1 2 3

Tuesday, December 29, 2009

[diabetescgms] Digest Number 1764

Messages In This Digest (7 Messages)

1a.
Re: Ping/Dexcom combo From: Ted Marshall
1b.
Re: Ping/Dexcom combo From: Katherine Ames Iserman
2a.
Re: My trial of Medtronic and Dexcom CGM Systems From: tm_pearson
2b.
Re: My trial of Medtronic and Dexcom CGM Systems From: tm_pearson
2c.
Re: My trial of Medtronic and Dexcom CGM Systems From: Adam Jensen
2d.
Re: My trial of Medtronic and Dexcom CGM Systems From: Jeff Nathan, Award-Winning Author
3a.
restarting failed Navigator sensors From: Nancy Stopper

Messages

1a.

Re: Ping/Dexcom combo

Posted by: "Ted Marshall" ted@lauramarshallphoto.com   ted_a_marshall

Mon Dec 28, 2009 10:11 pm (PST)



I don't have any real information, but I wouldn't expect it to change. The limiting factor is probably the power in the transmitter so unless they change the transmitter (and probably make it larger), I don't think it would change.

It's no coincidence that the system with the longest range (Navigator) as the largest transmitter.

/Ted

----- Original Message -----
From: Bonnie
To: diabetescgms@yahoogroups.com
Sent: Monday, December 28, 2009 10:00 PM
Subject: [diabetescgms] Ping/Dexcom combo

Does anybody know if the Animas Ping/Dexcom combo will still have the 5 foot range? That was always a major negative factor for us when we used the Dexcom Seven. Also, does anybody know when it is "supposed" to be coming out? I know that it is all FDA related - but hopefully they have a goal :-)

Our warranty on the Navigator was up this past August 09 and the Cozmo warranty is up Jan 11, so we are leaning towards the Ping/Dex combo - but I really don't like the 5 ft range issue.

Thank you.

--
Bonnie S.
mom to Rachel, type 1 2/02, celiac 2/04, Cozmo, Navigator, Apidra (1 bottle trial - not noticing any dosing differences so far)

--
Bonnie S.

1b.

Re: Ping/Dexcom combo

Posted by: "Katherine Ames Iserman" k_iserman@yahoo.com   k_iserman

Mon Dec 28, 2009 10:11 pm (PST)



Hi, Bonnie,

Last I heard, it was sounding like second or third quarter 2010, but that was just rumor. As for the range issue, I imagine it would depend on which device is the receiver (the meter/remote versus the pump itself). Anyone know the design?

Regards,
Katherine

P.S. Jeff... Thanks for the response on our first Dex sensor experience. I called Dexcom and they offered to replace the sensor with no hassle.

________________________________
From: Bonnie <bonnieandrachel@gmail.com>
To: diabetescgms@yahoogroups.com
Sent: Tue, December 29, 2009 12:00:32 AM
Subject: [diabetescgms] Ping/Dexcom combo

Does anybody know if the Animas Ping/Dexcom combo will still have the 5 foot range? That was always a major negative factor for us when we used the Dexcom Seven. Also, does anybody know when it is "supposed" to be coming out? I know that it is all FDA related - but hopefully they have a goal :-)

Our warranty on the Navigator was up this past August 09 and the Cozmo warranty is up Jan 11, so we are leaning towards the Ping/Dex combo - but I really don't like the 5 ft range issue.

Thank you.

--
Bonnie S.
mom to Rachel, type 1 2/02, celiac 2/04, Cozmo, Navigator, Apidra (1 bottle trial - not noticing any dosing differences so far)

--
Bonnie S.

2a.

Re: My trial of Medtronic and Dexcom CGM Systems

Posted by: "tm_pearson" Todd_Pearson@pacbell.net   tm_pearson

Tue Dec 29, 2009 12:27 am (PST)



Jeff, I have to agree with you on many of the points that you stated with regards to both CGMS's and with me actually using both devices myself, I find the DEXCOM to be much better in readings, as well as being able to calibrate almost anytime with it, if you wish.

