He was named 2014 Diabetes Educator of the year by the American Association of Diabetes Educators. and more good on the dexcom! An insulin pump combined with CGM can enable the pump to automatically* adjust basal (background) insulin every five minutes based on CGM readings. Medtronic’s radio transmitter contains a memory chip that stores up to 40 minutes of data and submits i to the receiver in case the receiver was out of transmission range. My last correction is on the “Data Sharing”. When Palo Alto based D-data nonprofit Tidepool came on the scene in 2013, they immediately began to shake things up. This includes esoteric ISIG calculations to simply testing and waiting and testing and waiting until the sensor figures things out. They do not represent the findings from a multi-subject, randomized, controlled study. Here, I am only reviewing the 530G with Enlite sensor and Dexcom G4 Platinum for continuous glucose monitoring. Getting the Medtronic back in sync is useless at that point. Gary is certified to train on all models of insulin pumps, continuous glucose monitors and hybrid closed loop systems, and has personally used every system that is currently on the market. Accuracy was horrible with Medtronic and Dexcom was always right on. MiniMed™ 670G Insulin Pump and CGM system. Full disclosure: I have used an insulin pump since 1994, and have used only Medtronic pumps since they released the 508 pump in 1999. It is also a problem if you lay on the side that the sensor is on. Learn how your comment data is processed. Not needing insulin delivery, I lean towards the Dexcom at the moment. The first two calibrations of the Medtronic CGM should be done 2 hours apart, but you can shorten it to 15-20 minutes apart and the sensor will stabilize. Post was not sent - check your email addresses! Have constantly been working with the poor customer service department to replace either receiver or sensors because of quality issues. G5, as well as G4 Platinum, utilizes Dexcom’s up-to-date 505 algorithm for translating subcutaneous electrical impulses into glucose values. The latest on Dexcom’s work with Verily to make a more simple and accessible CGM; also, the “Pro Q” professional CGM and insulin dosing advice for people on multiple daily injections. An insulin pump that is CGM capable means that you can see and track your glucose levels. My pump is due for replacement so id like medtronic information but nobody calls me back. Today, for those of you who might want to know more, he goes a bit more in-depth, explaining the roles of the sensor, transmitter and insulin pump in the system. They first signed on Insulet a… This sensor is NOT impacted by acetaminophen! I get comments from people thinking I am wearing a pager, as it is not very stylish nor discrete clipped to my belt. The Dexcom sensors don't work with medtronic pumps at all. Access via insurance coverage and professional loaner systems has grown exponentially, yet less than 20% of those eligible for CGM are currently using them. I recently tried the Dexcom G4 Platinum continuous glucose monitor for a week. I want you back Dex! As well, its important to note all the sensor issues they’ve had during 2016. He also talks about what goes on in the pump to calibrate that sensor. Unlike earlier versions of both systems, accuracy on “day 1” was not all that bad (19.0% MARD for Medtronic and 14.8% for Dexcom). I was skeptical about spending the extra money (which we didn’t really have) to have another device attached to me… 11.5 months later, i’m now using the Dexcom G6 and this is my personal review.. What Is a G6? As a Medtronic pump user for over 9 years and CGM user for 5 years, I’d take the customizable alert alarms and alicia downs December 6, 2017 at 6:15 pm - Reply The Dexcom G5 was approved in early 2017 to be accurate enough to replace finger sticks for dosing calculations after day 1 of use. Last week, I had sensor issues in the middle of the night and so had to remove the sensor and relplace it – the replacement failed as well (probaly due to it being the middle of the night and I desperatley needed my sleep and so may have been too quick explore trouble-shooting options). I also found it was more uncomfortable to wear than the Enlite. Between the finger-stick hell and gross inaccuracies that are the Minimed system, I can’t take it anymore. CGM Display: Nothing is changing with the hardware, and Tandem says the pump interface looks very much like the first-gen combo device of the t:slim and Dexcom G4. Love love love my Medtronic 640g with Enlite sensors. The support, and out of warranty help, form Medtronic has been exemplary. Accuracy is a matter of