Before watching your video, I thought of my likes and dislikes. They are the same as yours! The only added irritation is why doesn’t the pump clip go upside down from what it is, so I don't have to look at the screen upside down if I don’t want to take it off. They should really make the whole clip situation user friendly. But the positives definitely outweigh the negatives. Love your videos!! Thank you and congratulations on your PhD!
After living with insulin dependent diabetes for >40 years, there is still a lot to learn especially from young adults who are technically competent (and very pretty). I appreciate your insight and have learned a few things from you- thank you! Keep up the good work.
Gratulation zum Dr., Michelle! Habe mich vor Tagen entschlossen die t:slim X2 als nächste Insulin Pumpe zu nehmen und deine Videos haben mir sehr geholfen. Vielen Dank. Bleib gesund
So interesting to hear about the T-Slim! I’d definitely consider switching to this pump, love the smaller profile and integrated CGM. Thank you for the well thought out and presented info, Michelle!!
Thank you Andrea! I'm so glad you found this video interesting. I am definitely loving the t:slim, especially the integration with the Dexcom 😘. I could definitely see you using this pump in the future since you are such a big Dexcom fan 😀
I wish they would educate tsa about insulin pumps. The last few times I have traveled I tell them I can't go through and they just keep waving me on like I am creating a problem for them. The amount of times they just say, "oh its fine". So I go though and it goes off and they get mad at me anyways. They shouldn't be able to say its fine when they don't know your pump? I think mostly they're just in a rush because theres a long line of people and it angers me. If someone requests a pat down theres usually a damn good reason for it because that is the most awkward experience! Luckily I haven't had trouble with the scanners causing malfunctions but jeez it is nerve-wracking thinking there could be a problem when you're in a tiny tin can in the air. I don't have bombs or drugs - just a bad pancreas. Give me a break.
I just started to use TSlim2 IQ, with the G6 sensor/transmitter directly to the pump. IQ technology is very good. My complaints are: (1) the "cartridge" (reservoir) should be without syringe (e.g. Medtronic since the 90s) to save time AND avoid getting insulin all over the place, (2) the clip is protruding metal, which creates problems for the skin of runners, swimmers, (3) the belt clip is horizontal only, so you have to read and administer sideways and upside down, (4) the number of "touches" to give a combined or square bolus, with confirmations, is excessive and (5) the tubing is about 6 inches short for using belt clip at the toilet seat.
I realize you have possibly answered your own questions regarding how to clip or secure your insulin pump to your body. I have sewn together a belt attachment much like the one used on the Medtronic Minimed insulin pumps. It works like a charm. Once I get the drawings completed and recommendations on the stitchin process I will instagram you with the detail. I realize women don't wear belts so in the meantime I will work with my wife and see if we can come up with a few more solutions.
Have been on the T-slim x2 almost two months. Cartridge refills were also my issue, getting better. Formerly on Medtronic 630 g for approximately 10 years. Even after two hours of training with my Trainer, whom I would not trade for the world, still had to watch UA-cam videos,which was and is very helpful. Enough of my rambling, so far loving my T-slim.
Michelle, just found your channel. I just switched from my Medtronic pump which I had for 5 years, to this tslim pump. I love it so far. Just got it and trained for it 3 weeks ago. I like it better than the medtronic pump I had. But it's hard for me to refill it. I follow a step by step sheet that my trainer gave me. I will get better at it. It's just different. I am glad I switched to the tslim. Numbers seem better already. Thanks honey. I have been type 1 for 8 years now.
Congrats on your achievement! when going through airport security I just disconnect the pump and place it in my pocketbook. I reconnect it immediately after.
@@williamtaylor6280 There should be no problem for the pump but there are issues for CGM devices. I always take my pump off and just put it in a pocket in my carry on and have never had a problem (I currently use a medtronic pump).
@@donhutchison9289 completely false. Read your owners manual and talk with them about this. I travel frequently and it will definitely mess up the devices. They tell you not to for a reason.
Just started on the T-slim 5 weeks ago. Been on the Dexcom 6 for 2 years, love the interoperability of the 2 systems. I too was uncomfortable with the cartridge filling but, took my time and now think I have the hang of it. As to traveling, I do it a lot so that was an issue for me as well. What I have been doing is being proactive when approaching TSA. First of all, I have Global Entry and TSA PreCheck so what I do is shut off the insulin delivery and disconnect the tubing from the cannula, place the pump and tubing in a plastic baggie, hand it to the TSA person and tell them “this cannot go through the XRay machine, it’s an insulin pump. They take it from me, hand it downstream to another agent who swipes it down and by that time I’m through the process and they hand it back to me in the bag. Then I reattach the cannula and away I go. Gotta say, first time through I was a bit nervous but, I overthought the whole thing. I love the pump, I’m now in range consistently at 90% regularly
Congrats on becoming a doctor! I've been so envious of others on Tandem pumps, it's good to hear both it's pros and cons. Hope the Amazon clip/case works better, pump clips have been a constant gripe of mine
I switched from the Medtronic 722 to the T:Slim X2, I am using my holster from Medtronic and without modification it works very well. I did find that the pump had a tendency to slide out of the holster if it was on my waste and I leaned against a counter or something that put pressure on the face of the pump (didn’t happen often). In order to remedy that I added a small bumper from a cabinet door (looks like a clear dot) that increased the friction need to remove the pump and now works awesome. So if anyone is in need of a holster that is reliable, doesn’t break easily and allows you to swivel the pump for viewing the use the Medtronic swivel holster.
Will move on to X2 and G6 soon, still wait over here for update “Stop before Low”. Use the Medtronic 640 and now 670 with auto adjusted insulin..but after many years with Medtronic they never get the Sensor good..can show 11 but I am at 2 so I hope that part is better on X2. But guess I will see soon..😀 And there is No perfect pump so you just have to choose the cons they have that matter less for your use.
Congratulations Doctor Lord; makes you the Lord of the Doctor's cool. I have so enjoyed your comments and review especially, selecting the T:Slim X2 insulin pump and the closed loop technology for treating your Diabetes. I am sure this device will serve you well in your new career.
Hey Michelle! Congratulations on being awarded your PhD! Awesome. Love the video. I just went from an old Medtronic 512 to the t:slim x2. I concur with every observation you made. I tried the Medtronic 630g and disliked it intensely... too big, heavy and the button pushes?! Don't get me started. I just got an email... actually a couple of minutes before watching your post... and basal iq has been approved for Canada. Since I'm paying for my cgm, I'll have to consider whether to upgrade to the g6. Anyway, thanks for the post!
I have a tandem t:slim x2 for now two years and I enjoy using the pump makes my life much easier. I'm an officer and during a training my clip broke of course I looked online for for a better one which was found on Amazon and at the same time works good especially when dealing with lots of issues and safety moment. I definitely am happy to have the best pump ever it took me a while and research to find one and tandem t:slim was best option. I have been diabetic for 20 years and it get tough but with good management and good pump it help greatly. I appreciate your video and understand other option but more happy to see you with tandem.
I just celebrated my 45th yr with Diabetes on May 4th. I was on same medtronics as you and have been with the T2 since Nov of last yr, Same likes and dislikes as you except I dont use the case/clip as guys usually have an open pocket available but I would recommend looking into the T1 Tactical cases, but may be geared for guys more than females. The basal IQ with the G6 works great and I hear by the end of this yr it will also be able to increase basal if it detects you will be too high as well with the G6.
I did not like the clip! I called my rep and she gave me her last old model. It’s much better. She also said, they are working on a new clip! Hopefully it will be out soon! Thanks for the extra info!
Congratulations Dr. Lord. You’re a fine example and a model for people with challenging diseases such as T1D who are willing to work through adversity in achieving what may seem like impossible goals. Re. the new pump, are you no longer going to use your smart watch - in conjunction with your phone - to get your glucose readings? I will be getting the Tandem in a few weeks and I’m wondering whether I should keep both systems going (pump CGM readout and cell phone) at the same time. I must admit that I have become somewhat addicted to having my glucose levels available on my smart watch. All the best in your professional career.
Thank you so much! Yes, I still use my apple watch in conjunction with my phone, especially when I'm out and about in the city. However, when I'm at home I usually don't wear it.
Thanks for the T:Slim X2 review. I've had one for a few weeks now, but can't use it yet. My HMO has yet to deliver T:slim pump cartridges & infusion sets. I'm on Medtronic 670G pump with CGM now. It's 'state of the art', but requires scrolling through too many screens just to take an insulin bolus. Medtronic CGM/Pump system also requires frequent calibrations with a BG meter; Dexcom G6 CGM/Tandem Pump system does not. Tandem & Dexcom are easier companies to deal with than Medtronic. However, HMOs are medical nightmare companies for people with Type 1 Diabetes. PhD? Really? You don't look much older than a high school student! OK, one critique: Why not do your T:Slim X2 video review more PhD presentation style? Maybe use Powerpoint charts & bullet points for your Pros & Cons? I almost closed your video before you began the actual review. You are beautiful, but the video was too Millennial Selfie style for me. I was looking for information about T:Slim X2 from a user's point of view, not a Join My Fan Club commercial. I don't 'Like' that. Sorry. Maybe I'm a grumpy old Baby Boomer dude, but I've also had Type 1 Diabetes for over 44 years. I'm also a RN with a BSN degree, so your PhD accomplishment really does impress me!
