One problem with wearing a pump for more than 3 days is scar tissue build up. After 30 yrs on pumps there is a lot of scar tissue. I can’t imagine if I had been wearing infusion sets for more than 3 days all that time. In fact, I wore 2 day sets for a lot of years. Only the last 5 yrs have I had to do 3 day sets. Everyone is all hyped to wear sets longer than 3 days. Think about 30 yrs from now.
My understanding is that a steel cannula should be changed every two days. Tubed cannula's every three days but I get four plus days a lot of the time. So perhaps that is possible for steel as well. Scar tissue is a problem as you said. One needs to become creative with infusion sets and CGM's.
It depends on the person. I’m a T1d diagnosed 50 years ago. I wear infusion sets up to 10 days and don’t have issues with scar tissue. Been pumping for 20 years at least.
Try the Medtronic Extended 7 day. I would think that you would be aware of this now. I have got bad scar tissue as well. Remember that scar tissue is mainly in the fat layer for the most part, so I gain a little weight and then lose it after I've used it for a while. It's not perfect, but it does help. My credentials are, 30yrs T1, 20yrs pumping, 7yrs with CGM's. Never stop learning!! From the newest to the oldest, we can always learn more.
Yeah, actually a new pump will come from Italy, in Pisa there’s a clinic where they did buoy a pump, couldn’t launch it until now because Medtronic didn’t let them, those guys, are all T1D and their are specialized only in T1D. Those people are great because they are all diabetics, from doctors to engineers
Good to see this technology keeps developing so fast. Hopefully they provide an API for open-source programmers as well. It seems that the development of the hardware is often much better than the development of the software.
I'm also so excited about the competition of tubeless pumps. Omnipod didn't work so well for me, but I loved being tubeless. Can't wait to see where this all goes. Not sure I would do the pump & CGM in one device, but it's an interesting concept. Thanks for your videos & insight!
Great to see another tubeless pump coming. As a parent with a child using the OP5, a closed loop system is a must. Has made his (our) life easier. Longer pump usage time and an all in one CGM and pump is where I see the benefit if it’s closed loop.
how would it work though? How does this gadget work? We are told to wear the CGM and pump at least 2 to 3 inches apart. How can you get an accurate reading if the CGM and the point of entry of the insulin are in the same place? As to the pod being smaller, why? It's tiny. If it were smaller, it wouldn't hold as much insulin and we'd be changing it every two days maybe. There are some issues with the Omnipod but the size isn't one of them.
I'm really looking forward to this product becoming available. I hope the essential can be used with AAPS or IAPS. When you do a podcast with them, please tell them to make their signature pump have all the amazing capabilities as AAPS & IAPS. That with the 90° angle insertion would make them the best product out there.
The question is why omnipod is not working on pod like this . I was thinking about this couple of months ago . Omnipod already came up with a best working pump but why not make it even better and bring CGM in too their pump wouldn't that kill all the complications. I personally can't wait for tslim tubeless pump I think that's the game charger with their iq system.
This pump looks huge 😳 and that steel set?! Sounds very painful. There’s a reason that steel canula sets have an extension tubing to disconnect. It’s to reduce jostling at the site. I feel like the size of it would just create a lot of movement. It needs to be flatter. I’m curious about what people’s user satisfaction was with the trials…
Does the steel retract, like in Omnipod, or stay in you all the time? There's zero chance of extended wear with a steel cannula. They're well-documented to cause more damage than the soft cannulas. I'm not aware of any steel set FDA approved for more than 2 days for this reason. I'm terrified of steel, with the increased risk of scar tissue and loss of viable sites, so that would be a deal breaker if it's not retractable. I don't see any appeal in the first version, unless it's DIY Looping hackable. AndroidAPS does all it's magic via basal adjustments, so the limited app function might be enough for that. I assume the iAPS variant works similarly, too, right? An all-in-one would definitely be an exciting advancement, though! Will be curious for updates. Thanks for sharing.
