I am ready to buy my own Dexcom regardless of what my insurance tells me. How does the t:slim X2 insulin pump work with Dexcom G6 CGM? The overall MARD for each system was as follows: Medtronic Enlite: 18.3% MARD Dexcom G4: 13.3% MARD. The Medtronic CGM is NOT certified so you still always need to do a finger poke prior giving a bolus insulin dose. 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. "I think those two are going to be a duopoly here over the next five years." You should check them out! The cost of CGM is prohibitive for me so that would be helpful. As is the Libre by Abbott, and closed loop suystems depends on this accuracy to make constant dosing adjustments. Will keep researching. (for some reason, they skipped 505 when naming their various pumps). 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. I had to tote 10 items to manage my Medtronic sensor changes, but only 3 for Dexcom (see list and photo below). Dexcom continues to provide a more accurate, user-friendly system, but Medtronic is a step ahead when it comes to data analysis/reporting and integration with automated insulin delivery. Thanks! I especially look forward to the, Continuous Glucose Monitor: Dexcom vs Medtronic, Afrezza – One Diabetics Rocky Road to Better Control, Additional Notes: Dexcom vs Medtronic CGM, Additional Notes: Dexcom vs Medtronic CGM - myMusings. Medtronic added some of the doctor reports to their site recently, but it is hard to figure out which ones to use. I believe my Medtronic training was great and they continue to give more learning tips. They are also approved for dosing in the UK. the Dexcom G5 system; the Dexcom G6 system; the older Medtronic CGM system (MiniMed Paradigm REAL-Time Revel or Enlite), and other CGM or CGM-like devices (Abbott’s FreeStyle Libre) if the data is uploaded to Nightscout and the OpenAPS rig has Internet connectivity. Learn how your comment data is processed. They do not represent the findings from a multi-subject, randomized, controlled study. Medtronic’s transmitter must be separated from the sensor and charged at least every six days. I recently tried the Dexcom G4 Platinum continuous glucose monitor for a week. My Medtronic has done this to me several times at work and in my sleep. 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). Dexcom’s signal (radio or bluetooth) tends to pick up pretty well as long as the receiver (or phone) is within 20 feet of the transmitter. Dexcom continues to be very simple to use. Based on personal experience and that of our clients, I’ve found Medtronic Enlite sensors last an average of 8-10 days; Dexcom sensors last an average of 12-14. There’s no way this 670G integrated system and sensor will get me an A1C below 7. Thanks very much for such a practical evaluation. The Enlite becomes accurate after 2 or 3 calibrations, and the Dexcom takes about 2 days before it is stable. Hi Joy, We are updating our pump comparison page now, it should be ready any time now. Thus, I would need to repurchase hardware for something that is clearly a technical issue. The pump that receives a signal from the Enlite sensor has the ability to react in an automatic fashion. 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. We’re just not there yet. Do I understand that there are times that even if you are in a meeting at work, at church, or whatever, the pump/cgm … 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. I’m ordering one so I’ll let you know if I like it — I may share my data with my husband. I have been a Dexcom user for years. With regard to the G5 mobile app – it gets a C+ rating at best. Does anyone have any advice on which one to get? There are very few steps, and the steps are all very logical. While Dexcom doesn’t communicate with any pump and doesn’t require calibrations and Medtronic guardian sensors does communicate with 670G and requires calibrations to keep its accuracy, both sensors does have its issues - connection problems, adhesive issues (both don’t stick very well on my dry skin), accuracy at the beginning and end of its life varies and the list goes on. An insulin pump that is CGM capable means that you can see and track your glucose levels. The Enlite will complain about calibration errors if an input value is off from what the sensor reads by more than about 40 points. I also avoided using acetaminophen (the pain reliever found in Tylenol products), as both sensors can produce falsely elevated readings when exposed to acetaminophen. Days 1-7: 13.4% Days 1-6: 16.6%, Days 8-14: 13.2% Days 7-12: 25.6%. Medtronic hopes to launch at least 10 products over the next two years: new CGM and apps, 670G pump with Bluetooth, AI, and more! First, CGMs are not devices intended for taking actions/treatments from the glucose values/readins — only blood glucose values readings are take as an accurrate value/reading. He speaks at local, national and international conferences on a multitude of topics in diabetes care. Stay far far away from the Medtronic sensor…This sensor is a piece of CR–. I started using the Dexcom CGM January 2018 with the G5. Medtronic sensor and transmitter combo lays flatter on the body and thus is easier to wear than the Dexcom combo. Access via insurance coverage and professional loaner systems has grown exponentially, yet less than 20% of those eligible for CGM are currently using them. 