wish companies would look more into infusion sets. still looking forward to a company putting out infusion sets with smaller needles for thinner people.
@@SwampHoney4mm, 3mm, a 6mm at 45° is a 4mm at 90°. And have you thought about making them yourself? You could make a full on company and provide many infusion options for all the different pumps out there, but you could just do it for self by taking a needle you find to be adequate and replacing it or cutting the existing one. Being skinny really doesn’t mean you need very short needle, it might be worse as shorter can be loosened easier
Would love to hear more about modular medical! A low cost pump is a great idea, I’m curious what is on their roadmap in terms of automation, closed loop systems, etc.
I’m excited to hear that Tandem is coming out with an infusion set that last longer than three days however, seven days is wonderful because then you only have to think about it once a week but if you’re using Dexcom, it does not line up with changes with the Dexcom you changed Dexcom every 10 days and you change hopefully The new T Slim every seven and T Slim asks you to keep your sensor on the same side of your body so I think they should come up with every five day infusion set change attend day infusion set change. Thank you so much for keeping all of us informed I love watching your videos and, I’m excited to hear about new waterproof tubeless pumps.
Wow. I honestly had no idea there were this many players in the insulin pump market. Great overview. I hope the insurance companies don't get to pick the ultimate winners of which pumps are available to us. Hard to imagine some of the smaller pump companies will be able to cut good enough deals with the insurance companies to get their pumps accessible to a large enough group of us. I'm just going to hold on to my Insulet stock for now, but don't think I'll buy more of it just yet.
Big companies do like to make deals with other big companies. The biggest companies have a lot of power in the big grocery stores too and it's hard for a newer/smaller player to compete. I know...I'm in the suburbs of Cincinnati, Ohio where Procter&Gamble has it's headquarters.
D.T. I would really like to see Modular Medical on the show, preferably Live, so we could ask the rep questions about functions, costs, etc. It sounds like a great idea! Thanks, Dave
Great info - thank you. I watch these videos getting ready for a new pump. I've been backed into the Medtronic corner since 2013. I'm super keen to try something new. Medtronic hasnt kept up with technological change - but thankfully we have Diabetech.
When I got my first pump 20 years ago OmniPod wasn't yet available. Three of the 4 tubed pump companies that were available no longer exist, or at least not in the United States (not sure if Roche/Accu-Chek still makes pumps in Europe). Tandem & OmniPod both came out not long after I got my first Medtronic pump. It's exciting to see all of the options that we'll hopefully have soon. I'm not interested in the Mobi since it's still tubed and the size of my t:slim isn't an issue for me. In another 3 years when my warranty is up I hope to have a lot more to choose from, especially with the more customizable algorithms.
Thank you Justin for this video. I love all your videos. Your passion about the future of all pumps. As a Tandem user I would love all the videos you can do on and Tandem pump. Keep your videos going.
Most interested in the omnipod - but I am waiting for integration with both G7 and iPhone (both of which I already use). Definitely want to try a waterproof patch pump but without needing a pdm 🤞🏻
My son has always used Medtronic, but they almost lost us. He was due for a new pump the end of last year we only stayed because of the 780 and 7 day infusion set coming out in Canada. In a few years when he gets another one they will have to really step up their game to keep us
Everyone seems to be excited about the ability to use the Libre 2 Plus sensor with the Omnipod 5 and other insulin pumps but there is a big downside to this solution. Libre 2 Plus with the Omnipod 5 is now availble in the UK but it has a significant disadvantage over the Dexcom G6. If you are use Libre 2 Plus with the Omnipod 5 then you start the sensor using the Omnipod 5 PDM. That means that the only device that you can get rtCGM readings on is the Omnipod 5 PDM itself - there is no possibility of rtCGM readings to your phone, smartwatch or other apps using this combination. That is a huge black mark against using Libre 2 Plus with the Omnipod 5. If you're the type of patient that is happy with BG readings to just the one device then that is fine - but if you want to use your smartwatch, phone or other apps/devices as well then to me the Libre 2 Plus is a no-go.
This is SO TRUE and something that Abbott needs to figure out - the same can be said about the new and upcoming Libre 3 Plus. We need share/follow for all, otherwise it's hard for me to see anyone under 18 using it as an AID system when other options exist.
I'm on the Tandem x2 insulin pump with the G7 sensor. With my insurance I am limited on which pump I can go with. I really like the Tandem insulin pump. I am looking forward to the Tandem x3 insulin pump. From what I've seen it will be so much better than the x2.
Thanks for this excellent overview! So much stuff is going on! I hope we will see more interoperability allowing pumps, cgms and control algorithms to be mixed!
