Messages In This Digest (23 Messages)
- 1.1.
- Re: What am I missing? From: Msdosse@aol.com
- 1.2.
- Re: What am I missing? From: Ted Marshall
- 1.3.
- Re: What am I missing? From: Adam Jensen
- 1.4.
- Re: What am I missing? From: tracymfriend
- 1.5.
- Re: What am I missing? From: Ming Themerciless
- 1.6.
- Re: What am I missing? From: Ted Marshall
- 1.7.
- Re: What am I missing? From: Adam Jensen
- 1.8.
- Re: What am I missing? From: Ted Marshall
- 1.9.
- Re: What am I missing? From: Andy Mayshar
- 1.10.
- Re: What am I missing? From: Andy Mayshar
- 1.11.
- Re: What am I missing? From: Brandy
- 1.12.
- Re: What am I missing? From: jath622@wowway.com
- 1.13.
- Re: What am I missing? From: GPappy
- 1.14.
- Re: What am I missing? From: Msdosse@aol.com
- 1.15.
- Re: What am I missing? From: Msdosse@aol.com
- 2.1.
- Re: What am I missing? - most important features to me From: tracymfriend
- 2.2.
- Re: What am I missing? - most important features to me From: tm_pearson
- 3.1.
- Thanks for all the help & your opinion please From: Pat Fields
- 4.
- IOB & omnipod From: Signe Myhren
- 5.1.
- Re: My trial of Medtronic and Dexcom CGM Systems From: Jeff Nathan, Award-Winning Author
- 5.2.
- Re: My trial of Medtronic and Dexcom CGM Systems From: Jamie Weisbrod
- 6.1.
- Re: Navigator Warranty - (Was Ping/Dexcom combo) From: bethdouthitt
- 6.2.
- Re: Navigator Warranty - (Was Ping/Dexcom combo) From: Andy Mayshar
Messages
- 1.1.
-
Re: What am I missing?
Posted by: "Msdosse@aol.com" Msdosse@aol.com msdosse
Thu Dec 31, 2009 7:36 am (PST)
In a message dated 12/30/2009 11:12:52 P.M. Pacific Standard Time,
clytusimbored@yahoo.com writes:
Omnipod also seems more wasteful, in terms of amount of stuff thrown away.
Plus, I would hate to have
to rotate it to a place I need to sleep on... Also also, I don't know
that this is necessarily true, but I would be
concerned that since it's so disposable, it might also be prone to more
failures?
Not in the four months I have been using it (at least, after I learned to
turn off the feature that automatically shuts it down if you are away from
the personal data manager (control/pdm) for a certain time).
I am very careful to have it firmly attached and any loose skin pinched up
tight during the automatic insertion. Talking about attached--I just wish
every other device used the same mastic; the pod tears loose from the
sticky pad before it comes off my arm.
What I most dislike (other than the fact you can't bolus or suspend
without the PDM) is that it doesn't count food boluses when calculating insulin
on board. That can lead to overdosing in a hurry!
Is anyone else tapping the last of the air bubbles into the *bottom* of
the filling syringe? There's a depression around the plunger. I never felt
I'd gotten all the air out of the needle. Have had no surprise highs since
adopting this method because any air never reaches the needle much less the
pod cartridge.
Judy D
- 1.2.
-
Re: What am I missing?
Posted by: "Ted Marshall" ted@lauramarshallphoto.com ted_a_marshall
Thu Dec 31, 2009 9:28 am (PST)
What I most dislike (other than the fact you can't bolus or suspend without the PDM) is that it doesn't count food boluses when calculating insulin on board. That can lead to overdosing in a hurry!
Do I understand you correctly? You do a food bolus and then it shows IOB as zero? That's the worst mis-feature I ever heard! I depend the IOB calculation to tell be if I miscalculated carbs.
If I did understand correctly, you've just given me a very good reason to never consider using the Omnipod! - 1.3.
-
Re: What am I missing?
Posted by: "Adam Jensen" adam.jensen@gmail.com adamixoye
Thu Dec 31, 2009 9:31 am (PST)
I see Ted's point, but for me, I disagree. I wish my Cozmo would ignore
food boluses for calculating IOB for at least an hour or two, because I
still have FOB---food on board.
Adam
On Thu, Dec 31, 2009 at 12:28 PM, Ted Marshall
<ted@lauramarshallphoto.com >wrote:
>
>
> What I most dislike (other than the fact you can't bolus or suspend
> without the PDM) is that it doesn't count food boluses when calculating
> insulin on board. That can lead to overdosing in a hurry!
>
> Do I understand you correctly? You do a food bolus and then it shows
> IOB as zero? That's the worst mis-feature I ever heard! I depend the IOB
> calculation to tell be if I miscalculated carbs.
>
> If I did understand correctly, you've just given me a very good reason to
> *never* consider using the Omnipod!
>
>
--
Adam Gabriel Jensen
Postdoctoral Astrophysicist, UMD / CRESST
Goddard Space Flight Center
Building 34, Room E319
Code 665
Greenbelt, MD 20771
301-286-3211
Adam.Jensen@gmail.com
- 1.4.
-
Re: What am I missing?
Posted by: "tracymfriend" friendguardt-info@yahoo.com tracymfriend
Thu Dec 31, 2009 9:32 am (PST)
Dan,
My holdback is twofold:
1. I don't want to carry (and don't have room) 2 receivers. The Nav is huge, and I am female. It's pretty bulky in my pocket. Add the Omnipod and I'll have the receiver to also carry. Not fun.
2. Rumor and research have it that there are about 6 cordless pumps in the making, with 1-2 to be released next year (2010).
I want to wait until these new pumps are out and see if any of them are smart enough to integrate with the NAV or other very accurate CGMS. That will make me a VERY happy person to only have to carry 1 thing (whilst 2 are attached!)
Tracy
--- In diabetescgms@yahoogroups. , "Dan Evans" <dan.evans@.com ..> wrote:
>
> I have an OmniPod "cordless" pump, and I can't imagine having a pump with a
> cord. I also have a Navigator CGM and love the range and accuracy. I went
> for years holding off on getting a pump because there weren't any on the
> market that had the cordless feature. I have heard that there is a new pump
> that is both cordless and will allow bolus from the unit on your arm, which
> I now see as the VERY best situation.
>
>
>
> My question is what is my blind spot - why are people so committed to the
> functionality of their (corded) pumps?
>
>
>
> I look forward to hearing your thoughts.
>
>
>
> Dan Evans
>
> T1 - 1/94
>
> Navigator - 9/08
>
> OmniPod - 3/09
>
- 1.5.
-
Re: What am I missing?
