Could you comment on whether pumps are exclusively for T1 or if they also work for T3c (pancreatitis, severe). I only hear about T1. Sorry, I am new to this.
What's missing is education for physicians. In the 70's, I had to convince my doctor to let me start using test strips to measure my glicose. Today, I have to convince my doctor to change from Tandem to Omnipod. The medical industry is so focused on making money that the physicians cannot keep up with the technology.
There are also interesting insulin pumps here in Europe. For example, there is the Medtrum Nano, the Kaleido, the Niia or the Ypsopump. How about you take a look across the pond and report on this too? Apart from that, your videos and podcasts are great. Thank you very much for that.
I would love to have watch control of my pump. This week I found another reason why it would help. I was visiting a friend on a psych ward and, of course, there are MANY restrictions on what one can bring into the ward. I have an iPhone and Omnipod5, for which I carry the controller. I had to appeal this restriction, and in the end, they let me bring both devices in as long as the iPhone stayed in my pocket. With watch control, I wouldn't have had any restrictions. Thanks for all the work you do; I really appreciate it!
I live in Australia and I have Medtronic 780g pump and I have had 3 pumps prior to this one. The most exciting improvements in pump improvements for me is when it went to a closed loop system giving me a much better control. The other thing is we have Medicare here in Australian and recently they put the sensors on the free list so my sensors bill went from $270 AUD a month to $0! and my insulin 6mth supply is $17 AUD now!
Good video. One reason to look forward to Monday's! In regards to the Drs. elderly patient that is overdosing by inputting carb counts into the insulin field, there is a setting on the t:slim x2 pump under My Pump, Personal Profiles, Pump Settings, and a Max Bolus setting. That would prevent her from putting an excessive amount of insulin in error. I did input an insulin amount in error when I missed the decimal point. It took nearly half a gallon of juice to counteract that mistake. Set my max to 6 units. FYI
Good to know that i am not the only one that did that! Took me several hours of eating to counter act my 10U/10g carb mistake. Lowered the max bolus that day!
yes, thank you for the suggestion! This was the first thing I did when I first realized what was happening. It doesn't completely fix the problem, but at least keeps her away from disaster scenarios
I've always been told the reason for changing the infusion set is to help prevent scarring & the problem with the insulin degrading. T1D 46 yrs & have LOTS of scar tissue. I always change out my set every 3 days.
🤩Your videos are fantastic! Love watching them; so smart and informative. I am on a Medtronic 780G sensor and pump. I took a tip from one of your videos re. decreasing my insulin sensitivity window. Such a small tweak but wow I can already see my sugars are tighter and I am getting auto-corrections sooner. I love the 780G; my A1Cs are the lowest ever in my 37 years of T1D. Typically 80-85% in range. T1 tech is fascinating and I am excited for what's next. I never imagined that today I would wear a sensor that told me my BS every 5 minutes without a finger stick. Or that it would connect to a phone, or that the pump and sensor would talk to each other, or autocorrect accordingly, etc. Amazing stuff, excited for the future and super happy with my present technology. It is the best time to be a T1D 👍
Exciting to hear about the upcoming development of Continuous Blood Glucose Monitoring that is surgically put in, and gives you real up to the moment readings of your actual blood glucose. Wondering how long that is until that comes to the market?
One way to extend tubeless insulin pumps would be to use higher concentrated insulin. So instead of U-100, you could use U-200 which would double the length of wearability
My assumption is they are working on this, but needs a toggle to tell the pump u-100 or u-200 or things could go very wrong so this probably takes time getting through the FDA
I did not know earlier that full FCL are here and function well. I has been running full FCL with Omnipod (Dash) and G6 using autoISF for iOS. Very few lows and 95% in range last month. Doing almost nothing more than supervice. That is astonishing result with hbA1C around 34-37 (5.3-5.4)
Justin I was born type one and I never dreamt that we’d have a system like we have now. They are basically an artificial pancreas. I don’t even measure my food any longer or read every label. Unless it’s a huge meal it takes care automatically. I use Lyumjev but I got to say it’s actually no faster than humalog. Only Afrezza is ultra rapid from what I tried. If I had to pay mote for Lyumjev I’d go to humalog I really don’t see the difference except Lyumjev has a slight sting which lets me know I put my tubing right. I’m one of those extremely lucky type ones that have never had a single complication. That’s a miracle as before the pump I ate like those 600lb people on tv and my sugar was so high I’d not lose or gain weight. The pump changed that. I gained by the day so I went on a strict diet last April lost 46 lbs and have kept it off. My a-c is now at target. I use tandem and Dexcom 7.
