It comes down to ‘priorities’? No. It comes down to money. Pharma companies could flood all the markets equally if they wanted to. Maximising profits, not expanding patient care is their focus. In the IT world markets have skipped ideas of a ‘PC at home’, it’s all mobile first. We can skip steps. Accelerate to a common (great) result.
I’ve had Type 1 for 57 years. Totally automated stuff scares me. I use a Medtronic 670G pump and a Dexcom CGM. I like that they don’t talk to each other. I use the new G7 Dexcom. Even though it has a faster warm up then the G6, I find that it takes awhile to be accurate. I rarely had to calibrate the 6. The 7 more than the 6. If I was on an automated system and my pump was getting erroneous numbers from my Dexcom, that could be a disaster. Another issue is I have moderate gastroparesis. Since my stomach empties slowly how would one of these newer devices know how long it would take for my stomach to empty? Managing diabetes is exhausting and frustrating. Thankfully I’m not in that mindset all the time. Trying as a mere human to do the job of an organ that does so many things effortlessly is HARD! Also I’ve taken the word control out of my vocabulary as far as diabetes is concerned. Managing is a much more realistic and kind term. Then you don’t constantly feel like a failure.
Me, too. T1D since 1977. Closed loop system scares the heck out of me. I also have mild gastroparesis. I fear it would be a disaster if I allowed technology to make my treatment decisions.
There is no reason to be scared at least of the automated basal. Definitely I wouldn't fear with a Medtronic getting you to hypo coma or something like that. I believe it's impossible as I know the system and I'm sure the regulators are looking into that too. Basically the system is smart enough to know there is something unexpected going on. It expects the BG to behave in a certain way, if it doesn't, it gets you out of the loop. It especially doesn't suddenly give higher doses if sensor reading is just off. Second, a sensor that is failing, at least the Medtronic ones, begin to report lower BGs than reality, never higher (could be a little higher due to inaccuracy, but nothing dangerous). But, for someone with as bad absorption as me, or with other problems, I'd probably avoid automated boluses. I don't think it would work well enough for me. But we'll see
Any plans to cover the clinical study "Efficacy of Semaglutide in Overweight and Obese Patients with Type 1 Diabetes"?? More than two-thirds of patients with type 1 diabetes (T1D) are overweight (OW) and/or obese (OB).
Thank you for your video. You mentioned conferences. As we are parents of a kid with T1, what conferences can you recommend, mainly in Europe, with such a focus? I guess ATTD would be very interesting as well but I assume the main focus would be on grown up patients. Thx for any hint. Best Michael
Yes i love new things for type 1 but it's really nice they tgere doing pump and cgms for type 2. Just to bad that insurance companys think we are rich becauce they only cover 10% of cost becase of that i had to get off my pump go back to shots no cgm
It was great talking diabetes tech and seeing you again! Sounds like you had (are still having?) a blast in Europe! Safe travels, and thanks for all that you do.
It’s so good to have all these options available. In my country, there’s only 1 company for insulin pump available, and the only CGM available is Freestyle Libre 1. Waiting for a time when we’d have options too.
After the first part of this podcast, I was thinking it would be very interesting to see a piece about financial affordability of managing diabetes (and tech) in different countries, is it insured, or not, and how much do different diabetics monthly or yearly pay for their disease. I am loving your work btw!
I can’t wait for your video on the new company twiist I am hoping it may be three years that they will come out with a pump where you won’t have to count. Type one diabetics are way overdue.!
t2 here, managing well on basal insulin, metformin, glp-1 and exercise, but this disease is progressive so mealtime insulin could be in my future. it's nice to know that pumps will be a possibility when that time comes, if it does.
As a Brit living in America you couldn’t be more right on this. Not to mention even with insurance supplies such as Dexcom sensors are not covered on insurance and cost is off the charts expensive. Good old America it’s all about the almighty $$ and company revenues.
@@tmcclafferty If they want to reduce the stress of Type 1 diabetes we need a National Health Care system here. Our healthcare system is broken. For many of us, the unwealthy, dealing with our insurance companies and paying for insurance and supplies is 50% of the stress.
You're so good at this. You should consider a career in the media
working on it!
It comes down to ‘priorities’? No. It comes down to money. Pharma companies could flood all the markets equally if they wanted to. Maximising profits, not expanding patient care is their focus.
In the IT world markets have skipped ideas of a ‘PC at home’, it’s all mobile first.
We can skip steps. Accelerate to a common (great) result.
It was a good conversation with good information. How about KnowU CGM sensor?
We need to work on a cure not treatments!