Posted by: "Ming Themerciless" clytusimbored@yahoo.com clytusimbored
Thu Dec 31, 2009 9:36 am (PST)
If you always lose or misplace things, this could be a problem....
_____________________ _________ __
From: "Msdosse@aol.com " <Msdosse@aol.com >
To: diabetescgms@yahoogroups. com
Sent: Thu, December 31, 2009 7:35:50 AM
Subject: Re: [diabetescgms] What am I missing?
In a message dated 12/30/2009 11:12:52 P.M. Pacific Standard Time,
clytusimbored@ yahoo.com writes:
>Omnipod
> also seems more wasteful, in terms of amount of stuff thrown away. Plus,
> I would hate to have
>to rotate it to a place I need to sleep on...
> Also also, I don't know that this is necessarily true, but I would
> be
>concerned that since it's so disposable, it might also be prone to more
> failures?
Not in the four months I have been using it (at least, after I
learned to turn off the feature that automatically shuts it down if you are away
from the personal data manager (control/pdm) for a certain time).
I am very careful to have it firmly attached and any loose
skin pinched up tight during the automatic insertion. Talking about
attached--I just wish every other device used the same mastic; the pod tears
loose from the sticky pad before it comes off my arm.
What I most dislike (other than the fact you can't bolus or
suspend without the PDM) is that it doesn't count food boluses when
calculating insulin on board. That can lead to overdosing in a
hurry!
Is anyone else tapping the last of the air bubbles into
the *bottom* of the filling syringe? There's a depression around the
plunger. I never felt I'd gotten all the air out of the needle. Have had
no surprise highs since adopting this method because any air never reaches the
needle much less the pod cartridge.
Judy D
>
- 1.6.
-
Re: What am I missing?
Posted by: "Ted Marshall" ted@lauramarshallphoto.com ted_a_marshall
Thu Dec 31, 2009 9:54 am (PST)
Actually, as you wrote this, I realized that I may have misunderstood the original poster. On my MM, food boluses are added to the displayed IOB but generally (there are exceptions that I cannot remember) this is not considered when coming up with the insulin estimate for a new food bolus.
Now if the OP was saying that it doesn't consider a pervious food bolus for a new food bolus but will display the full IOB number, then I'm fine. This makes much more sense than my original understanding.
Sorry about that.
----- Original Message -----
From: Adam Jensen
To: diabetescgms@yahoogroups. com
Sent: Thursday, December 31, 2009 9:31 AM
Subject: Re: [diabetescgms] What am I missing?
I see Ted's point, but for me, I disagree. I wish my Cozmo would ignore food boluses for calculating IOB for at least an hour or two, because I still have FOB---food on board.
Adam
On Thu, Dec 31, 2009 at 12:28 PM, Ted Marshall <ted@lauramarshallphoto.com > wrote:
What I most dislike (other than the fact you can't bolus or suspend without the PDM) is that it doesn't count food boluses when calculating insulin on board. That can lead to overdosing in a hurry!
Do I understand you correctly? You do a food bolus and then it shows IOB as zero? That's the worst mis-feature I ever heard! I depend the IOB calculation to tell be if I miscalculated carbs.
If I did understand correctly, you've just given me a very good reason to never consider using the Omnipod!
--
Adam Gabriel Jensen
Postdoctoral Astrophysicist, UMD / CRESST
Goddard Space Flight Center
Building 34, Room E319
Code 665
Greenbelt, MD 20771
301-286-3211
Adam.Jensen@gmail.com
- 1.7.
-
Re: What am I missing?
Posted by: "Adam Jensen" adam.jensen@gmail.com adamixoye
Thu Dec 31, 2009 10:15 am (PST)
I'm not sure what MM does, but for the Cozmo, all food and correction bolus
IOB is considered when calculating a correction bolus, although you can
adjust it manually at the end before delivery. If you do a food bolus
without doing a blood sugar correction (either a "touch bolus" or using the
wizard and saying don't correct), then no IOB is considered.
What I'm saying is that let's say I bolus for food, then 10 minutes later I
realize I never looked at my CGM and I'm actually 200, I wish the Cozmo
wouldn't consider that IOB from the food bolus 10 minutes ago, because the
insulin hasn't kicked in, but neither has my food. So I want to correct for
the 200 as though the food bolus didn't happen. And I can override it, but
that sort of defeats the purpose of having the bolus wizard in the first
place.
Adam
On Thu, Dec 31, 2009 at 12:54 PM, Ted Marshall
<ted@lauramarshallphoto.com >wrote:
>
>
> Actually, as you wrote this, I realized that I may have misunderstood the
> original poster. On my MM, food boluses are added to the *displayed* IOB
> but generally (there are exceptions that I cannot remember) this is not
> considered when coming up with the insulin estimate for a new food bolus.
>
> Now if the OP was saying that it doesn't consider a pervious food bolus for
> a new food bolus but will display the full IOB number, then I'm fine. This
> makes much more sense than my original understanding.
>
> Sorry about that.
>
>
> ----- Original Message -----
> *From:* Adam Jensen <adam.jensen@gmail.com >
> *To:* diabetescgms@yahoogroups. com
> *Sent:* Thursday, December 31, 2009 9:31 AM
> *Subject:* Re: [diabetescgms] What am I missing?
>
>
>
> I see Ted's point, but for me, I disagree. I wish my Cozmo would ignore
> food boluses for calculating IOB for at least an hour or two, because I
> still have FOB---food on board.
>
> Adam
>
>
- 1.8.
-
Re: What am I missing?
Posted by: "Ted Marshall" ted@lauramarshallphoto.com ted_a_marshall
Thu Dec 31, 2009 11:04 am (PST)
For the most part, the MM ignores a previous food bolus (assumes that its covered by the food then consumed) when calculating a new food bolus. The screen would show something like:
Est Total: 2.0U
Food intake: 20gr
BG: 100mg/dl
Food: 2.0U
Correction: 0.0U
Active insulin: 3.4U
The 3.4U was from a previous meal and was not subtracted out of the total. Like on yours, I am able to adjust the total before delivery.
I prefer the MM method, but then, that's what I'm use to.
/Ted
From: Adam Jensen
To: diabetescgms@yahoogroups. com
Sent: Thursday, December 31, 2009 10:15 AM
Subject: Re: [diabetescgms] What am I missing?
I'm not sure what MM does, but for the Cozmo, all food and correction bolus IOB is considered when calculating a correction bolus, although you can adjust it manually at the end before delivery. If you do a food bolus without doing a blood sugar correction (either a "touch bolus" or using the wizard and saying don't correct), then no IOB is considered.