Justin, the all in 1 pump company that was trying a long time ago that I had forgotten, I remember now. It was Pancreum. They have had no activity for several years.
A question that needs addressing is choice vs "insurance" and how it relates to health-economics and quality (and length...) of life. Living in Sweden I am not burdened by .economics relating to my disease and the choices I make regarding this. All is free of charge, regardless pump, insulin, supplies and even batteries if I would still need them. Medical visits costs are capped at about $100 p.a. Most of the rest of the modern world have a system like this, based on R&D that readily available and low-cost treatment lowers HbA1c and all benefits associated with that. Without getting too political it would be interesting to hear your thoughts on the legal/benefit aspects of this disease. (T1D of 20 years) Love your show, just wish I would have beat you to that punch!
I fully agree with you Justin and think that our friend David is wrong about pumo-direct to watch. Eg, the Mobi and Omnipod would be unbeatable with watch control, but now they kind of lose to T-slim. Being on pumps since 1998 and on Loop/Aaps and now CiQ since 2016, i would love to get some distance to my phone AND a small pump. Hence, the manufacturers don't need to reinvent the wheel, they just need to see what the DIY community is doing. Same mistake is done by those developing their own algorithm when Tidepool Loop exists or developing their own sensors (Roche, Medtronic) when Dex and Abbot are so ahead of the game. We are just losing time in the ego trip games.
I wonder how long it will take to get an insulin pump that doesn’t cause scar tissue and inflammation. I love using a pump but after 26 years I have had a few infections and way too much scar tissue. Great video very informative, thank you!
Could you comment on whether pumps are exclusively for T1 or if they also work for T3c (pancreatitis, severe). I only hear about T1. Sorry, I am new to this.
Excellent show. Two questions... 1) I'm on Omnipod and tend to waste about 5 to 10 units per change. How much insulin is wasted in the tubes of a tubed pump? 2) Might a more concentrated insulin be used in order to extend wear-time and make the reservoir smaller? Obviously you'd want a very precise pump if it were pumping stronger insulin.
I would love to see every pump company have interchangeable components but I doubt that will happen. Then again, I never thought Medtronic would partner with another CGM and then they go and announce that they will be working with Libre! I used Medtronic for 18 years, switched to Tandem last year. I love everything about Tandem except their infusion sets. I still have some Medtronic Mio Advanced that I use because my Autosoft XC tubing connector can attach to the Mio Advanced site. I still need to use Tandem tubing so I just can't order sets from Medtronic.
Another great episode I've never held back on my feeling that the Eversense E3 CGM is the best of all CGMs but I also am so naive about insulin pumps I've always wanted to be in control not have a device be in control but now I'm open to a possibility of a pump in my future and this was such a great and informative talk I can't thank you guys enough for this great presentation 👏👏👏
"Choose different components". If there were agreed-upon standards for control and data standards that would be a big step towards making this possible. It can't come soon enough.
I like the form facter of omnipod. Wish it lasted longer than 3 days. The algorithym is way too concervative. It needs to be more agressive about corrections and about aiming for the 110 lowest setting. Right now it is not at all ideal on either of those things.
Hi, I think it will be better to have fully automated tubeless bihormonal patch pump with insulin and glucagon on board with knowU cgm ready to use. Hope, such solution will be exact technology which is needed for having BG under control. And there will be no need for Carb count, finger picks, just attach it and forget it until expiry date. Forget about your diabetes, about your lows and highs, TIR and etc. Justin, please take an action for it. You may ask CEOs of pump manufacturers, to speed up process for such design. Thanks in advance for your attention. It was just an idea, and shared it with you, hoping there will be someone who will able to create such solution for diabetes.
Listening to this makes me frustrated with how 'bad' the algorithm on OmniPod 5 is. A massive step up compared to when I was using pens but I can't wait to ditch it for a better algo. Tobi, yes please!!
@@mariesmith8076 I started on Medtronic and thought it was great, but then it went to get in a handbag. Tandem and Dexcom G7 are my favorites. So glad I switched
i wish i could have the mobi or omnipod with the 780g algorithm until those algorithms become better i will stay with medtronic it is safe to say i can't wait for medtronics smaller pump, i was devastated to hear eoflow fell through.