There use to be another pump company that was doing this. I forgot who they are but it had 3 parts to it. If I find them I will update. It kinda looked like this.
There's one in the works. It can only do insulin now, but has the option in the future to hold a form of glycogen. The ilet bionic pump from Beta Bionics. And this will be the game changer. It will be the closest device to a pancreas.
Does the cgm control the pump? If so, how accurate is the cgm. I have a g7 cgm and while the bg is between 120 and 140 it is good. At either extreme (100 and lower or 170 and upit is off by 20 to 50 points. I worry about this crazy accuracy issue.
One question, as someone who is on MDI’s, is “how can we sign up to try this thing!?!?” I would 100% try this as someone not on a pump now, but is curious about pump therapy
Don't. If you are going to try a tubeless pump aim for the Omnipod. It is far superior to this huge thing. It changed my life immeasurably after being on MDIs for 45 years. I would not swap it for anything, that and my Libre2 CGM.
I would never use a non-close-loop system nor one that didn't use an app or have a screen. I feel it would be hard/confusing to dispense and monitor. That doesn't seem to be a competitive product. The Niia Signature is interested, especially if it could stay attached for longer than 3 days. with 3Ml, I would hope it could last 5 days. That would make it intriguing. The form factor is a little concerning. It seems very tall and might be very noticeable and easy to knock off. I think the ultimate patch pump would have a 10 day wear time, built in CGM and small, replaceable, prefilled 1Ml insulin cartridges.
I agree with the lack of a screen or being able to monitor it through an app. All the dosing with counting on beeps for accuracy is a bit on the iffy side. Went hypo once when I heard a confirmation beep incorrectly. Perhaps not a good idea for those with hearing problems either. I see it has LED's as well which would be helpful unless you are wearing it on the back of your arm. Guessing they will figure it out.
@@dwightl5863 I get it is a way to go to market. I love all the tech and competition and if this is how they have to do it then I understand. The problem is there are better options out there. Then again I have insurance that pays for 90% of my diabetic equipment and supplies. Perhaps has a competitive price point that will allow people into pump therapy that can't afford T-Slims and Omnipods.
Most cgm run between 10-14 days. If the CGM inclusive pump will be worn for an “extended time” like 10 days, how will it affect the tissue absorbation rate for insulin? Will the tissue not be saturated?
The question came to my mind is that it's recommended an infusion set and CGM should be at least 3 inches apart. Guessing it will be a few years down the road before the Signature model is released. Wait and see.
I bet you it will be 5 day wear time. I believe so because there are 6 pods in a boz and uaually 1 box gets you one month so that would make for 5 day wear time for a total of 30 days aka 1 month.
This thing looks like a nightmare and I don't personally believe it will take off. For a start this thing is HUGE and there's not going to be anywhere to wear it that isn't noticeable or where it's not in the way. There's a picture of someone wearing it on their arm. That's a joke. It will get knocked off before it's been on there too long, or bashed about on door frames. It won't be unobtrusive under clothing like the Omnipod. I actually can wear my Omnipod on my boob, which is hidden under my bra and undetectable. Can you imagine wearing this thing somewhere undetectable? Secondly, it looks like it only dispenses whole units unlike the Omnipod which dispenses fractions of units which for someone like me, is very important. This was the real game changer for me going from pens to the Omnipod. Another thing is that it appears you need to activate it with THREE fingers. That counts out those of us with arthritic hands or some disabilities in that regard and is in my view really stupid. As to a steel canula? What??? Nobody wants one of those. People actually have had issues with the needle not retracting, and it's PAINFUL. Even if I happen to place the Omnipod in the wrong place, the plastic canula can be uncomfortable and I'm willing the hours away until I have to replace it. Sometimes I'm convinced the needle didn't retract and when I remove it, it's just the canula. Let us not forget the main problem. That is how can you operate a pump using an accurate CGM when the CGM is at the point where the insulin enters your body? We are told that our CGM should be 2 to 3 inches from our pump to avoid issues with readings. So how would that work? In my view this hasn't been thought out well at all and I am very surprised it's got as far as it has without the obvious issues with it being fixed. I certainly wouldn't be swapping my Omnipod and Libre 2 CGM for this piece of hardware any time soon.