What I'm saying is that let's say I bolus for food, then 10 minutes later I realize I never looked at my CGM and I'm actually 200, I wish the Cozmo wouldn't consider that IOB from the food bolus 10 minutes ago, because the insulin hasn't kicked in, but neither has my food. So I want to correct for the 200 as though the food bolus didn't happen. And I can override it, but that sort of defeats the purpose of having the bolus wizard in the first place.
Adam
- 1.9.
-
Re: What am I missing?
Posted by: "Andy Mayshar" andyma@charter.net necountryboy55
Thu Dec 31, 2009 12:52 pm (PST)
Gee
Finally somebody agrees that the way the OmniPod does IOB makes the most sense. What you are looking for is the way the OmniPod does it. We need to make an assumption that you bolused for food correctly otherwise you would need to have a COB, Carbs on Board numbers so that you can adjust.
Andy
---- Adam Jensen <adam.jensen@gmail.com > wrote:
> I'm not sure what MM does, but for the Cozmo, all food and correction bolus
> IOB is considered when calculating a correction bolus, although you can
> adjust it manually at the end before delivery. If you do a food bolus
> without doing a blood sugar correction (either a "touch bolus" or using the
> wizard and saying don't correct), then no IOB is considered.
>
> What I'm saying is that let's say I bolus for food, then 10 minutes later I
> realize I never looked at my CGM and I'm actually 200, I wish the Cozmo
> wouldn't consider that IOB from the food bolus 10 minutes ago, because the
> insulin hasn't kicked in, but neither has my food. So I want to correct for
> the 200 as though the food bolus didn't happen. And I can override it, but
> that sort of defeats the purpose of having the bolus wizard in the first
> place.
>
> Adam
>
- 1.10.
-
Re: What am I missing?
Posted by: "Andy Mayshar" andyma@charter.net necountryboy55
Thu Dec 31, 2009 1:16 pm (PST)
That's because another feature the OmniPod has is autoprime and autopurge so air is never a problem.
Andy
>
> Is anyone else tapping the last of the air bubbles into the *bottom* of
> the filling syringe? There's a depression around the plunger. I never felt
> I'd gotten all the air out of the needle. Have had no surprise highs since
> adopting this method because any air never reaches the needle much less the
> pod cartridge.
>
> Judy D
>
>
>
>
>
>
>
>
- 1.11.
-
Re: What am I missing?
Posted by: "Brandy" volleyheels13@yahoo.com volleyheels13
Thu Dec 31, 2009 6:59 pm (PST)
I have to agree with Liz. I did get excited about the Omnipod when I first heard about it and actually got it and tried it. After having the Pod pulled out twice, I sent it back. The size was just too much. It was very bulky and very obvious. I wasn't really doing anything special that caused it to come out. I hated it. If the tape was better so it didn't come off so easily and it was thinner, I would like it. But that is just my opinion and I am glad that someone enjoys it and can wear it. I guess that is why they have so many choices!
Brandy
Dx 2/9/04
MM 722 + CGMS
--- In diabetescgms@yahoogroups. , Elizabeth Blake <poodlebone@com ...> wrote:
>
> >From: Dan Evans <dan.evans@...>
>
> >My question is what is my blind spot â€"
> >why are people so committed to the functionality of their (corded) pumps?
>
> For me, the size of the pod is just too big. I know that it would constantly annoy me and I would knock them off. While the tubing on my pump somestimes annoys me it's usually only when I'm in a bad mood anyway and I'm getting undressed or dressed. As someone else said, I like being able to shift the bulk of the pump around so that I'm always comfortable when I sleep. I have the option of using different types of infusion sets. I have no issues inserting any type of set manually - angled, 90 degree, or metal. I can see how the OmniPod would appeal to someone who is terrified at the thought of infusion set insertions since it's automatic.
>
> Tubed pumps come in various reservoir capacities (the Minimed 7xx pumps hold 300 units and the Accu-Chek Spirit holds 315) which is good for those who are insulin resistant and need more than 200 units over 3 days. If I leave my meter behind I can still bolus with my pump. I'm the type of person who has left her meter behind more times than I should have, which is why I now keep 2 in my bag at all times. While I try to change my infusion set every 3 days sometimes I have let it go for a 4th day when I was away from home and not really prepared. You can't do that with an OmniPod (and you shouldn't, I know, but sometimes you need to squeeze an extra day out of it...).
>
> The upcoming tubeless competition, the Solo pump, is supposed to be out sometime this year. It looks like it has some advantages over the OmniPod with the most important being the ability to do a basic bolus right on the pump. You can also remove the pump, another big plus. I believe that the only infusion set/cradle they are going to offer at first is inserted at 90 degrees and many people have problems with 90 degree teflon sets, so that could lose them some potential customers. I think that the remote part doesn't include a meter so you'd have 2 devices to carry. I had gotten samples of both the OmniPod and Solo and the Solo seemed flatter and less obvious under clothing.
>
> --
> Liz
> Type 1 dx 4/1987
> Minimed 722 + CGMS
>
- 1.12.
-
Re: What am I missing?
Posted by: "jath622@wowway.com" jath622@wowway.com jath6221
Thu Dec 31, 2009 7:27 pm (PST)
The way the OmniPod figures IOB is what totally stopped me from getting it. I did a two week trial with insulin and decided it wasn't for me. This way of calculating IOB is totally different than the other pumps out there.
Judi in MI
Sent from my Verizon Wireless BlackBerry
-----Original Message-----
From: Andy Mayshar <andyma@charter.net >
Date: Thu, 31 Dec 2009 15:52:45
To: <diabetescgms@yahoogroups. >com
Cc: Adam Jensen<adam.jensen@gmail.com >
Subject: Re: [diabetescgms] What am I missing?
Gee
Finally somebody agrees that the way the OmniPod does IOB makes the most sense. What you are looking for is the way the OmniPod does it. We need to make an assumption that you bolused for food correctly otherwise you would need to have a COB, Carbs on Board numbers so that you can adjust.
Andy
---- Adam Jensen <adam.jensen@gmail.com > wrote:
> I'm not sure what MM does, but for the Cozmo, all food and correction bolus
> IOB is considered when calculating a correction bolus, although you can
> adjust it manually at the end before delivery. If you do a food bolus
> without doing a blood sugar correction (either a "touch bolus" or using the
> wizard and saying don't correct), then no IOB is considered.
>
> What I'm saying is that let's say I bolus for food, then 10 minutes later I
> realize I never looked at my CGM and I'm actually 200, I wish the Cozmo
> wouldn't consider that IOB from the food bolus 10 minutes ago, because the
> insulin hasn't kicked in, but neither has my food. So I want to correct for
> the 200 as though the food bolus didn't happen. And I can override it, but
> that sort of defeats the purpose of having the bolus wizard in the first
> place.