Good stuff! Started iAPS (soon to be Trio) a few weeks ago because of your discussions on it. It has absolutely changed my life. So, I'm interested in pump manufacturers who are going to open an API surface for DIY use. Thanks again for your work!
A lot of great info! Thank you! I guess I’m looking forward to the Tandem infusion set that offers 10 day wear as well as the X3 insulin pump whenever that comes out
If a pump doesn’t have integration with a cgm, then it’s basically not worth it at any price. That’s like going back in time 20 years. I really want a pump that I can control from my phone. And esp clear alarms. I can bolus from my x2 on my phone but can’t clear alarms. It’s irritating. I have a job where I’m often in a clean room and I can’t take my pump out, but I can have a phone in a plastic envelope. The pods never worked for me because the tubing would come out and I couldn’t see the insertion site. Hoping the Mobi works out. My warrantee is up in July. Currently on my 6th pump. Type 1 for 37 years. Crazy how tech changes so much so fast
Thank you Justin. I am a user of 780G Medtronic pump. Cost is a problem in most Asian countries. Do hope it will be free to the Type1 patients in M’sia. Tq
In my country unfortunately we only have Medtronic currently. It is so frustrating that they're not advancing with the other companies. One thing is the size of the pump!! I don't have issues withe the guardian accuracy for me it has been relatively close to my blood readings. Another thing is not able to use my smartphone to control my pump, if there was another option available in my country I would definitely change to one that is smaller and able to be controlled with a smartphone!!! keep up with the times Medtronic!! I feel sometimes they don't think of the user and what would be easier and useful for them
Please do a video on Modular. I am a self-pay costumer (no insurance and can’t affordably get it), and I am about to shell out over 4K for a Tandem. That’s after I did the price comparisons and found it to be the most affordable one for my needs/wants. It sucks being a T1D and not being able to afford everything needed. I’m on injections right now, but know I can get even tighter control once I’m back on a pump.
Here's a note on Tandem for the community. If any of you were unfortunate enough to replace their Tandem pump at the end of 2023 with the promise of the Mobi upgrade in February at a small cost, they will be disappointed. Tandem is not honoring that upgrade path right now while they are shipping to new customers. I cannot get a commitment from them on when they will honor the program but their bait and switch tactics are frustrating at best.
The clip from the MODD1 intrigues me, not because of the pump, but the infusion set. The set in the video clip looks a lot like the Ypsomed Orbit set, which has not been available in the US since Ypsomed bought the small manufacturer that created them here. I used to use their steel sets (Orbit Micro- 32 gauge is amazingly comfortable and the spinning connector made moving the pump easy) and was sad when they were bought by a company without any licensing in the US; regardless, nearly all pumps went to proprietary connectors, so it was only a matter of time anyway.
Being a medtronic user: IF the problems with the smartguard 4 will be fixed in the Simplera, then the 8 series pump will keep me with Medtronic for sure 😍👍 Especially because I’m very happy with the 780G system already 😉
There is no ability to use galaxy watches with the app and I really think the no screen on new pump would put me off getting it because medtronic are so slow with there app updates and improvements for Android and starting to lose my respect
G6 with the iPhone app. I get good control with the G6 and Omnipod 5 but it’s a hassle to carry the PDF in my pocket. I already have the iPhone in my other pocket. I have read mixed reviews on the G7.
Waiting for G7 and omnipod 5 doesn't really bother me carrying 2 devices around probably be more confusing so will have to wait another great video as always😊
This video is fantastic! A common issue with pump manufacturers is their approach to software development. They often prioritize Apple software for smartphones and watches, which seems unfair. I have a preference for Android platforms, yet they are typically the last to be integrated into their devices.
I switched from Apple to Android and kind of regret doing that now. The because the Android device ecosystem is so scattered, it seems like it takes a lot longer for apps for CGM or insulin pumps to get approved by the FDA. It stinks.
Hey Justin, love your channel - watching from South Africa! Over here our diabetes tech options are few and far between, and anything made in Europe/US comes with a terrible exchange rate pricetag :`-( More affordable options here are the Aidex CGM and Equil patch pump but not many user reviews on these! Any chance you can get ahold of them and review them? Thanks for keeping us updated on all things T1D!
All are pretty cool, but... I'm clumsy and run into walls alot. I have to have a super thin set. Even the CGM on my arm is a hazard sometimes. It get rips off about 7 or 8 days into my session.
Sorry.. which ones again communicates with cgm? I'm sure on a few of them.. and which cgm? Do you have a table of comparison between the pumps? Thank you! You rock!