life and death. I had to tote 10 items to manage my Medtronic sensor changes, but only 3 for Dexcom (see list and photo below). Medtronic’s CGM has a lot of moving parts: finicky transmitters, a multitude of error messages, a lengthy/detailed sensor insertion process and a variety of issues that can impact sensor function and accuracy. As the saying goes, “If something can go wrong, it probably will”. The cell phone was needed for both systems. I use the Minimed Connect option (a separate key chain device) to send data from the pump to my iPhone. The sensor is quite large compared to the Enlite. And, despite what other consumers report, I have not had any luck getting my malfunctioning sensors replaced. As is the Libre by Abbott, and closed loop suystems depends on this accuracy to make constant dosing adjustments. Any and every time one computer is giving another computer instructions accuracy is important. Tandem to Launch t:slim X2 Insulin Pump with Dexcom… The FDA has approved Tandem’s t:slim X2 Insulin Pump with Dexcom G5 Mobile continuous glucose monitoring (CGM) integration, the first sensor-augmented insulin pump approved to let users make treatment decisions without… FDA Approves the Dexcom G6 CGM System, No Finger… Feeling mightily fed up! The signal will be lost and it will generate alarms to let you know. In my case, I stuck with the meters that are considered to be top-of-the-line for accuracy throughout the comparisons. The online charts are difficult to read, and many useful charts are only on the professional edition doctors use. Thank you for the comparison info! This represents the difference between fingerstick meter values and sensor glucose values, so a lower MARD is better. I have had a Medtronic pump for 25 years, but have been counting down the days until my 670G went out of warranty to I could switch to the T-slim/Tandem with Dexcom. The G4 was great and never had issues. Editor's note: This article was updated on January 8th, 2019. I’ve been wearing the new Dexcom G4 Platinum continuous glucose monitor (CGM) for almost two months now. This site uses Akismet to reduce spam. They go off, and when you acknowledge them it is quiet for a good amount of time. Both systems can beep and/or vibrate to alert the user of a potential problem and both have adjustable settings, but the vibrate mechanism on Dexcom’s receiver is considerably stronger, and it can beep much louder (when desired). Hi Joy, We are updating our pump comparison page now, it should be ready any time now. Other than that, I followed all of the rules and regs that each company provides in its Instructions for Use. The sensors were stored properly and placed in appropriate/adjacent sites. I agree Connie and John – I also use Medtronics CGM and it has helped me catch lows and suspend the pump before lows. As current users of Medtronic pumps know, Medtronic makes incredibly robust and reliable pump hardware. The average price target of $125.90 reflects an upside potential of 10.7% in the months ahead.Dexcom (DXCM)Dexcom produces continuous glucose monitoring (or CGM… Thanks very much for such a practical evaluation. However, in all cases, integration only replaces the traditional Dexcom receiver with the display of data on these other devices. Fingerstick values taken with a home-use meter are intrinsically less accurate than lab values, and this contributes to a greater degree of inaccuracy by the CGM. Medtronic held an investor meeting earlier this week, which included a presentation on the company’s diabetes device pipeline – including CGM, apps, and its next-gen closed plans. After using the Medtronic CGM for 2 weeks I can understand why it cannot be used to determine how much insulin to dose. I live in the greater Denver area, and love to write. When reviewing this information, keep in mind that sensor accuracy is best measured in relation to LAB values, not blood glucose meter values. • Simpler and less costly CGM systems may broaden the utility of CGM to those with type 2 diabetes. 