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	<title>Comments on: New Roche Insulin Pump</title>
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	<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html</link>
	<description>A gold mine of straight talk and encouragement for people living with diabetes</description>
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		<title>By: Rick Stockton</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36224</link>
		<dc:creator>Rick Stockton</dc:creator>
		<pubDate>Fri, 13 Oct 2006 21:42:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36224</guid>
		<description>As for &quot;no upside down&quot;: You gotta go into the menu to flip the display over, if you&#039;re thinking of pulling it out while you&#039;re groggy from sleeping then switching the display takes WAY more brain power and time than flipping it over. But if you always wear it a certain way in certain clothes, then it&#039;s a nice feature to have it display correctly whenever you pull it out in your &quot;natural&quot; way (whichever that turns out to be in those clothes).

Frankly, I&#039;m WAY higher on the button arrangement than the &quot;flip the Display&quot; feature, and highest on the use of NiMH rechargables.
</description>
		<content:encoded><![CDATA[<p>As for &#8220;no upside down&#8221;: You gotta go into the menu to flip the display over, if you&#8217;re thinking of pulling it out while you&#8217;re groggy from sleeping then switching the display takes WAY more brain power and time than flipping it over. But if you always wear it a certain way in certain clothes, then it&#8217;s a nice feature to have it display correctly whenever you pull it out in your &#8220;natural&#8221; way (whichever that turns out to be in those clothes).</p>
<p>Frankly, I&#8217;m WAY higher on the button arrangement than the &#8220;flip the Display&#8221; feature, and highest on the use of NiMH rechargables.</p>
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		<title>By: Rick Stockton</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36223</link>
		<dc:creator>Rick Stockton</dc:creator>
		<pubDate>Fri, 13 Oct 2006 21:38:32 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36223</guid>
		<description>BTW, my &quot;spare&quot; DTron+ cost only $200, bought when the FDA banned their Sale to new customers. So 20% copay of on a $6000+ machine is a big chunk of money for me, they&#039;re gonna have to offer a BIG upgrade incentive to make me switch. (They might, to get out of the current DTron+ proprietary battery mess. ;)

And I really, really want 2 meters, not just one It takes up to 15 hours for them to get a replacealcement to youwith &quot;24x7 Customer Service&quot;. Even a 10 hour overnight replacement is unacceptable for me. And I&#039;m often quite a ways from cell-phone service, far away from &quot;delivery service&quot; - accessible roads.
</description>
		<content:encoded><![CDATA[<p>BTW, my &#8220;spare&#8221; DTron+ cost only $200, bought when the FDA banned their Sale to new customers. So 20% copay of on a $6000+ machine is a big chunk of money for me, they&#8217;re gonna have to offer a BIG upgrade incentive to make me switch. (They might, to get out of the current DTron+ proprietary battery mess. <img src='https://www.diabetesmine.com/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /> </p>
<p>And I really, really want 2 meters, not just one It takes up to 15 hours for them to get a replacealcement to youwith &#8220;24&#215;7 Customer Service&#8221;. Even a 10 hour overnight replacement is unacceptable for me. And I&#8217;m often quite a ways from cell-phone service, far away from &#8220;delivery service&#8221; &#8211; accessible roads.</p>
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		<title>By: Rick Stockton</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36222</link>
		<dc:creator>Rick Stockton</dc:creator>
		<pubDate>Fri, 13 Oct 2006 21:30:01 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36222</guid>
		<description>I&#039;m a DTron+ user, and so had a natural interest in taking a good look at this. It&#039;s way better, but NOT WATERPROOF for swimming or Jacuzzi.

It is &#039;waterproof&#039; to 8 feet for 30 minutes, so it normally will survive an accidental dump into the make-up/handwashing bathroom sink. If it does happen to leak a bit, you pull out the battery and let it dry out. But it definitely AIN&#039;T an Animas in this area.

For JaysonJ: The battery situation is now absolutely AA (joke, joke): It uses one AA battery. And unlike most others, you can switch, in the menu, between Alkaline AA and NiMH rechargeable (rechargeables WITHOUT the memory problems and to-low voltage of the old NiCad batteries). YAY!

The button arrangement is super clever: because the pump IS NOT rectangular, you instantly feel which one is the &quot;up&quot; button and which one is the &quot;down&quot; button, without looking. And having only two buttons on the face is way better than having all 4 there, as most competitors do.

With my old Dtron+, even though the &quot;menu&quot; and &quot;confirm&quot; buttons are mounted horizontal at the tubing end, and the up/down buttons are mounted VERTICAL at the other end, it&#039;s really hard to tell which pair of buttons your finger is on when it&#039;s in your pocket. I always have to pull it out.

It&#039;s incredibly small for a pump with such a large (315 uL) cartridge. And I was talking with a Canadian user last night: even though the cartridge filling method has changed, us penny-pinching cheapskates apparently CAN refill used cartidges. But even though I do it, I MUST EMPHATICALLY RECOMMENDED AGAINST DOING THIS, there&#039;s a big non-sterility risk after the plunger has been pushed up during run time!