I'm sorry, but I would prefer a remote control on a PDM -call it how you prefer- than on a phone or a watch ! It's a matter of safety and confidenciality not of efficiency and of cost too... I actually use a Medtronic 780 with a extended infusion set and a Guardian 4, and I never had trouble with that stuff.
I would like a pump. As a T2 who uses insulin the NHS in theUK does not want to know. I have been using insulin for 14 years. I am not overweight. They do prescribe me a Dexcom one+ though so I should not moan too much.
A new generation insulin. Faster, smarter! And why not bloodglucosemeter? Sensor now has delay because they dont measure the blood but the moisture in the body
Sadly it’s not affordable for people. Even today this devices are not affordable to use for diabetics who need a badly I would never change. It’s only for the richer good health insurance sadly it’s worthless.
I'm so disappointed with how slow technology has advanced & how bad the cellphone apps actually function, they're a joke. I'm an Android user & will never switch to Apple, last I checked Samsung sells more phones than Apple then add in Google, Motorola etc & bigger companies still focus on IOS devices.
Thanks for having me on again. It's always great joining your podcast! I love nerding out with you!
Always love having you on!
Could you comment on whether pumps are exclusively for T1 or if they also work for T3c (pancreatitis, severe). I only hear about T1. Sorry, I am new to this.
What's missing is education for physicians. In the 70's, I had to convince my doctor to let me start using test strips to measure my glicose. Today, I have to convince my doctor to change from Tandem to Omnipod. The medical industry is so focused on making money that the physicians cannot keep up with the technology.
I don't have a doctor, I have a pump salesman that is thrilled with my 6.3 A1C and tries to get me on a medtronics pump like his life depends on it.
@@mad0ucheDo they get a commission or is that something people believe but it's not legal currently?
There are also interesting insulin pumps here in Europe. For example, there is the Medtrum Nano, the Kaleido, the Niia or the Ypsopump. How about you take a look across the pond and report on this too? Apart from that, your videos and podcasts are great. Thank you very much for that.
I would love to have watch control of my pump. This week I found another reason why it would help. I was visiting a friend on a psych ward and, of course, there are MANY restrictions on what one can bring into the ward. I have an iPhone and Omnipod5, for which I carry the controller. I had to appeal this restriction, and in the end, they let me bring both devices in as long as the iPhone stayed in my pocket. With watch control, I wouldn't have had any restrictions. Thanks for all the work you do; I really appreciate it!
I live in Australia and I have Medtronic 780g pump and I have had 3 pumps prior to this one. The most exciting improvements in pump improvements for me is when it went to a closed loop system giving me a much better control. The other thing is we have Medicare here in Australian and recently they put the sensors on the free list so my sensors bill went from $270 AUD a month to $0! and my insulin 6mth supply is $17 AUD now!
Thanks!
Thank you so much!!! 🥰🥰
I'm so glad to see my doctor on your videos. It was your channel that introduced me to him and I have never been happier. Dr. Ahn ROCKS!
Yassss love it.
Good video. One reason to look forward to Monday's!
In regards to the Drs. elderly patient that is overdosing by inputting carb counts into the insulin field, there is a setting on the t:slim x2 pump under My Pump, Personal Profiles, Pump Settings, and a Max Bolus setting. That would prevent her from putting an excessive amount of insulin in error. I did input an insulin amount in error when I missed the decimal point. It took nearly half a gallon of juice to counteract that mistake. Set my max to 6 units. FYI
Good to know that i am not the only one that did that! Took me several hours of eating to counter act my 10U/10g carb mistake. Lowered the max bolus that day!
yes, thank you for the suggestion! This was the first thing I did when I first realized what was happening. It doesn't completely fix the problem, but at least keeps her away from disaster scenarios
I've always been told the reason for changing the infusion set is to help prevent scarring & the problem with the insulin degrading. T1D 46 yrs & have LOTS of scar tissue. I always change out my set every 3 days.
Thank you for everything you do to provide information on diabetes and new technologies!
you got it ;)
Would like to see omnipod last a little longer
DITTO! 5 days would be nice.
