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. Medtronic Diabetes Care NIDDK/NIH Novo Nordisk POPS! As far as CGM goes, this is IT. Medtronic MiniMed 670G â already available. 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. A Sams club bulk pack can keep me running for a looooong time. Do you know if there are any plans to study the effects of 670G vs Tandem on larger, more typical populations? 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. Despite these âicebergsâ, I have managed to achieve better glucose control with 670G than I could achieve on my own using a pump and non-integrated CGM. I donât think that Control IQ will let you pick your b/s target, I donât think you can set temp basal rates, but I am not sure. Could it be magic? What is automated insulin delivery (AID)? 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. Four nights of blissful, uninterrupted sleep. I had never had problems with Medtonic pumps and wanted the integrated CGM. I donât like TSlims infusion set options. 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? 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. It’s certainly a nice looking pump, but the beauty is sort of only surface deep. Medtronic said it's already filed 780G ⦠This is achieved by automatically controlling basal insulin delivery to regulate glucose levels to a target sensor glucose (SG) Thereâs three components that make up the necessary part of a closed loop; CGM, insulin pump, and the controller/algorithm. I could go on much longer, but you get the idea. A nicer package in the T:Slim X2, Tandem’s legendary usability and CGM that doesn’t require calibration and constant attention. I can’t wait to use Control IQ. 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). My friendâs control still isnât the greatest, but Control IQ did increase time in range, it did lower A1câsâ nearly 3 FULL POINTS, but my friend was a âwhateverâ diabetic at best, and even now sports a barely acceptable A1c) but Control IQ has allowed my friend to see a pretty nice improvement in diabetes management with not much extra effort. 2 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. 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.) Most of that time I was self-funding the Dexcom G6, and cut my costs by extending them. (First time in nearly three years) So I went on, and for four days I didnât eat. I am a 20 year Medtronic user who is FINALLY eligible for a new pump and moving to Tandem X2. OK more words- In my personal experience, people do not like the 670G or its sensors. It was a life-changing decision. So, I gave up the Enlite sensor, started eating again and started on the Dexcom 6. 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. https://www.diabettech.com/artificial-pancreas/tandems-tslim-x2-and-control-iq-what-do-we-know/. Which Predictive Low Glucose Suspend is best? LIFE WITH THE MINIMED TM 670G . The system was in use for 90% of the study period The breakdown and images fr⦠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. But sadly, not a long term solution. Closed-Loop Pumps (Medtronic 670G, tandem control IQ) Also known as an artificial pancreas, closed-loop insulin pumps work completely automatically. Ultra-Rapid Lispro: What is it and why is it interesting? I can buy them anywhere, I can carry three to keep me up and running for a month long back country hike. Lucky jerk. In order for a potential interoperable device to be sold in the US, it will need FDA approval specific to that categoryâ¦and the nicknames used for these categories early on were iCGM, iPump, and iController. 17/09/2018 admin 670G, Dexcom G6, Medtronic 640G, Medtronic 670G, pumps, T:Slim 7 Comparing Tandemâs Basal-IQ to Medtronicâs SmartGuard. The MiniMed⢠670G is indicated for people living with Type 1 diabetes, seven years of age and older. Sorry, your blog cannot share posts by email. They told me I couldnât use alkaline batteries, that I should be using lithium batteries, then they told me I couldnât use lithium batteries and that I should be using alkaline batteries, they told me I couldnât 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). Insulet Omnipod Horizon. It was quite possibly the WORST diabetes decision ever made. I do not use either of the systems, but I know people who use them. Having to wait for so many confirmation screens to pop up and go away. 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. It’s an interesting one Mike. This category only includes cookies that ensures basic functionalities and security features of the website. For the last 16 months Iâve been running DIY Loop with an old Medtronic. In each side of the trial, there were around 70% over 18 and 30% under 18. Every time my blood sugar went up more than the pump thought it should it would go into this âcalibration error, wait to calibrate, updateâ mode that would have me checking my blood sugar constantly. 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 Absolutely! United Healthcare is a glaring exception (United only covers Medtronic), but that may change as pressure mounts for United to update its policy terms. This website uses cookies to improve your experience while you navigate through the website. Control-IQ technology can deliver automatic correction boluses, a first for automated insulin delivery devices. 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 donât like the TSlim has a built in rechargeable battery option. Copyright © 2021 | WordPress Theme by MH Themes. ... Medtronic's 670G ⦠There are two commercial options right now; Medtronic 670G and Tandemâs Control-IQ. I sent it back before the 3 months deadline my provincial coverage (Ontario) gave me. 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). Both had similar time in range outcomes. Your email address will not be published. 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. 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. What is time in range? I hacked the 670g. 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. Both systems will correct with an increased basal amount if you make a mistake in your bolus and run high (the amount of correction varies with each system), Both systems can be turned off if the user does not want to avail of the technology. I have not seen any data on the percentage of real-world users who continue to use the sensors after the initial training. Tandem Control-IQ â expected late 2019. 