Jules, all the leading pumps have fairly &quot;tactile&quot; buttons these days. The Spirit&#039;s unique difference is making it so easy to tell which button your finger is on, and where the other buttons are, when you&#039;re not looking.

Kassie, I&#039;ve got a CGM, and I REALLY don&#039;t think there&#039;s an advantage in a closed-loop system. First problem, even &quot;fast&quot; insulin has a lot of action 3-4 hours later: If an after-meal spike caused your pump to take off on it&#039;s own, it could be a big problem later. Second problem, do you REALLY want your pump doing arbitrary &#039;shoot&#039; while you&#039;re asleep? CGMs often have bad readings, and the Abbott will NOT be an exception: If you roll over and sleep on the Sensor, the accuracy of the squished-out and under-circulating ISF will NOT BE THERE.

Maybe closed-loop with an in-body BLOOD Sensor, but I wouldn&#039;t go NEAR having my Dexcom giving unmonitored instructions to my pump. Could lead to really dangerous situations, I think. And the MM Sensors are less accurate than the Dexcoms in the Hypo range, making mis-diagnosis and dangerous mis-treatment even more likely. But per above, I believe that even Abbott will not be immune to errors, that&#039;s why the haven&#039;t been able to get it approved as a total replacement for finger-stick bG testing. Too many &quot;D&quot; and &quot;E&quot; readings on the Clarke curve.
</description>
		<content:encoded><![CDATA[<p>I&#8217;m a DTron+ user, and so had a natural interest in taking a good look at this. It&#8217;s way better, but NOT WATERPROOF for swimming or Jacuzzi.</p>
<p>It is &#8216;waterproof&#8217; to 8 feet for 30 minutes, so it normally will survive an accidental dump into the make-up/handwashing bathroom sink. If it does happen to leak a bit, you pull out the battery and let it dry out. But it definitely AIN&#8217;T an Animas in this area.</p>
<p>For JaysonJ: The battery situation is now absolutely AA (joke, joke): It uses one AA battery. And unlike most others, you can switch, in the menu, between Alkaline AA and NiMH rechargeable (rechargeables WITHOUT the memory problems and to-low voltage of the old NiCad batteries). YAY!</p>
<p>The button arrangement is super clever: because the pump IS NOT rectangular, you instantly feel which one is the &#8220;up&#8221; button and which one is the &#8220;down&#8221; button, without looking. And having only two buttons on the face is way better than having all 4 there, as most competitors do.</p>
<p>With my old Dtron+, even though the &#8220;menu&#8221; and &#8220;confirm&#8221; buttons are mounted horizontal at the tubing end, and the up/down buttons are mounted VERTICAL at the other end, it&#8217;s really hard to tell which pair of buttons your finger is on when it&#8217;s in your pocket. I always have to pull it out.</p>
<p>It&#8217;s incredibly small for a pump with such a large (315 uL) cartridge. And I was talking with a Canadian user last night: even though the cartridge filling method has changed, us penny-pinching cheapskates apparently CAN refill used cartidges. But even though I do it, I MUST EMPHATICALLY RECOMMENDED AGAINST DOING THIS, there&#8217;s a big non-sterility risk after the plunger has been pushed up during run time!</p>
<p>Jules, all the leading pumps have fairly &#8220;tactile&#8221; buttons these days. The Spirit&#8217;s unique difference is making it so easy to tell which button your finger is on, and where the other buttons are, when you&#8217;re not looking.</p>
<p>Kassie, I&#8217;ve got a CGM, and I REALLY don&#8217;t think there&#8217;s an advantage in a closed-loop system. First problem, even &#8220;fast&#8221; insulin has a lot of action 3-4 hours later: If an after-meal spike caused your pump to take off on it&#8217;s own, it could be a big problem later. Second problem, do you REALLY want your pump doing arbitrary &#8216;shoot&#8217; while you&#8217;re asleep? CGMs often have bad readings, and the Abbott will NOT be an exception: If you roll over and sleep on the Sensor, the accuracy of the squished-out and under-circulating ISF will NOT BE THERE.</p>
<p>Maybe closed-loop with an in-body BLOOD Sensor, but I wouldn&#8217;t go NEAR having my Dexcom giving unmonitored instructions to my pump. Could lead to really dangerous situations, I think. And the MM Sensors are less accurate than the Dexcoms in the Hypo range, making mis-diagnosis and dangerous mis-treatment even more likely. But per above, I believe that even Abbott will not be immune to errors, that&#8217;s why the haven&#8217;t been able to get it approved as a total replacement for finger-stick bG testing. Too many &#8220;D&#8221; and &#8220;E&#8221; readings on the Clarke curve.</p>
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		<title>By: Jules</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36221</link>
		<dc:creator>Jules</dc:creator>
		<pubDate>Fri, 13 Oct 2006 02:13:02 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36221</guid>
		<description>I&#039;m not a pumper yet...just trying to figure out which one to get.  I like the tactile button idea.  Is this a feature on other pumps?
</description>
		<content:encoded><![CDATA[<p>I&#8217;m not a pumper yet&#8230;just trying to figure out which one to get.  I like the tactile button idea.  Is this a feature on other pumps?</p>
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		<title>By: Stu</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36220</link>
		<dc:creator>Stu</dc:creator>
		<pubDate>Thu, 12 Oct 2006 20:21:03 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36220</guid>
		<description>I know in the past, the Disetronic pumps used a special type of battery that you could only get from the company,unlike others that run on batteries that can be purchased most anywhere.
</description>
		<content:encoded><![CDATA[<p>I know in the past, the Disetronic pumps used a special type of battery that you could only get from the company,unlike others that run on batteries that can be purchased most anywhere.</p>
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		<title>By: JasonJayhawk</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36219</link>
		<dc:creator>JasonJayhawk</dc:creator>
		<pubDate>Thu, 12 Oct 2006 20:03:27 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36219</guid>
		<description>The &quot;no upsidedown&quot; feature is something long awaited in other pumps.  (Let&#039;s hope there&#039;s no patent on this such feature, otherwise it&#039;ll be years before we see it in other pumps).