I've been on the Mobi a couple of months and I love it with just regular infusion sets, and have no desire to patch it on. I never liked how the Omnipod felt on me, and I patched the Mobi once and was like oh yeah, I don't like this, so I'm good with tubes. I would LOVE to be able to bolus from watch, though!
@@KarenRoseTank I sometimes miss having the screen, but the overall pros of it work for me. And even if you don't have the phone, the pump will still run your active profile and let you quick bolus, and will still run control IQ if it's connected to CGM. It's not like it stops working if the phone is off or missing or out of range. It's just so small and light and unobtrusive that you don't even feel like you're wearing a pump most of the time.
I've had so many issues with these Guardian 4 sensors, that I'm looking at switching to Tandem. If Medtronic Comes out with the Simplera for the 780 before I make the switch I will give them a second chance, but honestly with how bad the tech support has been with these Guardian 4 sensors, I'm not holding out hope.
Hi, Justin. Just watched your video for first time and subscribed. I have been diabetic for 30 years and currently use Tslim. Trying to figure out if i want to change. I do not have commercial insurance. Have a cost share program that does not cover diabetic supplies. Basically cash pay. I am trending toward Omni pod but looks like many new options will be coming. Would be interested in hearing from you your thoughts regarding changing now or wait to see what come out this year. Like the idea regarding Modular Medical coming our with a more inexpensive product. Any info you could share with me would be great. Connie
Do you think there will ever be a closed loop pump that will use a sensor like the Eversinse E3 that is 1 sensor that will last an entire year and is super accurate? I'd love to see a long use, super accurate sensor with a closed loop pump. PROBLEMS WITH MEDTRONIC 780G PUMPs and Guardian 4 CGMs As a medtronic pump user for about 20 years I have been EXTREMELY disappointed in the durability of medtronic pumps. I've had an average longevity of 1 pump per year in the last 4 years with the 780G for just normal active use as someone who enjoys hikes, mountains and beaches. Medtronic's old pumps were indestructible. The new pumps are absolute crap in durability and cannot be trusted or depended to function in a normal active life. They are made for people sitting in an office all day. I have almost been killed 3 times because of their inability to function in sustaining life by just the fact they unexpectedly cease to function because of critical error 35 that also make alarms go off for hours. It's complete trash in quality to deal with. The software has been crazy problematic with critical errors that make the pumps unusable and annoying alerts of high glucose that take you out of bolus that you are entering in when the alert appears forcing you to start all over. Great idea: maybe let the user give a bolus when glucose levels are rising instead of interrupting the bolus to tell them that glucose levels are rising and making them start the process all over again. The software has so many issues and is just not well designed for usability. Medtronic CGM's becoming less accurate with each new version. It is also a problem that medtronic sensors are deep and painful with only a 7 day longevity and with a 2 hour warm up that is way longer than the competition. CONCLUSION Medtronic's algorithm is still one of the best for closed loop use but all other aspects of medtronic pumps and CGMs seem to not be able to keep up with the competition. I have been greatly disappointed in them for the last 5 to 6 years. I'm not sure that they can be trusted in providing life sustaining equipment with such bad hardware and software issues. I'm currently using the 780G system with the Guardian 4 and it often does not always suspend insulin delivery when going hypoglycemic and the alarm drives me and my family crazy even after acknowledging every alert on the pump. Medtronic has a huge amount of forward movement and advancement in quality control to make to be trusted. Currently the minute I find a pump and cgm with a comparable algorithm and closed loop system I am likely to switch away from medtronic as they have been absolutely undependable in the one thing that matters most which is their continued function to deliver insulin when issues arise (critical error 35). I feel like with medtronic I'm paying for a Bugatti, Lamborghini, Pagani or Ferrari and receiving the quality of a Pinto or Yugo. It really is that bad. They need to make some major changes and improvements. I have not seen them make much of an effort to address user concerns. The new simplera addresses some issues but did not really advance much and is still behind much of its competition. Hopefully the new pump will move forward. Medtronic just needs to remember their purpose and to focus on producing a pump and CGM for their users. Medtronic has lost its focus. I hope they step up soon.
It's great to see that Medtronic is coming up with new pumps, but until they address the high frequency of inaccurate readings with their CGM's, Medtronic is just spinning their wheels and doing a "don't look behind the curtain routine" Their CGM's look just like they did in 2010, the year I started with Medtronic, yes, I know they have a new CGM, but it's not in the US
I do not understand the Niia making essentially making three tiers of pumps. To me insurance will have a field day with that and push everyone into the cheapest version of it. If you want any features it will have to come out of pocket.
I don’t know of any updates coming for it! Beyond the bi-hormonal pump, but that isn’t coming for years. I’ve got an interview on the podcast with Beta Bionics telling me everything about it. Coming out in 2 weeks.