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. Medtronic MiniMed 670g with Guardian Sensor vs Tandem T:Slim X2 with Dexcom G6 Good afternoon all, I received my type 1 diagnosis about six months ago and have so far been treating it ⦠Diabetes Care Roche Diabetes Care Sanofi. 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. We'll assume you're ok with this, but you can opt-out if you wish. It would be something that would be unlikely to be funded by a manufacturer. The Tandem and Medtronic systems both require users to manually input food boluses. This labeling change will also allow the system to qualify for Medicare coverage, a drawback of the 670G/Guardian Sensor 3 right now. I am jumping off the 670g closed loop, and am looking for a better answer. Itâs the only pump available right now that auto-corrects high blood sugars. I know someone that is in the Control IQ study who was previously on MDI. Probably the biggest is the similarity in outcomes of the two systems. This could be a coincidence. There are way too many alarms (incomplete bolus???) Hi John, Thanks for sharing your experience. My blood sugar seemed to be stable and I didnât want to deal with it any more. I’m experiencing more time in range and less time in hypoglycemic episodes, especially at night. 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. New Artificial Pancreas: FDA Authorizes Tandem Diabetes Care Control-IQ Technology. Your email address will not be published. Is a Continuous Glucose or Flash Monitor is right for you? Post was not sent - check your email addresses! Medtronic came out with a protocol that was supposed to resolve calibration issues, but it was a voodoo dance at best. I know that the pump has some limitations, but is it better than the Medtronic system I used? Icons display on the pump screen to visually indicate when insulin delivery is increasing, decreasing, or stopped. 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/. What do the trials tell us? ... 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. I’ve had nothing but great support from Tandem and Dexcom. Hear from Canadians living with Type 1 diabetes about their experience with the MiniMed TM 670G System. Insulet Omnipod Horizon â expected in second half of 2020. 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⦠if a reading is going to be above 10mmol (180 mg/dl) it will give a correction bolus. Both resulted in similar average Hba1C reductions. read more â and the lowest volume setting is too loud. 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. Tandemâs Control-IQ Cleared for Ages 6-13: Automated Insulin Delivery for Children! 08 / 23 / 2019. You can dismiss the maximum bolus exceeded alert without thinking since it’s the exact same sequence of screen taps as normal boluses. 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. There are some subtle differences in the way the studies were conducted, and therefore, the data that’s available for comparison. There are a few things that stand out. My husband and I stopped sleeping in the same room, I couldnât stay at hotels (at three a.m., the alerts are very LOUD, I actually had a complaint called in to the front desk) , I couldnât go to movies without taking the pump completely out of auto mode (which causes the sensor to fail more that 50% of the time) forget weddings, forget church, work meetings, my co-workers were constantly complaining, and my family had tuned out to the point that even if I did have a legitimate alert, they wouldnât have recognized it because they were numb. On the other hand, people I know who have switched to Tandem from Medtronic have a learning curve, but they are very happy with the pump and with Dexcom sensors. No, it’s not. Frequently Asked Questions About Diabetes. 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 didnât call soon enough after I was having the issue, and on, and on. I purchased the 670g in September of 2016. 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. Average glucose level was 156mg/dl (+/-19) 4. 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. NO FINGERSTICKS!!! I donât want to chance it. Tandem Basal-IQ â already available. The last pump I had was a 630G, and I hated it. Put briefly, the results suggest that Control:IQ produces very similar outcomes to the 670G. Out of curiosity, what was the age range for participants? 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. I used an older pump I had kicking around and decided to try the Tandem pump and Dexcom G5. Tandem Control-IQ. But opting out of some of these cookies may affect your browsing experience. Necessary cookies are absolutely essential for the website to function properly. What are Basal IQ⢠and Control IQ⢠technologies? On that basis alone, I’d expect more people to choose this over the 670G. So the results aren’t bad. 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 âtime in rangeâ which is waaaaay more important. More commercial AID systems. But how do they compare to those from the Medtronic 670G Pivotal Trial? 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. All very fair feedback. 71% (+/- 12%) Time in Range (70-180mg/dl) for the study compared to 59% (+/-14%) for the control group 2. These cookies will be stored in your browser only with your consent. 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. The user interface is awful, here are some examples: It’s way too easy to confuse entering BG and carbs for bolusing. 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. Average age was 33, which ranged from 14-71. To compound some of the challenges, Medtronic took away certain tools that many consider essential to good self-management. 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. The trial team recognised this in the results paper. I use the âpop-outâ method demonstrated on numerous YouTube videos. 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. It uses a range instead of a single target number, but the user can’t change it. The Medtronic 670G works with the Guardian sensor to adjust basal insulin delivery. Thanks for taking the time to compare the two pumps and the results of the studies. I have read that the Medtronic/UHC deal included performance guarantees, do you know anything about how that data will be collected and made available? What is it about switching to Tandem that stops a person from extending the sensors? Tidepool Loop â launch timing unclear. 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