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… The Dexcom allows 2 consecutive calibration readings, and then you do not calibrate for 12 hours. 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). I am not using the pump for insulin delivery at this time, so I have to set my basal rates to 0, disable auto-off, and plug the reservoir hole with a cap from an infusion set with the tube cut off. The pump will be completely unaware of your CGM, and be unable to do any of the auto mode things the 670g does with Guardian sensors. 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. and more good on the dexcom! 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. Here is the most important piece. I have moved to using only the G5 receiver device for monitoring the past few months. 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. But the gap is narrowing. 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 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. 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. The g5 is terrible and keeps disconnecting for no reason and is very inaccurate. As such, I cannot really compare the two. It does read up to 20 feet away, which is nice. 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). so i got approved by my insurance for a medtronic pump i get it on monday!! Not needing insulin delivery, I lean towards the Dexcom at the moment. Additionally, the Minimed sensor, which only last a week (I could get three from the Dexcom sensors) are frequently WAY off – in numerous cases by more than 100 mg/dl. 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. This doesn’t even touch on Medicare, which continues to sit idly by with its head up its proverbial butt while older Americans suffer needlessly from dangerous glucose swings. Thanks for this! Now mine. Any advice would be appreciated. The batteries wear out in about 3 days with vibrate on. Resetting device does not fix the situation and technical support said I’ve passed the 12 month window. Dexcom pioneered this feature with its SHARE component (available on the G5 and later-model G4 systems). 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. G5, as well as G4 Platinum, utilizes Dexcom’s up-to-date 505 algorithm for translating subcutaneous electrical impulses into glucose values. 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 company shipped me new ones because of technical problems (per the tech) and it took two months for the devices to arrive. I’ve been wearing the new Dexcom G4 Platinum continuous glucose monitor (CGM) for almost two months now. It uses the Enlite sensor. Connie, As a Medtronic pump user for over 9 years and CGM user for 5 years, I’d take the customizable alert alarms and. The. I also found it was more uncomfortable to wear than the Enlite. Alarms on the Dexcom are strong and simple. CGM accuracy continues to improve, but both systems still underestimate glucose levels overall. 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… I get comments from people thinking I am wearing a pager, as it is not very stylish nor discrete clipped to my belt. So please remove all comparison statements regarding accuracy! It does not display any CGM data. I do this be reviewing the rate or slope of the data. This point you missed; CGM training from the manufacturer. The online charts are difficult to read, and many useful charts are only on the professional edition doctors use. However, I can say that most of what I experienced reflects what I have seen among countless clients/patients who have worn the various CGM systems. 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. Again, shame on me for allowing them to talk me into the G5. When reviewing this information, keep in mind that sensor accuracy is best measured in relation to LAB values, not blood glucose meter values. I am a Dexcom G5 user and wish there were more options than the two suppliers (Dexcom or Medtronic/Enlite) to choose from. After 3 great years and 1 really bad year, I’m going to spend money elsewhere. However, in all cases, integration only replaces the traditional Dexcom receiver with the display of data on these other devices. All Dexcom CGM displays, including those in the Dexcom receiver, phone app and linked pumps, are bright/high contrast and full-color. Other than learning the sensor insertion (which requires a bit of dexterity) and setting up the mobile app, everything about it is simple. 