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Pump cost comparison for private funding

Discussion in 'Insulin Pump Forum' started by tim2000s, Jul 1, 2015.

  1. GrantGam

    GrantGam Type 1 · Well-Known Member

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    Yeah I'd definitely qualify for the excess of injections for good control and DP messing up that good control. That's for sure.

    Thanks for providing that extra insight!

    Grant
     
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  2. tim2000s

    tim2000s Type 1 · Expert
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    Then you can get going with a pump (and also low carb, but decent amounts of protein) and get traces that do this!

    [​IMG]


    Sent from my iPhone using Tapatalk
     
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  3. GrantGam

    GrantGam Type 1 · Well-Known Member

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    @tim2000s, have you any idea of the costs for the Medtronic Paradigm Veo?
     
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  4. tim2000s

    tim2000s Type 1 · Expert
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    Which model?
     
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  5. GrantGam

    GrantGam Type 1 · Well-Known Member

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    I'd imagine the latest in the 5 series, it has the smaller reservoir?

    I had a phone call with a Dr from my diabetic clinic yesterday, and we went over some aspects of pumps, etc. She said they normally issue the Paradigm Veo to adults. I never got an exact model number so I can't be certain, but I'd hazard a guess at the newest 5 series.

    The reason I ask, is that an Animas pump (possible the Vibe model) is also offered, although typically allocated for pediatric use. Although the aim is to ultimately obtain NHS funding, knowing the private funding cost differences between the two would be handy should I be leaning towards a specific pump. The costs between NHS and private may be different, but at least I'd have a rough idea if one was significantly pricier than the other.

    FYI, currently waiting on a response from Medtronic but just thought I'd see if you were aware:)

    Cheers.
     
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    #65 GrantGam, Oct 26, 2016 at 1:14 PM
    Last edited: Oct 26, 2016
  6. tim2000s

    tim2000s Type 1 · Expert
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    I've never asked about the Veos. To be honest, I don't know if the NHS is offering them any more? THey certainly don't in our area. I imagine you'll be quoted similar to the 640G by Medtronic. Used ones can be bought online for anywhere between about £300 and £800. Current market value is on average about £600.
     
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  7. GrantGam

    GrantGam Type 1 · Well-Known Member

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    I guess I won't know for sure until I meet with the Dr in charge of pump therapy for my region. According to IPAG, it seems as though the Veo is still offered. Whether they are now superceded by the 640G, I'll just have to wait to find out. For now I can assume the consumables cost for the Veo will be there or there abouts the same as the 640G?

    http://www.ipag.co.uk/pumps-available-in-scotland/

    Thanks again.
     
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  8. tim2000s

    tim2000s Type 1 · Expert
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    They use the same consumables, so it will make no difference. If you go with a 1.8ml reservoir, it will cost more because the 3ml and 1.8ml reservoirs are the same price and I have no issues with using them for a week (which is safe and was proven in research years ago using the exact same reservoirs).

    The Veo 554 is about 1cm smaller in length than the 754, but I'm not sure why you'd opt for one of those, given Smartguard in the 640G?
     
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  9. GrantGam

    GrantGam Type 1 · Well-Known Member

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    Is that a typo or am I missing something?

    I genuinely don't even know if the 640G is offered in my region though. So it's not a case of dismissing the 640G. I was told that the Veo is the pump of choice for adults where I live.

    I'm pretty sure the Veo is compatible with enlite sensors and supports smart guard?
     
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  10. tim2000s

    tim2000s Type 1 · Expert
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    For me, because I can get 6.5 days out of the 3ml reservoir, I use them at half the speed I use the 1.8s. As a result I use fewer of them. I ignore the guidance (from Medtronic) to replace the reservoir every three days as independent research has been done that proved that Novorapid remained stable in a pump reservoir safely for 10 days.

    I therefore use fewer 3ml reservoirs, which cost the same as 1.8ml reservoirs, as I would 1.8ml reservoirs.

    The "Smartguard" on the Veo is only "Suspend on low". On the 640G it's predictive so it suspends before you go low, and due to the algorithm it uses, it's pretty good with limiting lows across the board. It means you can be more aggressive on your meal boluses pretty safely. I wrote something about it here: http://www.diabettech.com/artificia...d-smartguard-into-the-glastonbury-2016-wilds/
     
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  11. GrantGam

    GrantGam Type 1 · Well-Known Member

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    Ah I see what you mean, thanks for clearing that up for me:)

    That's pretty clever suspending before going low, it's a shame the Enlite sensors are fairly pricey.