Wait for closed loop. My problem is I am type 2. I currently using Libre 3. I just want a system to simulate normal blood sugar. Proble is currently type 2 cannot get a pump without paying out of pocket.😢
really? I'm a type 2 as well, and I don't pay anything out of pocket. I mean, the first couple of refills I did, until my doctor did a pre-authorization form, and insurance fully covered it.
I personally wold be be willing to trade closed loop capability for a longer wear time and great insulin capacity, so would not be interested in the Niia Essential. If the Advanced or Signature versions had closed loop capability then I'd perhaps change my mind.
I agree. honestly for me this just seems more of the same thing we already have. I'm all for competition, but there's nothing really revolutionary about this new pump.
Strange that you would talk about as yet unreleased pumps from Tandem without mentioning Medtrum and Equil patch pumps that are already on the market in Europe and elsewhere.
Good effort, but I don’t see it replacing Omnipod anytime soon. I hope they have a lot money, because they’re going to lose money for a long time until they catch up to Omnipod, if ever.
Yay! As much as I love my Omnipod, I’m super happy about the tubeless ones that are not just op coming out lately. Really interesting about the built in CGM, I think a lot of non-t1s assume that it’s the pain of switching them, but the real problem for me is literally just flinging my CGM/pods off before the 3/10 days is up (and we all know they start looking pretty ratchet by the end) and the adhesive irritating my skin. Also, reminded me of a dying Tamagotchi washing machine hybrid when it did its jingle, haha. I’m a tech geek too though and digging the idea of adding lights and doohickeys so I can fully look like the cyborg I am. 🦾
A tubeless pump with a steel cannula is gold!
Perfect insulin pump: with sensor but dual-hormone ! We need glucagon on pump
One problem with wearing a pump for more than 3 days is scar tissue build up. After 30 yrs on pumps there is a lot of scar tissue. I can’t imagine if I had been wearing infusion sets for more than 3 days all that time. In fact, I wore 2 day sets for a lot of years. Only the last 5 yrs have I had to do 3 day sets. Everyone is all hyped to wear sets longer than 3 days. Think about 30 yrs from now.
My understanding is that a steel cannula should be changed every two days. Tubed cannula's every three days but I get four plus days a lot of the time. So perhaps that is possible for steel as well. Scar tissue is a problem as you said. One needs to become creative with infusion sets and CGM's.
Yes but less changing the infusion sets means more realestate and less scar tissue!
It depends on the person. I’m a T1d diagnosed 50 years ago. I wear infusion sets up to 10 days and don’t have issues with scar tissue. Been pumping for 20 years at least.
I have so much scar tissue from using syringes the first 15 years I was diabetic.
Try the Medtronic Extended 7 day. I would think that you would be aware of this now. I have got bad scar tissue as well. Remember that scar tissue is mainly in the fat layer for the most part, so I gain a little weight and then lose it after I've used it for a while. It's not perfect, but it does help. My credentials are, 30yrs T1, 20yrs pumping, 7yrs with CGM's. Never stop learning!! From the newest to the oldest, we can always learn more.
Tank you brother, from Türkiye, hello❤
Yeah, actually a new pump will come from Italy, in Pisa there’s a clinic where they did buoy a pump, couldn’t launch it until now because Medtronic didn’t let them, those guys, are all T1D and their are specialized only in T1D. Those people are great because they are all diabetics, from doctors to engineers
Haha. My Name is Nia and I'm type 1 diabetic AND swiss!
I am basically the pump.