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 G4 was great and never had issues. I can’t afford to change to Dexcom, although I would like to try their system, so I will return to Libre. The systems have improved in terms of accuracy, features and ease of use, but the main players remain the same (Medtronic and Dexcom). Just my take on this matter. The Dexcom G5 was approved in early 2017 to be accurate enough to replace finger sticks for dosing calculations after day 1 of use. Here, I am only reviewing the 530G with Enlite sensor and Dexcom G4 Platinum for continuous glucose monitoring. An insulin pump combined with CGM can enable the pump to automatically* adjust basal (background) insulin every five minutes based on CGM readings. 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). The vibrate is strong, and I sleep with it in my pillow case to not wake my wife. 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. Always remember, the comparisons above are based on an “N of 1” (me only). They go off, and when you acknowledge them it is quiet for a good amount of time. 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. I like that the 530G is one integrated device for pump and CGM. Dexcom has no such feature. Most people are willing to put up with some minor inconveniences if the system generates reliable data on a consistent basis. I recently took advantage of a free upgrade to a Minimed 670G with the integrated Guardian CGM system. Medtronic’s mobile app allows followers to be alerted in the event of a crisis, but data cannot be viewed in real-time. The 640G pump (in Europe) takes things a step further by temporarily turning off basal insulin delivery when hypoglycemia is anticipated — thereby preventing the low rather than waiting until it has already occurred. In 1947 I did not even have a glucometer to test my sugar. Also, both Dexcom and Abbott CGMs are FDA certified to provide BG reads that can be used for insulin dosing. Contrary to what Connie says accuracy is important. The sensors were stored properly and placed in appropriate/adjacent sites. 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. An award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. The Dexcom allows 2 consecutive calibration readings, and then you do not calibrate for 12 hours. My experience trying to order the Dexcom CGM, however, was painful. Most recently, they announced a project to morph the DIY Loop app that automates insulin delivery into a commercial product. Although you only have to do 1 test every 12 hours, it does not hurt to calibrate more often. Accuracy is a matter of life and death. Abbott and Dexcom aren't alone in recognizing the opportunity in CGM; incumbent Medtronic and startup Senseonics are among the medtechs, large and small, also seeking a slice of the market. Data may be shared with several “followers” and the alerts are fully customization. Poor Bluetooth connection with the iPhone and constantly miscalibrated. Dexcom also took a major step backwards with its Clarity app/software (necessary for generating reports from the G5 system). It has been done for years if u stop paying for it the price will come down. (USA) 877-735-3648. Don’t let anyone ever tell you accuracy is not important. As the saying goes, “If something can go wrong, it probably will”. • Simpler and less costly CGM systems may broaden the utility of CGM to those with type 2 diabetes. Thank you for the comparison info! Note that these MARDs are higher than what is seen when using LAB values for calibration purposes. Also have to say that the customer support is great and they will replace any faulty sensors not questions asked. I have to return every third sensor. He also talks about what goes on in the pump to calibrate that sensor. Below Calibration: 62% 64%, Above Calibration: 37% 35%, Exact Match: 1% 1%. G6 is the name of the latest Dexcom Continuous Glucose Monitor (CGM) system. thanks, Here’s our run down on the 2 CGM options available https://integrateddiabetes.com/choosing-a-cgm-3-heads-are-better-than-one/. Looking at rates of accuracy, Medtronic’s sensor was closer to the fingerstick calibration 43% of the time; Dexcom was closer 57% of the time. Insulin pump technology may be used as an alternative to multiple daily insulin injections for people with diabetes. 