So much WASTE of insulin to change the cartridge! I used to use same tubing for 2, sometimes 3, cartridge refills (Animas). With T slim you have to prime at least *10 units* with each new cartridge. So now I just change the tubing every time. ugh. Insulin = gold
In regards to the clip issue and/or hiding your pump under clothing, I recommend trying a "Flip Belt." Super comfortable, secure & washable. Great for everyday use & active lifestyles. Check them out!
Sometimes I put pump in pocket without shutting screen off, l accidentally put in exercise mode, more than once, for I don’t know how long, maybe even a week or 2
Hi Michelle! Just wondering when you were doing your research and trying to make your decision for your next Pump, did you ever consider the Omni pod? If not do you mind sharing what your reasons were? I’m toying between the two, really leaning more towards the tandem since the basil IQ IS coming out in February and I’m pretty sure by the end of next year we will see the control IQ also. Just wondering if it was ever one of your considerations. Thanks so much!
Congratulations! I just switched from Animas to the Tslim x2 about a month ago. I love it but wish it had a remote to bolus when it's tucked away. Where did you get your overlay patch from? It is so pretty!
Hi from puerto rico, i picked up the tslim and g6 last Thursday im still waiting on a call to set the appointment to connect to the new pump , i have the medtronic for 5 years but im really excited to change. Im actually using the g6 sensor since Thursday and im soooooo in love on the first day i got a low around 4 am and used the info from the sensor to lower my basal from 12am to 7 am and on 2nd day was maintained on target no lows. Im soooooo happy for the features on the tslim regarding lowering basal o stopping if needed. Hate lower bg in the early mornings hope this will stop soon once i change. If anyone recomends a different clip pls let me know or reply with a link thanks
I started the Tslim one week ago. It has been frustrating. I have several infusion sets fail. Either the cannula bent or teh set was pulled off my body by the pump falling to the ground. I called Tslim . They think I should not be using auto soft 90 but mailed me 4-5 other types of infusion sets. Any body have a different infusion site than when you started this Tslim pump?
I use the TruSteel infusion set. It doesn't kink and if I drop the pump the sight isn't pulled out as there is an extra sticky part that attaches to your skin, if the pump drops, it pulls on that and not the actual site itself.
Thank you for the great video! Could you please explain how is the charging time for X2? My wife wants to change her Medtronic to this one and struggling with the charge time of the X2.
I can charge my pump maybe once a week? I have never had it die on me. When you go take a shower, or are laying in bed its so easy to plug it up. I also carry a battery pack with me if I am going to be out just for emergencies. You can also charge it using a car adapter. Charging time to get a full charge from a low battery can take 15-20 or so minutes just depending? Over all it isn't something I have had trouble with nor seen complaints of.
Really useful video thanks - I'm currently wanting to switch to the TslimX2 from the Animas Vibe but my hospital here in the UK are saying no. The other CGM augmented option of the Medtronic 670 isn't good as the Guardian and enlite CGMs didn't work reliably for me when I have tested them - kept missing hypos - but the hospital still say no!!
@@MichelleLord- Thanks, need to stick with Dexcom so this is really the best and only option for me but it does look like a really good pump for other reasons too. I'll be using some of your points when I next see my consultant to try again... Congratulations on the Doctorate by the way...
Congrats Dr. Lord! Thank you for sharing 😊 I’ll also be switching to the tslim from the Medtronic paradigm soon so this was very helpful. Really hoping I can continue using dexcom g5 with it (Aus government cut me off since I turned 21 last week, will only fund me if they decide I’m ‘high need’ now 🙁) Does insurance cover cgms at all in Canada?
Do you still need to take a long term (the 24 hour one I forget what it’s called lmao) shot? Cause I want to get a pump but I don’t know if I’ll still have to get a shot.
I know this video is older so I’m not sure if you check comments regularly, but I got this on amazon for my Medtronic pump (i think it’s the same as your old one) and it works really well. Especially if you don’t have pockets. Running Buddy - "Buddy Pouch Black Mini - Small and Convenient, Belt-Free and Lightweight Personal Magnetic Storage Pouch (3.5" L x 4" H) www.amazon.com/dp/B00IEF8KQ4/ref=cm_sw_r_cp_api_i_agfoDbD60RDFY
First of all, congratulations! Dr.Lord has a nice ring to it, second of all, I might be getting a Medtronic pump, cause pumps here are very expensive or not available here, any advice?
I HATED my Medtronic pumps. After switching to the T2 Slim in combination with the Dexcom G6, my life as a Type 1 has changed. I went from A1C's in the 11's to 7.1!!!!!!!
need to shut off ALL AUDIBLE alarms. ALL. It is going to cost me my job because coworkers and customers panic. It is going to cause a car accident obnoxiously frequent alarms driving. Tandem is building devices with no knowledge of the amount of time it take for oral sugar to rise blood glucose? absolutely no idea? Pump alarms loud over and over, 10 times, in the amount of time it takes blood glucose to rise? We need to get together with a class action law suit for negligence. I even got thrown out of church for "An electronic device not alarm not turned off. How many people have died taking their seatbelt off and drive into bridge abutments trying to shut the screaming alarm off? Is there a hack, or schematic of pump so I know where to drill a hole to hit the specker and destroy it? It's actually alarmed 6 times right now, because they are too ignorant to know how long it takes insulin to bring down a sugar. Thats negligence. Need a link to a schematic on where to drill a hole or how to crack case open to get to that speaker and rip out.
who cares about your wardrobe?! i just want something to keep up with my drastic highs and lows, my sensors never do! i don't trust these, or anything :(
My son wears the G6! It's absolutely fantastic! As well, he's about to switch to the Tandem t:slim X2! Which just got the Control-IQ update! So it can now adjust for both lows and highs! AUTOMATICALLY!!! We're super excited! So anywho! Metal detectors can cause issues and errors with CGM transmitters! Because of this, you shouldn't be going through metal detectors. Nor can they make you! You should be bypassing them and having them use a hand-scan wand!
Kimberly Sweet Dexcom disagrees with your metal detector assessment. Advanced Imaging Technology (AIT) body scanners are a different matter though. www.dexcom.com/dexcom-airport-and-travel-guide-flying-dexcom-cgm
Like below, high congrats on your PHD. I am just starting X-2 tomorrow. I know I will love it. For my pump wearing (male) I find a belt pouch works the best. It is very secure with easy access to the device. Never had luck with clips as they are not so secure and somewhat fragile. My current pump is in a Canon EOS memory chip pouch which secures by belt loop. It is very secure., Again, in the pouch, the thickness of a case can be eliminated. With the cartridge/infusion set connector it is easy to disconnect for airport scanning. Cartridge filling is, yes, a more lengthy and insulin consuming process. Vanessa Belani has some insulin saving tips for cartridge filling which are safe and fast, but compared to other pump designs it is more cumbersome. I feel other pump benefits overcome this issue. As for pump falling off, I will happily retain it for you. Happy pumping with glucose management for good health and long life.
Great video! It's nice to hear other's opinions too! And of course CONGRATULATIONS ON YOUR PhD!! That is so exciting and such an amazing accomplishment!
Congrats Michelle, and thanks for your likes and dislikes. I have been Type 1 for 51 years! I have used the Mini-Med Medtronic pump for over 10 years with great success. I switched to T-Slim 2 weeks ago because I like cool, new, hip-looking devices. Like you, I have likes and dislikes. I like the use of the touch screen, the easy-to-read display, and the user-friendly steps to bolus and track BG's. My major problem is with the infusion set, the AutoSoft 90. I have found it very difficult to disconnect and reconnect at the site. The connecting clip is hard to squeeze and remove without pulling out the catheter. Second, I don't like the numerous steps needed to refill the the cartridge (as you mentioned) nor do I like the numerous steps needed to insert the infusion set. It also involves an incredible waste of plastic, which is not what we need in the world right now. I plan to switch to one of the other "manual insertion" sets that Tandem offers. It requires you to just push the needle into your skin, so you have to be brave. I imagine that most of us are used to sticking ourselves with needles by now. Thanks for your blog Michelle. I'll keep checking in.
Hi Peter, T1 44 years. Went to tslim from Animas. I tried the -90- infusion sets, and I had the same experience. Waaaay too hard to disconnect. I use the XC soft. I used the manual, 30degree inserts for 20 years and was having frequent issues with sets going bad because of scar tissue - allegedly, no one can really prove that, right? med pers just GUESS so much! While I agree with you on the waste generated for the apparatus to insert the straight-in cannulas, I've gotten used to them and find that I have a wider range of site choices. More power to us, right? Blessings!
This is the pump I'm getting and I'm super excited. I've only had T1D for exactly two months today but I am super happy that they already trust me enough to get a pump. Thank you for your channel it's amazing and super helpful and relatable.
Congrats on the PhD! I'm also on the TSlimX2. It's been nice not having to stress too much about going dangerously low. I've had a few issues with kinked cannulas, but that's more to do with the way my muscle/ fat/ and scar tissue are distributed, so not a Tandem specific issue.