>
> Adam
>
- 1.13.
-
Re: What am I missing?
Posted by: "GPappy" me@georgelovelace.com gtlovelace
Thu Dec 31, 2009 8:00 pm (PST)
> >
> > My question is what is my blind spot â€" why are people so committed
> > to the functionality of their (corded) pumps?
> >
Maybe the Subject should be "What would I be missing" What I would be missing if I changed to Omnipod is the ability to choose between 6mm or 8mm or 10mm metal infusion sets. Or 13mm and 17mm teflon sets inserted at a 10 to 45 degree angle. Or 6mm or 9mm teflon set inserted at a 90 degree angle. If I did not have all those choices available to me, I believe that my pumping abilities would be impaired.
George
(the tubing is simply freedom with a tether, just as I give some of my pet birds)
- 1.14.
-
Re: What am I missing?
Posted by: "Msdosse@aol.com" Msdosse@aol.com msdosse
Fri Jan 1, 2010 2:12 am (PST)
In a message dated 12/31/2009 9:35:47 A.M. Pacific Standard Time,
adam.jensen@gmail.com writes:
I see Ted's point, but for me, I disagree. I wish my Cozmo would ignore
food boluses for calculating IOB for at least an hour or two, because I
still have FOB---food on board
That's Omnipod's position, too. They say people who haven't had the other
system get along fine. It's dangerous for this ex-Animas user, especially
if I'm at 60 and the Omnipod is telling me I've used up all 4 units I
dosed 2 hours ago. (hint--it takes 4 hours).
Judy
- 1.15.
-
Re: What am I missing?
Posted by: "Msdosse@aol.com" Msdosse@aol.com msdosse
Fri Jan 1, 2010 2:21 am (PST)
In a message dated 12/31/2009 2:17:02 P.M. Pacific Standard Time,
andyma@charter.net writes:
That's because another feature the OmniPod has is autoprime and autopurge
so air is never a problem.
So, why did my trainer have me tapping and waiting and tapping and waiting
and swirling and waiting and tapping with a pen and waiting before
injecting into the pod?
Judy
- 2.1.
-
Re: What am I missing? - most important features to me
Posted by: "tracymfriend" friendguardt-info@yahoo.com tracymfriend
Thu Dec 31, 2009 9:38 am (PST)
My two cents:
The newer 'cordless' pumps are being called "patch pumps".
The FIRST feature I will look at for my new pump will be integrated CGMS (sorry MM, your accuracy throws you out of the running).
The SECOND feature I will demand is tubeless-wireless-cordless. I've lived with tubing for 10+ years and I am TIRED of it! I can't wait to get dressed, go to the bathroom, or Whatever and not have to worry about cords!!!!
Tracy
--- In diabetescgms@yahoogroups. , Adam Jensen <adam.jensen@com ...> wrote:
>
> I have to echo several of the comments so far. First, I think cord/cordless
> would be one of the last deciding features for me in choosing a pump---... Second, if I had to pick, I would probably go with a cord.
> It's much more easily disconnected, and my Navigator transmitter is big
> enough, I would rather not have another "box" attached to me. However, for
> the right features I would be willing to give cordless a try.
>
> Adam
>> > From: Dan Evans <dan.evans@...>
> > Subject: [diabetescgms] What am I missing?
> > To: diabetescgms@yahoogroups. com
> > Date: Wednesday, December 30, 2009, 8:16 PM
> >
> >
> >
> > I have an OmniPod "cordless" pump, and I can't imagine having a pump with a
> > cord.
- 2.2.
-
Re: What am I missing? - most important features to me
Posted by: "tm_pearson" Todd_Pearson@pacbell.net tm_pearson
Thu Dec 31, 2009 11:11 am (PST)
I agree with Tracy on this one 100% and thou I just got my new MM722 it looks like I will be waiting 4 years before I can switch to something new.
MM CGMS is very disappointing and can't wait to get my Dexcom 7+ which is what I'm working on today.
Opps....I can now officially say that my Dexcom is on it's way to me. Just got a phone call from Dexcom. Man, I can't wait to be BACK on the Dex again. Sorry MM, but your CGMS just really sucks and can't wait for Dex to integrate with a pump partner.
Happy New Year Everyone.
Todd
Dx 12/1986
MM722÷CGMS soon to be Dexcom 7+
--- In diabetescgms@yahoogroups. , "tracymfriend" <friendguardt-com info@...> wrote:
>
> My two cents:
>
> The newer 'cordless' pumps are being called "patch pumps".
>
> The FIRST feature I will look at for my new pump will be integrated CGMS (sorry MM, your accuracy throws you out of the running).
>
> The SECOND feature I will demand is tubeless-wireless-cordless. I've lived with tubing for 10+ years and I am TIRED of it! I can't wait to get dressed, go to the bathroom, or Whatever and not have to worry about cords!!!!
>
> Tracy
>
> --- In diabetescgms@yahoogroups. , Adam Jensen <adam.jensen@com > wrote:
> >
> > I have to echo several of the comments so far. First, I think cord/cordless
> > would be one of the last deciding features for me in choosing a pump---... Second, if I had to pick, I would probably go with a cord.
> > It's much more easily disconnected, and my Navigator transmitter is big
> > enough, I would rather not have another "box" attached to me. However, for
> > the right features I would be willing to give cordless a try.
> >
> > Adam
> >> > From: Dan Evans <dan.evans@>
> > > Subject: [diabetescgms] What am I missing?
> > > To: diabetescgms@yahoogroups. com
> > > Date: Wednesday, December 30, 2009, 8:16 PM
> > >
> > >
> > >
> > > I have an OmniPod "cordless" pump, and I can't imagine having a pump with a
> > > cord.
>
- 3.1.
-
Thanks for all the help & your opinion please
Posted by: "Pat Fields" ptfields@bellsouth.net ptfields@bellsouth.net
Thu Dec 31, 2009 9:52 am (PST)
Thank you all for your helpful advice and encouragement with regard to my
insurance issues & surgical woes. I still haven't decided what I am going to
do, but I'm leaning towards trying to manage my hypoglycemia with the help
of my (now approved) CGMS unit & a controlled diet. After the initial
request for a CGMS unit was canceled, I spoke with my endocronologist, and
she worked a miracle. In less than a day (after having previously waited 2
months) I had my approval in hand. I don't know what she told them, but I'm
very glad it worked out. I should mention that it wasn't the first time she
has called my insurance company; she has been on the phone with them several
times. (Do doctors throw hissy fits?) In any case I will soon be the owner a
Medtronic Guardian CGMS unit, and I have a question. I have very sensitive
skin. Can anyone recommend a tape that is strong enough to keep the
transmitter/sensor in place but won't tear off strips of skin when I remove
it? I'm also wondering about sensor insertion sites. I've been continuing to
lose weight, and it is hard to find any subcutaneous fat on my body to
insert the sensors. I know there are others (atheletes, for example, though
I'm certainly not that) with similar problems; how do they/you handle it?