Nia, I love you and I want to wear you! Hahahahha 😂😍
@@diabe_tech Hahaha 😂I'll try and reach them - they should use me in their campaign!
Lmfaooo😂
😂
Good to see this technology keeps developing so fast. Hopefully they provide an API for open-source programmers as well. It seems that the development of the hardware is often much better than the development of the software.
I am so excited to have the Nia pump coming out soon! Yay
I’m a big fan. I’m also a type 1 diabetic!
Ohhh my gosh , looking forward to have it 🎉
WOOOOOOOOOW BRILLIANT
I'm also so excited about the competition of tubeless pumps. Omnipod didn't work so well for me, but I loved being tubeless. Can't wait to see where this all goes. Not sure I would do the pump & CGM in one device, but it's an interesting concept. Thanks for your videos & insight!
Great to see another tubeless pump coming. As a parent with a child using the OP5, a closed loop system is a must. Has made his (our) life easier. Longer pump usage time and an all in one CGM and pump is where I see the benefit if it’s closed loop.
Looks very big!
Thank you for creating your channel
Thank YOU for your support :)
@@diabe_tech I have type two diabetes
I wish the Omnipod would just get smaller. An integrated pump and cgm would be great!
how would it work though? How does this gadget work? We are told to wear the CGM and pump at least 2 to 3 inches apart. How can you get an accurate reading if the CGM and the point of entry of the insulin are in the same place? As to the pod being smaller, why? It's tiny. If it were smaller, it wouldn't hold as much insulin and we'd be changing it every two days maybe. There are some issues with the Omnipod but the size isn't one of them.
Awesome
signature for sure.
Definitely interested in Niaa signature and hope it will have something like Tandem Control IQ.
Thanks!
No problem! :) thanks!
I am totally waiting for the niia signature. And I really hope they make it very simple ❤ I use omnipod pod 5
I would love both the CGM and pump closed loop system!
I'm really looking forward to this product becoming available. I hope the essential can be used with AAPS or IAPS. When you do a podcast with them, please tell them to make their signature pump have all the amazing capabilities as AAPS & IAPS. That with the 90° angle insertion would make them the best product out there.
Signature seems a groundbreaking device.
When ok’d for Medicare coverage, will it be billed through Part D, drug, or B, durable medical equipment?
I’m waiting for the tubeless tandem pump!!
You will have to wait to 2027 for that
Have you heard anything about the Omnipod 5 coming to Canada?
The question is why omnipod is not working on pod like this . I was thinking about this couple of months ago . Omnipod already came up with a best working pump but why not make it even better and bring CGM in too their pump wouldn't that kill all the complications. I personally can't wait for tslim tubeless pump I think that's the game charger with their iq system.
This pump looks huge 😳 and that steel set?! Sounds very painful. There’s a reason that steel canula sets have an extension tubing to disconnect. It’s to reduce jostling at the site. I feel like the size of it would just create a lot of movement. It needs to be flatter. I’m curious about what people’s user satisfaction was with the trials…
I don’t think it’s a steel cannula, it’s a steel needle that injects a (plastic?) cannula
I agree to flatter
wonder when we can see an all in one device thats prefilled as well
I wish Canada didn't take so long to approve things :(
Does the steel retract, like in Omnipod, or stay in you all the time? There's zero chance of extended wear with a steel cannula. They're well-documented to cause more damage than the soft cannulas. I'm not aware of any steel set FDA approved for more than 2 days for this reason. I'm terrified of steel, with the increased risk of scar tissue and loss of viable sites, so that would be a deal breaker if it's not retractable.
I don't see any appeal in the first version, unless it's DIY Looping hackable. AndroidAPS does all it's magic via basal adjustments, so the limited app function might be enough for that. I assume the iAPS variant works similarly, too, right?
An all-in-one would definitely be an exciting advancement, though!
Will be curious for updates. Thanks for sharing.
There use to be another pump company that was doing this. I forgot who they are but it had 3 parts to it. If I find them I will update. It kinda looked like this.