I wish they&#039;d picked a better name for the product.  &quot;Spirit&quot; just doesn&#039;t seem like something a guy would go for and a name like that must have been thought up of by non-diabetic people...
</description>
		<content:encoded><![CDATA[<p>The &#8220;no upsidedown&#8221; feature is something long awaited in other pumps.  (Let&#8217;s hope there&#8217;s no patent on this such feature, otherwise it&#8217;ll be years before we see it in other pumps).</p>
<p>I wish they&#8217;d picked a better name for the product.  &#8220;Spirit&#8221; just doesn&#8217;t seem like something a guy would go for and a name like that must have been thought up of by non-diabetic people&#8230;</p>
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		<title>By: Kerri.</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36218</link>
		<dc:creator>Kerri.</dc:creator>
		<pubDate>Thu, 12 Oct 2006 19:35:54 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36218</guid>
		<description>The idea of &quot;no upsidedown&quot; is interesting.  I&#039;m often pivoting like an owl to read my pump, depending on where I have it stashed.

And the price seems right in line with all the other pump prices.  Bottom line:  These gadgets are mighty expensive.  ;)
</description>
		<content:encoded><![CDATA[<p>The idea of &#8220;no upsidedown&#8221; is interesting.  I&#8217;m often pivoting like an owl to read my pump, depending on where I have it stashed.</p>
<p>And the price seems right in line with all the other pump prices.  Bottom line:  These gadgets are mighty expensive.  <img src='https://www.diabetesmine.com/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /> </p>
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		<title>By: Megan</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36217</link>
		<dc:creator>Megan</dc:creator>
		<pubDate>Thu, 12 Oct 2006 15:22:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36217</guid>
		<description>Yeah, the price is pretty much on par with pump costs.

As far as features- it&#039;s actually pretty slimmed down feature wise compared to other current pumps, but it makes up for some of them in the PDA.
</description>
		<content:encoded><![CDATA[<p>Yeah, the price is pretty much on par with pump costs.</p>
<p>As far as features- it&#8217;s actually pretty slimmed down feature wise compared to other current pumps, but it makes up for some of them in the PDA.</p>
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		<title>By: Brian</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36216</link>
		<dc:creator>Brian</dc:creator>
		<pubDate>Thu, 12 Oct 2006 14:36:43 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36216</guid>
		<description>Honestly, this new pump from Roche does not look like anything groundbreaking. Personally, I don&#039;t care about lots of neato features. I want something that will really have a major impact on the way I manage my diabetes and this isn&#039;t it. I think it will eventually come in some kind of closed loop glucose monitoring insulin pump. Until then, I&#039;ll collect interest on my $6,195.
</description>
		<content:encoded><![CDATA[<p>Honestly, this new pump from Roche does not look like anything groundbreaking. Personally, I don&#8217;t care about lots of neato features. I want something that will really have a major impact on the way I manage my diabetes and this isn&#8217;t it. I think it will eventually come in some kind of closed loop glucose monitoring insulin pump. Until then, I&#8217;ll collect interest on my $6,195.</p>
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		<title>By: Kassie</title>
		<link>http://www.diabetesmine.com/2006/10/new_roche_insul.html/comment-page-1#comment-36215</link>
		<dc:creator>Kassie</dc:creator>
		<pubDate>Thu, 12 Oct 2006 13:39:20 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesmine.dreamhosters.com/2006/10/12/new-roche-insulin-pump/#comment-36215</guid>
		<description>That price is pretty much on par with other pumps - at least &#039;retail&#039;.  Insurance companies, of course, don&#039;t pay that amount.
</description>
		<content:encoded><![CDATA[<p>That price is pretty much on par with other pumps &#8211; at least &#8216;retail&#8217;.  Insurance companies, of course, don&#8217;t pay that amount.</p>
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