Technology And Diabetes Management

Diabetes Management: The Role of Technology, the Insulin Pump and Continuous Blood Glucose Monitoring System

You should not be afraid of diabetic technology. I know that I was really set in my ways of controlling myself, my sugars, and my insulin. At one point, I literally pricked my finger 9 to 10 times a day to see what my blood sugar was before I got a Continuous Blood Glucose Monitoring System. Today, I have the Medtronic 780G Insulin pump and it has revolutionized my sense of having to control my blood sugars through my own efforts. Today, I let my diabetes insulin pump with its continuous blood glucose monitoring system manage my diabetes. I have embraced technology and have gained personal freedom. I would suggest you do the same. Talk with your doctor and get what he or she advises as a diabetes insulin pump for you. I can tell you what I think are some of the best products on the market, and you can discuss them with your doctor. In this article, I am going to talk primarily about insulin pumps and only briefly mention Continuous Glucose Monitoring Systems. Perhaps in another article, we can talk solely about the best Continuous Glucose Monitoring Systems.

Some of the best insulin pumps on the market

I have my preference, and I will try not to be too prejudice in my view. First of all, Medtronic MiniMed now has the 780G. Medtronic diabetes insulin pumps are considered one of the leading insulin pumps available. They feature a hybrid closed-loop system that automatically adjusts basal insulin delivery based on glucose levels measured by the sensor. This system, known as SmartGuard Auto Mode, aims to optimize glucose control and minimize hypoglycemia. I really like being monitored by SmartGuard. The biggest difference that I have found between the Medtronic 680G and the 780G is that the SmartGuard feature keeps me from going low in my blood sugars. I have not had one low blood sugar episode since using Medtronic’s 780G insulin pump. I think my lowest blood sugar has been 80.

Medtronic Insulin Pumps

Medtronic’s 780G system is one of Medtronic’s latest innovations in insulin pump technology. The 780G system is an advanced hybrid closed-loop insulin delivery system designed to help individuals with insulin-dependent type 1 diabetes manage their blood sugar levels more effectively. Here are some potential advantages and disadvantages of the MiniMed 780G system:

Advantages:

1. Auto Correction Boluses: The system can also provide automatic correction boluses to address high blood sugar levels, helping users achieve target glucose levels more efficiently without the need for manual intervention.
2. Customizable Settings: Users have the ability to customize settings such as insulin delivery targets and glucose target ranges to better align with their individual insulin needs and treatment goals.
3. Predictive Insights: The MiniMed 780G system provides predictive insights into future glucose levels, allowing users to anticipate and proactively address potential glucose fluctuations before they occur.
4. Connectivity and Remote Monitoring: The system is compatible with Medtronic’s CareLink platform, which allows users to remotely monitor glucose data and share it with healthcare providers for more personalized diabetes management.

Disadvantages:

1. Cost: Insulin pump therapy, including advanced systems like the MiniMed 780G, can be expensive. Costs may include the initial pump purchase, ongoing supply costs (such as infusion sets and reservoirs), and potential expenses related to continuous glucose monitoring (CGM) sensors.
2. Learning Curve: Switching to an insulin pump or upgrading to a new model like the MiniMed 780G may require a learning curve for users who are accustomed to other insulin delivery methods, such as multiple daily injections (MDI). Some users may find it challenging to adjust to the new pump settings and features.
3. Infusion Set Changes: Like other insulin pumps, users of the MiniMed 780G system must change infusion sets every few days to prevent site irritation and ensure proper insulin delivery. Some individuals may find the infusion set change process cumbersome or uncomfortable.
4. Technical Issues: As with any electronic device, the MiniMed 780G system may experience technical issues or malfunctions from time to time. This could include pump errors, sensor inaccuracies, or connectivity issues. However, Medtronic has an excellent technical help department that can handle any question or issue you have. One time, I had a “stuck” button issue, and Medtronic sent me a new insulin pump overnight while I was on vacation at the beach. I just had to return to them my older insulin pump. That is service!