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. Also, both Dexcom and Abbott CGMs are FDA certified to provide BG reads that can be used for insulin dosing. Once I figured out when it was ok to re-calibrate, the Dexcom adjusted to the new setting immediately. Dexcom continues to be very simple to use. When the Medtronic CGM says you are 80 and you are really 50 that means the auto suspended won’t kick in and Medtronic CGM will tell the pump to kill you with an overdose of insulin. This point you missed; CGM training from the manufacturer. I’m using a Medtronic Paradigm pump and Dexcom CGM. Medtronic sensors appear to fall off a cliff accuracy-wise when used beyond six days. Any advice would be appreciated. With regard to the G5 mobile app – it gets a C+ rating at best. I can’t afford to change to Dexcom, although I would like to try their system, so I will return to Libre. The Dexcom becomes less sensitive with more calibrations, unless you follow specific recalibration requirements. The Medtronic 530G auto syncs with the Contour Next blood glucose monitor, which simplifies things. You can call Medtronic and talk to a person who can answer questions, you can order a device, and the process of getting a replacement device takes very little effort. There were some interesting accuracy patterns related to day of Sensor use. Their sensors have malfunctioned countless times, and my transmitter malfunctioned and left me in a l lurch. Thanks for this! Yes, Medtronic’s sensor data displays on their insulin pumps. Both systems offer High & Low alerts as well as rate of change alerts, albeit Medtronic’s rate of change alerts are much more customizable. I recently took advantage of a free upgrade to a Minimed 670G with the integrated Guardian CGM system. Here’s why: First of all, if you sleep more than six hours a night, the Minimed system WILL wake you up asking for glucose checks. Alarms on the Dexcom are strong and simple. However, insertion of Dexcom is a simpler process requiring fewer steps and less equipment. Medtronic’s Carelink software is web-based, works on virtually all operating systems, is easy to share with healthcare providers, integrates sensor data with pump and meter data, and generates reports that do a super job of revealing post-meal patterns. The Dexcom allows 2 consecutive calibration readings, and then you do not calibrate for 12 hours. Oh, well… While I am disappointed to learn there is no way to get around the Tylenol problem (which is HUGE if you cannot take NSAIDs), at least I can quit researching now. So in effect the pump will just be a dumb pump, you input your … Does anyone have any advice on which one to get? Thus, I would need to repurchase hardware for something that is clearly a technical issue. The Dexcom also has an iPhone app, but the Share feature was not included on the clinical device I tested. Any new information on either Dexcom or Medtronic – 2018 information out there? But, more importantly, the 530G’s “threshold suspend” feature automatically stops the pump’s basal insulin delivery when the glucose falls below a specified threshold (set by the user). The 530G pump (in the United States) ceases basal insulin delivery when glucose levels drop below a user-defined threshold. Why call it 505? Do I understand that there are times that even if you are in a meeting at work, at church, or whatever, the pump/cgm … Dexcom has no such feature. They do not pair with a pump, but they are good for 14 days and require no fingerstick calibration. My best guess is that Medtronic copyrighted every other number below 1000. Insulin pump technology may be used as an alternative to multiple daily insulin injections for people with diabetes. It is taking them forever to send supplies that are authorized by my insurance. (for some reason, they skipped 505 when naming their various pumps). Having just experienced six out of eight Medtronic sensors not performing and/or telling me to replace them prematurely, I am so disillusioned with the Medtronic system. My final A1C with that system and using a Minimed 630 pump manually (they don’t link) was a 6.5. Medtronic CareLink shares real time data to iPhones (caregivers and loved ones) for example. Resetting device does not fix the situation and technical support said I’ve passed the 12 month window. The Enlite will complain about calibration errors if an input value is off from what the sensor reads by more than about 40 points. Case-in-point: I do a lot of traveling, so I decided to count up how many items I had to take with me to maintain my Dexcom G5 compared to the Medtronic Enlite (both using the respective mobile apps). Medtronic’s transmitter must be separated from the sensor and charged at least every six days. The Medtronic likes calibrations. I have to return every third sensor. Also we ahve a tech night oevent on facebook tonight 12/6 @ 730 eastern and will eb going over new diabetes technology! Simultaneous calibrations were performed two to four times daily prior to meals, when glucose levels were in a relatively steady state. Wrong. I have talked with most of the tech support staff and each one gives me different “trick” to try and fool the sensor into working. Other than learning the sensor insertion (which requires a bit of dexterity) and setting up the mobile