I would have written earlier, by the way, but I was on my way to see a
specialist - a short-gut surgical nutritionist. In the middle of my
three-hour drive to see her, they called and told me she would not be in
that day. Sigh, I had really wanted to speak to her before I spoke with the
surgeon. Don't you just hate it when things like that happen? Road trips
really wear me out, anyway, and a wasted road trip just bites.
Pat in SC
ptfields@bellsouth.net
- 4.
-
IOB & omnipod
Posted by: "Signe Myhren" jechante17@yahoo.com jechante17
Thu Dec 31, 2009 10:09 am (PST)
As I recall, I ended up stacking insulins too many times with the OmniPod. I can't recall if it tracks only food boluses, or only correction boluses. Most traditional pumps track both. I guess if one set one's insulin duration for 4 hours on the OmniPod, insulin stacking might be avoided.
Sent from my iPhone
- 5.1.
-
Re: My trial of Medtronic and Dexcom CGM Systems
Posted by: "Jeff Nathan, Award-Winning Author" jeff@incredibleassemblies.com chucklejeff
Thu Dec 31, 2009 1:03 pm (PST)
Hi, Kimi -
I agree with you completely. It is an individual issue. I do find the Dex much more comfortable, as well, but others may not feel that way. My issue is keeping it taped down. The paper tape I used has given me a rash. I am going to try the flexifix stuff that was mentioned on this list and hopefully that will work.
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. > www.IncredibleAssemcom blies.com
From: diabetescgms@yahoogroups. [mailto:diabetescgms@com yahoogroups. ] On Behalf Of Jamie Weisbrodcom
Sent: Tuesday, December 29, 2009 12:41 AM
To: diabetescgms@yahoogroups. com
Subject: Re: [diabetescgms] My trial of Medtronic and Dexcom CGM Systems
Hi Jeff,
Thank you for providing a comparison of the systems.
I would like to comment on the comfort factor. I think this might be an individual issue.
The MM insertion needle is significantly larger than the the Dexcom. I have a MM pump so it would have been an
advantage for me to use MM. When the MM diabetes educator helped me with the first insertion, I bleed profusely,
I was unable to wear it for even a day. I am a brand new Dexcom user, the initial insertion was successful and I have been wearing
the sensor for 10 days. I have cut tags out of my clothes because they bother me so this means a lot to me.
Regards,
Kimi
From: "Jeff Nathan, Award-Winning Author" <jeff@incredibleasse mblies.com <http://mblies. com/ > >
To: diabetescgms@ yahoogroups. com
Sent: Mon, December 28, 2009 12:20:39 AM
Subject: [diabetescgms] My trial of Medtronic and Dexcom CGM Systems
I just completed a trial of the Dexcom Seven Plus and the Medtronic Paradigm CGMS. I chose not to evaluate the Navigator because of its size. I was asked to provide a report on my findings here when I was done, so here goes:
Comparing CGM systems
Before starting a trial, you need to ask yourself, "What is the MOST CRITICAL assistance that YOU need from a system?"
For me, that was pretty easy. I have hypoglycemic unawareness and, after finding myself behind the steering wheel on one of Boston´s busiest highways during rush hour with a blood glucose level of 24 mg/dL, I knew I needed help. (Actually, I didn´t know I needed help then - I had to raise my blood glucose level first.) My most dangerous scenarios are when I am driving and when I am sleeping.
My top 5 priorities fell like this:
1) Accuracy, especially in low range
a. I need to know that I am about to be unfit to drive BEFORE I am unfit to drive. I need to be woken up and told that I am in danger of hitting a low from which I will NOT wake up---BEFORE I get to that point.
2) Consistent discernable warning when sugar falls below 50
a. False alarms are better than missed alarms
b. Easy to understand, even if I´m very low
c. Ability to ignore future alarms, if it is stable or trending upwards
d. Warning for highs, but accuracy there is not as important as it is for the lows
3) Good use model for sleeping
a. No loss of transmission while sleeping. Alarm if that happens, but I don´t want extra wake-ups if it can be avoided.
b. Alarm that will wake me
4) Not too uncomfortable
a. I don´t want to feel it day in and day out
b. Low insertion pain (Okay, I´m a wimp and I like to avoid pain whenever possible.)
5) Durable and abuse-able
a. Survives my school visit floor-diving, etc.
b. Survives in basketball and winter ultimate
So, how did they do? They both did fairly well and I´ll include additional categories in addition to MY top 5.
1) Accuracy, especially in low range: advantage DEXCOM
Medtronic explained that the technology measures the interstitial fluid glucose level, which lags the blood glucose level. If that were the whole story, I would expect to see the 2 systems with the same delayed response. I did not see that. I´m not going to deal with the difference in lag time, per se. As users, the time domain needs to tell us trends, but that needs to be coupled with the key question, "where am I at RIGHT NOW?" One could argue that this information comes from a blood glucose measurement, while the trending information comes from the CGMS. I would argue that it would be nice to get both pieces from 1 source and use the blood testing as the reality tether. That is exactly how I plan to use my new DEXCOM system.
I am including data from my trial. BE CAREFUL NOT TO INFER THAT THIS REPRESENTS HOW THE SYSTEMS WILL PERFORM IN YOUR BODY. Everyone is different.
Data (all readings are mg/dL):
DexCom Medtronic Blood test finger stick Time
46 92 63 5:17P D1
51 78 46 6:30
166 118 171 8:00
61 84 71 10:27
173 142 192 5:15A D2
151 131 157 8:00A (recal. MM only)
51 76 32 4:40P
60 65 57 5:32P
224 165 221 9:12P (recal. MM only)
63 104 40 10:29P
59 84 60 11:16P (recal. MM only)
54 91 45 11:52P
80 85 62 12:40A D3
47 77 44 6:14 (recal. MM only)
86 74 77 10:07 (no recalibration)
53 67 43 11:40
70 60 66 12:20 (no recalibration)
97 75 84 2:25P
49 66 43 10:03P
117 115 109 7:49A D4 (no recalibration)
51 75 52 8:35 (recal. MM only)
68 69 50 10:20
59 81 64 12:20 (recal. MM only)
52 68 52 12:40 (recal. MM only)
42 57 49 1:22 (no recalibration)
2) Consistent discernable warning when sugar falls below 50: advantage DEXCOM
Though both systems were set to alarm when I hit 60 or below, I got low warnings from the Dexcom system before the Medtronic EVERY SINGLE TIME. In fact, I got no warnings from the Minimed system until after recalibrating a couple of times because it didn´t think I had gone that low. Both systems were easy enough to understand. The Dexcom system offered a simple adjustment of the "snooze" feature (not bothering me for another half-hour or another 5 hours if my sugar is still low).