Tandem T:Slim Insulin Pumps

To tell you the truth, my doctor prefers the Tandem t:slim over Medtronic products. I don’t know why, but he does. The reason he supports me in using Medtronic Insulin Pumps is because of my tight control, as reflected in A1Cs of 6.3 and 6.4. At every appointment, he keeps telling me to keep on doing what I am doing. However, we are not in this space to talk about me, but about the Tandem t:slim insulin pump.

The Tandem T Slim insulin pump is praised for its sleek design, touchscreen interface, and advanced features. It is compatible with the Control-IQ technology, which is an automated insulin delivery system that adjusts basal insulin rates and provides automated correction boluses based on CGM data. A lot of people use the Tandem Insulin Pump with the The Dexcom G6 continuous glucose monitoring (CGM) system which is designed to help individuals with diabetes manage their blood sugar levels more effectively. Here are some of the advantages and disadvantages of the Tandem t:slim X2 system:

Advantages:

1. Touchscreen Interface: The t:slim X2 features a modern touchscreen interface that makes it easy to program and operate. Users can navigate menus, enter bolus doses, and adjust settings using intuitive touchscreen controls, similar to a smartphone.
2. Basal-IQ Technology: The t:slim X2 with Basal-IQ technology is an advanced feature that helps prevent hypoglycemia (low blood sugar) by predicting and suspending insulin delivery when glucose levels are predicted to drop below a predefined threshold. This predictive low glucose suspend (PLGS) feature can reduce the frequency and severity of hypoglycemic events.
3. Control-IQ Technology: Tandem’s Control-IQ technology, available with the t:slim X2 pump, is an advanced hybrid closed-loop system that automatically adjusts insulin delivery based on glucose levels to help maintain target blood sugar levels. This feature can improve time in range and reduce the risk of hyperglycemia and hypoglycemia.
4. Slim Design: The t:slim X2 pump has a sleek and compact design compared to other insulin pumps on the market. Its slim profile and lightweight construction make it discreet and comfortable to wear under clothing.
5. Compatibility with CGM Systems: The t:slim X2 pump is compatible with various continuous glucose monitoring (CGM) systems, including the Dexcom G6 CGM, as mentioned above. Integration with CGM technology allows for seamless communication between the diabetes insulin pump and CGM sensor, enabling features such as predictive low glucose suspend and automatic insulin adjustment.

Disadvantages:

1. Cost: Insulin pumps like the t:slim X2 can be expensive, and the cost may not be fully covered by insurance for some individuals. In addition to the initial cost of the pump, users must also consider ongoing expenses for insulin, pump supplies, and CGM sensors.
2. Learning Curve: Switching to an insulin pump requires a learning curve for users who are accustomed to multiple daily injections (MDI) or other insulin delivery methods. Some individuals may find it challenging to adjust to the new pump settings, infusion sets, and insulin delivery techniques.
3. Infusion Set Changes: Users of the t:slim X2 pump must change infusion sets every few days to prevent site irritation and ensure proper insulin delivery. Some individuals may find the infusion set change process cumbersome or uncomfortable, particularly if they have sensitive skin or difficulty with manual dexterity.
4. Technical Issues: Like any electronic device, the t:slim X2 pump may experience technical issues or malfunctions from time to time. This could include touchscreen unresponsiveness, pump errors, or battery issues. Tandem provides customer support and troubleshooting resources to help users address technical issues promptly.

Insulet Omnipod:

The Insulet Omnipod is a tubeless insulin pump system designed to provide continuous subcutaneous insulin delivery for individuals with diabetes. Here are some advantages and disadvantages of the Omnipod system:

Advantages:

1. Tubeless Design: One of the key advantages of the Omnipod system is its tubeless design. Unlike traditional insulin pumps that require tubing to connect the pump to the infusion set, the Omnipod pump is a self-contained unit that adheres directly to the skin. This eliminates the need for tubing, offering greater freedom of movement and reducing the risk of tubing-related issues such as kinks or disconnections.
2. Waterproof: The Omnipod pump is waterproof, allowing users to wear it while swimming, bathing, or engaging in other water-related activities. This feature enhances convenience and flexibility for users who lead active lifestyles or live in humid environments.
3. Pod-Based System: The Omnipod system consists of a disposable, pod-shaped insulin pump that is worn on the body and controlled wirelessly by a handheld Personal Diabetes Manager (PDM). Each pod contains an insulin reservoir and an integrated infusion set, making it easy to change pods every few days without the need for separate infusion sets or tubing.
4. Customizable Basal Rates: The Omnipod system allows users to program customizable basal insulin rates to match their individual insulin needs throughout the day. Basal rates can be adjusted based on factors such as activity level, diet, and hormonal fluctuations, providing greater flexibility and control over insulin delivery.
5. Remote Monitoring: Insulet offers a mobile app called Omnipod DISPLAY™, which allows users to remotely monitor their Omnipod system data and share it with caregivers or healthcare providers. This feature enables better communication and collaboration in diabetes management, particularly for parents of children with diabetes or caregivers of elderly individuals.

Disadvantages:

1. Size and Visibility: While the tubeless design of the Omnipod pump offers advantages in terms of flexibility and convenience, some users may find the pod to be larger and more conspicuous compared to traditional insulin pumps. The size and visibility of the pod may be a concern for users who prefer a more discreet pump option.
2. Limited Wear Time: Each Omnipod pod has a wear time of up to three days before it needs to be replaced. Some users may find the need to change pods every few days to be inconvenient or disruptive to their daily routine, particularly if they have sensitive skin or experience difficulties with pod adhesion.
3. Insulin Delivery Limitations: The Omnipod system has a maximum basal insulin delivery rate and bolus insulin delivery limit, which may not meet the needs of all users, particularly those with higher insulin requirements. Users should consult with their healthcare provider to ensure that the Omnipod system can effectively meet their insulin delivery needs.
4. Cost: Insulin pump therapy, including the Omnipod system, can be expensive, and the cost may not be fully covered by insurance for some individuals. Users should consider the cost of the pump itself, as well as ongoing expenses for pods and other supplies, when evaluating the affordability of the Omnipod system.
5. Dependency on Technology: Like other insulin pump systems, the Omnipod system relies on technology to deliver insulin effectively. Users should be aware of the potential risks associated with device failures, technical issues, or battery depletion and have backup insulin delivery options available in case of emergencies.

Concluding Thoughts on Insulin Pump Technology

Ranking insulin pumps can be subjective and depends on individual preferences, lifestyle factors, and specific needs. It’s crucial to consult with your healthcare provider to determine which insulin pump is the best fit for you. There are several compelling reasons why a person with type 1 diabetes may choose to use the latest technology in monitoring and managing their condition, rather than relying solely on traditional methods like finger pricking and syringe administration.

Advantages of Insulin Pump Therapy

• Improved Accuracy: Continuous Glucose Monitoring (CGM) systems provide real-time data on glucose levels throughout the day, offering a more comprehensive and accurate picture compared to intermittent finger pricks. This allows for better decision-making regarding insulin dosing, diet, and physical activity
• Better Glucose Control: Advanced technology, such as insulin pumps with automated features or closed-loop systems, can help optimize insulin delivery based on real-time glucose data. This can lead to tighter glucose control and fewer episodes of hypo- or hyperglycemia, reducing the risk of long-term complications.
• Reduced Burden: Finger pricking multiple times a day and manually calculating insulin doses can be burdensome and time-consuming. Using technology can streamline diabetes management tasks, making them less intrusive and allowing individuals to focus more on their daily activities and quality of life.
• Increased Safety: CGM systems can provide early warnings of impending hypoglycemia or hyperglycemia, allowing for prompt intervention to prevent severe glucose fluctuations. This is particularly beneficial during activities such as exercise, sleep, or driving, where awareness of glucose levels may be crucial for safety.
• Flexibility and Convenience: Insulin pumps offer greater flexibility in insulin dosing, allowing for customizable basal rates and bolus doses. Additionally, features like automated insulin delivery or smartphone connectivity make managing diabetes more convenient and adaptable to various lifestyles.