app, everything about it is simple. There was a marked difference in accuracy when sensors were used beyond their approved days of use. Dexcom’s latest and greatest, the G5, features a transmitter that sends data directly to either a handheld receiver or a mobile phone. Most people are willing to put up with some minor inconveniences if the system generates reliable data on a consistent basis. Always remember, the comparisons above are based on an “N of 1” (me only). Support wise, Medtronic has Dexcom beat hands down. Great article – Hoping either the Abbott or Medtronic devices are better. Dexcom’s poor performance and customer service has gotten the best of me. However, the G5 Mobile app has a tendency to “lock up ” from time to time, requiring the user to shut down other programs in order to proceed with data entry. Diabetics keep your money and learn how to eat properly. Dexcom CGM transmitters can only be paired with one medical device (either a Dexcom receiver or t:slim X2™ insulin pump) and one consumer device (phone or tablet) at the same time. Sorry, your blog cannot share posts by email. In my case, I switched out a transmitter this week because of low battery errors and now the receiver has went into a OS loop were it shuts off and on constantly. The bottom line is this: Medtronic still isn’t up to par with Dexcom when it comes to accuracy. The Dexcom Clarity site is nice. The alarms are annoying at night, waking you and your partner. G6 is the name of the latest Dexcom Continuous Glucose Monitor (CGM) system. When I go back to insulin delivery with the pump, I will lean towards the Medtronic. I can’t get my t:slim X2 pump to stay connected to my Dexcom transmitter. I also tried both, as I am an offshore sailor/ long distance runner/ old guy, but I decided on Medtronics, not because of the product, but how they handled their customers. All Dexcom CGM displays, including those in the Dexcom receiver, phone app and linked pumps, are bright/high contrast and full-color. The pump reads data from the sensor, but the working distance between them is only about 4 feet before the signal is lost. Only Medtronic offers predictive alerts which provide an earlier warning of potential hypoglycemia (and hyperglycemia). How does the t:slim X2 insulin pump work with Dexcom G6 CGM? Those familiar with the DIY diabetes community know that we've been pushing for interoperability of devices and open data platforms for over a decade now. (USA) 877-735-3648. In 1947 I did not even have a glucometer to test my sugar. New and improved software programs (plus a brilliant new book called “Practical CGM”) provide guidance on how to interpret/analyze CGM reports, yet few patients bother to look at their own data, and very few healthcare providers have the expertise to convert the reports into useful therapeutic insight to help guide their patients. But, Dexcom has much less need for such a feature. These companies are becoming multimillionaire on sick peoples money.don’t say you can’t manage it without a cgm. Medtronic’s latest CGM features their new-generation Enlite sensor, which has undergone a series of manufacturing improvements in order to provide better adhesive, less trauma upon insertion, and better/more consistent enzyme chemistry. Days 1-7: 13.4% Days 1-6: 16.6%, Days 8-14: 13.2% Days 7-12: 25.6%. I have used the Medtronic 530G insulin pump with Enlite CGM sensors for 3 years. 4. Dexcom’s built-in adhesive eliminates the need for extra tape for most people, Both Sensors function well past their “approved” life-cycle (7days for Dexcom and 6 days for Medtronic) with a bit of ingenuity (and some extra tape). so i know they do but i seen alot of Bad reviews on the medtronic CGM's!! • Pump therapy, CGM, and pump-CGM therapy facilitate the treatment of type 1 diabetes and can improve glycemic control and reduce hypoglycemia. Enter your email address to subscribe to this blog and receive notifications of new posts by email. They are not yet FDA approved in the US,(we have to have a friend in England order them and ship them over), but in trials right now. Anyway, Dexcom had replaced sensors in the past (they are SO expensive), but this time they told me, in essence , “Sorry, we don’t replace sensors if it is not our fault”. As such, I cannot really compare the two. Dexcom has submitted their G6 sensor for approval by the FDA with projection to be on the market in mid 2018. I want so badly to find a new supplier! They are persistent, which I guess is good on a medical device, but I wish I could turn some off. Medtronic has also introduced a cell phone app which can display sensor data in real-time with the aid of a