Within the last week ILet entered into partnership with the company that will supply the glucagon for that future pump so seems like it is just a matter of when not if. I just started the beta bionic pump a week ago and so far I am pretty impressed with it. T1D for 36 years now and beta bionics is perfect pump for those that want something easy. Got tired of Omnipod repeated promises of an iPhone app. Who wants to carry a receiver. This is the technology age. Should have never released the pump before that was ready to go.
I love the idea of a tubeless pump but I am so insulin resistant that 200 or 300 units is like nothing for me. Probably 2 days max if I don't go to Starbucks or anything. I don't understand why they don't make a pod that you can pop off and refill for ~14 days. I would jump at something like that. As for Medtronic, I will never ever ever go back to them even if they gave me the refillable tubeless pump!
That’s a lot of insulin.Large doses of insulin is not good for your arteries and veins. Have you considered adding metformin or some other type 2 drugs to lower your insulin requirements. I’m 6’4 220 lbs and I use 40 units a day that’s on a low fat high carb mastering diabetes diet so it’s not low carb.
I have never in my life seen a person, who was so happy promoting gadgets to control a disease and I am now 71 years old. If they were products to cure it then I would understand. So I imagine that you charge a good amount of $$$’s for promoting them. You would do a better service to your community if you used your time better, helping people prevent getting diabetes, by stopping eating so much “junk” like the one sold to us in the supermarkets. That would be a better contribution to society.
The new tech is nice, but the quality of the dibetechnicians is more important than the capability of the dibetechnology. WpEver clinical trial show the same result- every new tech tested since 1990 produces a 0.5% decrease in average A1C for the group - but the effects are not additive. 75% using the new tech do not achieve the AACE or ADA targets. 5% do "too well" with A1c below the diagnostic level for diabetes. The doctors of both those groups don't feel they are safe. Imo, if we spent 10% of what's spent on more expensive new tech into educating those of us who have diabetes instead, we'd get a better return on investment.
Twist pump sounds really good I also like the graphs and symbols on the screen where you can bolus 🍕 as such and reminds me of Tamagotchi or an apple mouse 🖱️ 🍏… That would be my choice if I wasn’t transferring to Omnipod 5 🤖📟
wish companies would look more into infusion sets. still looking forward to a company putting out infusion sets with smaller needles for thinner people.
They need to make more sets that are simpler to insert. I hate the Mio sets! They're so hard to work with.
Smaller needles? They are 6mm in length. You can not get much smaller then that.
@@Persason pen needles have much smaller needles available than 6mm
@@SwampHoney4mm, 3mm, a 6mm at 45° is a 4mm at 90°. And have you thought about making them yourself? You could make a full on company and provide many infusion options for all the different pumps out there, but you could just do it for self by taking a needle you find to be adequate and replacing it or cutting the existing one. Being skinny really doesn’t mean you need very short needle, it might be worse as shorter can be loosened easier
I asked Tandem about this. They are working on longer lasting infusion sets.
Would love to hear more about modular medical! A low cost pump is a great idea, I’m curious what is on their roadmap in terms of automation, closed loop systems, etc.
I’m excited to hear that Tandem is coming out with an infusion set that last longer than three days however, seven days is wonderful because then you only have to think about it once a week but if you’re using Dexcom, it does not line up with changes with the Dexcom you changed Dexcom every 10 days and you change hopefully The new T Slim every seven and T Slim asks you to keep your sensor on the same side of your body so I think they should come up with every five day infusion set change attend day infusion set change. Thank you so much for keeping all of us informed I love watching your videos and, I’m excited to hear about new waterproof tubeless pumps.
Wow. I honestly had no idea there were this many players in the insulin pump market. Great overview. I hope the insurance companies don't get to pick the ultimate winners of which pumps are available to us. Hard to imagine some of the smaller pump companies will be able to cut good enough deals with the insurance companies to get their pumps accessible to a large enough group of us. I'm just going to hold on to my Insulet stock for now, but don't think I'll buy more of it just yet.
Big companies do like to make deals with other big companies. The biggest companies have a lot of power in the big grocery stores too and it's hard for a newer/smaller player to compete. I know...I'm in the suburbs of Cincinnati, Ohio where Procter&Gamble has it's headquarters.
Wow…very interesting!
D.T.
I would really like to see Modular Medical on the show, preferably Live, so we could ask the rep questions about functions, costs, etc. It sounds like a great idea!
Thanks, Dave
🎉🎉thanks. Love to hear the stuff coming.
More to come!