I actually am just finishing my first set with the T-Slim X2. I have a Dexcom G6 and I love them both so far. I switched from a Medtronic 530G and it is just night and day. First due to insurance issues I was able to get the Dexcom G6 device about a month prior to my T-Slim Pump. So for the fun of it I used both the G6 and the Minimed Enlite system to compare. It took about 24 hours for the G6 to truly calibrate itself. In this time I did sent it Glucose Meter readings but after the first 24 hours it was extremely accurate. The Enlite CGMS prompts me to calibrate it every 6 hours and I would find it was much less accurate than the G6--sometimes as far as 80 points off. Not having to worry about things if you forget your glucose meter is such a nice thing. Also the G6 is less bulky in my opinion. The Enlite (and guardian) systems have transmitters that do not seat into the sensor body. The also have this sort of mushroom shape that exposes a corner that easily is caught on things like clothing when you are taking off your shirt. This has resulted in a number of failures of the enlite system for me. So far my G6 has avoided those pitfalls. It is also really nice to be able to acknowledge alarms on my phone. I have my phone set to make noise alerts and have my pump on vibrate only. I may change this eventually--but if you're driving and your pump is under layers of clothing and a seat belt--it is nice to simply just acknowledge your phone and not worry about having to acknowledge the pump itself. The Minimed would repeat the alarm every 60 seconds with increasing intensity which wasn't ideal. The alarming systems on the T-Slim also seems to be very well thought out. The repeat alarms are more reasonable and volume is customizable. In terms of using the T-Slim pump--the interface is very well thought out. I don't like the fact that if you touch the screen three times in non function areas it turns off. I understand why-but in my case I have quite a bit of scarring on my thumbs which interferes with the touch screen--if I touch the screen with too much of my scarred areas it doesn't pick it up as a valid click--but does sense the pressure so three scar tissue clicks means the screen shuts off and I have to start over. Even with that I am learning to use my index finger more. the Basal IQ is fantastic. The MiniMed 530G would shut off the pump if you crossed a threshold value and it would alarm until it would wake up everyone in the house. Also my Minimed 530G did not automatically resume so if I was alone in the house I would typically sleep through the alarms and wake up with a blood sugar of over 400 if an event like that happened. The Basal IQ on the other hand watches your rate of fall and predicts where you will be in 30 minutes. If it predicts you will fall below 80 in the next 30 minutes it suspends delivery until it sees your blood sugar start to rise. It will do so without alarms and the first night I switched over to the T-Slim I ended up having a severe drop around 2am. Basil IQ suspended and resumed and when I started to drop again it suspended again and it did a really great job of preventing a low and allowing me to sleep through the entire event. The user interface between any Minimed system and T-Slim is not comparable at all., Being able to just enter my blood sugar and carb amounts rather than scrolling is extremely satisfying. The ease with which you can set up profiles, edit basil and bolus settings, and see information is great. I can easily look at the home screen and see how much insulin is on board and how much time is left, I can easily see how many units of insulin I have--all without having to go into a status screen and scroll down. One complaint would be that I don't think T-Slim used all of the space it could have. There is about 1/2 inch of black space where their "T" symbol sits. You can touch the T-Symbol at any time to return to the home screen. I think the button on the housing works fine for that and that you could have had a more robust display area. For example you could have added an area showing how many hours were left on your sensor once you were under 24 hours. You could also show an indicator showing the progress of a bolus delivery. The filling of the cartridge is not ideal--but it also makes it possible to have a slimmer cartridge and smaller pump than the Minimed. So once I am used to it I don't think that will be a long term factor. I am not a big fan of the case or clip. I think Minimed's design of their spring loaded clip was better because it was easier to clip around various clothing styles (athletic pants/shorts with elastic waist bands are thicker and the T-Slim doesn't clip on that very well). I am a little concerned about air travel since I do travel for work a fair amount--but I'll work with that. Overall starting on this pump has been such a positive life changing experience. I expected to be disappointed as I was with the 530G. It seemed the 530G promised more that it delivered, but this T-Slim product is very well thought out for making life easier. I chose the T-Slim X2 over the Minimed 670G primarily because their strategy for managing low blood sugars was so simple and less intrusive compared to Minimed's most advanced model. Now with Control IQ coming out the end of January-this pump will do everything the 670G does--but without the archaic interface. Additionally the ability to download software updates is something the 670G cannot do. So upgrading for Minimed involves a hardware upgrade rather than the simplicity of downloading an update to my pump. In about 3 weeks I'll download the Control IQ system and have a system that compensates for both lows and highs. In terms of Dexcom--being able to confidently make decisions based of the CGMS data is huge. Also the fact that every 3-6 months you get a new transmitter, when the G7 comes out--upgrading is automatic. The attention to hardware and physical lifestyle updates is a really neat feature. The G7 is supposed to be the thickness of a quarter I believe and will be another good step to easier living with diabetes. Dr Lord--this was a great video and congratulations on your PhD. I will check out the links for the clips and probably order one.
Nate Alwine, Thank you much for your preview of the T-Slim Pump. I am going to try Saline trials this week with the T-Slim X2 and my Dexcom G6. This will be my first insulin pump. I was hospitalized and diagnosed with Type 1 Diabetes almost 4 years ago. So, I have been on 3 different insulins and 5 or 6 shots a day with such radical highs and lows. I hade the Dexcom G5 to get used to for about a year and and now I do have the G6 and feel that I am ready for the next step of the insulin pump. I was first looking at the Medtronic, closed loop system, but I like more what I have seen with the Dexcom/Tandem interfaces and the fact that I am used to using the Dexcom CGM that I also have readings on my iPhone and iWatch...it helps a lot. My only apprehension is that these are mechanical things an they can be off. I have found my G6 off quite a bit sometimes and that is what makes me nervous a little.
Nate; very interesting point of view, loaded with information. I'm slow to wearing a pump (still prefer my syringes or pens), but I'm considering it now, after 48 years being Type 1. Doing my research, trying to find a reliable, slim (not obvious) pump. I wore a CGM once and I HATED it. Couldn't tear it out fast enough. Uncomfortable and obtrusive. Cost effective if of course another consideration. Love hearing about all of your experiences.
I had been using the same medtronic minimed pump for 11 years and two weeks ago I switched to Tandem. Overall, I think it's nothing short of amazing and control IQ has helped stabilize my blood sugar tremendously, but, I totally agree with your thoughts on the cartridge filling process. I still have to watch the training videos because it's complicated compared to filling a reservoir for the minimed. Just a couple hours ago I was on the phone with tandem because the cartridge filling process was giving me a ton of issues. First the pump would not prime the inslin AT ALL but the pump was able to read that there was a full cartridge in it. It ended up being faulty tubing. Another thing was earlier during the syringe filling part, after getting the air bubbles out, the syringe was stuck, not able to be plunged, with 300 units in it. I ended up wasting 2/3 of it by screwing the needle on and off and insulin leaking everywhere. Tandem customer support is awesome though and they're sending me more cartridges and sets just because some were faulty and they told me to call anytime something like that happens so they can refund me more supplies for the faulty ones. Overall I think it's an amazing device and the more i change my set/fill the cartridge the easier it will turn into muscle memory!!! I'm glad this video came up on my recommended category, you seem awesome and you're the first diabetic I'm now subscribed to!! Congrats on all your Phd btw!!!
I met my CDE yesterday, and am now considering two new options from my 670G (which I’ve mostly been satisfied with): (1) upgrading to 770/780G OR (2) switching to Tandem’s. T-slim X2 with Dexcom. Any insights?
I’m a 20 year t1 diabetic as well. I’ve had a pump for like 10 or so years, but have only transitioned to a close looped system. I’ve been on this system for less than a week, and the conclusion I’ve come to is that the focus of these companies is to prevent lows, and highs are not really their focus. I understand that lows are an immediate danger, but the highs are what cause the long term complications that diabetics are at risk for. The pump defiantly stops me from going low, but I’ve noticed that when I’m on an upward trajectory, it does nothing until I hit the “high threshold”). Only then does it start increasing my basal, and it doesn’t bolus me until I’m basically in my 200s. For lows. It doesn’t matter it my glucose is 120, if it starts falling slightly, control iq will start decreasing my basal. And will eventually turn it all the way off BEFORE you are actually low. But for highs it waits until you hit 170 before it takes any action. For me that’s doesn’t fair well because my body for some reason once my sugar is above 170, it likes to stay there. So I end up having to continually manually bolus myself. It defeats the purpose…I don’t understand why they didn’t just keep the same technology for highs as the do lows. I’ve even seen my basal decrease when I was at almost 150, and it started dropping. Why would my basal decrease? Shouldn’t it either stay the same or even increase to pull me back down to 120-110??? And of course my sugar crept up and up until I hit 170, and then the pump started increasing basal. Didn’t bolus my until I was past 200. 🤨
I’ve had the Tandem X2 for 2 years now. I had a minimed for 15 years prior. I got a case from Type 1 Tactical. It’s a slip case made of plastic and the clip is extremely strong. Probably too bulky for wearing with a dress but I wear it in my work suit all the time. You get options of color and pattern ( I got carbon fiber). Your pump can slip in and out of the case with a very assuring tension feeling to it. It has never slipped out on its own. Congratulations on you PhD.
Michelle Congratulations on your graduation. I agree with you on your 2nd dislike but as far as your 3rd one i just put it in my pocket or bra. There is one other dislike I have and that is tandem does not have an over patch for the infusion like Dexcom does. I also am a changer from the Medtronic to tandem 9 months ago and I love my decision also.
I'm about two months in using T-slim with G6. In my dozen years dealing with this condition, I'm experiencing some of the best overall BG control I ever have. I too am having similar dislikes and issues, I just ordered one of your recommended belt clips. I tried using a "quad-lock" clip but found it too bulky. Thank you for posting...