I would love to see the pump and cgm have the same time to change sites
well you could today - would just be expensive
🤩Your videos are fantastic! Love watching them; so smart and informative. I am on a Medtronic 780G sensor and pump. I took a tip from one of your videos re. decreasing my insulin sensitivity window. Such a small tweak but wow I can already see my sugars are tighter and I am getting auto-corrections sooner. I love the 780G; my A1Cs are the lowest ever in my 37 years of T1D. Typically 80-85% in range. T1 tech is fascinating and I am excited for what's next. I never imagined that today I would wear a sensor that told me my BS every 5 minutes without a finger stick. Or that it would connect to a phone, or that the pump and sensor would talk to each other, or autocorrect accordingly, etc. Amazing stuff, excited for the future and super happy with my present technology. It is the best time to be a T1D 👍
Exciting to hear about the upcoming development of Continuous Blood Glucose Monitoring that is surgically put in, and gives you real up to the moment readings of your actual blood glucose. Wondering how long that is until that comes to the market?
One way to extend tubeless insulin pumps would be to use higher concentrated insulin. So instead of U-100, you could use U-200 which would double the length of wearability
My assumption is they are working on this, but needs a toggle to tell the pump u-100 or u-200 or things could go very wrong so this probably takes time getting through the FDA
We are already using 200 with omni.
I am going to use either the omnipod 5 or the mobi with u200 insulin. My endocrinologist is totally on board to doing this.
@@az.az466 good to know I’m switching to 200…this is the first I’ve heard of this.
I did not know earlier that full FCL are here and function well. I has been running full FCL with Omnipod (Dash) and G6 using autoISF for iOS. Very few lows and 95% in range last month. Doing almost nothing more than supervice. That is astonishing result with hbA1C around 34-37 (5.3-5.4)
Justin I was born type one and I never dreamt that we’d have a system like we have now. They are basically an artificial pancreas. I don’t even measure my food any longer or read every label. Unless it’s a huge meal it takes care automatically. I use Lyumjev but I got to say it’s actually no faster than humalog. Only Afrezza is ultra rapid from what I tried. If I had to pay mote for Lyumjev I’d go to humalog I really don’t see the difference except Lyumjev has a slight sting which lets me know I put my tubing right. I’m one of those extremely lucky type ones that have never had a single complication. That’s a miracle as before the pump I ate like those 600lb people on tv and my sugar was so high I’d not lose or gain weight. The pump changed that. I gained by the day so I went on a strict diet last April lost 46 lbs and have kept it off. My a-c is now at target. I use tandem and Dexcom 7.
Justin, the all in 1 pump company that was trying a long time ago that I had forgotten, I remember now. It was Pancreum. They have had no activity for several years.
oh wow, interesting. Thanks for sharing!
Regarding the length of wear is also to do with insuline integrity diminish after 3 days in the reservoir. I think it's the reaction with the plastic.
Again…a great video. Thank you so much. Greetings from germany
Of course!
A question that needs addressing is choice vs "insurance" and how it relates to health-economics and quality (and length...) of life. Living in Sweden I am not burdened by .economics relating to my disease and the choices I make regarding this. All is free of charge, regardless pump, insulin, supplies and even batteries if I would still need them. Medical visits costs are capped at about $100 p.a. Most of the rest of the modern world have a system like this, based on R&D that readily available and low-cost treatment lowers HbA1c and all benefits associated with that. Without getting too political it would be interesting to hear your thoughts on the legal/benefit aspects of this disease. (T1D of 20 years)
Love your show, just wish I would have beat you to that punch!
Where can we gt info about the future medronic pumps like 8 Series . I cant find anything else except from you video.
I fully agree with you Justin and think that our friend David is wrong about pumo-direct to watch. Eg, the Mobi and Omnipod would be unbeatable with watch control, but now they kind of lose to T-slim.
Being on pumps since 1998 and on Loop/Aaps and now CiQ since 2016, i would love to get some distance to my phone AND a small pump. Hence, the manufacturers don't need to reinvent the wheel, they just need to see what the DIY community is doing.
Same mistake is done by those developing their own algorithm when Tidepool Loop exists or developing their own sensors (Roche, Medtronic) when Dex and Abbot are so ahead of the game. We are just losing time in the ego trip games.
I wonder how long it will take to get an insulin pump that doesn’t cause scar tissue and inflammation. I love using a pump but after 26 years I have had a few infections and way too much scar tissue. Great video very informative, thank you!
With there being 7 day infusion sites will there be in future 10 to 15 day infusion sets
Could you comment on whether pumps are exclusively for T1 or if they also work for T3c (pancreatitis, severe). I only hear about T1. Sorry, I am new to this.
Excellent show. Two questions... 1) I'm on Omnipod and tend to waste about 5 to 10 units per change. How much insulin is wasted in the tubes of a tubed pump? 2) Might a more concentrated insulin be used in order to extend wear-time and make the reservoir smaller? Obviously you'd want a very precise pump if it were pumping stronger insulin.