Great info - thank you. I watch these videos getting ready for a new pump. I've been backed into the Medtronic corner since 2013. I'm super keen to try something new. Medtronic hasnt kept up with technological change - but thankfully we have Diabetech.
Yes it would be great to know more about MODD1
When I got my first pump 20 years ago OmniPod wasn't yet available. Three of the 4 tubed pump companies that were available no longer exist, or at least not in the United States (not sure if Roche/Accu-Chek still makes pumps in Europe). Tandem & OmniPod both came out not long after I got my first Medtronic pump. It's exciting to see all of the options that we'll hopefully have soon. I'm not interested in the Mobi since it's still tubed and the size of my t:slim isn't an issue for me. In another 3 years when my warranty is up I hope to have a lot more to choose from, especially with the more customizable algorithms.
Well said, me too!
Thank you for posting these brother, always makes for a more informed conversation with my Endo
Fantastic summary of "patch pump" tech for 2024!!
Very good video, have the x2 presently and no complaints other than battery life. Waiting on the x3
Thank you Justin for this video. I love all your videos. Your passion about the future of all pumps.
As a Tandem user I would love all the videos you can do on and Tandem pump.
Keep your videos going.
Most interested in the omnipod - but I am waiting for integration with both G7 and iPhone (both of which I already use). Definitely want to try a waterproof patch pump but without needing a pdm 🤞🏻
Thanks for your lecture: I need insulin pump
My son has always used Medtronic, but they almost lost us. He was due for a new pump the end of last year we only stayed because of the 780 and 7 day infusion set coming out in Canada. In a few years when he gets another one they will have to really step up their game to keep us
Everyone seems to be excited about the ability to use the Libre 2 Plus sensor with the Omnipod 5 and other insulin pumps but there is a big downside to this solution. Libre 2 Plus with the Omnipod 5 is now availble in the UK but it has a significant disadvantage over the Dexcom G6. If you are use Libre 2 Plus with the Omnipod 5 then you start the sensor using the Omnipod 5 PDM. That means that the only device that you can get rtCGM readings on is the Omnipod 5 PDM itself - there is no possibility of rtCGM readings to your phone, smartwatch or other apps using this combination. That is a huge black mark against using Libre 2 Plus with the Omnipod 5. If you're the type of patient that is happy with BG readings to just the one device then that is fine - but if you want to use your smartwatch, phone or other apps/devices as well then to me the Libre 2 Plus is a no-go.
This is SO TRUE and something that Abbott needs to figure out - the same can be said about the new and upcoming Libre 3 Plus. We need share/follow for all, otherwise it's hard for me to see anyone under 18 using it as an AID system when other options exist.
I'm on the Tandem x2 insulin pump with the G7 sensor. With my insurance I am limited on which pump I can go with. I really like the Tandem insulin pump. I am looking forward to the Tandem x3 insulin pump. From what I've seen it will be so much better than the x2.
May I ask where you are located? I am on the same pump but we (Canadians) have not yet received the update for the G7 sensor.
Thanks for this excellent overview! So much stuff is going on! I hope we will see more interoperability allowing pumps, cgms and control algorithms to be mixed!
I hope so too!
Good stuff! Started iAPS (soon to be Trio) a few weeks ago because of your discussions on it. It has absolutely changed my life. So, I'm interested in pump manufacturers who are going to open an API surface for DIY use. Thanks again for your work!
Happy to hear, and yea same!
A lot of great info! Thank you! I guess I’m looking forward to the Tandem infusion set that offers 10 day wear as well as the X3 insulin pump whenever that comes out
If a pump doesn’t have integration with a cgm, then it’s basically not worth it at any price.
That’s like going back in time 20 years. I really want a pump that I can control from my phone. And esp clear alarms. I can bolus from my x2 on my phone but can’t clear alarms. It’s irritating.
I have a job where I’m often in a clean room and I can’t take my pump out, but I can have a phone in a plastic envelope. The pods never worked for me because the tubing would come out and I couldn’t see the insertion site.
Hoping the Mobi works out. My warrantee is up in July.
Currently on my 6th pump. Type 1 for 37 years. Crazy how tech changes so much so fast
Thank you Justin. I am a user of 780G Medtronic pump.
Cost is a problem in most Asian countries. Do hope it will be free to the Type1 patients in M’sia. Tq
How much is as the 780g for you? Is anything covered? Insulin??
In my country unfortunately we only have Medtronic currently. It is so frustrating that they're not advancing with the other companies. One thing is the size of the pump!! I don't have issues withe the guardian accuracy for me it has been relatively close to my blood readings. Another thing is not able to use my smartphone to control my pump, if there was another option available in my country I would definitely change to one that is smaller and able to be controlled with a smartphone!!! keep up with the times Medtronic!! I feel sometimes they don't think of the user and what would be easier and useful for them
Me too. Are you in SG?