Please do!! :)
I would only be interested in the Nia Signature. Until the I'm happy with my Tandem pump.
"We need glucagon on pump" So true! That would make the device the Triple-Play!! 😛
There's one in the works. It can only do insulin now, but has the option in the future to hold a form of glycogen. The ilet bionic pump from Beta Bionics. And this will be the game changer. It will be the closest device to a pancreas.
Wow!🤞
When could Niia signature be available?
Does the cgm control the pump? If so, how accurate is the cgm. I have a g7 cgm and while the bg is between 120 and 140 it is good. At either extreme (100 and lower or 170 and upit is off by 20 to 50 points. I worry about this crazy accuracy issue.
One question, as someone who is on MDI’s, is “how can we sign up to try this thing!?!?” I would 100% try this as someone not on a pump now, but is curious about pump therapy
Same here the reservoir size would also be ideal for me
Don't. If you are going to try a tubeless pump aim for the Omnipod. It is far superior to this huge thing. It changed my life immeasurably after being on MDIs for 45 years. I would not swap it for anything, that and my Libre2 CGM.
What would be the cost compared to omnipod 5?
I would never use a non-close-loop system nor one that didn't use an app or have a screen. I feel it would be hard/confusing to dispense and monitor. That doesn't seem to be a competitive product. The Niia Signature is interested, especially if it could stay attached for longer than 3 days. with 3Ml, I would hope it could last 5 days. That would make it intriguing. The form factor is a little concerning. It seems very tall and might be very noticeable and easy to knock off. I think the ultimate patch pump would have a 10 day wear time, built in CGM and small, replaceable, prefilled 1Ml insulin cartridges.
I agree with the lack of a screen or being able to monitor it through an app. All the dosing with counting on beeps for accuracy is a bit on the iffy side. Went hypo once when I heard a confirmation beep incorrectly. Perhaps not a good idea for those with hearing problems either. I see it has LED's as well which would be helpful unless you are wearing it on the back of your arm. Guessing they will figure it out.
@@dwightl5863 I get it is a way to go to market. I love all the tech and competition and if this is how they have to do it then I understand. The problem is there are better options out there. Then again I have insurance that pays for 90% of my diabetic equipment and supplies. Perhaps has a competitive price point that will allow people into pump therapy that can't afford T-Slims and Omnipods.
New to your channel.. enjoying your content. I see that there is some type of CGM monitor screen behind you? Can you tell me what that is? thank you!
they are called Sugar Pixel and Tidbyt! Links in video description :)
Most cgm run between 10-14 days. If the CGM inclusive pump will be worn for an “extended time” like 10 days, how will it affect the tissue absorbation rate for insulin? Will the tissue not be saturated?
Medtronic’s new infusion set lasts 7 days, so perhaps this pump + CGM could be at least a 7 day wear
The question came to my mind is that it's recommended an infusion set and CGM should be at least 3 inches apart. Guessing it will be a few years down the road before the Signature model is released. Wait and see.
Type one here. Id love to try the Signature all in one pump. Just one device? That would be wonderful. Im curious about swimming/showers with it on?
Yea, no details available on any of that, but will report as I find out more.
It’s great there is something new but I’ll stick with Omnipod
I bet you it will be 5 day wear time. I believe so because there are 6 pods in a boz and uaually 1 box gets you one month so that would make for 5 day wear time for a total of 30 days aka 1 month.
When can I get I live in Republic of Ireland 🇮🇪
Can you talk about medtrum nano system?
Omg yes! Just looked it up. Stay tuned! I have so much to learnnnnn 🥳
Are any of these waterproof like can you take a shower about to go swimming with these
I'm not sure....they haven't said yes or no to my knowledge - I hope to have someone from Pharmaens come on the show and I will ask that!!
