Medtronic 780g with simplera sync

Fairygodmother

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its a shame you got the wrong answer though :)
the 780g uses simpera sync, not simplera, so you do NOT use the simplera app

you actually use the Medtronic minimed app, which show the cgm data, and pump details

Thank you. I put in a search request for simplera sync & app but should have known that internet algorithms aren’t as bright as humans. (With ever growing use of AI, I suspect the best gift I could leave my grandsons is a couple of allotments and a few goats and chickens. Maybe lessons from Antje too.)
 
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Fairygodmother

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let me guess

tandem
medtronic
omnipod
ypsomed

the medtronic gives better control than the tandem, because of the way corrections work, the pump is more aggressive and has lower targets (which are adjustable)

the ypsomed shoukd be good so long as you have an android phone AND your hospital gives you the camAPS app (mine dont) not much good without camAPS

tandem and medtronic have the biggest insulin supply if that is a consideration. ypsomed the smallest

omnipod has the advantage of being tubeless, BUT you in the UK you have to carry the PDM with you, which is mobile phone sized


for me the move from tandem to medtronic was the right one

Yup, those are the choices. And yes, the pre-loaded PDM the hospital provide for omnipod is HUGE, so that makes it a no-no, which is a shame. And no sign yet of a PDM download for ios.
 

searley

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Yup, those are the choices. And yes, the pre-loaded PDM the hospital provide for omnipod is HUGE, so that makes it a no-no, which is a shame. And no sign yet of a PDM download for ios.

In my mind, the tandem and Medtronic are the best choices

Pros and cons to each though
 
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Fairygodmother

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In my mind, the tandem and Medtronic are the best choices

Pros and cons to each though

Looking from the outside in, that’s the conclusion I’ve come to but it’s invaluable to read the experiences of people like you who are now looking from the inside out.
Looking out from the inside?
Looking in from the outside?
I think I’ve just about decided - now looking at how to make a contraption that’ll keep the pump safe but easy to access. Exciting.
 
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searley

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][emoji[emoji6]][emoji[emoji6]][emoji[emoji6]][emoji[emoji6][emoji6]]" data-quote="Fairygodmother" data-source="post: 0" class="bbCodeBlock bbCodeBlock--expandable bbCodeBlock--quote js-expandWatch">
Looking from the outside in, that’s the conclusion I’ve come to but it’s invaluable to read the experiences of people like you who are now looking from the inside out.
Looking out from the inside?
Looking in from the outside?
I think I’ve just about decided - now looking at how to make a contraption that’ll keep the pump safe but easy to access. Exciting.

Just keep mine in a pocket or on my belt.. my pump is insured
 
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alohanicky2009

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Not sure who asked the question Re - choice of 4 pumps , I was on Ypsomed (not HCL) but was due a new pump , discounted tubeless , Ypsomed lovely little small user friendly pump , I was going HCL so I am apple and I didn’t want to get android and was happy to try another pump , tslim like the look and colours of graph reading but a while b4 I could get 1 so the team said the Medtronic would be better for me , and I wanted to start HCL asap ,we were all surprised that I received Simplera sensors , I am so happy with Medtronic ( I had Medtronic before Ypsomed and I did not like Medtronic had problems with Bluetooth and reading .
 
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Alistair Wood

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Not sure who asked the question Re - choice of 4 pumps , I was on Ypsomed (not HCL) but was due a new pump , discounted tubeless , Ypsomed lovely little small user friendly pump , I was going HCL so I am apple and I didn’t want to get android and was happy to try another pump , tslim like the look and colours of graph reading but a while b4 I could get 1 so the team said the Medtronic would be better for me , and I wanted to start HCL asap ,we were all surprised that I received Simplera sensors , I am so happy with Medtronic ( I had Medtronic before Ypsomed and I did not like Medtronic had problems with Bluetooth and reading .
One thing I dislike about the Medtronic 780g (apart from the stupid guardian sensor) is the insistence of entering carbs in 1gm units. Why not 5gms, or at least allow the user to specify what increment to have?
 

searley

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One thing I dislike about the Medtronic 780g (apart from the stupid guardian sensor) is the insistence of entering carbs in 1gm units. Why not 5gms, or at least allow the user to specify what increment to have?