I’ve been on the tslim for a month now and love it, I’m in the USA so I have the basal iq and it works great no more lows at night when I’m sleeping, I love the ability to have different profiles and to be able to change insulin rates during the day in the timed feature, as far as the clip I haven’t had any issues with that most of the time I have it clipped to my pants pocket facing in so the unit is inside the pocket. I did by a spi belt which works good it’s sleek you can’t even tell it’s under your shirt and it has a port for running your tubing in so it’s not getting caught up in the zipper it doesn’t bounce around either. I can’t wait for the update for the closed loop I think tandem put more research into that then Medtronic we shall see suppose to be out some time this summer or early fall. Also love the fact it is updatable offer the net.
The reservoir connector to the infusion set tubing sticks out of the belt clip holster. It just flops around. But the pump is awesome. Took my A1C from 7.4 to 6.2 in one month of wearing it with my G6.
Good to know about the cartridge filling. I've been doing research and watching videos and I'm a little nervous about it. My animas is so easy I could literally do it with my eyes closed (not that I do that). I also thought the clip wasn't great. My animas clip is AMAZING...7 years and going strong haha. The pump overall still seems amazing and I love that when something new comes you can download the new features which is cool.
If you travel through a U.S. airport, TSA lets you "hand check" insulin pumps! Just before you go through the metal detector just ask to have it hand-checked. You hand the pump to the right TSA agent and walk through the metal detector. Then they either swab the pump or your hands and run the swab through the explosives detector. So much easier than a full-body pat-down. Not sure if Canada does the same thing but worth a try!!
I never go through the body scanner with the Dexcom Transmitter on my body, though. So, I have to get the full pat down. Being a girl, I have had to wait upwards of 10 mins for a girl officer to come over and do it. It's not awful though. Just add 10 mins to your security experience.
Yes, I use the latest T-slim with basal-IQ / Dexcom G6. Soon a wonderful feature of T-slim will be put to use...the firmware updatability. I-Control is soon to be released making this pump a closed loop system which will further reduce lows and highs making this a very powerful system. Update, not Out-of-Date. Answering your question about pump clips, I use a product purchased at Walmart for $6 by ByTech. It is a tiny cell phone case that just fits the pump and securely clips to nearly anything. I prefer it because it encloses the pump protecting it from scuffs and bangs. Waist bands, belts or pockets are good places to carry this case. I like nearly all the features of this pump. The pump will not allow you to record a solo carb entry. "Incomplete bolus entry" alarms sound. I would like this for pro-active data entry showing before exercise or preventative low protection. I am a type 1 of 54 years and have learned much over that time. My endocrinologist is helping steer me into Stanford Chronic Disease Peer Training program which will allow me to share some of my knowledge without putting myself or the hospital at risk of litigation.
Congratulations on getting your PhD Dr Lord! 😊 How did you find your viva? I was terrified going into mine, but actually ended up quite enjoying it as both my internal and external examiners were so lovely.
Thank you!! It was such a good experience actually! Very similar to yours, where the examiners were more interested in my work and we ended up having great discussions 😊
Michelle, Congratulations on your PhD! - I've been a type 1 diabetic for 48 years, I've been wearing an insulin pump for 26 yrs, just recently changed over to the t:slim X2. I wasn't crazy about my trainer, she didn't seem very knowledgeable what I'm trying to figure out is how to set my "Low Range" to higher than 70. 70 is way to low for me, I've very sensitive to insulin so by the time my sugar is near 70 it is way too low for me, within a few minutes I drop to 50. I'm going to call tandem tomorrow to see if someone there can help me - I like to carry my pump in my bra - I get my bras from Victoria's Secret, I purchase headbands that the color matches my bras - I then take it to my dry cleaners (they do alterations), they put a pocket between the cups (on the inside) - this works fantastic, my pump fits in horizontally, stays secure and no one ever knows I have a pump on : )
Just switched to my tslim yesterday 9-30-20 from over 15 years with Medtronic. I was so nervous about the cartridge fill based off their video and how many more steps there were to fill than my previous pump. Watched your site change and cartridge video and it was so helpful!
I've recrntly been approved to receive an insulin pump, and my choices (as omnipod is not an option due to high insulin usage) is between the t-slim x2 and the latest medtronic. I like that the t-slim seems smaller as I wonder how I'll wear it when not wearing jeans (skirts, dresses, looser waistbands etc) but I am a bit concerned about the cartridge filling. I'll have to watch your video about that.
I have been on the T-slim for about 6 months now I HATE it! constant beeping all day and all night! you have to change the cartridge every three days, change the sensor every ten, change the transmitter every three months and a lot of the times the sensor is dysfunctional and you have to contact Solara. Its so unsightly under clothes (yes I purchased the garter, the waist band) and the catheter gets caught in your zipper or falls off and hurts by pulling the needle out!. The nurse at my mammogram told me to STOP wearing it in my bra area because it can cause cancer? Maybe I am too active for this ,but I am going back to injections. Also I gained 17 lbs. since I started the pump and did way better without this pump. I hike 2-3 miles a day and eat great ,I still have to bolus constantly and I have dangerous lows (42) and horrible highs (390+) not in control at all - sorry this is not for everyone!.
Why do you have to change this every three days? Insulin gets wasted. Next question: what trick is there to if the tubing comes off where it’s attached to the body? I’ve had this 7 days and am overwhelmed with this along with the Dexcom G6. Like where do you put these things and can you get shorter tubes?
Hi. I'm late in seeing your video because I'm about to get the T-slim X2. Congrats on your PHD, Dr. Lord! Can you please explain the tubing and cannula parts?
my one challenge is that I can't seem to get it to provide my bolus soon enough and my post meal blood sugars always go up to 200 no matter the bolus amount. It needs to allow more bolus go through more quickly.
Michelle, congratulations on your PhD. As a 15 year Medtronic pump user who is considering new pump options, I am really interested in the cartridge loading process. You suggested it was very different from the Medtronic pumps, can you create a video demonstrating the new process from end to end? Thanks again.
Any advice on infusion sets? I used quik set with my Medtronic pump. I’m nervous about switching to the x2 as I’ve used Medtronic for 20 years but I love my Dexcom so I’m switching.
I used the Mio infusions sets with Medtronic, which are identical to the AutoSoft90 for t:slim. However, I'm not sure if there is a quickset equivalent. You could quickly call Tandem and ask! I find the AutoSoft90 infusion set to be very easy to insert and it doesn't leave scarring for me.
I just started using a pump and the Control IQ has been amazing! I was very nervous about the automatic corrections and basil rate adjustments, but I haven’t had any issues yet. Every night it perfectly adjusts to keep me at my target BS. The only frustration is finding a good clip and location to clip to as I am extremely active and always finding new ways to have the infusion set ripped off. Would love advice on active clothing and better infusion set sites.
When I had my Medtronic...I found workout shirts with a pocket...I cut a small hole on the inside and fished my hosing through to my insertion set...I also put a button on a couple as I was in karate and moving around a lot...it worked pretty well just need to find good quality shirts. Cheers, JpG.
Hi Michelle! Congrats on your PhD! I am also a Type 1 diabetic with a PhD! WooHoo! Question: Where did you get the patch around your Dexcom transmitter?
Dexvome allows you to monitor your child's sugar levels at all times on your cellphone. On the other hand the Pods are tubeless, which is good. Plus you can use dexcom with any pump, it is just not connected like it is with this one but you can still monitor your child's sugar levels and I think they are working on connecting it with all pumps.
Congratulations on the PhD! That's awesome! Thank you for these videos. Very helpful. My 15-year-old son will be starting on the T:slim 2x this week after being on the Medtronic pump most of his life. Like you, I feel a little apprehensive... but your video is reassuring me that we'll get through this pretty smoothly. I played with the pump a little, and I must say that I love the interface, so far.
My son is with same pump of medtronic g640 his 5 year old but i find some many pro lem in pump just we change the pump i will post them for other . Please writ us about t slim x2 how is for kids .
Before watching your video, I thought of my likes and dislikes. They are the same as yours! The only added irritation is why doesn’t the pump clip go upside down from what it is, so I don't have to look at the screen upside down if I don’t want to take it off. They should really make the whole clip situation user friendly. But the positives definitely outweigh the negatives.
Love your videos!! Thank you and congratulations on your PhD!
I just started T: slim Control IQ yesterday, and wondered if there's a way to flip the screen display.
After living with insulin dependent diabetes for >40 years, there is still a lot to learn especially from young adults who are technically competent (and very pretty). I appreciate your insight and have learned a few things from you- thank you! Keep up the good work.
Gratulation zum Dr., Michelle!
Habe mich vor Tagen entschlossen die t:slim X2 als nächste Insulin Pumpe zu nehmen und deine Videos haben mir sehr geholfen. Vielen Dank. Bleib gesund
So interesting to hear about the T-Slim! I’d definitely consider switching to this pump, love the smaller profile and integrated CGM. Thank you for the well thought out and presented info, Michelle!!
Thank you Andrea! I'm so glad you found this video interesting. I am definitely loving the t:slim, especially the integration with the Dexcom 😘. I could definitely see you using this pump in the future since you are such a big Dexcom fan 😀
I wish they would educate tsa about insulin pumps. The last few times I have traveled I tell them I can't go through and they just keep waving me on like I am creating a problem for them. The amount of times they just say, "oh its fine". So I go though and it goes off and they get mad at me anyways. They shouldn't be able to say its fine when they don't know your pump? I think mostly they're just in a rush because theres a long line of people and it angers me. If someone requests a pat down theres usually a damn good reason for it because that is the most awkward experience! Luckily I haven't had trouble with the scanners causing malfunctions but jeez it is nerve-wracking thinking there could be a problem when you're in a tiny tin can in the air. I don't have bombs or drugs - just a bad pancreas. Give me a break.