Please do a video on Modular. I am a self-pay costumer (no insurance and can’t affordably get it), and I am about to shell out over 4K for a Tandem. That’s after I did the price comparisons and found it to be the most affordable one for my needs/wants. It sucks being a T1D and not being able to afford everything needed. I’m on injections right now, but know I can get even tighter control once I’m back on a pump.
Here's a note on Tandem for the community. If any of you were unfortunate enough to replace their Tandem pump at the end of 2023 with the promise of the Mobi upgrade in February at a small cost, they will be disappointed. Tandem is not honoring that upgrade path right now while they are shipping to new customers. I cannot get a commitment from them on when they will honor the program but their bait and switch tactics are frustrating at best.
The clip from the MODD1 intrigues me, not because of the pump, but the infusion set. The set in the video clip looks a lot like the Ypsomed Orbit set, which has not been available in the US since Ypsomed bought the small manufacturer that created them here. I used to use their steel sets (Orbit Micro- 32 gauge is amazingly comfortable and the spinning connector made moving the pump easy) and was sad when they were bought by a company without any licensing in the US; regardless, nearly all pumps went to proprietary connectors, so it was only a matter of time anyway.
Being a medtronic user: IF the problems with the smartguard 4 will be fixed in the Simplera, then the 8 series pump will keep me with Medtronic for sure 😍👍
Especially because I’m very happy with the 780G system already 😉
The pump itself is great but certainly not the guardian sensors, those were the reason i switched over to dexcom G7. Hope Simplera Sync will do better
Hold up, I may be super late to the game, but medtronic works with Dexcom? G7? 👀 @@tineyang1857
Nope, they dont talk to each other, i just use it as a cgm and on i am therefore on manual mode instead
There is no ability to use galaxy watches with the app and I really think the no screen on new pump would put me off getting it because medtronic are so slow with there app updates and improvements for Android and starting to lose my respect
The No screen feature already out me off
G6 with the iPhone app. I get good control with the G6 and Omnipod 5 but it’s a hassle to carry the PDF in my pocket. I already have the iPhone in my other pocket. I have read mixed reviews on the G7.
I love my G7, but an iPhone app is super exciting and useful.
Waiting for G7 and omnipod 5 doesn't really bother me carrying 2 devices around probably be more confusing so will have to wait another great video as always😊
@@theresamelvin60 I have a three month supply of the G6 sensors so I’m not in a hurry to get the G7.
*Ridiculously* interested in the Modular Medical pump.
Me too. Very curious about it.
This video is fantastic! A common issue with pump manufacturers is their approach to software development. They often prioritize Apple software for smartphones and watches, which seems unfair. I have a preference for Android platforms, yet they are typically the last to be integrated into their devices.
I switched from Apple to Android and kind of regret doing that now. The because the Android device ecosystem is so scattered, it seems like it takes a lot longer for apps for CGM or insulin pumps to get approved by the FDA. It stinks.
I hope Tandem will make a 3-day version of the Steadiset. My doctor doesn't think I can use the 7-day set cause of how much insulin I use in a day.
Hey Justin, love your channel - watching from South Africa! Over here our diabetes tech options are few and far between, and anything made in Europe/US comes with a terrible exchange rate pricetag :`-( More affordable options here are the Aidex CGM and Equil patch pump but not many user reviews on these! Any chance you can get ahold of them and review them? Thanks for keeping us updated on all things T1D!
I would love to see a top 10 video about which insuline pump gives the best HbA1c.
This would be great. With a plethora of different users too.
Yes please more on the Mod.
As I am a Medtronic 780g user, I would like to know more about the new 800-series.
All are pretty cool, but... I'm clumsy and run into walls alot. I have to have a super thin set. Even the CGM on my arm is a hazard sometimes. It get rips off about 7 or 8 days into my session.
G7 is getting update with omni pod planning to release july 29 guys!
Thank you Justin
9:16 looks like
apple tv remote
And not apple watch remote
Greetings from germany 🙋🏻♂️
Sorry.. which ones again communicates with cgm? I'm sure on a few of them.. and which cgm? Do you have a table of comparison between the pumps? Thank you! You rock!
I've been on the Mobi a couple of months and I love it with just regular infusion sets, and have no desire to patch it on. I never liked how the Omnipod felt on me, and I patched the Mobi once and was like oh yeah, I don't like this, so I'm good with tubes. I would LOVE to be able to bolus from watch, though!
Curious how you feel not having a pump screen and only your iPhone to rely on?