I’ve had Type 1
for 57 years. Totally automated stuff scares me. I use a Medtronic 670G pump and a Dexcom CGM. I like that they don’t talk to each other. I use the new G7 Dexcom. Even though it has a faster warm up then the G6, I find that it takes awhile to be accurate. I rarely had to calibrate the 6. The 7 more than the 6. If I was on an automated system and my pump was getting erroneous numbers from my Dexcom, that could be a disaster. Another issue is I have moderate gastroparesis. Since my stomach empties slowly how would one of these newer devices know how long it would take for my stomach to empty?
Managing diabetes is exhausting and frustrating. Thankfully I’m not in that mindset all the time. Trying as a mere human to do the job of an organ that does so many things effortlessly is HARD! Also I’ve taken the word control out of my vocabulary as far as diabetes is concerned. Managing is a much more realistic and kind term. Then you don’t constantly feel like a failure.
Me, too. T1D since 1977. Closed loop system scares the heck out of me. I also have mild gastroparesis. I fear it would be a disaster if I allowed technology to make my treatment decisions.
There is no reason to be scared at least of the automated basal. Definitely I wouldn't fear with a Medtronic getting you to hypo coma or something like that. I believe it's impossible as I know the system and I'm sure the regulators are looking into that too.
Basically the system is smart enough to know there is something unexpected going on. It expects the BG to behave in a certain way, if it doesn't, it gets you out of the loop. It especially doesn't suddenly give higher doses if sensor reading is just off.
Second, a sensor that is failing, at least the Medtronic ones, begin to report lower BGs than reality, never higher (could be a little higher due to inaccuracy, but nothing dangerous).
But, for someone with as bad absorption as me, or with other problems, I'd probably avoid automated boluses. I don't think it would work well enough for me. But we'll see
Any plans to cover the clinical study "Efficacy of Semaglutide in Overweight and Obese Patients with Type 1 Diabetes"?? More than two-thirds of patients with type 1 diabetes (T1D) are overweight (OW) and/or obese (OB).
I'd really like to learn more about this on the podcast - working on it, on the list - thanks!
Thank you for your video. You mentioned conferences. As we are parents of a kid with T1, what conferences can you recommend, mainly in Europe, with such a focus? I guess ATTD would be very interesting as well but I assume the main focus would be on grown up patients. Thx for any hint. Best
Michael
Yes i love new things for type 1 but it's really nice they tgere doing pump and cgms for type 2. Just to bad that insurance companys think we are rich becauce they only cover 10% of cost becase of that i had to get off my pump go back to shots no cgm
Thank you for your information videos they are great!!! been a type one diabetic for 51 years
So glad you like 'em :)
Can you also provide more information about those conferences?
Would be interested in this also😊
First
It was great talking diabetes tech and seeing you again! Sounds like you had (are still having?) a blast in Europe! Safe travels, and thanks for all that you do.
Thanks for coming on the show, David! Always a pleasure. Looking forward to more conversations in the future. JUST got home today :)
thanks for great information. Big help!!
You're welcome!
It’s so good to have all these options available. In my country, there’s only 1 company for insulin pump available, and the only CGM available is Freestyle Libre 1.
Waiting for a time when we’d have options too.
After the first part of this podcast, I was thinking it would be very interesting to see a piece about financial affordability of managing diabetes (and tech) in different countries, is it insured, or not, and how much do different diabetics monthly or yearly pay for their disease. I am loving your work btw!
I can’t wait for your video on the new company twiist I am hoping it may be three years that they will come out with a pump where you won’t have to count. Type one diabetics are way overdue.!
t2 here, managing well on basal insulin, metformin, glp-1 and exercise, but this disease is progressive so mealtime insulin could be in my future. it's nice to know that pumps will be a possibility when that time comes, if it does.
Is there a smart watch that can work without being connected to a phone and using freestyle libre 3 services?
As a Brit with Type One you poor sods need a National Health Service
You are 100% correct health care in the USA is horrible
As a Brit living in America you couldn’t be more right on this. Not to mention even with insurance supplies such as Dexcom sensors are not covered on insurance and cost is off the charts expensive. Good old America it’s all about the almighty $$ and company revenues.
@@tmcclafferty If they want to reduce the stress of Type 1 diabetes we need a National Health Care system here. Our healthcare system is broken. For many of us, the unwealthy, dealing with our insurance companies and paying for insurance and supplies is 50% of the stress.
Awesome 😎
A lot of information. Thanks
Glad it was helpful!
Thank you
Thank you!
You're welcome!
Thanks for all your work to cover this conference!
You got it! Thanks for watching :)