Quit flying on planes
@@tonycallea6223 yeah thanks Tony for the life changing advice
I just started to use TSlim2 IQ, with the G6 sensor/transmitter directly to the pump. IQ technology is very good. My complaints are: (1) the "cartridge" (reservoir) should be without syringe (e.g. Medtronic since the 90s) to save time AND avoid getting insulin all over the place, (2) the clip is protruding metal, which creates problems for the skin of runners, swimmers, (3) the belt clip is horizontal only, so you have to read and administer sideways and upside down, (4) the number of "touches" to give a combined or square bolus, with confirmations, is excessive and (5) the tubing is about 6 inches short for using belt clip at the toilet seat.
I realize you have possibly answered your own questions regarding how to clip or secure your insulin pump to your body. I have sewn together a belt attachment much like the one used on the Medtronic Minimed insulin pumps. It works like a charm. Once I get the drawings completed and recommendations on the stitchin process I will instagram you with the detail. I realize women don't wear belts so in the meantime I will work with my wife and see if we can come up with a few more solutions.
Have been on the T-slim x2 almost two months. Cartridge refills were also my issue, getting better. Formerly on Medtronic 630 g for approximately 10 years. Even after two hours of training with my Trainer, whom I would not trade for the world, still had to watch UA-cam videos,which was and is very helpful. Enough of my rambling, so far loving my T-slim.
Michelle, just found your channel. I just switched from my Medtronic pump which I had for 5 years, to this tslim pump. I love it so far. Just got it and trained for it 3 weeks ago. I like it better than the medtronic pump I had. But it's hard for me to refill it. I follow a step by step sheet that my trainer gave me. I will get better at it. It's just different. I am glad I switched to the tslim. Numbers seem better already. Thanks honey. I have been type 1 for 8 years now.
Congrats on your achievement! when going through airport security I just disconnect the pump and place it in my pocketbook. I reconnect it immediately after.
That’s just as bad! Should NOT be X-Ray aka radiation.
@@williamtaylor6280 There should be no problem for the pump but there are issues for CGM devices. I always take my pump off and just put it in a pocket in my carry on and have never had a problem (I currently use a medtronic pump).
@@donhutchison9289 completely false. Read your owners manual and talk with them about this. I travel frequently and it will definitely mess up the devices.
They tell you not to for a reason.
Just started on the T-slim 5 weeks ago. Been on the Dexcom 6 for 2 years, love the interoperability of the 2 systems. I too was uncomfortable with the cartridge filling but, took my time and now think I have the hang of it. As to traveling, I do it a lot so that was an issue for me as well. What I have been doing is being proactive when approaching TSA. First of all, I have Global Entry and TSA PreCheck so what I do is shut off the insulin delivery and disconnect the tubing from the cannula, place the pump and tubing in a plastic baggie, hand it to the TSA person and tell them “this cannot go through the XRay machine, it’s an insulin pump. They take it from me, hand it downstream to another agent who swipes it down and by that time I’m through the process and they hand it back to me in the bag. Then I reattach the cannula and away I go. Gotta say, first time through I was a bit nervous but, I overthought the whole thing. I love the pump, I’m now in range consistently at 90% regularly
Congrats on becoming a doctor! I've been so envious of others on Tandem pumps, it's good to hear both it's pros and cons. Hope the Amazon clip/case works better, pump clips have been a constant gripe of mine
I switched from the Medtronic 722 to the T:Slim X2, I am using my holster from Medtronic and without modification it works very well. I did find that the pump had a tendency to slide out of the holster if it was on my waste and I leaned against a counter or something that put pressure on the face of the pump (didn’t happen often). In order to remedy that I added a small bumper from a cabinet door (looks like a clear dot) that increased the friction need to remove the pump and now works awesome. So if anyone is in need of a holster that is reliable, doesn’t break easily and allows you to swivel the pump for viewing the use the Medtronic swivel holster.
Will move on to X2 and G6 soon, still wait over here for update “Stop before Low”.
Use the Medtronic 640 and now 670 with auto adjusted insulin..but after many years with Medtronic they never get the Sensor good..can show 11 but I am at 2 so I hope that part is better on X2. But guess I will see soon..😀
And there is No perfect pump so you just have to choose the cons they have that matter less for your use.
Congratulations Doctor Lord; makes you the Lord of the Doctor's cool. I have so enjoyed your comments and review especially, selecting the T:Slim X2 insulin pump and the closed loop technology for treating your Diabetes. I am sure this device will serve you well in your new career.
Thank you for your information, I start the T:Slim X2 on Thursday
Hey Michelle! Congratulations on being awarded your PhD! Awesome. Love the video. I just went from an old Medtronic 512 to the t:slim x2. I concur with every observation you made. I tried the Medtronic 630g and disliked it intensely... too big, heavy and the button pushes?! Don't get me started. I just got an email... actually a couple of minutes before watching your post... and basal iq has been approved for Canada. Since I'm paying for my cgm, I'll have to consider whether to upgrade to the g6. Anyway, thanks for the post!
i just switched to this pump so far i love it
Great to know it sets off metal detectors! I wasn’t made aware of that
I have a tandem t:slim x2 for now two years and I enjoy using the pump makes my life much easier. I'm an officer and during a training my clip broke of course I looked online for for a better one which was found on Amazon and at the same time works good especially when dealing with lots of issues and safety moment. I definitely am happy to have the best pump ever it took me a while and research to find one and tandem t:slim was best option. I have been diabetic for 20 years and it get tough but with good management and good pump it help greatly. I appreciate your video and understand other option but more happy to see you with tandem.
Weeks Congratulations, Michelle, I just received model 260 yesterday, and will in next few weeks be getting therapy on how to use it
I just celebrated my 45th yr with Diabetes on May 4th. I was on same medtronics as you and have been with the T2 since Nov of last yr, Same likes and dislikes as you except I dont use the case/clip as guys usually have an open pocket available but I would recommend looking into the T1 Tactical cases, but may be geared for guys more than females. The basal IQ with the G6 works great and I hear by the end of this yr it will also be able to increase basal if it detects you will be too high as well with the G6.
I did not like the clip! I called my rep and she gave me her last old model. It’s much better. She also said, they are working on a new clip! Hopefully it will be out soon! Thanks for the extra info!
Congratulations Dr. Lord. You’re a fine example and a model for people with challenging diseases such as T1D who are willing to work through adversity in achieving what may seem like impossible goals.
Re. the new pump, are you no longer going to use your smart watch - in conjunction with your phone - to get your glucose readings? I will be getting the Tandem in a few weeks and I’m wondering whether I should keep both systems going (pump CGM readout and cell phone) at the same time. I must admit that I have become somewhat addicted to having my glucose levels available on my smart watch.
All the best in your professional career.
Thank you so much! Yes, I still use my apple watch in conjunction with my phone, especially when I'm out and about in the city. However, when I'm at home I usually don't wear it.
Thanks for the T:Slim X2 review. I've had one for a few weeks now, but can't use it yet. My HMO has yet to deliver T:slim pump cartridges & infusion sets. I'm on Medtronic 670G pump with CGM now. It's 'state of the art', but requires scrolling through too many screens just to take an insulin bolus. Medtronic CGM/Pump system also requires frequent calibrations with a BG meter; Dexcom G6 CGM/Tandem Pump system does not. Tandem & Dexcom are easier companies to deal with than Medtronic. However, HMOs are medical nightmare companies for people with Type 1 Diabetes.
PhD? Really? You don't look much older than a high school student!
OK, one critique: Why not do your T:Slim X2 video review more PhD presentation style? Maybe use Powerpoint charts & bullet points for your Pros & Cons? I almost closed your video before you began the actual review. You are beautiful, but the video was too Millennial Selfie style for me. I was looking for information about T:Slim X2 from a user's point of view, not a Join My Fan Club commercial. I don't 'Like' that.
Sorry. Maybe I'm a grumpy old Baby Boomer dude, but I've also had Type 1 Diabetes for over 44 years. I'm also a RN with a BSN degree, so your PhD accomplishment really does impress me!
So much WASTE of insulin to change the cartridge! I used to use same tubing for 2, sometimes 3, cartridge refills (Animas). With T slim you have to prime at least *10 units* with each new cartridge. So now I just change the tubing every time. ugh.
Insulin = gold
That’s because the plastic breaks down the effectiveness of Insulin. FACT.
In regards to the clip issue and/or hiding your pump under clothing, I recommend trying a "Flip Belt." Super comfortable, secure & washable. Great for everyday use & active lifestyles. Check them out!
Sometimes I put pump in pocket without shutting screen off, l accidentally put in exercise mode, more than once, for I don’t know how long, maybe even a week or 2
Congrats Dr. Lord! That’s awesome, hell of a name too!
Haha why thank you!!
Hi Michelle! Just wondering when you were doing your research and trying to make your decision for your next Pump, did you ever consider the Omni pod? If not do you mind sharing what your reasons were? I’m toying between the two, really leaning more towards the tandem since the basil IQ IS coming out in February and I’m pretty sure by the end of next year we will see the control IQ also. Just wondering if it was ever one of your considerations. Thanks so much!
Does it come with a cover and were did you get the clip?
Congrats!!!! So amazing!
Congratulations! I just switched from Animas to the Tslim x2 about a month ago. I love it but wish it had a remote to bolus when it's tucked away. Where did you get your overlay patch from? It is so pretty!