    Will be waiting patiently for my appointment with the regional director (I think that's his title); to see where we go next on this pump journey. Won't get my hopes up too much, but it's still exciting all the same.

    Thanks for the input, @tim2000s.
     
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  12. asa35

    asa35 Type 1 · Well-Known Member

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    @tim2000s , this is very useful information, thanks for your research. I realise this was last year, but as I'm trying to decide on a pump (my first one, so very confused with everything at the moment!!!), this is good for me. My pump will be funded through the NHS and I've narrowed my choices down to the Animas Vibe and the Medtronic 640G. I'm leaning a bit more towards the 640G because I prefer the layout better and the menus are easier to navigate (the Vibe layout does appear more old fashioned in the layout). My only issue is for the CGM costs: currently, Animas offer the Dexcom G4 starter pack @ £250.00 with replacement sensors @ £50.00 ea or £186 per 4 (not sure if they charge c&p). I can't seem to get an answer from Medtronic at the moment for their CGM costs, but from your details above, what are Monthly Consumables????
    Any help with this would be appreciated as I seem to be going around in circles at the moment and I need to make a decision asap for which pump I want.
    I do also currently use a Libre, and a possible option is to stick with this and manually enter data to the pump.
    Many thanks
     
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  13. misspinky1984

    misspinky1984 Type 1 · Well-Known Member

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    Hello I hope you don’t mind me messaging you how long did you wait to get funding after your consultant requested a pump for you ? I’ve been waiting 8 weeks and I was told about 4-6 weeks thanks
     
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  14. Angusc

    Angusc Type 1 · Well-Known Member

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    7 years from requesting the pump mainly due to the need for the cgm
     
    #74 Angusc, May 28, 2018 at 2:17 PM
    Last edited: May 28, 2018
  15. tim2000s

    tim2000s Type 1 · Expert
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    Hi @misspinky1984 . My process was that I demanded that the Specialist Registrar request that i go on a pump from the senior consultant in January. I received a letter two weeks later inviting me to a pump clinic two months later. I went to the pump clinic and refused to leave until I'd seen the DSN, Consultant, Dietitian and Psychologist on the same day (they tried to fob me off with multiple days of appointments, so I took the slack up in their schedule). I then batted the DSN into submission to do a 1-to-1 pump start with me because I couldn't make the group dates and I was adamant that I didn't need to spend a day learning how the pump worked as I'd read the manual. All in all, I went from the clinic in January to receiving my pump in early May.

    There was never any discussion about funding as Guys operates on the basis that the money is there to be used. You just have to be a bit obstreperous to get it.
     
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  16. himtoo

    himtoo Type 1 · Well-Known Member
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    hi there
    from initial appointment to put me forward for a pump to the day i started pumping was 13 months ............but i know a bloke in my same catchment area that has progressed through the same hurdles in about 7 months.. he is due to start in about 3 weeks
     
  17. misspinky1984

    misspinky1984 Type 1 · Well-Known Member

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    Hello I've been given the funding finally and been given the choice of the Medtronic or Accu-chek insight x the pump I wanted is not in the uk yet
     
  18. Irene Banting

    Irene Banting Type 1 · Member

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    I agree with so many of the comments here. In Australia the majority of people have private health insurance, and pumps are covered every 4 years, when the warranty runs out. So I have in my drawer 4 used but functioning pumps. We used to be able to pass them on to a clinic or to an individual person. Also people used to sell them on EBay. Now due to new guidelines and fear of litigation etc etc, you can't do either. What a criminal waste!
    I am not sure but I think here, at least, you can get around this by giving your pump away, and that person can take it to a clinic and sign a waiver of some sort so they can access pump education and the subsidised consumables. I have offered my latest used one to my friend and to my nephew, and neither of them want a pump as they prefer MDI.
    Does anyone know if someone in the UK could access the consumables on the NHS if their pump was given to them privately?
     
  19. Juicyj

    Juicyj Type 1 · Moderator
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    Hello @Irene Banting Just to note this thread is 19 weeks old, as a tip when thinking about responding to old threads it might be worthwhile starting a new thread :)

    The NHS doesn't sell consumables to private consumers, if someone were to purchase their own pump then they would need to contact the pump manufacturer direct for consumables.
     
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  20. Irene Banting

    Irene Banting Type 1 · Member

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    Oh, thanks. I am not used to forums. Not even on Facebook but I'll get there
     
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