Yes but if you press and hold it goes fast, it only takes a few seconds to get 100g carbs in
 
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searley

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Not sure who asked the question Re - choice of 4 pumps , I was on Ypsomed (not HCL) but was due a new pump , discounted tubeless , Ypsomed lovely little small user friendly pump , I was going HCL so I am apple and I didn’t want to get android and was happy to try another pump , tslim like the look and colours of graph reading but a while b4 I could get 1 so the team said the Medtronic would be better for me , and I wanted to start HCL asap ,we were all surprised that I received Simplera sensors , I am so happy with Medtronic ( I had Medtronic before Ypsomed and I did not like Medtronic had problems with Bluetooth and reading .

The 780 is working better for me than the tandem
 
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Alistair Wood

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Yes but if you press and hold it goes fast, it only takes a few seconds to get 100g carbs in
But that's my whole point! - if I want 40g I don't want to press it until it reaches 40g, overshoots to 48g, then have to press down for 8 units. Much rather press 8 times 5g. Does that not make sense? Or at least have the OPTION to choose what increment! Who in their right mind wants to enter values that are not multiple of 5....
 

searley

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But that's my whole point! - if I want 40g I don't want to press it until it reaches 40g, overshoots to 48g, then have to press down for 8 units. Much rather press 8 times 5g. Does that not make sense? Or at least have the OPTION to choose what increment! Who in their right mind wants to enter values that are not multiple of 5....

No pump is perfect even the tandem where you can type the value you want had issues that would slow things down

You do have the option of not entering anything and letting the pump sort it out does seem to work quite well for smaller meals
 

MoonCloudy

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It's been hinted that I won't qualify for a Simplera because I'm a fairly recent recipient of the 780G + Guardian Sensor (I love the pump but hate the sensor). I don't understand the whys and wherefores of this but apparently I must have signed up to an arrangement to continue to use the Guardian 4 for a lot longer. Yuk. Really worried and angry.
I totally agree and felt the same when I was fed up with the Guardian Sensor FOR THEIR UPDATING, CALIBRATION NOT ACCEPTED and then end up CHANGING SENSOR.... until I switched over to Dexcom G7 although they both dont communicate with each other but thats something I need to compromise with as GS is giving me some mental issues and now I am feeling much better despite of being less in range.
 

Paulh696

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I also have the famous four pumps to choose from. I'm currently using the Omnipod 5 on a 3 month trial and after a good start I'm really struggling with the algorithm and although its flat lining it's always now hovering around 10' to 11 and doesn't doesnt seem to want to correct its. I think I'm correcting about a dozen times a day, every day! Anyway I'm now looking at the Medtronic 780g with he simplera sensor as I believe the algorithm is possibly the best and will suit me more. One question how do you find the size? It looks larger than other pumps and I'm a bit worried how I will sleep as I sleep on my sides and front ish and for ever toss and turn. I worried that I will end up laying on it and be uncomfortable. I will most probably clip it to my pyjama shorts
 

Prancy

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I also have the famous four pumps to choose from. I'm currently using the Omnipod 5 on a 3 month trial and after a good start I'm really struggling with the algorithm and although its flat lining it's always now hovering around 10' to 11 and doesn't doesnt seem to want to correct its. I think I'm correcting about a dozen times a day, every day! Anyway I'm now looking at the Medtronic 780g with he simplera sensor as I believe the algorithm is possibly the best and will suit me more. One question how do you find the size? It looks larger than other pumps and I'm a bit worried how I will sleep as I sleep on my sides and front ish and for ever toss and turn. I worried that I will end up laying on it and be uncomfortable. I will most probably clip it to my pyjama shorts
780g doesn’t bother me size wise. I clip it to my pj bottoms or otherwise lay it on the pillow. Some use long tubing and put it on the nightstand.
 

searley

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I also have the famous four pumps to choose from. I'm currently using the Omnipod 5 on a 3 month trial and after a good start I'm really struggling with the algorithm and although its flat lining it's always now hovering around 10' to 11 and doesn't doesnt seem to want to correct its. I think I'm correcting about a dozen times a day, every day! Anyway I'm now looking at the Medtronic 780g with he simplera sensor as I believe the algorithm is possibly the best and will suit me more. One question how do you find the size? It looks larger than other pumps and I'm a bit worried how I will sleep as I sleep on my sides and front ish and for ever toss and turn. I worried that I will end up laying on it and be uncomfortable. I will most probably clip it to my pyjama shorts