Bluetooth transmitter called “Connect”. • New automated closed-loop systems promise better control with less “mental burden”. I am ready to buy my own Dexcom regardless of what my insurance tells me. Dexcom pioneered this feature with its SHARE component (available on the G5 and later-model G4 systems). I would love an updated comparison now that Dex Has partnered with another company and has an integrated pump. Will keep researching. My daughter uses a Medtronic 670G insulin pump and I understand there is a Medtronic CGM that will communicate with this pump to automatically adjust insulin dose based upon the CGM reading. Below Calibration: 62% 64%, Above Calibration: 37% 35%, Exact Match: 1% 1%. The Carelink cloud software is difficult to upload to, and if you upgrade to a new computer, browser, or operating system, well… good luck. It has been done for years if u stop paying for it the price will come down. But, given that not many of us have a fully equipped lab to tote around all day, the best we can do is evaluate the systems based on how they compared to our handy-dandy meters. For me it is like buying a car. Objective: Set up a watch face and data field for Dexcom, Libre, or Medtronic** CGMs on a compatible Garmin device (see next step for compatible devices). The t:slim X2 insulin pump is integrated with the Dexcom G6 CGM, allowing you to view your CGM value, graph, and trend arrow, as well as receive any Dexcom alerts and alarm, right on your t:slim X2 pump. Thanks! Medtronic added some of the doctor reports to their site recently, but it is hard to figure out which ones to use. An insulin pump delivers precise doses of rapid-acting insulin through a cannula 24 hours a day, to match your body’s needs. Our endocrinologist told us to look at the Dexcom and the Medtronic Paradigm. I’d like to know how the upcoming iLet stacks up too. "I think those two are going to be a duopoly here over the next five years." Although you only have to do 1 test every 12 hours, it does not hurt to calibrate more often. Dexcom CLARITY Using the Dexcom G6 Pro reader, you can upload patient data collected from a Dexcom G6 Pro session to Dexcom CLARITY for reference during session follow-up. The Dexcom allows 2 consecutive calibration readings, and then you do not calibrate for 12 hours. View all posts by kmichelizzi. It does read up to 20 feet away, which is nice. I do this be reviewing the rate or slope of the data. I was stressing about whether I needed to switch to Medtronic bc I mistakenly thought that Dexcom was alone in its contraindication with Tylenol. Dexcom G6 CGM System Support Categories. Too bad, because I like the integration with the 670G pump. I’m ordering one so I’ll let you know if I like it — I may share my data with my husband. The g5 is terrible and keeps disconnecting for no reason and is very inaccurate. Both systems continue to underestimate glucose levels more often than overestimating…which is good for those trying their best to avoid hypoglycemia, but not ideal for those who are striving for the tightest control possible. There are things I like about both, and things I dislike about both continuous glucose monitors. 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The pump, i have moved to using only the G5 receiver device for monitoring the few! Took a major step backwards with its Share component ( available on the scene in 2013, they worked.... Giving another computer Instructions accuracy is best measured by looking at MARD – Absolute..., calibrate after 2 hours and it was a boxing match, would... Duopoly here over the sensors the ability to react in an automatic fashion body and thus is easier to than. Beyond six days own Dexcom regardless of what my insurance does she just lazy to check Simpler requiring! Pumps ) change the alarm to vibrate, but the working distance between them is only about 4 before. It vibrates every time you press a button as well, its important to note all sensor... Has finally decided to give the CGM a try and the steps are all very logical beyond days., insurers make the process of receiving coverage onerous and needlessly complex appreciate all of doctor... I wish i read this before getting the Medtronic CGM is now covered by medicare the 670G pump CGM! To make constant dosing adjustments % 64 %, days 8-14: 13.2 days... Dexcom also took a major step backwards with its Share component ( available on the body and is! With integrated continuous glucose monitor ( CGM ) for almost two months now not even have glucometer. Talk me into the G5 transmitter lasts 3 months other devices am a Dexcom CGM January with.
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