3) Good use model for sleeping: advantage DEXCOM
I was able to lose transmission with BOTH systems while in bed, pushing the transmitter into the mattress by laying directly on it and, for Dexcom, putting the receiver between 2 pillows. Communication problems seem to be plausible for both systems. The Dex automatically reconnected as soon as it could. The Minimed would have wanted me to go through a "find lost sensor" routine while I was sleeping.
Both alarms can wake me up, but I found the Dexcom combination of sound with vibration to be the best solution.
4) Not too uncomfortable: advantage DEXCOM (daily), advantage Medtronic (insertion)
This is definitely an individual issue. You need to try this for yourself.
For me, the Minimed sensor started itching the 2nd day it was in, and it was a very bothersome annoyance until I took it out on day 4. The Dexcom sensor started itching on day 8 but the itching was mild, recurring maybe once or twice in a day.
Minimed had the insertion advantage. Insertion angle is critical for Minimed, but they have a spring-loaded inserter. Dexcom expects you to push theirs in like a syringe. The Dexcom sensor is a smaller gauge needle, making it less painful, but the Minimed inserter makes things easier and reduces the pain.
5) Durable and abuse-able: advantage BOTH
Both systems were able to survive my floor diving and basketball clumsiness. I was unable to play winter ultimate during the trial to test that environment.
6) EASE OF USE: advantage DEXCOM
The ability to calibrate anytime, stable or unstable, is a distinct advantage for Dex. Medtronic advises to calibrate only when stable and that does help with their product, but the 7+ doesn´t care as much. I ran into calibration issues with both systems (calibrating Medtronic while unstable and calibrating Dexcom with very high BG and not recalibrating as I got lower).
Transmission loss: After 40 minutes or so, Medtronic requires a "find lost sensor" routine. Dex simply reconnects automatically and moves on.
Dex has no worries about ISIG numbers or insertion angles or stability for initial calibrations.
7) Customer support: advantage MEDTRONIC
Medtronic has a 24/7 help line, staffed, for the most part, with people who really want to help. In late hours, Dexcom has people on call. I tried this route and was unable to get a call back before I had to leave my house. Live people were helpful and courteous.
8) EASE OF EVALUATION: advantage MEDTRONIC
The first thing I want to say is that the Clinical Specialists who trained me on each of the systems were WONDERFUL. Both were very knowledgeable, friendly, and accommodating. Dexcom forced my doctor´s office into giving up a room (and they are very short on space) and I had to drive there. Medronic made it easy and came right to my house.
I did run into 2 bad DEXCOM sensors to start off the evaluation period. This turned out to be a blessing in disguise, as it forced me to evaluate the two systems head-to-head, or stomach-to-stomach, as it were.
The Medronic system had better transmission range. If you are going to perform a trial with both systems, isolate them on different sides of your body. I did find that the Dexcom receiver seemed to suffer from some interference when placed too closely to the Minimed transmitter (sensor). On opposite sides of the body, they each did fine.
The Dex transmitter has an internal "2 year" battery and does not have to be removed for recharging. The Dex receiver needs to be recharged every few days. It does function while it is charging but its range is reduced.
The Medtronic system means less hardware to carry around, but I find the accuracy difference worth the extra piece of hardware. One other interesting note: my Medtronic pump can receive data from my blood tester. I was told to turn this off when using their CGM (otherwise it would recalibrate at every reading, which is non-optimal) whereas I can use this Medtronic feature if I DON´T use their CGM. Had their engineers added an OPTION to use the transmitted value for calibration (as they have done for the hand-entered values), they would not have created an advantage for their competition.
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.
So that´s the info from my eval. Now, I am going to bed (with my Dex trial sensor still in - 12th day - telling me that I am at a stable 91 mg/dL and my finger stick reading just 3 mg/dL higher).
Warm regards to all,
-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 www.IncredibleAssem <http://www.incredibleassemblies. > blies.comcom/
- 5.2.
-
Re: My trial of Medtronic and Dexcom CGM Systems
Posted by: "Jamie Weisbrod" weisbrod@yahoo.com weisbrod
Thu Dec 31, 2009 8:15 pm (PST)
Hi Jeff,
My doctor recently gave me free samples of Bioclusive 4"x6" transparent dressing (Johnson & Johnson). It is breathable
and dries out after I shower. I have not tried to purchase it at the pharmacy yet so I don't know if it is
readily available. I like it better than opsite iv dressing - though they are good too.
Happy New Year to everyone !
Kimi
_____________________ _________ __
From: "Jeff Nathan, Award-Winning Author" <jeff@incredibleassemblies.com >
To: diabetescgms@yahoogroups. com
Sent: Thu, December 31, 2009 1:03:41 PM
Subject: RE: [diabetescgms] My trial of Medtronic and Dexcom CGM Systems
Hi, Kimi -
I agree with you completely. It is an individual issue. I do find the Dex much more comfortable, as well, but others may not feel that way. My issue is keeping it taped down. The paper tape I used has given me a rash. I am going to try the flexifix stuff that was mentioned on this list and hopefully that will work.
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
"... byfar, 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
seethese and other raving testimonials at www.IncredibleAssem blies.com
From:diabetescgms@ yahoogroups. com [mailto:diabetescgm s@yahoogroups. com] On Behalf Of Jamie Weisbrod
Sent: Tuesday, December 29, 2009 12:41 AM
To: diabetescgms@ yahoogroups. com
Subject: Re: [diabetescgms] My trial of Medtronic and Dexcom CGM Systems
Hi Jeff,
Thank you for providing a comparison of the systems.
I would like to comment on the comfort factor. I think this might be an individual issue.
The MM insertion needle is significantly larger than the the Dexcom. I have a MM pump so it would have been an
advantage for me to use MM. When the MM diabetes educator helped me with the first insertion, I bleed profusely,
I was unable to wear it for even a day. I am a brand new Dexcom user, the initial insertion was successful and I have been wearing
the sensor for 10 days. I have cut tags out of my clothes because they bother me so this means a lot to me.