In real world it’s only slightly larger than the tandem…. I don’t really notice the difference

The algorithm on the 780 is far better as it corrects every 5 minutes.. also it’s correct to target, not correct to range.. and it learns from past days so it creates its own basal profiles, so after ‘smart guard’ has started control is great

With my tandem I would constantly sit around the 9 to 10 mark over night waking with a bg of 9

The 780 even if I eat late and don’t bolus it will battle my bg and I will be at 6 by about 3am

The 780 can also be set to have a lower target of 5.5

I’m 4 months in on the 780 and seen substantially better hba1c and massive increase of time in range
 

Prancy

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In real world it’s only slightly larger than the tandem…. I don’t really notice the difference

The algorithm on the 780 is far better as it corrects every 5 minutes.. also it’s correct to target, not correct to range.. and it learns from past days so it creates its own basal profiles, so after ‘smart guard’ has started control is great

With my tandem I would constantly sit around the 9 to 10 mark over night waking with a bg of 9

The 780 even if I eat late and don’t bolus it will battle my bg and I will be at 6 by about 3am

The 780 can also be set to have a lower target of 5.5

I’m 4 months in on the 780 and seen substantially better hba1c and massive increase of time in range
I agree. I love the 780, however lately the sensor life has become unpredictable. I really wish they would get the Simplera going in the US. I’m having. way too many updating, change sensor too early….like on day 3, updating immediately after Warm up, Enter BG multiple times through the night, etc,……it’s bizarre. The last month especially. I know how to handle the sensors. Last year I did not have these issues very often. There’s nothing different about my application. I wish they would focus on quality control with the sensors. Company rep told me they are hand made. At this point, I have zero confidence I will make it through one day with reliable sensor performance. It’s unfortunate. Great product and I’m their biggest cheerleader, but this issue has to be addressed soon. I read other brands exhibit similar issues, so….no real options.
 
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searley

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I agree. I love the 780, however lately the sensor life has become unpredictable. I really wish they would get the Simplera going in the US. I’m having. way too many updating, change sensor too early….like on day 3, updating immediately after Warm up, Enter BG multiple times through the night, etc,……it’s bizarre. The last month especially. I know how to handle the sensors. Last year I did not have these issues very often. There’s nothing different about my application. I wish they would focus on quality control with the sensors. Company rep told me they are hand made. At this point, I have zero confidence I will make it through one day with reliable sensor performance. It’s unfortunate. Great product and I’m their biggest cheerleader, but this issue has to be addressed soon. I read other brands exhibit similar issues, so….no real options.

Only had 1 issue in 4 months with simplera
 
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Ann48

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I’ve been on the Medtronic 780 with Simplera for 12 days now and the sensor gave up during the night. When the Smartguard was running the Basal wasn’t highlighted on the pump. I turned the Smartguard off as I was concerned the Basal wasn’t running. I haven’t as yet put another Simplera on , but now notice the Basal is highlighted and I can’t turn it off. Does anyone know when I put the new sensor on will the Basal no longer be be highlighted. I have been on pumps for 12 years with Libre.
 

Prancy

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I’d call Medtronic and ask for their input. And, finger stick to see your BG number first.

Sadly, I don’t have Simpkera, but have G4. I’m not aware how they differ in function.

I stay in Snartguard as much as possible. It’s my understanding that the basal will be delivered by the pump in the amounts it deems necessary to keep my BG in range. It does this based on my BG numbers as reflected on the cgm. If the numbers aren’t there, it can‘t make that determination, so it uses the pre-programed basal rates you have entered for the pump to use when not in Smartguard. Is it possible you saw no basal delivery before because your BG was low enough and it was backing off on the dose?

Has it now gone into Manual Mode? If I’m in manual mode, and my programmed basal rates are being used,I check my BG frequently if the cgm is not operating, because Alerts before low will not be available, since it doesn’t know you are low and the basal won’t pause either. Please post what you find out. I’m very curious about Simplera.