With a 23 inch tubing it takes about 12 units. 43 inch about 18 units.
I would love to see every pump company have interchangeable components but I doubt that will happen. Then again, I never thought Medtronic would partner with another CGM and then they go and announce that they will be working with Libre! I used Medtronic for 18 years, switched to Tandem last year. I love everything about Tandem except their infusion sets. I still have some Medtronic Mio Advanced that I use because my Autosoft XC tubing connector can attach to the Mio Advanced site. I still need to use Tandem tubing so I just can't order sets from Medtronic.
Another great episode I've never held back on my feeling that the Eversense E3 CGM is the best of all CGMs but I also am so naive about insulin pumps I've always wanted to be in control not have a device be in control but now I'm open to a possibility of a pump in my future and this was such a great and informative talk I can't thank you guys enough for this great presentation 👏👏👏
"Choose different components". If there were agreed-upon standards for control and data standards that would be a big step towards making this possible. It can't come soon enough.
When watching this video on my phone I actually used my Apple watch to bolus so as not to stop the UA-cam transmission 😊
Yasssss hahaha I love it’s great insight :)
I like the form facter of omnipod. Wish it lasted longer than 3 days. The algorithym is way too concervative. It needs to be more agressive about corrections and about aiming for the 110 lowest setting. Right now it is not at all ideal on either of those things.
I would really like my pump (loop) to be able to go to a watch and closed loop pump with Eversense without phone nearby
Into that
Is there a reason you keep a sugar pixel on top of another cgm clock?
100 87 and 80 target algorithms are probably great for people who are unemployed and never exercise.
Hi, I think it will be better to have fully automated tubeless bihormonal patch pump with insulin and glucagon on board with knowU cgm ready to use. Hope, such solution will be exact technology which is needed for having BG under control. And there will be no need for Carb count, finger picks, just attach it and forget it until expiry date. Forget about your diabetes, about your lows and highs, TIR and etc. Justin, please take an action for it. You may ask CEOs of pump manufacturers, to speed up process for such design. Thanks in advance for your attention. It was just an idea, and shared it with you, hoping there will be someone who will able to create such solution for diabetes.
Any company still bringing out tubed models could look like they are standing still.
Elizabeth holmes invented it
Listening to this makes me frustrated with how 'bad' the algorithm on OmniPod 5 is. A massive step up compared to when I was using pens but I can't wait to ditch it for a better algo. Tobi, yes please!!
Re-assess settings.
If the algorithm used the glucotrack cbgm with real time reading the pump will know instantly to bolus
I never even thought about remote bolus
I used to have a Medtronic Pump almost 20 yrs ago a remote that did that . I wish they would bring it back!
@@mariesmith8076 I started on Medtronic and thought it was great, but then it went to get in a handbag. Tandem and Dexcom G7 are my favorites. So glad I switched
i wish i could have the mobi or omnipod with the 780g algorithm
until those algorithms become better i will stay with medtronic
it is safe to say i can't wait for medtronics smaller pump, i was devastated to hear eoflow fell through.
Omnipod 5 and medtronic 780G have very similar algorithms.
I'm sorry, but I would prefer a remote control on a PDM -call it how you prefer- than on a phone or a watch ! It's a matter of safety and confidenciality not of efficiency and of cost too... I actually use a Medtronic 780 with a extended infusion set and a Guardian 4, and I never had trouble with that stuff.
We want cure!
I would like a pump. As a T2 who uses insulin the NHS in theUK does not want to know. I have been using insulin for 14 years. I am not overweight. They do prescribe me a Dexcom one+ though so I should not moan too much.
I very much prefer the Dexcom G7 over any other CGM
A new generation insulin. Faster, smarter! And why not bloodglucosemeter? Sensor now has delay because they dont measure the blood but the moisture in the body
Great video, thank you! A lot of useful information!
Sadly it’s not affordable for people. Even today this devices are not affordable to use for diabetics who need a badly I would never change. It’s only for the richer good health insurance sadly it’s worthless.
Omnipod can be recycled
I'm so disappointed with how slow technology has advanced & how bad the cellphone apps actually function, they're a joke.
I'm an Android user & will never switch to Apple, last I checked Samsung sells more phones than Apple then add in Google, Motorola etc & bigger companies still focus on IOS devices.
+1