Regards,
Kimi
>From:"Jeff Nathan, Award-Winning Author" <jeff@incredibleasse mblies.com>
>To: diabetescgms@ yahoogroups. com
>Sent: Mon, December 28, 2009 12:20:39 AM
>Subject: [diabetescgms] My trial of Medtronic and Dexcom CGM Systems
>
>
>
>I just completed a trial of the Dexcom Seven Plus and the Medtronic Paradigm CGMS. I chose not to evaluate the Navigator because of its size. I was asked to provide a report on my findings here when I was done, so here goes:
>
>Comparing CGM systems
>Before starting a trial, you need to ask yourself, "What is the MOST CRITICAL assistance that YOU need from a system?"
>
>For me, that was pretty easy. I have hypoglycemic unawareness and, after finding myself behind the steering wheel on one of Boston´s busiest highways during rush hour with a blood glucose level of 24 mg/dL, I knew I needed help. (Actually, I didn´t know I needed help then - I had to raise my blood glucose level first.) My most dangerous scenarios are when I am driving and when I am sleeping.
>
>My top 5 priorities fell like this:
>1) Accuracy, especially in low range
>a. I need to know that I am about to be unfit to drive BEFORE I am unfit to drive. I need to be woken up and told that I am in danger of hitting a low from which I will NOT wake up---BEFORE I get to that point.
>2) Consistent discernable warning when sugar falls below 50
>a. False alarms are better than missed alarms
>b. Easy to understand, even if I´m very low
>c. Ability to ignore future alarms, if it is stable or trending upwards
>d. Warning for highs, but accuracy there is not as important as it is for the lows
>3) Good use model for sleeping
>a. No loss of transmission while sleeping. Alarm if that happens, but I don´t want extra wake-ups if it can be avoided.
>b. Alarm that will wake me
>4) Not too uncomfortable
>a. I don´t want to feel it day in and day out
>b. Low insertion pain (Okay, I´m a wimp and I like to avoid pain whenever possible.)
>5) Durable and abuse-able
>a. Survives my school visit floor-diving, etc.
>b. Survives in basketball and winter ultimate
>So, how did they do? They both did fairly well and I´ll include additional categories in addition to MY top 5.
>1) Accuracy, especially in low range: advantage DEXCOM
>Medtronic explained that the technology measures the interstitial fluid glucose level, which lags the blood glucose level. If that were the whole story, I would expect to see the 2 systems with the same delayed response. I did not see that. I´m not going to deal with the difference in lag time, per se. As users, the time domain needs to tell us trends, but that needs to be coupled with the key question, "where am I at RIGHT NOW?" One could argue that this information comes from a blood glucose measurement, while the trending information comes from the CGMS. I would argue that it would be nice to get both pieces from 1 source and use the blood testing as the reality tether. That is exactly how I plan to use my new DEXCOM system.
>I am including data from my trial. BE CAREFUL NOT TO INFER THAT THIS REPRESENTS HOW THE SYSTEMS WILL PERFORM IN YOUR BODY. Everyone is different.
>Data (all readings are mg/dL):
>DexCom Medtronic Blood test finger stick Time
>46 92 63 5:17P D1
>51 78 46 6:30
>166 118 171 8:00
>61 84 71 10:27
>173 142 192 5:15A D2
>151 131 157 8:00A (recal. MM only)
>51 76 32 4:40P
>60 65 57 5:32P
>224 165 221 9:12P (recal. MM only)
>63 104 40 10:29P
>59 84 60 11:16P (recal. MM only)
>54 91 45 11:52P
>80 85 62 12:40A D3
>47 77 44 6:14 (recal. MM only)
>86 74 77 10:07 (no recalibration)
>53 67 43 11:40
>70 60 66 12:20 (no recalibration)
>97 75 84 2:25P
>49 66 43 10:03P
>117 115 109 7:49A D4 (no recalibration)
>51 75 52 8:35 (recal. MM only)
>68 69 50 10:20
>59 81 64 12:20 (recal. MM only)
>52 68 52 12:40 (recal. MM only)
>42 57 49 1:22 (no recalibration)
>
>2) Consistent discernable warning when sugar falls below 50: advantage DEXCOM
>Though both systems were set to alarm when I hit 60 or below, I got low warnings from the Dexcom system before the Medtronic EVERY SINGLE TIME. In fact, I got no warnings from the Minimed system until after recalibrating a couple of times because it didn´t think I had gone that low. Both systems were easy enough to understand. The Dexcom system offered a simple adjustment of the "snooze" feature (not bothering me for another half-hour or another 5 hours if my sugar is still low).
>
>3) Good use model for sleeping: advantage DEXCOM
>I was able to lose transmission with BOTH systems while in bed, pushing the transmitter into the mattress by laying directly on it and, for Dexcom, putting the receiver between 2 pillows. Communication problems seem to be plausible for both systems. The Dex automatically reconnected as soon as it could. The Minimed would have wanted me to go through a "find lost sensor" routine while I was sleeping.
>Both alarms can wake me up, but I found the Dexcom combination of sound with vibration to be the best solution.
>
>4) Not too uncomfortable: advantage DEXCOM (daily), advantage Medtronic (insertion)
>This is definitely an individual issue. You need to try this for yourself.
>For me, the Minimed sensor started itching the 2nd day it was in, and it was a very bothersome annoyance until I took it out on day 4. The Dexcom sensor started itching on day 8 but the itching was mild, recurring maybe once or twice in a day.
>Minimed had the insertion advantage. Insertion angle is critical for Minimed, but they have a spring-loaded inserter. Dexcom expects you to push theirs in like a syringe. The Dexcom sensor is a smaller gauge needle, making it less painful, but the Minimed inserter makes things easier and reduces the pain.
>
>5) Durable and abuse-able: advantage BOTH
>Both systems were able to survive my floor diving and basketball clumsiness. I was unable to play winter ultimate during the trial to test that environment.
>
>6) EASE OF USE: advantage DEXCOM
>The ability to calibrate anytime, stable or unstable, is a distinct advantage for Dex. Medtronic advises to calibrate only when stable and that does help with their product, but the 7+ doesn´t care as much. I ran into calibration issues with both systems (calibrating Medtronic while unstable and calibrating Dexcom with very high BG and not recalibrating as I got lower).
>Transmission loss: After 40 minutes or so, Medtronic requires a "find lost sensor" routine. Dex simply reconnects automatically and moves on.
>Dex has no worries about ISIG numbers or insertion angles or stability for initial calibrations.
>
>7) Customer support: advantage MEDTRONIC
>Medtronic has a 24/7 help line, staffed, for the most part, with people who really want to help. In late hours, Dexcom has people on call. I tried this route and was unable to get a call back before I had to leave my house. Live people were helpful and courteous.