This thing looks like a nightmare and I don't personally believe it will take off. For a start this thing is HUGE and there's not going to be anywhere to wear it that isn't noticeable or where it's not in the way. There's a picture of someone wearing it on their arm. That's a joke. It will get knocked off before it's been on there too long, or bashed about on door frames. It won't be unobtrusive under clothing like the Omnipod. I actually can wear my Omnipod on my boob, which is hidden under my bra and undetectable. Can you imagine wearing this thing somewhere undetectable?
Secondly, it looks like it only dispenses whole units unlike the Omnipod which dispenses fractions of units which for someone like me, is very important. This was the real game changer for me going from pens to the Omnipod.
Another thing is that it appears you need to activate it with THREE fingers. That counts out those of us with arthritic hands or some disabilities in that regard and is in my view really stupid.
As to a steel canula? What??? Nobody wants one of those. People actually have had issues with the needle not retracting, and it's PAINFUL. Even if I happen to place the Omnipod in the wrong place, the plastic canula can be uncomfortable and I'm willing the hours away until I have to replace it. Sometimes I'm convinced the needle didn't retract and when I remove it, it's just the canula.
Let us not forget the main problem. That is how can you operate a pump using an accurate CGM when the CGM is at the point where the insulin enters your body? We are told that our CGM should be 2 to 3 inches from our pump to avoid issues with readings. So how would that work? In my view this hasn't been thought out well at all and I am very surprised it's got as far as it has without the obvious issues with it being fixed. I certainly wouldn't be swapping my Omnipod and Libre 2 CGM for this piece of hardware any time soon.
Wait for closed loop. My problem is I am type 2. I currently using Libre 3. I just want a system to simulate normal blood sugar. Proble is currently type 2 cannot get a pump without paying out of pocket.😢
really? I'm a type 2 as well, and I don't pay anything out of pocket. I mean, the first couple of refills I did, until my doctor did a pre-authorization form, and insurance fully covered it.
I always see the device in the background that shows your CGM readings... What is that device??
Sugar Pixel and Tidbyt! :) Links in description
The less devices I need to wear the better. All depends on if my endo doc is okay with it and if my insurance covers it.
CURRENTLY USE TSLIM WITH G7 ... THE ALL-IN-ONE WOULD BE OF INTEREST
hi how can i buy this pump ? i’m in Mongolia
What about Stem cell therapy ?
Will report on that soon! Hopefully will have a guest on the podcast.
I personally wold be be willing to trade closed loop capability for a longer wear time and great insulin capacity, so would not be interested in the Niia Essential. If the Advanced or Signature versions had closed loop capability then I'd perhaps change my mind.
I agree. honestly for me this just seems more of the same thing we already have. I'm all for competition, but there's nothing really revolutionary about this new pump.
The first one, the essential, is their first step to “revolutionary”. Medical equipment is such a slow process!
Totally get that
So there will be a whole beeb concert when starting a bolus? No thanks!
I can’t get a pump Medicare said my blood sugar was to high they won’t approve for me
Strange that you would talk about as yet unreleased pumps from Tandem without mentioning Medtrum and Equil patch pumps that are already on the market in Europe and elsewhere.
And how did I forget Kaleido...?
Good effort, but I don’t see it replacing Omnipod anytime soon. I hope they have a lot money, because they’re going to lose money for a long time until they catch up to Omnipod, if ever.
Waiting for closed loop, for children
Yay! As much as I love my Omnipod, I’m super happy about the tubeless ones that are not just op coming out lately. Really interesting about the built in CGM, I think a lot of non-t1s assume that it’s the pain of switching them, but the real problem for me is literally just flinging my CGM/pods off before the 3/10 days is up (and we all know they start looking pretty ratchet by the end) and the adhesive irritating my skin.
Also, reminded me of a dying Tamagotchi washing machine hybrid when it did its jingle, haha. I’m a tech geek too though and digging the idea of adding lights and doohickeys so I can fully look like the cyborg I am. 🦾