Thanks :)! Remote bolus would be a pretty nice feature to have, I agree. I got my patch from pimpmydiabetes.com
Hi from puerto rico, i picked up the tslim and g6 last Thursday im still waiting on a call to set the appointment to connect to the new pump , i have the medtronic for 5 years but im really excited to change. Im actually using the g6 sensor since Thursday and im soooooo in love on the first day i got a low around 4 am and used the info from the sensor to lower my basal from 12am to 7 am and on 2nd day was maintained on target no lows. Im soooooo happy for the features on the tslim regarding lowering basal o stopping if needed. Hate lower bg in the early mornings hope this will stop soon once i change. If anyone recomends a different clip pls let me know or reply with a link thanks
I started the Tslim one week ago. It has been frustrating. I have several infusion sets fail. Either the cannula bent or teh set was pulled off my body by the pump falling to the ground. I called Tslim . They think I should not be using auto soft 90 but mailed me 4-5 other types of infusion sets. Any body have a different infusion site than when you started this Tslim pump?
I use the TruSteel infusion set. It doesn't kink and if I drop the pump the sight isn't pulled out as there is an extra sticky part that attaches to your skin, if the pump drops, it pulls on that and not the actual site itself.
Is the T-Slim monitor ok to get wet when showering?
Thank you for the great video! Could you please explain how is the charging time for X2? My wife wants to change her Medtronic to this one and struggling with the charge time of the X2.
I can charge my pump maybe once a week? I have never had it die on me. When you go take a shower, or are laying in bed its so easy to plug it up. I also carry a battery pack with me if I am going to be out just for emergencies. You can also charge it using a car adapter. Charging time to get a full charge from a low battery can take 15-20 or so minutes just depending? Over all it isn't something I have had trouble with nor seen complaints of.
Mads Liddell thanks a lot 😀
My clip hooks where it’s hangs sideways i like that
Really useful video thanks - I'm currently wanting to switch to the TslimX2 from the Animas Vibe but my hospital here in the UK are saying no. The other CGM augmented option of the Medtronic 670 isn't good as the Guardian and enlite CGMs didn't work reliably for me when I have tested them - kept missing hypos - but the hospital still say no!!
Ugh I'm so sorry that the hospital is saying no :(. I hope you can find a way to switch to the t:slim if that is what you really want. Best of luck!
@@MichelleLord- Thanks, need to stick with Dexcom so this is really the best and only option for me but it does look like a really good pump for other reasons too. I'll be using some of your points when I next see my consultant to try again... Congratulations on the Doctorate by the way...
Congrats Dr. Lord! Thank you for sharing 😊 I’ll also be switching to the tslim from the Medtronic paradigm soon so this was very helpful. Really hoping I can continue using dexcom g5 with it (Aus government cut me off since I turned 21 last week, will only fund me if they decide I’m ‘high need’ now 🙁) Does insurance cover cgms at all in Canada?
MarieTarin Insurance in Canada only covers the Libre.
Do you still need to take a long term (the 24 hour one I forget what it’s called lmao) shot? Cause I want to get a pump but I don’t know if I’ll still have to get a shot.
No you don’t have to take a long acting shot
No Clip Needed....Use my pocket! Even when I was on Medtronic pump I always used my pocket.
Sure, when wearing pants with pockets, but tough when women wear dresses.
@@deepalmer3960 that's what I wanted to say. I mostly wear things that have no pockets
will you go to Control IQ T Slim??
Congratulations on your PhD title!!! Great achievement!
Thank you so much Katie :)
I know this video is older so I’m not sure if you check comments regularly, but I got this on amazon for my Medtronic pump (i think it’s the same as your old one) and it works really well. Especially if you don’t have pockets.
Running Buddy - "Buddy Pouch Black Mini - Small and Convenient, Belt-Free and Lightweight Personal Magnetic Storage Pouch (3.5" L x 4" H) www.amazon.com/dp/B00IEF8KQ4/ref=cm_sw_r_cp_api_i_agfoDbD60RDFY
First of all, congratulations! Dr.Lord has a nice ring to it, second of all, I might be getting a Medtronic pump, cause pumps here are very expensive or not available here, any advice?
Thank you! Medtronic pumps are great! I'm sure you will love it. I was very happy with mine.
I HATED my Medtronic pumps. After switching to the T2 Slim in combination with the Dexcom G6, my life as a Type 1 has changed. I went from A1C's in the 11's to 7.1!!!!!!!
need to shut off ALL AUDIBLE alarms. ALL. It is going to cost me my job because coworkers and customers panic. It is going to cause a car accident obnoxiously frequent alarms driving. Tandem is building devices with no knowledge of the amount of time it take for oral sugar to rise blood glucose? absolutely no idea? Pump alarms loud over and over, 10 times, in the amount of time it takes blood glucose to rise? We need to get together with a class action law suit for negligence. I even got thrown out of church for "An electronic device not alarm not turned off. How many people have died taking their seatbelt off and drive into bridge abutments trying to shut the screaming alarm off?
Is there a hack, or schematic of pump so I know where to drill a hole to hit the specker and destroy it? It's actually alarmed 6 times right now, because they are too ignorant to know how long it takes insulin to bring down a sugar. Thats negligence.
Need a link to a schematic on where to drill a hole or how to crack case open to get to that speaker and rip out.
I forgot to congratulate you on your PhD!
I am border line
who cares about your wardrobe?! i just want something to keep up with my drastic highs and lows, my sensors never do! i don't trust these, or anything :(
Sharon Hutchinson Try the Dexcom G6, very reliable and correct
My FIRST DISLIKE: This pump clip sucks compared to the medtronic i had for 12 years.
i would have to agree i loved my minimed pump
My son wears the G6! It's absolutely fantastic! As well, he's about to switch to the Tandem t:slim X2! Which just got the Control-IQ update! So it can now adjust for both lows and highs! AUTOMATICALLY!!!
We're super excited!
So anywho! Metal detectors can cause issues and errors with CGM transmitters! Because of this, you shouldn't be going through metal detectors. Nor can they make you! You should be bypassing them and having them use a hand-scan wand!
Kimberly Sweet Dexcom disagrees with your metal detector assessment. Advanced Imaging Technology (AIT) body scanners are a different matter though.
www.dexcom.com/dexcom-airport-and-travel-guide-flying-dexcom-cgm
Like below, high congrats on your PHD. I am just starting X-2 tomorrow. I know I will love it. For my pump wearing (male) I find a belt pouch works the best. It is very secure with easy access to the device. Never had luck with clips as they are not so secure and somewhat fragile. My current pump is in a Canon EOS memory chip pouch which secures by belt loop. It is very secure., Again, in the pouch, the thickness of a case can be eliminated. With the cartridge/infusion set connector it is easy to disconnect for airport scanning. Cartridge filling is, yes, a more lengthy and insulin consuming process. Vanessa Belani has some insulin saving tips for cartridge filling which are safe and fast, but compared to other pump designs it is more cumbersome. I feel other pump benefits overcome this issue. As for pump falling off, I will happily retain it for you.
Happy pumping with glucose management for good health and long life.
Congratulations Dr. Lord! All that hard work paid off.
Thank you! Yes it did! :)
Great video! It's nice to hear other's opinions too! And of course CONGRATULATIONS ON YOUR PhD!! That is so exciting and such an amazing accomplishment!
Congrats Michelle, and thanks for your likes and dislikes. I have been Type 1 for 51 years! I have used the Mini-Med Medtronic pump for over 10 years with great success. I switched to T-Slim 2 weeks ago because I like cool, new, hip-looking devices. Like you, I have likes and dislikes. I like the use of the touch screen, the easy-to-read display, and the user-friendly steps to bolus and track BG's. My major problem is with the infusion set, the AutoSoft 90. I have found it very difficult to disconnect and reconnect at the site. The connecting clip is hard to squeeze and remove without pulling out the catheter. Second, I don't like the numerous steps needed to refill the the cartridge (as you mentioned) nor do I like the numerous steps needed to insert the infusion set. It also involves an incredible waste of plastic, which is not what we need in the world right now. I plan to switch to one of the other "manual insertion" sets that Tandem offers. It requires you to just push the needle into your skin, so you have to be brave. I imagine that most of us are used to sticking ourselves with needles by now. Thanks for your blog Michelle. I'll keep checking in.
Hi Peter, T1 44 years. Went to tslim from Animas. I tried the -90- infusion sets, and I had the same experience. Waaaay too hard to disconnect. I use the XC soft. I used the manual, 30degree inserts for 20 years and was having frequent issues with sets going bad because of scar tissue - allegedly, no one can really prove that, right? med pers just GUESS so much! While I agree with you on the waste generated for the apparatus to insert the straight-in cannulas, I've gotten used to them and find that I have a wider range of site choices.
More power to us, right? Blessings!
This is the pump I'm getting and I'm super excited. I've only had T1D for exactly two months today but I am super happy that they already trust me enough to get a pump. Thank you for your channel it's amazing and super helpful and relatable.
Congrats on the PhD! I'm also on the TSlimX2. It's been nice not having to stress too much about going dangerously low. I've had a few issues with kinked cannulas, but that's more to do with the way my muscle/ fat/ and scar tissue are distributed, so not a Tandem specific issue.