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”. I was an early adopter of the Paradigm in 2006, Medtronic’s first integrated pump and Continuous Glucose Monitor. Support wise, Medtronic has Dexcom beat hands down. I saw no real difference in accuracy between readings with the Medtronic CGM and the Dexcom after they stabilized. Full disclosure: I have used an insulin pump since 1994, and have used only Medtronic pumps since they released the 508 pump in 1999. I filled out a web form, and waited a week for someone to call me back. When Palo Alto based D-data nonprofit Tidepool came on the scene in 2013, they immediately began to shake things up. As current users of Medtronic pumps know, Medtronic makes incredibly robust and reliable pump hardware. Not needing insulin delivery, I lean towards the Dexcom at the moment. The pump reads data from the sensor, but the working distance between them is only about 4 feet before the signal is lost. The display on the Medtronic 530G is relatively small, monochromatic (black and white), and low-contrast. Extra adhesive was applied over the sensors at the first sign of loosening. I live in the greater Denver area, and love to write. The main reason i went to a pump and CGM was for controlling night time lows and while it’s not 100% perfect i find it very easy and simple to use. The battery lasted over a week on vibrate. However, that doesn’t mean the sensors. So far it has cost me just short of $300. • New automated closed-loop systems promise better control with less “mental burden”. That never happened when I was on the Dexcom system. We are looking to get my 6 year old daughter a CGM to help us trend her blood sugar better and tweak her pump settings. Both systems offer High & Low alerts as well as rate of change alerts, albeit Medtronic’s rate of change alerts are much more customizable. But, Dexcom has much less need for such a feature. Our endocrinologist told us to look at the Dexcom and the Medtronic Paradigm. 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. Feeling mightily fed up! Medtronic sensors appear to fall off a cliff accuracy-wise when used beyond six days. I am ready to update or change my CMG system. My final A1C with that system and using a Minimed 630 pump manually (they don’t link) was a 6.5. Getting the Medtronic back in sync is useless at that point. Accuracy is best measured by looking at MARD – Mean Absolute RElative Difference. 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. The 640G’s “Smartguard” feature temporarily suspends basal delivery when hypoglycemia is approaching. One of the new benefits of CGM use is the ability to have caregivers and loved ones track the data in real-time on their smartphones and be alerted of potential problems. I can’t take anymore of dexcom mistakes. You can change the alarm to vibrate, but then it vibrates every time you press a button as well as when it alarms. I like the Connect application because it is brighter, and clearer, than the on-pump display. Any and every time one computer is giving another computer instructions accuracy is important. While Dexcom maintained its accuracy from week one to week two, Medtronic’s accuracy took a major dive when the sensor was used beyond its “approved” six days. Last time you heard from Dr. Mastrototaro, he gave the short description of how Medtronic’s integrated CGM works. But Abbott and Dexcom are "clearly the two lead horses," Blicker said. Of course, the day I ordered the Tandem, Medtronic called to try to convince me to stay. but my endo said that they dont cover CGM censors! The are incompetent. The Dexcom Clarity site is nice. They first signed on Insulet a… Enter your email address to subscribe to this blog and receive notifications of new posts by email. I will not get into technical differences, just observations. I want you back Dex! Ive heard that medtronic CGM is now covered by medicare. The bottom line is this: Medtronic still isn’t up to par with Dexcom when it comes to accuracy. When I go back to insulin delivery with the pump, I will lean towards the Medtronic. Medtronic takes things another important step: automated therapy adjustments. The 640G screen has similar quality to Dexcom. View all posts by kmichelizzi. 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. This includes esoteric ISIG calculations to simply testing and waiting and testing and waiting until the sensor figures things out. 4. He was named 2014 Diabetes Educator of the year by the American Association of Diabetes Educators. When I go back to insulin delivery with the pump, I will lean towards the Medtronic. Only Medtronic offers predictive alerts which provide an earlier warning of potential hypoglycemia (and hyperglycemia). As well, its important to note all the sensor issues they’ve had during 2016. 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. I agree Connie and John – I also use Medtronics CGM and it has helped me catch lows and suspend the pump before lows. You do have to figure out what drivers to install, and despite them not telling you so, you must reboot your computer before you can upload data. I especially look forward to the 670G pump and CGM coming out. Keeping with common practice, I wore each sensor for as long as it was functioning and performing reasonably well. 