Since, I've been on the MM722 CGMS, I've had more issues and disappointments with it. Plus, I have some hearing loss and I can not hear the alarms at all on the MM CGMS when I'm asleep and have my hearing aids out, but I never had this problem with the DEXCOM. I could both HEAR and FEEL the DEX as it was attached to my waist pouch when I sleep at night.

The other thing I like about the DEX compared to MM CGMS, is the fact that it's approved for 7-day and not 3-day like the MM is. Plus, I don't need to TAPE down the transmitter on the DEX like you to on MM.

So, of course I called today to get my DEX 7+ and hopefully my insurance will approve it which I'm sure they will, because I've got my doctor saying that I can't hear ANY of the alarms when asleep and this is a danger to me if I go low. So, I should hopefully be approved and be back on the DEX.

Thanks for your side by side comparison. I would love to also try out the NAV and see how well that works as well.

Happy New Year to all....

Todd
dx 12/1986
MM722+CGMS
Soon to be DEX7+

2b.

Re: My trial of Medtronic and Dexcom CGM Systems

Posted by: "tm_pearson" Todd_Pearson@pacbell.net   tm_pearson

Tue Dec 29, 2009 12:35 am (PST)



Jeff, I have to agree with you on many of the points that you stated with regards to both CGMS's and with me actually using both devices myself, I find the DEXCOM to be much better in readings, as well as being able to calibrate almost anytime with it, if you wish.

Since, I've been on the MM722 CGMS, I've had more issues and disappointments with it. Plus, I have some hearing loss and I can not hear the alarms at all on the MM CGMS when I'm asleep and have my hearing aids out, but I never had this problem with the DEXCOM. I could both HEAR and FEEL the DEX as it was attached to my waist pouch when I sleep at night.

The other thing I like about the DEX compared to MM CGMS, is the fact that it's approved for 7-day and not 3-day like the MM is. Plus, I don't need to TAPE down the transmitter on the DEX like you to on MM.

So, of course I called today to get my DEX 7+ and hopefully my insurance will approve it which I'm sure they will, because I've got my doctor saying that I can't hear ANY of the alarms when asleep and this is a danger to me if I go low. So, I should hopefully be approved and be back on the DEX.

Thanks for your side by side comparison. I would love to also try out the NAV and see how well that works as well.

Happy New Year to all....

Todd
dx 12/1986
MM722+CGMS
Soon to be DEX7+

2c.

Re: My trial of Medtronic and Dexcom CGM Systems

Posted by: "Adam Jensen" adam.jensen@gmail.com   adamixoye

Tue Dec 29, 2009 4:01 am (PST)



Dave, I agree that this would be great. Unfortunately, I fear we may not
see things like this for a while. It seems to me that both CGMS and insulin
pumps are made overly simplistic, and my educated guess is that this is for
one or both of the following reasons:

(1) To make the programming simpler and the system more robust/less
susceptible to bugs
(2) There's not a politically correct way to say this, but to "idiot proof"
the systems. Notably, the Cozmo feature you mentioned (along with many
other of the more complex features) is only accessible if you are able to
connect the Cozmo to a computer.

Adam

On Mon, Dec 28, 2009 at 10:47 PM, Dave Guyer <daveg2@charter.net> wrote:

> Thank you, Jeff. I program for a living, so this explanation makes a lot
> of sense to me. Seems like it wouldn't be too much trouble to allow the
> selection of AND or OR. I still like my idea that the further below the
> low threshold I get, then the rate of drop that I'm worried about
> becomes much less.
>
> That is, if I'm 50, I personally don't want to see any drop. If I'm 70,
> I won't panic over a slight drop. If I'm 300, I'm going to want to see a
> whole bunch of drop! My Cozmo supplies that kind of functionality by
> adding an additional percentage value of the bolus to the total bolus
> over preset thresholds, but I'd rather be allowed a mathematical
> equation to describe the curve.
>
2d.

Re: My trial of Medtronic and Dexcom CGM Systems

Posted by: "Jeff Nathan, Award-Winning Author" jeff@incredibleassemblies.com   chucklejeff

Tue Dec 29, 2009 5:27 am (PST)



Hi, Dave -

I agree that your solution is better. I'd be happy with what seems like a
very simple step in that direction - providing the AND.