I actually am just finishing my first set with the T-Slim X2. I have a Dexcom G6 and I love them both so far. I switched from a Medtronic 530G and it is just night and day. First due to insurance issues I was able to get the Dexcom G6 device about a month prior to my T-Slim Pump. So for the fun of it I used both the G6 and the Minimed Enlite system to compare. It took about 24 hours for the G6 to truly calibrate itself. In this time I did sent it Glucose Meter readings but after the first 24 hours it was extremely accurate. The Enlite CGMS prompts me to calibrate it every 6 hours and I would find it was much less accurate than the G6--sometimes as far as 80 points off. Not having to worry about things if you forget your glucose meter is such a nice thing. Also the G6 is less bulky in my opinion. The Enlite (and guardian) systems have transmitters that do not seat into the sensor body. The also have this sort of mushroom shape that exposes a corner that easily is caught on things like clothing when you are taking off your shirt. This has resulted in a number of failures of the enlite system for me. So far my G6 has avoided those pitfalls. It is also really nice to be able to acknowledge alarms on my phone. I have my phone set to make noise alerts and have my pump on vibrate only. I may change this eventually--but if you're driving and your pump is under layers of clothing and a seat belt--it is nice to simply just acknowledge your phone and not worry about having to acknowledge the pump itself. The Minimed would repeat the alarm every 60 seconds with increasing intensity which wasn't ideal. The alarming systems on the T-Slim also seems to be very well thought out. The repeat alarms are more reasonable and volume is customizable. In terms of using the T-Slim pump--the interface is very well thought out. I don't like the fact that if you touch the screen three times in non function areas it turns off. I understand why-but in my case I have quite a bit of scarring on my thumbs which interferes with the touch screen--if I touch the screen with too much of my scarred areas it doesn't pick it up as a valid click--but does sense the pressure so three scar tissue clicks means the screen shuts off and I have to start over. Even with that I am learning to use my index finger more. the Basal IQ is fantastic. The MiniMed 530G would shut off the pump if you crossed a threshold value and it would alarm until it would wake up everyone in the house. Also my Minimed 530G did not automatically resume so if I was alone in the house I would typically sleep through the alarms and wake up with a blood sugar of over 400 if an event like that happened. The Basal IQ on the other hand watches your rate of fall and predicts where you will be in 30 minutes. If it predicts you will fall below 80 in the next 30 minutes it suspends delivery until it sees your blood sugar start to rise. It will do so without alarms and the first night I switched over to the T-Slim I ended up having a severe drop around 2am. Basil IQ suspended and resumed and when I started to drop again it suspended again and it did a really great job of preventing a low and allowing me to sleep through the entire event. The user interface between any Minimed system and T-Slim is not comparable at all., Being able to just enter my blood sugar and carb amounts rather than scrolling is extremely satisfying. The ease with which you can set up profiles, edit basil and bolus settings, and see information is great. I can easily look at the home screen and see how much insulin is on board and how much time is left, I can easily see how many units of insulin I have--all without having to go into a status screen and scroll down. One complaint would be that I don't think T-Slim used all of the space it could have. There is about 1/2 inch of black space where their "T" symbol sits. You can touch the T-Symbol at any time to return to the home screen. I think the button on the housing works fine for that and that you could have had a more robust display area. For example you could have added an area showing how many hours were left on your sensor once you were under 24 hours. You could also show an indicator showing the progress of a bolus delivery. The filling of the cartridge is not ideal--but it also makes it possible to have a slimmer cartridge and smaller pump than the Minimed. So once I am used to it I don't think that will be a long term factor. I am not a big fan of the case or clip. I think Minimed's design of their spring loaded clip was better because it was easier to clip around various clothing styles (athletic pants/shorts with elastic waist bands are thicker and the T-Slim doesn't clip on that very well). I am a little concerned about air travel since I do travel for work a fair amount--but I'll work with that. Overall starting on this pump has been such a positive life changing experience. I expected to be disappointed as I was with the 530G. It seemed the 530G promised more that it delivered, but this T-Slim product is very well thought out for making life easier. I chose the T-Slim X2 over the Minimed 670G primarily because their strategy for managing low blood sugars was so simple and less intrusive compared to Minimed's most advanced model. Now with Control IQ coming out the end of January-this pump will do everything the 670G does--but without the archaic interface. Additionally the ability to download software updates is something the 670G cannot do. So upgrading for Minimed involves a hardware upgrade rather than the simplicity of downloading an update to my pump. In about 3 weeks I'll download the Control IQ system and have a system that compensates for both lows and highs. In terms of Dexcom--being able to confidently make decisions based of the CGMS data is huge. Also the fact that every 3-6 months you get a new transmitter, when the G7 comes out--upgrading is automatic. The attention to hardware and physical lifestyle updates is a really neat feature. The G7 is supposed to be the thickness of a quarter I believe and will be another good step to easier living with diabetes.
Dr Lord--this was a great video and congratulations on your PhD. I will check out the links for the clips and probably order one.
Nate Alwine, Thank you much for your preview of the T-Slim Pump. I am going to try Saline trials this week with the T-Slim X2 and my Dexcom G6. This will be my first insulin pump. I was hospitalized and diagnosed with Type 1 Diabetes almost 4 years ago. So, I have been on 3 different insulins and 5 or 6 shots a day with such radical highs and lows. I hade the Dexcom G5 to get used to for about a year and and now I do have the G6 and feel that I am ready for the next step of the insulin pump. I was first looking at the Medtronic, closed loop system, but I like more what I have seen with the Dexcom/Tandem interfaces and the fact that I am used to using the Dexcom CGM that I also have readings on my iPhone and iWatch...it helps a lot. My only apprehension is that these are mechanical things an they can be off. I have found my G6 off quite a bit sometimes and that is what makes me nervous a little.
Congratulations Dr. Lord! I am very happy for you and would like to thank you for sharing your videos!
Nate; very interesting point of view, loaded with information. I'm slow to wearing a pump (still prefer my syringes or pens), but I'm considering it now, after 48 years being Type 1. Doing my research, trying to find a reliable, slim (not obvious) pump. I wore a CGM once and I HATED it. Couldn't tear it out fast enough. Uncomfortable and obtrusive. Cost effective if of course another consideration. Love hearing about all of your experiences.
I had been using the same medtronic minimed pump for 11 years and two weeks ago I switched to Tandem. Overall, I think it's nothing short of amazing and control IQ has helped stabilize my blood sugar tremendously, but, I totally agree with your thoughts on the cartridge filling process. I still have to watch the training videos because it's complicated compared to filling a reservoir for the minimed. Just a couple hours ago I was on the phone with tandem because the cartridge filling process was giving me a ton of issues. First the pump would not prime the inslin AT ALL but the pump was able to read that there was a full cartridge in it. It ended up being faulty tubing. Another thing was earlier during the syringe filling part, after getting the air bubbles out, the syringe was stuck, not able to be plunged, with 300 units in it. I ended up wasting 2/3 of it by screwing the needle on and off and insulin leaking everywhere. Tandem customer support is awesome though and they're sending me more cartridges and sets just because some were faulty and they told me to call anytime something like that happens so they can refund me more supplies for the faulty ones. Overall I think it's an amazing device and the more i change my set/fill the cartridge the easier it will turn into muscle memory!!! I'm glad this video came up on my recommended category, you seem awesome and you're the first diabetic I'm now subscribed to!! Congrats on all your Phd btw!!!
I met my CDE yesterday, and am now considering two new options from my 670G (which I’ve mostly been satisfied with): (1) upgrading to 770/780G OR (2) switching to Tandem’s. T-slim X2 with Dexcom. Any insights?
I’m a 20 year t1 diabetic as well. I’ve had a pump for like 10 or so years, but have only transitioned to a close looped system. I’ve been on this system for less than a week, and the conclusion I’ve come to is that the focus of these companies is to prevent lows, and highs are not really their focus. I understand that lows are an immediate danger, but the highs are what cause the long term complications that diabetics are at risk for. The pump defiantly stops me from going low, but I’ve noticed that when I’m on an upward trajectory, it does nothing until I hit the “high threshold”). Only then does it start increasing my basal, and it doesn’t bolus me until I’m basically in my 200s. For lows. It doesn’t matter it my glucose is 120, if it starts falling slightly, control iq will start decreasing my basal. And will eventually turn it all the way off BEFORE you are actually low. But for highs it waits until you hit 170 before it takes any action. For me that’s doesn’t fair well because my body for some reason once my sugar is above 170, it likes to stay there. So I end up having to continually manually bolus myself. It defeats the purpose…I don’t understand why they didn’t just keep the same technology for highs as the do lows. I’ve even seen my basal decrease when I was at almost 150, and it started dropping. Why would my basal decrease? Shouldn’t it either stay the same or even increase to pull me back down to 120-110??? And of course my sugar crept up and up until I hit 170, and then the pump started increasing basal. Didn’t bolus my until I was past 200. 🤨
I have been using t slim for 2 years it's never been dirty
I’ve had the Tandem X2 for 2 years now. I had a minimed for 15 years prior. I got a case from Type 1 Tactical. It’s a slip case made of plastic and the clip is extremely strong. Probably too bulky for wearing with a dress but I wear it in my work suit all the time. You get options of color and pattern ( I got carbon fiber). Your pump can slip in and out of the case with a very assuring tension feeling to it. It has never slipped out on its own. Congratulations on you PhD.
Michelle Congratulations on your graduation. I agree with you on your 2nd dislike but as far as your 3rd one i just put it in my pocket or bra. There is one other dislike I have and that is tandem does not have an over patch for the infusion like Dexcom does. I also am a changer from the Medtronic to tandem 9 months ago and I love my decision also.
Congratulations!! I switched pumps and should be getting the t slim x 2 any day now!!!! :D I’m so excited, and even more so after watching your video!