@@KarenRoseTank I sometimes miss having the screen, but the overall pros of it work for me. And even if you don't have the phone, the pump will still run your active profile and let you quick bolus, and will still run control IQ if it's connected to CGM. It's not like it stops working if the phone is off or missing or out of range. It's just so small and light and unobtrusive that you don't even feel like you're wearing a pump most of the time.
What about the new charging system? When do you charge your Mobi on the “pad”? How often do you need to charge it?
@@KarenRoseTank I do the same routine I always did with my tslim and charge it most days while I'm showering/dressing.
Please include information for Europe. We are contemplating a move to Portugal
I've had so many issues with these Guardian 4 sensors, that I'm looking at switching to Tandem. If Medtronic Comes out with the Simplera for the 780 before I make the switch I will give them a second chance, but honestly with how bad the tech support has been with these Guardian 4 sensors, I'm not holding out hope.
Hi, Justin. Just watched your video for first time and subscribed. I have been diabetic for 30 years and currently use Tslim. Trying to figure out if i want to change. I do not have commercial insurance. Have a cost share program that does not cover diabetic supplies.
Basically cash pay. I am trending toward Omni pod but looks like many new options will be coming. Would be interested in hearing from you your thoughts regarding changing now or wait to see what come out this year. Like the idea regarding Modular Medical coming our with a more inexpensive product. Any info you could share with me would be great.
Connie
Omnipod with G7. I have been disappointed with the G6 versus previous two generations so I'm hoping for improvements in the G7.
I love the G7 - I’ve got reviews and more on the channel!
Appreciate you so much
how it control low blood sugar...?
Ingo insulin pump?
I’m just trying to get an omnipod 5 that works with my g7! 😅 with a pdm or iPhone, doesn’t matter lol
Any price info for Twiist system?
Would love to hear a lot more about the Modular Medical pump. Thanks Justin‼️
Sounds good! Twiist pricing was talked about a bit in the full interview with them. I forget what they said!
@@diabe_tech I'll slow down a bit 😂 and rewatch, thanks‼️
Sadly i have had reactin to Monjaro,ocepic,trelostiy so now im looking into pumps.
Who has the Mobi? Pros/cons please.
Can you do a vid on the ypso pump?
How much does the Mobi cost?
Do you think there will ever be a closed loop pump that will use a sensor like the Eversinse E3 that is 1 sensor that will last an entire year and is super accurate? I'd love to see a long use, super accurate sensor with a closed loop pump.
PROBLEMS WITH MEDTRONIC 780G PUMPs and Guardian 4 CGMs
As a medtronic pump user for about 20 years I have been EXTREMELY disappointed in the durability of medtronic pumps. I've had an average longevity of 1 pump per year in the last 4 years with the 780G for just normal active use as someone who enjoys hikes, mountains and beaches. Medtronic's old pumps were indestructible. The new pumps are absolute crap in durability and cannot be trusted or depended to function in a normal active life. They are made for people sitting in an office all day. I have almost been killed 3 times because of their inability to function in sustaining life by just the fact they unexpectedly cease to function because of critical error 35 that also make alarms go off for hours. It's complete trash in quality to deal with.
The software has been crazy problematic with critical errors that make the pumps unusable and annoying alerts of high glucose that take you out of bolus that you are entering in when the alert appears forcing you to start all over. Great idea: maybe let the user give a bolus when glucose levels are rising instead of interrupting the bolus to tell them that glucose levels are rising and making them start the process all over again. The software has so many issues and is just not well designed for usability.
Medtronic CGM's becoming less accurate with each new version. It is also a problem that medtronic sensors are deep and painful with only a 7 day longevity and with a 2 hour warm up that is way longer than the competition.
CONCLUSION
Medtronic's algorithm is still one of the best for closed loop use but all other aspects of medtronic pumps and CGMs seem to not be able to keep up with the competition.
I have been greatly disappointed in them for the last 5 to 6 years. I'm not sure that they can be trusted in providing life sustaining equipment with such bad hardware and software issues. I'm currently using the 780G system with the Guardian 4 and it often does not always suspend insulin delivery when going hypoglycemic and the alarm drives me and my family crazy even after acknowledging every alert on the pump. Medtronic has a huge amount of forward movement and advancement in quality control to make to be trusted. Currently the minute I find a pump and cgm with a comparable algorithm and closed loop system I am likely to switch away from medtronic as they have been absolutely undependable in the one thing that matters most which is their continued function to deliver insulin when issues arise (critical error 35). I feel like with medtronic I'm paying for a Bugatti, Lamborghini, Pagani or Ferrari and receiving the quality of a Pinto or Yugo. It really is that bad. They need to make some major changes and improvements. I have not seen them make much of an effort to address user concerns. The new simplera addresses some issues but did not really advance much and is still behind much of its competition. Hopefully the new pump will move forward.