Warm regards,

-jeff toll-free: 1-888-967-3386

Award-Winning Children's Author, Jeff Nathan, presents

CurricuLaughs

Curriculum-tied Language Arts Education through HUMOR

"... by far, the best set of presentations I have seen in our school system
."

Dr. Marc Kerble Assistant Superintendent Winchester Schools
Winchester, MA

". a student said it best. "You Rock!" From the mouth of babes, Jeff you
were sensational. Thank you ever so much!"

Kristine O. Murray Media Enrichment Specialist Maghakian Memorial
School Brookline, NH

see these and other raving testimonials at
<http://www.IncredibleAssemblies.com> www.IncredibleAssemblies.com

-----Original Message-----
From: diabetescgms@yahoogroups.com [mailto:diabetescgms@yahoogroups.com] On
Behalf Of Dave Guyer
Sent: Monday, December 28, 2009 10:47 PM
To: diabetescgms@yahoogroups.com
Subject: Re: [diabetescgms] My trial of Medtronic and Dexcom CGM Systems

Thank you, Jeff. I program for a living, so this explanation makes a lot

of sense to me. Seems like it wouldn't be too much trouble to allow the

selection of AND or OR. I still like my idea that the further below the

low threshold I get, then the rate of drop that I'm worried about

becomes much less.

That is, if I'm 50, I personally don't want to see any drop. If I'm 70,

I won't panic over a slight drop. If I'm 300, I'm going to want to see a

whole bunch of drop! My Cozmo supplies that kind of functionality by

adding an additional percentage value of the bolus to the total bolus

over preset thresholds, but I'd rather be allowed a mathematical

equation to describe the curve.

Jeff Nathan, Award-Winning Author wrote:

>

> I'd like an AND function rather than the OR they have given us.

>

> <http://www.IncredibleAssemblies.com>

>

> *From:* diabetescgms@yahoogroups.com

> [mailto:diabetescgms@yahoogroups.com] *On Behalf Of *Dave Guyer

> *Sent:* Monday, December 28, 2009 9:03 PM

> *To:* diabetescgms@yahoogroups.com

> *Subject:* Re: [diabetescgms] My trial of Medtronic and Dexcom CGM Systems

>

> Jeff, my Dex 7+ alarms at the high and low limit. It also alarms if

> the rate of change is too great. Are you hoping for a system that

> varies the rate of change threshold depending on how close to the high

> or low limit you happen to be?

>

> Jeff Nathan, Award-Winning Author wrote:

>

> <snip>

>

> Ideally, I would want an alarm that combines level and trend.

> Neither system offered that to me, but even just a level-based

> alarm is a huge life-saving leap over what I had before.

>

>

> ----------------------------------------------------------

>

>

> No virus found in this incoming message.

> Checked by AVG - www.avg.com

> Version: 8.5.431 / Virus Database: 270.14.122/2591 - Release Date:
12/28/09 19:32:00

>

>

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3a.

restarting failed Navigator sensors

Posted by: "Nancy Stopper" nancystopper@gmail.com   scrappinlady01

Tue Dec 29, 2009 6:12 am (PST)



I used to get Sensor Errors from time to time in the 2nd 5-day period of our
Navigator sensors, but I've eliminated those.

I make sure there is a piece of tape (I use Opsite) over the transmitter and
the top part of the transmitter mount before I want to pop the transmitter
off. Then, I release the transmitter and stretch the tape a little – just
to get the transmitter to barely disconnect with the sensor. Then I pop it
back in and do the restart. What I found is that when I take the
transmitter completely off, the sensor gets "loose" (since there is nothing
holding it in) and I get more sensor errors. If I just barely disconnect
the transmitter, the sensor doesn't get loose in the skin and I rarely get
sensor errors.

I have only had one sensor completely die on me and now I rarely get sensor
errors. We routinely go 10 days and once in a while get 15 days out of it.
My decision to change is based more on the state of the tape (again, we use
Opsite around the outside of the transmitter mount tape) than quality of the
readings – we get quality readings consistently. I find the quality of the
readings are based on the quality of the calibrations much more than the age
of the sensor.

Hope this helps!

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