you take your bg readings a few times a day it's not a problem at all. I did think about trying out omnipod but i have been with medtronic since I first got my insulin pump like 10-12 years ago and haven't had problems. In my opinion I think you will like automode and the stuff that you are able to do with the 670g. I haven't regretted it all.

Hope everything works for ya and good luck!

Thanks. I am talking to Minimed today and I am curious to what they will add (if anything) to the conversation. I will keep all posted.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
happman23 wrote:
Yeah, I feel the same way. I am interested to hear more about the Minimed and will likely give them a call today. On another note, I will likely have some supplies that I won't need. Let me know if you are interested. It would be nice for somebody to be able to use them.

Thanks for the offer! We stocked up before switching as we kept it as a backup. The omnipod is a great idea, but we have had nothing but issues with it and I don't think it's a great option for active kids unfortunately. Good luck with the Minimed! We'll be trying it shortly as well :)
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
happman23 wrote:

Thank you this is very helpful. If you don't mind me asking do you now use the auto mode and what type of user maintenance? There is a price differential between the 2 models and while it isn't a ton of money, if there isn't any benefit I could go with the 630.

IME, auto mode is only as reliable as the sensor and while the guardian is pretty good it requires 2-3 calibrations a day at steady times to stay accurate the full week.

Also worth noting, auto mode has a failsafe if no basal is delivered for 3 hrs. It doesn't happen often but I've been booted from auto mode during a long ride or run.

I'm not currently using auto mode but I want to have the option to start using again, should I choose.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
Well it has been a week on the new pump and I am not overly impressed. Delivery took a long time. Finally got all of the components a week ago. Here are some thoughts of mine and would welcome feedback.

The first week was a bit different as I was on a family vacation but here is what I noticed. Wow, does this pump require a lot of interaction. I think that I like the pump itself but not the CGM. Reasons below:

1. Not sure about the durability of CGM site. Went in the water once for less than an hour and CGM had to be replaced because it was falling out. Will be swimming Wednesday so will get a better feel for this. I am hoping it was just a bad site.
2. CGM start up is a pain. In fact the whole CGM is a pain. A big change (for the negative) from Dexcom is that at 12 hours the CGM stops recording until it has been calibrated with manual BS test. If that happens at 3 AM, oh well. This should be easy to change (test before bed every night) but what about long races. I am on the slow side so 12 hours won't get me through an IM (assuming it stays on) and the last couple of hours is when I would need to know what is happening. Also requires a calibration 6 hours after start up, so again, this will need to be planned for availability.
3. This pump seems to always be beeping or vibrating. Yesterday the entire pump reset at 1:00 AM for no apparent reason.
4. The clip broke after 3 days. Again, maybe just a bad clip, but there was no reason for it to break.

On the plus side:
1. Larger reservoir is nice.
2. Pump site seems to be solid, but will be swimming this week so will validate.
3. Auto stop as sugars go low is nice. This has helped me avoid low sugar instances and would likely be useful going forward.

I am planning on giving it another week and then reevaluating. I may be switching to a different pump if these issues don't improve. Please let me know if you have any thoughts on which pump/CGM systems might work better for athletes.

Thanks.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
I'll be curious to know how this goes long term for you as I could just never find the right pump to do the right things and keep up with me. These days I just use Dexcom G6 and carry my phone. Sure, a few times I've had race officials say something about carrying my phone for the app, but nothing serious. Swimming without numbers can be a challenge, but I just try to start high.
Quote Reply
Re: Insulin pump change [seeyouincourt] [ In reply to ]
Quote | Reply
I am hoping for the best, but it is frustrating. In a perfect world I would have a fully integrated pump and CGM that is waterproof and doesn't need constant supervision. I like what I have read about the Dexcom G6 and that would seem to be a good solution but the only pump that it is integrated with (the Tandem) isn't at all waterproof. Swimming for more than an hour without a basal insulin deliver (especially at night when I have practice) is a recipe for disaster.

The Omnipod sounds interesting but I have questions about how waterproof it is and it is not integrated with the Dexcom.

Maybe the integration isn't as important as I think?
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
I have nothing but trouble with Omnipod. Grifgrips really help it stay on though.

I've only recently switched to the G6 and was pretty skeptical. It has really surpised me. The G6 sensor sticks much better. It is a lot more accurate. The absence of finger sticks and manual calibrations is pretty amazing. I find myself manually checking because I still can't believe I haven't calibrated it all the time and yet it is always reading where it should be.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
Been on the 670 for about a year now. Other reviews posted in this thread are right on. If you're more curious start looking at the many Facebook groups that are the only source of end user support.

At this point I'd be looking hard at the Tandem/dexcom combo. Their closed loop is less than a year out and available via firmware update so you're future proofed. The auto suspend they have for now is well reviewed, and you can't beat dexcom as a cgm. Having used both, Medtronic's ok at this point, but Dex is and probably always will be far ahead.
Quote Reply
Re: Insulin pump change [JesseN] [ In reply to ]
Quote | Reply
Agree. One question, it does not appear that the Tandem is waterproof. How do you handle swimming?

