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Insulin pump and CGM
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<blockquote data-quote="tim2000s" data-source="post: 1286784" data-attributes="member: 30007"><p>[USER=123429]@Minnie_19[/USER] - all the available CGMs (Dexcom and Medtronic) can be set to alarm when low, when going low, when high and when going high, plus when the rate of change is rapid. </p><p></p><p>Two current UK pumps include CGM as part of the pump. The Animas Vibe and the Medtronic 640G. On the Vibe it is purely CGM and uses Dexcom G4 kit. On the Medtronic, it is integral to the pump Smartguard function, where, once the pump predicts that you may go low, it will suspend your basal insulin. I@ve written quite a lot about it <a href="http://www.diabettech.com/smartguard/three-months-with-the-medtronic-640g-time-for-a-review-and-comparison-with-the-spirit-combo-that-i-used-previously/" target="_blank">here</a>.</p><p></p><p>Dexcom kit through Animas is cheaper than the Medtronic CGM kit, which is something to take into account when you are self funding. Dexcom sensors cost around £40 each but some people manage to extend their life up to 6 weeks. I've only ever managed 29 days. The Medtronic Enlite sensors also cost £40 each but the longest I've got out of one is 12 days. </p><p></p><p>Some people complain about the accuracy of the Enlites vs Dexcom, but my experience is that the current generation of Medtronic Enlites with the Guardian 2 transmitter is that it is more accurate than the Dexcom G4 and equally as accurate as the Dexcom G5. </p><p></p><p>Medtronic have also made some interesting noises with regard to replacing the 640G with the 670G when the 670 becomes available. </p><p></p><p>Whatever you end up doing, you are likely to be self funding so cost will play a part. For me, it's a no brainer to go with the Medtronic Smartguard as it's by far the best way of using CGM with a pump. You may find that cost plays a bigger part in your decision.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1286784, member: 30007"] [USER=123429]@Minnie_19[/USER] - all the available CGMs (Dexcom and Medtronic) can be set to alarm when low, when going low, when high and when going high, plus when the rate of change is rapid. Two current UK pumps include CGM as part of the pump. The Animas Vibe and the Medtronic 640G. On the Vibe it is purely CGM and uses Dexcom G4 kit. On the Medtronic, it is integral to the pump Smartguard function, where, once the pump predicts that you may go low, it will suspend your basal insulin. I@ve written quite a lot about it [URL='http://www.diabettech.com/smartguard/three-months-with-the-medtronic-640g-time-for-a-review-and-comparison-with-the-spirit-combo-that-i-used-previously/']here[/URL]. Dexcom kit through Animas is cheaper than the Medtronic CGM kit, which is something to take into account when you are self funding. Dexcom sensors cost around £40 each but some people manage to extend their life up to 6 weeks. I've only ever managed 29 days. The Medtronic Enlite sensors also cost £40 each but the longest I've got out of one is 12 days. Some people complain about the accuracy of the Enlites vs Dexcom, but my experience is that the current generation of Medtronic Enlites with the Guardian 2 transmitter is that it is more accurate than the Dexcom G4 and equally as accurate as the Dexcom G5. Medtronic have also made some interesting noises with regard to replacing the 640G with the 670G when the 670 becomes available. Whatever you end up doing, you are likely to be self funding so cost will play a part. For me, it's a no brainer to go with the Medtronic Smartguard as it's by far the best way of using CGM with a pump. You may find that cost plays a bigger part in your decision. [/QUOTE]
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