>
>8) EASE OF EVALUATION: advantage MEDTRONIC
>The first thing I want to say is that the Clinical Specialists who trained me on each of the systems were WONDERFUL. Both were very knowledgeable, friendly, and accommodating. Dexcom forced my doctor´s office into giving up a room (and they are very short on space) and I had to drive there. Medronic made it easy and came right to my house.
>I did run into 2 bad DEXCOM sensors to start off the evaluation period. This turned out to be a blessing in disguise, as it forced me to evaluate the two systems head-to-head, or stomach-to-stomach, as it were.
>
>The Medronic system had better transmission range. If you are going to perform a trial with both systems, isolate them on different sides of your body. I did find that the Dexcom receiver seemed to suffer from some interference when placed too closely to the Minimed transmitter (sensor). On opposite sides of the body, they each did fine.
>The Dex transmitter has an internal "2 year" battery and does not have to be removed for recharging. The Dex receiver needs to be recharged every few days. It does function while it is charging but its range is reduced.
>
>The Medtronic system means less hardware to carry around, but I find the accuracy difference worth the extra piece of hardware. One other interesting note: my Medtronic pump can receive data from my blood tester. I was told to turn this off when using their CGM (otherwise it would recalibrate at every reading, which is non-optimal) whereas I can use this Medtronic feature if I DON´T use their CGM. Had their engineers added an OPTION to use the transmitted value for calibration (as they have done for the hand-entered values), they would not have created an advantage for their competition.
>
>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.
>
>So that´s the info from my eval. Now, I am going to bed (with my Dex trial sensor still in - 12th day - telling me that I am at a stable 91 mg/dL and my finger stick reading just 3 mg/dL higher).
>
>Warm regards to all,
>
>-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 www.IncredibleAssem blies.com
>
>
- 6.1.
-
Re: Navigator Warranty - (Was Ping/Dexcom combo)
Posted by: "bethdouthitt" bethdou@qwest.net bethdouthitt
Thu Dec 31, 2009 1:40 pm (PST)
My daughter began pumping with Cozmo a year or so after she was dx'd. When the news came out that Smith's was leaving the market and all the other pump companies came out with their deals, we decided to go the "trial" route on the Omnipod. We then were able to get the upgrade to the newer PDM for a small amount of money - we did the whole thing with cash rather than going through our insurance.
We did give the Omnipod a trial run; went through the training at the hospital (which was required by our doc) and had nothing but problems from the minute she filled the first pod. After using it for a a few weeks and having multiple pod errors as well as PDM problems, my daughter said she was done with them and wanted to go back to her Cozmo. That was fine with me. I prefer Cozmo, certainly in part because it's what I am accustomed to, but one of the biggest things for me is the lack of problems we've had with it. customer service from Smith's has always been exceptional; I had major arguments with the Insulet customer service people from the get-go (our first PDM was completely dead when we went to training, and they didn't want to replace it....it had never even been used) She really dislikes the bulk of the pods and the PDM - she wants to keep everything in her pockets - though I keep hearing that a much smaller pod will be debuting in 2010. Her warranty is up in November 2010, and I don't know what we'll do.
The one really, really fabulous thing I can say about the Omnipod is that their adhesive is the strongest of anything we've used, ever! Those things practically require explosives to get them to come off her skin. Which, of course, was another problem when they were needing to be replaced half an hour after starting a new pod. I wish that the adhesive on the Navigator sensors had half the staying power of a pod! :)
--- In diabetescgms@yahoogroups. , Andy Mayshar <andyma@...> wrote:com
>
> George
>
> I'm glad you love your Cosmo so much. I realize that it has a good user interface, but I can't see much that it offers that the OmniPod doesn't. And the OmniPod is tubeless, autoprimes and painlessly auto inserts. Most of the people that negatively talk about the OmniPod's features just haven't explored them all. and they are so easy to use, just like an iPhone
>
- 6.2.
-
Re: Navigator Warranty - (Was Ping/Dexcom combo)
Posted by: "Andy Mayshar" andyma@charter.net necountryboy55
Thu Dec 31, 2009 2:41 pm (PST)
Beth
I'm sorry to hear about your problems with the OmniPod. I won't say that I haven't had problems since I was Insulet's first commercial customer and have been on it over 4 years. I just love it and the 40% smaller pod and integration with the Dexcom and Navigator all coming in 2010 I can't wait. I don' t have any troubles with Insulet customer service but I understand some do. I had huge problem with MM customer service. You're experience may be a fluke since over 90% of the people who go on it love love it. I know that personally I have helped several people who had continuous problems and together we eliminated them all.
I realize it's each to his or her own, but in my case I would never go back to a tubed pump. I always knew I was wearing my MM's and I never even know where my pod is without using my hands to feel for it. Also the Omnipod takes me about one quarter the time to change that the MM715 did and did I mention no pain.
Andy
---- bethdouthitt <bethdou@qwest.net > wrote:
>
> My daughter began pumping with Cozmo a year or so after she was dx'd. When the news came out that Smith's was leaving the market and all the other pump companies came out with their deals, we decided to go the "trial" route on the Omnipod. We then were able to get the upgrade to the newer PDM for a small amount of money - we did the whole thing with cash rather than going through our insurance.
>
> We did give the Omnipod a trial run; went through the training at the hospital (which was required by our doc) and had nothing but problems from the minute she filled the first pod. After using it for a a few weeks and having multiple pod errors as well as PDM problems, my daughter said she was done with them and wanted to go back to her Cozmo. That was fine with me. I prefer Cozmo, certainly in part because it's what I am accustomed to, but one of the biggest things for me is the lack of problems we've had with it. customer service from Smith's has always been exceptional; I had major arguments with the Insulet customer service people from the get-go (our first PDM was completely dead when we went to training, and they didn't want to replace it....it had never even been used) She really dislikes the bulk of the pods and the PDM - she wants to keep everything in her pockets - though I keep hearing that a much smaller pod will be debuting in 2010. Her warranty is up in November 2010, and I don't know what we'll do.
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> The one really, really fabulous thing I can say about the Omnipod is that their adhesive is the strongest of anything we've used, ever! Those things practically require explosives to get them to come off her skin. Which, of course, was another problem when they were needing to be replaced half an hour after starting a new pod. I wish that the adhesive on the Navigator sensors had half the staying power of a pod! :)
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> --- In diabetescgms@yahoogroups. , Andy Mayshar <andyma@...> wrote:com
> >
> > George
> >
> > I'm glad you love your Cosmo so much. I realize that it has a good user interface, but I can't see much that it offers that the OmniPod doesn't. And the OmniPod is tubeless, autoprimes and painlessly auto inserts. Most of the people that negatively talk about the OmniPod's features just haven't explored them all. and they are so easy to use, just like an iPhone
> >
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