I am actually now considering keeping the 670 but only for pump use and combining with the Dexcom for CGM. Unfortunately I would lose the integration which is not ideal. I swim quite a bit and I just don't know if I could deal with not having a pump on for the 75 to 90 minutes that I swim 2 to 3 times a week. I think that if the 670 wasn't being used as a CGM that most of the complaints would go away. Other than the clip which if I was only using for bolus wouldn't be as big of an issue.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
I don't swim myself, but managing 60-90 min exercise (i.e. trainer rides) with no pump is no problem. But that's just me, everyone is different. I'd be more worried about losing the pump in the water anyways. Also, the radio for the cgm doesn't transmit through water so you're kinda out of luck on that front anyways. They'll backfill data once they reconnect but you won't be getting automated dosing during that time.

The majority of complaints with the 670 stem from it being a first generation product, both from a design and regulatory perspective. Future systems will have the benefit of lessons learned going forward. If your insurance is like most, pumps are a once in 4 years decision so future proofing may be a good idea.

All that said, diabetes is more personal than saddles, bike fit, bar tape, or any number of other things :) Do your research and do what is right for you, not for the internet....
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
I have the Vibe too. I'm leaning towards the Tandem but am still weighing the pros and cons. The people I know who have it think it's great. I also have a Dexcom CGM so the integration is an added benefit. I don't swim with my pump now, so no concerns there.
Quote Reply
Re: Insulin pump change [happman23] [ In reply to ]
Quote | Reply
happman23 wrote:
Well it has been a week on the new pump and I am not overly impressed. Delivery took a long time. Finally got all of the components a week ago. Here are some thoughts of mine and would welcome feedback.

The first week was a bit different as I was on a family vacation but here is what I noticed. Wow, does this pump require a lot of interaction. I think that I like the pump itself but not the CGM. Reasons below:

1. Not sure about the durability of CGM site. Went in the water once for less than an hour and CGM had to be replaced because it was falling out. Will be swimming Wednesday so will get a better feel for this. I am hoping it was just a bad site.
2. CGM start up is a pain. In fact the whole CGM is a pain. A big change (for the negative) from Dexcom is that at 12 hours the CGM stops recording until it has been calibrated with manual BS test. If that happens at 3 AM, oh well. This should be easy to change (test before bed every night) but what about long races. I am on the slow side so 12 hours won't get me through an IM (assuming it stays on) and the last couple of hours is when I would need to know what is happening. Also requires a calibration 6 hours after start up, so again, this will need to be planned for availability.
3. This pump seems to always be beeping or vibrating. Yesterday the entire pump reset at 1:00 AM for no apparent reason.
4. The clip broke after 3 days. Again, maybe just a bad clip, but there was no reason for it to break.

On the plus side:
1. Larger reservoir is nice.
2. Pump site seems to be solid, but will be swimming this week so will validate.
3. Auto stop as sugars go low is nice. This has helped me avoid low sugar instances and would likely be useful going forward.

I am planning on giving it another week and then reevaluating. I may be switching to a different pump if these issues don't improve. Please let me know if you have any thoughts on which pump/CGM systems might work better for athletes.

Thanks.

Yeah, as I alluded to earlier, its not perfect. In the interim, I've been excited by the possibility of a apple-connected Omnipod, though there are obvious problems with the Omnipod too.

In general, I can say that choosing and preping your CGM site effectively goes a long ways towards improving the 670 behavior.

1. Have you tried all the advanced gluing/taping strategies? I end up using Skin Tac religiously. https://www.amazon.com/...mp;keywords=skin+tac A good trainer should be able to help or failing that, try the Facebook Group for 670 users.

2. Marinate the sensor. I put mine on after a shower at night, then turn on the sensor from the pump the next day. Yeah, you have a gap but at least you get ~15-18 hours of fussing with the thing before trying to sleep. Re: long Ironmans, now you've got all the motivation you need to go sub 12.

3. Sometimes when its fussy I turn it off at night, which I realize is not the point, but I need sleep right?

4. The clips have always sucked. I don't know why. The paradigm/revel/530 clips were even worse and I warrantied about 500 of them.
Quote Reply
Re: Insulin pump change [JesseN] [ In reply to ]
Quote | Reply
JesseN wrote:
At this point I'd be looking hard at the Tandem/dexcom combo. Their closed loop is less than a year out and available via firmware update so you're future proofed.

They've been saying hybrid closed loop is a year away since at least 2016. At least thats when a sales rep told me as much.
Quote Reply
Re: Insulin pump change [seeyouincourt] [ In reply to ]
Quote | Reply
seeyouincourt wrote:
I have nothing but trouble with Omnipod. Grifgrips really help it stay on though.

Agreed, my daughters Omnipods come off very easily. This summer she swam a lot and even using Skin Tac we wouldn't have one last a full three days. Grifgrips are great for her G5 sensor tho.
Quote Reply
Re: Insulin pump change [Karl.n] [ In reply to ]
Quote | Reply
Yeah I hear you on that. Went to a presentation with their reps a couple months back that sounded very promising but who knows. FDA can be fickle and shit happens. FWIW it seems like this time they'll actually make it. Wife is up for a new pump this year and after seeing me with the 670 will be going with tandem.
Quote Reply