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Insulin pump and CGM
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<blockquote data-quote="DanAttw" data-source="post: 1286749" data-attributes="member: 269236"><p>I'm going for a pump today. I know the Medtronic closed-loop system has been approved in the US but not here yet </p><p><a href="http://www.wsj.com/articles/fda-approves-medtronics-new-automated-insulin-pump-1475093556" target="_blank">http://www.wsj.com/articles/fda-approves-medtronics-new-automated-insulin-pump-1475093556</a></p><p>To me it provides the best answer so far - a CBGM that tells the pump what to do. </p><p>I've asked Medtronic about costs and self-funding but I haven't got an answer. All they say is it isn't approved here and to go for the 640g. </p><p>As far as I know the NHS isn't yet funding closed loop CBGM pumps yet but I may be wrong (I hope so).</p><p>I'll push for one today but let me know how you get on. It might be different in different commissioning group areas.</p><p>In the meantime, have you looked at the Freestyle Libre system? It won't wake you at night (I have it and I also had night-time hypos). What it does do is tell you what's happening during the night when you're asleep. So you can see when your levels drop and act accordingly. I've found my levels go below 3.0 almost every night when I exercised that day. No I haven't stopped exercising but I have adjusted my Levemir dose.</p><p>As an aside it is also revealing a very acute dawn phenomenon with me, which before I would have tried to tackle with even more Levemir, which would have caused even more acute night time hypos...</p><p>The system's also great at work, as you don't need to finger prick in meetings or difficult times, just hold the scanner to your arm. If you're going low it will tell you with a big fat downwards arrow. Have a sip of Lucozade and all's well again. No-one even notices. I've even done this on stage in front of 100s of people, they just think you're having a sip of drink.</p><p>The problem of course is it costs £100 a month!</p><p>Hope this helps</p><p>good luck!</p></blockquote><p></p>
[QUOTE="DanAttw, post: 1286749, member: 269236"] I'm going for a pump today. I know the Medtronic closed-loop system has been approved in the US but not here yet [URL]http://www.wsj.com/articles/fda-approves-medtronics-new-automated-insulin-pump-1475093556[/URL] To me it provides the best answer so far - a CBGM that tells the pump what to do. I've asked Medtronic about costs and self-funding but I haven't got an answer. All they say is it isn't approved here and to go for the 640g. As far as I know the NHS isn't yet funding closed loop CBGM pumps yet but I may be wrong (I hope so). I'll push for one today but let me know how you get on. It might be different in different commissioning group areas. In the meantime, have you looked at the Freestyle Libre system? It won't wake you at night (I have it and I also had night-time hypos). What it does do is tell you what's happening during the night when you're asleep. So you can see when your levels drop and act accordingly. I've found my levels go below 3.0 almost every night when I exercised that day. No I haven't stopped exercising but I have adjusted my Levemir dose. As an aside it is also revealing a very acute dawn phenomenon with me, which before I would have tried to tackle with even more Levemir, which would have caused even more acute night time hypos... The system's also great at work, as you don't need to finger prick in meetings or difficult times, just hold the scanner to your arm. If you're going low it will tell you with a big fat downwards arrow. Have a sip of Lucozade and all's well again. No-one even notices. I've even done this on stage in front of 100s of people, they just think you're having a sip of drink. The problem of course is it costs £100 a month! Hope this helps good luck! [/QUOTE]
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