Medtronic just needs to remember their purpose and to focus on producing a pump and CGM for their users. Medtronic has lost its focus. I hope they step up soon.
Integrate it with a pump and I’m sold.
Awesome 😎
I am still interested in the new OMINI Pod. Any info i can get to have this?
I don’t have info beyond G7 support and the iPhone app
It's great to see that Medtronic is coming up with new pumps, but until they address the high frequency of inaccurate readings with their CGM's, Medtronic is just spinning their wheels and doing a "don't look behind the curtain routine" Their CGM's look just like they did in 2010, the year I started with Medtronic, yes, I know they have a new CGM, but it's not in the US
Mulțumim!
Thank you so much!!!
The Watch has a remote?!? 🤦🏻♂️
I do not understand the Niia making essentially making three tiers of pumps. To me insurance will have a field day with that and push everyone into the cheapest version of it. If you want any features it will have to come out of pocket.
I think, over time, they plan to release them over a span of years
What about the ILet pump?
I just put out a video on the bi-hormonal they are working on! Check it out :)
Simplera CGM, 7 day wear and 2 hour warm up! Deal breaker, who would want that?
You skipped Ilet beta bionic…….
I don’t know of any updates coming for it! Beyond the bi-hormonal pump, but that isn’t coming for years. I’ve got an interview on the podcast with Beta Bionics telling me everything about it. Coming out in 2 weeks.
Within the last week ILet entered into partnership with the company that will supply the glucagon for that future pump so seems like it is just a matter of when not if. I just started the beta bionic pump a week ago and so far I am pretty impressed with it. T1D for 36 years now and beta bionics is perfect pump for those that want something easy. Got tired of Omnipod repeated promises of an iPhone app. Who wants to carry a receiver. This is the technology age. Should have never released the pump before that was ready to go.
My dumb butt just switched from iphone to an S24... S24 isn't compatible, and iphone comoatibility appears to be coming before the S24 will be.
Justin are you still using IAPS or Loop?
Yes I’m using iAPS, but switching to Trio a new branch and the one I’ll focus on moving forward.
@@diabe_tech yeah I’m trialling Trio at the moment as well in dev. Been good so far
Soo waiting on the tandem release in 2027…
I love the idea of a tubeless pump but I am so insulin resistant that 200 or 300 units is like nothing for me. Probably 2 days max if I don't go to Starbucks or anything. I don't understand why they don't make a pod that you can pop off and refill for ~14 days. I would jump at something like that. As for Medtronic, I will never ever ever go back to them even if they gave me the refillable tubeless pump!
That’s a lot of insulin.Large doses of insulin is not good for your arteries and veins. Have you considered adding metformin or some other type 2 drugs to lower your insulin requirements. I’m 6’4 220 lbs and I use 40 units a day that’s on a low fat high carb mastering diabetes diet so it’s not low carb.
@@TimothyJones-mm9tb Already on metformin. What is your Carb to insulin ratio?
All sounds good, just need tubeless for children especially young children please 🤞
Using CGM - going to do Omnipod Insulin Pump, soon
I have never in my life seen a person, who was so happy promoting gadgets to control a disease and I am now 71 years old. If they were products to cure it then I would understand. So I imagine that you charge a good amount of $$$’s for promoting them. You would do a better service to your community if you used your time better, helping people prevent getting diabetes, by stopping eating so much “junk” like the one sold to us in the supermarkets. That would be a better contribution to society.
i dont like any of them.
Insulin Pump - sometimes really big
expense - some CGM big expense
The new tech is nice, but the quality of the dibetechnicians is more important than the capability of the dibetechnology. WpEver clinical trial show the same result- every new tech tested since 1990 produces a 0.5% decrease in average A1C for the group - but the effects are not additive. 75% using the new tech do not achieve the AACE or ADA targets. 5% do "too well" with A1c below the diagnostic level for diabetes. The doctors of both those groups don't feel they are safe. Imo, if we spent 10% of what's spent on more expensive new tech into educating those of us who have diabetes instead, we'd get a better return on investment.
Twist pump sounds really good I also like the graphs and symbols on the screen where you can bolus 🍕 as such and reminds me of Tamagotchi or an apple mouse 🖱️ 🍏…
That would be my choice if I wasn’t transferring to Omnipod 5 🤖📟
Please include information for Europe. We are contemplating a move to Portugal
Please include information for Europe. We are contemplating a move to Portugal