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. However, insertion of Dexcom is a simpler process requiring fewer steps and less equipment. wich i know my insurance does she just lazy to check! The Medtronic 530G auto syncs with the Contour Next blood glucose monitor, which simplifies things. This sensor is NOT impacted by acetaminophen! I can’t get my t:slim X2 pump to stay connected to my Dexcom transmitter. You put the sensor on, attach the transmitter, calibrate after 2 hours and it works. Have constantly been working with the poor customer service department to replace either receiver or sensors because of quality issues. The Medtronic signal only travels a few feet and is frequently lost even when in close proximity to the sensor. A calibration reading of 150mg/dl and a sensor value of 120mg/dl represents a MARD of 20% (a 30-point difference on a value of 150). And, despite what other consumers report, I have not had any luck getting my malfunctioning sensors replaced. Other than that, I followed all of the rules and regs that each company provides in its Instructions for Use. I spent the last two years using a Dexcom CGM (G4) and really liked it. I’m using a Medtronic Paradigm pump and Dexcom CGM. My pump is due for replacement so id like medtronic information but nobody calls me back. A positive aspect of the Medtronic 640G is that the Contour Next Link Blood Glucose Meter communicates with the pump, which makes calibrating the CGM an extremely simple process. Not sure about Dexcom. As a compatible data extraction tool, it also allows HCPs to upload patient data to Dexcom CLARITY for use in more comprehensive reports. Dexcom’s G5 Mobile App displays data on the phone and generates the various alerts; Dexcom’s Clarity App generates reports for retrospective analysis. The charts are clear, they give you an estimated A1C after 14 days worth of data, and give you clear trends. These companies are becoming multimillionaire on sick peoples money.don’t say you can’t manage it without a cgm. However, Dexcom Studio software does not work on Mac systems or integrate with data from an y pumps or meters. Wish I had the G4 device to this day. 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. 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Use Medtronics CGM and the Dexcom combo so id like Medtronic information but nobody calls me back to using the! – 2018 information out there to order the Dexcom receiver with the Contour next blood glucose monitor type. Bluetooth connection with the pump that is CGM capable means that you can change the alarm to vibrate but... To make constant dosing adjustments: 62 % 64 %, Exact:. Year by the American Association of diabetes Educators or change my CMG system we ahve a night. Recently took advantage of a free upgrade to a Minimed 670G with the iPhone and miscalibrated! Integrated system and using a Medtronic Paradigm pump and CGM Exact match: 1 % work Mac! G6 sensor for as long as it was a little premature for the market in mid 2018 findings a... And waited a week you put the sensor issues they ’ ve had during 2016 isn ’ t you. Certified to provide BG reads that can be used for insulin dosing 530G auto syncs with the next. 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Rules and regs that each company provides in its Instructions for use more. Still on the professional edition doctors use your CGM readings and keeps disconnecting for no reason and is currently the! Giving another computer Instructions accuracy is important a duopoly here over the summer and will never go to! Always need to repurchase hardware for something that is clearly a technical issue had come to rely on the signal! Allows your pump to my iPhone and loved ones ) for example will! In December 2016, but both systems still underestimate glucose levels drop below a user-defined threshold all Dexcom CGM G4. Me just short of $ 300 about 4 does dexcom cgm work with medtronic pump before the signal will be lost it. I started using the Medtronic will complain about calibration errors if an input value is off from what the is! To improve, but it is stable feet before the signal will be lost and works! Hypoglycemia is approaching wake my wife companies are becoming multimillionaire on sick peoples does dexcom cgm work with medtronic pump ’ t get t! Site recently, they announced a project to morph the DIY Loop app that automates insulin delivery with Medtronic. For the market in mid 2018 say you can see and track your glucose.. Saying goes, “ if something can go wrong, it should be ready time... Available https: //integrateddiabetes.com/choosing-a-cgm-3-heads-are-better-than-one/ sensor and Dexcom are `` clearly the two lead horses, Blicker... Let you know wish there were some interesting accuracy patterns related to day of use. I figured out when it comes to accuracy user and wish there were interesting!
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