I'm about two months in using T-slim with G6. In my dozen years dealing with this condition, I'm experiencing some of the best overall BG control I ever have. I too am having similar dislikes and issues, I just ordered one of your recommended belt clips. I tried using a "quad-lock" clip but found it too bulky. Thank you for posting...
I’ve been on the tslim for a month now and love it, I’m in the USA so I have the basal iq and it works great no more lows at night when I’m sleeping, I love the ability to have different profiles and to be able to change insulin rates during the day in the timed feature, as far as the clip I haven’t had any issues with that most of the time I have it clipped to my pants pocket facing in so the unit is inside the pocket. I did by a spi belt which works good it’s sleek you can’t even tell it’s under your shirt and it has a port for running your tubing in so it’s not getting caught up in the zipper it doesn’t bounce around either. I can’t wait for the update for the closed loop I think tandem put more research into that then Medtronic we shall see suppose to be out some time this summer or early fall. Also love the fact it is updatable offer the net.
I have worn minimed pumps for about 20 years and am considering the t:slim so I thank you for your informative video
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Rina Hovden Same and I just did a month ago and love it!
The reservoir connector to the infusion set tubing sticks out of the belt clip holster. It just flops around. But the pump is awesome. Took my A1C from 7.4 to 6.2 in one month of wearing it with my G6.
THATS AMAZING. I just got mine today
Good to know about the cartridge filling. I've been doing research and watching videos and I'm a little nervous about it. My animas is so easy I could literally do it with my eyes closed (not that I do that). I also thought the clip wasn't great. My animas clip is AMAZING...7 years and going strong haha. The pump overall still seems amazing and I love that when something new comes you can download the new features which is cool.
If you travel through a U.S. airport, TSA lets you "hand check" insulin pumps! Just before you go through the metal detector just ask to have it hand-checked. You hand the pump to the right TSA agent and walk through the metal detector. Then they either swab the pump or your hands and run the swab through the explosives detector. So much easier than a full-body pat-down. Not sure if Canada does the same thing but worth a try!!
I never go through the body scanner with the Dexcom Transmitter on my body, though. So, I have to get the full pat down. Being a girl, I have had to wait upwards of 10 mins for a girl officer to come over and do it. It's not awful though. Just add 10 mins to your security experience.
Yes, I use the latest T-slim with basal-IQ / Dexcom G6. Soon a wonderful feature of T-slim will be put to use...the firmware updatability. I-Control is soon to be released making this pump a closed loop system which will further reduce lows and highs making this a very powerful system. Update, not Out-of-Date.
Answering your question about pump clips, I use a product purchased at Walmart for $6 by ByTech. It is a tiny cell phone case that just fits the pump and securely clips to nearly anything. I prefer it because it encloses the pump protecting it from scuffs and bangs. Waist bands, belts or pockets are good places to carry this case.
I like nearly all the features of this pump. The pump will not allow you to record a solo carb entry. "Incomplete bolus entry" alarms sound. I would like this for pro-active data entry showing before exercise or preventative low protection.
I am a type 1 of 54 years and have learned much over that time. My endocrinologist is helping steer me into Stanford Chronic Disease Peer Training program which will allow me to share some of my knowledge without putting myself or the hospital at risk of litigation.
I just switched pumps today! Dumped the Medtronic 670 for this one.
Congratulations on getting your PhD Dr Lord! 😊 How did you find your viva? I was terrified going into mine, but actually ended up quite enjoying it as both my internal and external examiners were so lovely.
Thank you!! It was such a good experience actually! Very similar to yours, where the examiners were more interested in my work and we ended up having great discussions 😊
Michelle, Congratulations on your PhD! - I've been a type 1 diabetic for 48 years, I've been wearing an insulin pump for 26 yrs, just recently changed over to the t:slim X2. I wasn't crazy about my trainer, she didn't seem very knowledgeable what I'm trying to figure out is how to set my "Low Range" to higher than 70. 70 is way to low for me, I've very sensitive to insulin so by the time my sugar is near 70 it is way too low for me, within a few minutes I drop to 50. I'm going to call tandem tomorrow to see if someone there can help me - I like to carry my pump in my bra - I get my bras from Victoria's Secret, I purchase headbands that the color matches my bras - I then take it to my dry cleaners (they do alterations), they put a pocket between the cups (on the inside) - this works fantastic, my pump fits in horizontally, stays secure and no one ever knows I have a pump on : )
Just switched to my tslim yesterday 9-30-20 from over 15 years with Medtronic. I was so nervous about the cartridge fill based off their video and how many more steps there were to fill than my previous pump. Watched your site change and cartridge video and it was so helpful!
congratulations on your PhD
I've recrntly been approved to receive an insulin pump, and my choices (as omnipod is not an option due to high insulin usage) is between the t-slim x2 and the latest medtronic.
I like that the t-slim seems smaller as I wonder how I'll wear it when not wearing jeans (skirts, dresses, looser waistbands etc) but I am a bit concerned about the cartridge filling. I'll have to watch your video about that.
I have been on the T-slim for about 6 months now I HATE it! constant beeping all day and all night! you have to change the cartridge every three days, change the sensor every ten, change the transmitter every three months and a lot of the times the sensor is dysfunctional and you have to contact Solara. Its so unsightly under clothes (yes I purchased the garter, the waist band) and the catheter gets caught in your zipper or falls off and hurts by pulling the needle out!. The nurse at my mammogram told me to STOP wearing it in my bra area because it can cause cancer? Maybe I am too active for this ,but I am going back to injections. Also I gained 17 lbs. since I started the pump and did way better without this pump. I hike 2-3 miles a day and eat great ,I still have to bolus constantly and I have dangerous lows (42) and horrible highs (390+) not in control at all - sorry this is not for everyone!.
Why do you have to change this every three days? Insulin gets wasted.
Next question: what trick is there to if the tubing comes off where it’s attached to the body?
I’ve had this 7 days and am overwhelmed with this along with the Dexcom G6. Like where do you put these things and can you get shorter tubes?
Type one tactical have great kydex clips
Hi. I'm late in seeing your video because I'm about to get the T-slim X2. Congrats on your PHD, Dr. Lord! Can you please explain the tubing and cannula parts?
my one challenge is that I can't seem to get it to provide my bolus soon enough and my post meal blood sugars always go up to 200 no matter the bolus amount. It needs to allow more bolus go through more quickly.
i would like to know your opinion on the challenges you faced with this pump or other pumps when it came to the cord.
you can buy an uprgraded one from t slim for about $50. works good.
Hi Michelle, I have used pumps for years and being a tradie they must be held securely. The Spibelt is cheap and works great.
Michelle, congratulations on your PhD. As a 15 year Medtronic pump user who is considering new pump options, I am really interested in the cartridge loading process. You suggested it was very different from the Medtronic pumps, can you create a video demonstrating the new process from end to end? Thanks again.
I think Diabetic Danica has a video on that.... Another sweetheart!
Any advice on infusion sets? I used quik set with my Medtronic pump. I’m nervous about switching to the x2 as I’ve used Medtronic for 20 years but I love my Dexcom so I’m switching.
I used the Mio infusions sets with Medtronic, which are identical to the AutoSoft90 for t:slim. However, I'm not sure if there is a quickset equivalent. You could quickly call Tandem and ask! I find the AutoSoft90 infusion set to be very easy to insert and it doesn't leave scarring for me.
I’m using the Medtronic pump. I check my bolus history quite often,not remembering if or not I took my insulin. Can I do his on the tslim2?
Yes, it tells you how much is on board on home screen and has complete history
I just started using a pump and the Control IQ has been amazing! I was very nervous about the automatic corrections and basil rate adjustments, but I haven’t had any issues yet. Every night it perfectly adjusts to keep me at my target BS. The only frustration is finding a good clip and location to clip to as I am extremely active and always finding new ways to have the infusion set ripped off. Would love advice on active clothing and better infusion set sites.
When I had my Medtronic...I found workout shirts with a pocket...I cut a small hole on the inside and fished my hosing through to my insertion set...I also put a button on a couple as I was in karate and moving around a lot...it worked pretty well just need to find good quality shirts. Cheers, JpG.
I'm getting my pump on Jan 17th I'm very nervous
Doesn’t a phone still need to be near you as it transmits to the pump?
@Michelle Lord Is that clip still recommended?
Hi Michelle! Congrats on your PhD! I am also a Type 1 diabetic with a PhD! WooHoo! Question: Where did you get the patch around your Dexcom transmitter?
You can use the sugarpatch it's where I get mine
Congratulations on getting your PhD!!
Congratulations on your great achievement, Michelle. For a child, is it recommended to use Omnipod or t:slim x2?
Dexvome allows you to monitor your child's sugar levels at all times on your cellphone. On the other hand the Pods are tubeless, which is good. Plus you can use dexcom with any pump, it is just not connected like it is with this one but you can still monitor your child's sugar levels and I think they are working on connecting it with all pumps.
What is the clip you use and where do you buy it
Congratulations Dr. Lord!
Type 1 Tactical cases are my fav
Congratulations on the PhD! That's awesome! Thank you for these videos. Very helpful. My 15-year-old son will be starting on the T:slim 2x this week after being on the Medtronic pump most of his life. Like you, I feel a little apprehensive... but your video is reassuring me that we'll get through this pretty smoothly. I played with the pump a little, and I must say that I love the interface, so far.
My son is with same pump of medtronic g640 his 5 year old but i find some many pro lem in pump just we change the pump i will post them for other . Please writ us about t slim x2 how is for kids .