Comments on: Abbott Navigator: A First Look http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html A gold mine of straight talk and encouragement for people living with diabetes Mon, 13 Feb 2012 01:28:10 +0000 hourly 1 http://wordpress.org/?v= By: gina http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45971 gina Wed, 16 Jul 2008 20:31:04 +0000 http://www.diabetesmine.com/?p=4901#comment-45971 Amy, Great post thank you for this. gina Amy,
Great post thank you for this.

gina

]]> By: John http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45079 John Wed, 09 Jul 2008 15:27:34 +0000 http://www.diabetesmine.com/?p=4901#comment-45079 Hi Amy -- Hmm... My concerns are with how much of these particles are left in the skin, if they ever disintegrate (or migrate), if, over time, the accumulation of these particle interferes with glucose readings, and how these particles may ultimately affect insulin absorption... especially considering that the Navigator shares the same "real estate" as infusion sets, pods and needle-stick sites used to deliver insulin, symilin, byetta, etc... We already know that infusing insulin may cause scar tissue in patients over time, leading to decreased infusion sites... Will the same happen with the puncture left by a CGM system, and will this be exacerbated by a footprint of "micro" particles? Hi Amy — Hmm… My concerns are with how much of these particles are left in the skin, if they ever disintegrate (or migrate), if, over time, the accumulation of these particle interferes with glucose readings, and how these particles may ultimately affect insulin absorption… especially considering that the Navigator shares the same “real estate” as infusion sets, pods and needle-stick sites used to deliver insulin, symilin, byetta, etc… We already know that infusing insulin may cause scar tissue in patients over time, leading to decreased infusion sites… Will the same happen with the puncture left by a CGM system, and will this be exacerbated by a footprint of “micro” particles?

]]> By: Dave http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45074 Dave Wed, 09 Jul 2008 14:38:18 +0000 http://www.diabetesmine.com/?p=4901#comment-45074 I have to say the thing looks huge but I will admit I am biased since I use CGM through my Minimed pump. I find that my current sensor can get in the way especially during a Yoga class. All that bending can make it difficult to keep it in place. I am glad however that there are several choices out there in the market place. My insurance covers my sensors and the more people that use CGMS the more likely insurance will be will to pay for it. Especially if it saves people from have complications from going low. I have to say the thing looks huge but I will admit I am biased since I use CGM through my Minimed pump. I find that my current sensor can get in the way especially during a Yoga class. All that bending can make it difficult to keep it in place.

I am glad however that there are several choices out there in the market place. My insurance covers my sensors and the more people that use CGMS the more likely insurance will be will to pay for it. Especially if it saves people from have complications from going low.

]]> By: AmyT http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45072 AmyT Wed, 09 Jul 2008 14:24:22 +0000 http://www.diabetesmine.com/?p=4901#comment-45072 Yes, John, we did talk about that. Apparently some micro-particles of plastic can remain in the skin. They haven't found any ill effects. The risk seemed equally "micro" to me. Your thoughts? Yes, John, we did talk about that. Apparently some micro-particles of plastic can remain in the skin. They haven’t found any ill effects. The risk seemed equally “micro” to me.

Your thoughts?

]]> By: John http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45066 John Wed, 09 Jul 2008 11:49:21 +0000 http://www.diabetesmine.com/?p=4901#comment-45066 Hi Amy -- Did you ask the trainer about the Navigator warning which states: "A portion of the membrane polymer will remain in the skin each time the sensor is removed. Although no health effects were observed or reported in clinical studies, the long term effects of the sensor membrane fragments remaining in the skin have not been determined." -- This is from Abbot's "Brief Statement of FreeStyle Navigator System Uses and Risks flyer ART14904 Rev. A. Any thoughts or comments on this issue? Thanks. Hi Amy — Did you ask the trainer about the Navigator warning which states: “A portion of the membrane polymer will remain in the skin each time the sensor is removed. Although no health effects were observed or reported in clinical studies, the long term effects of the sensor membrane fragments remaining in the skin have not been determined.” — This is from Abbot’s “Brief Statement of FreeStyle Navigator System Uses and Risks flyer ART14904 Rev. A.

Any thoughts or comments on this issue?

Thanks.

]]> By: Manny Hernandez http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45052 Manny Hernandez Wed, 09 Jul 2008 08:20:36 +0000 http://www.diabetesmine.com/?p=4901#comment-45052 Amy: Thanks for the thorough review of the Navigator. I just linked to it from both the <a href="http://tudiabetes.com/group/cgmusers" rel="nofollow">Continuous Glucose Monitor Users</a> group and the <a href="http://tudiabetes.com/forum/topic/listForCategory?categoryId=583967%3ACategory%3A8715" rel="nofollow">Continuous Glucose Monitor Forum</a> in TuDiabetes. Take care, Amy:
Thanks for the thorough review of the Navigator. I just linked to it from both the Continuous Glucose Monitor Users group and the Continuous Glucose Monitor Forum in TuDiabetes.

Take care,

]]> By: ACat http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45048 ACat Wed, 09 Jul 2008 06:06:35 +0000 http://www.diabetesmine.com/?p=4901#comment-45048 Amy, just wondering ... values above 200 TWICE a day? And that with all the gear you are using? Isn’t a pump supposed to keep you much much lower? I mean, even with just pens I manage to stay below 170 right after breakfast plus a pretty tight business schedule. I wouldn’t even be able to *think* straight with a 231. Hope you’re doing well, of course. Just wondering ... Amy, just wondering … values above 200 TWICE a day? And that with all the gear you are using? Isn’t a pump supposed to keep you much much lower? I mean, even with just pens I manage to stay below 170 right after breakfast plus a pretty tight business schedule. I wouldn’t even be able to *think* straight with a 231. Hope you’re doing well, of course. Just wondering …

]]> By: karend1 http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45023 karend1 Wed, 09 Jul 2008 01:33:19 +0000 http://www.diabetesmine.com/?p=4901#comment-45023 Amy, Once again thank you so much for sharing all the wonderful information that you do. It looks a bit large to me, but if it is accurate I would be thrilled, as for right now I am not using my Medtronic CGM. :( Keep us posted. Amy,

Once again thank you so much for sharing all the wonderful information that you do.

It looks a bit large to me, but if it is accurate I would be thrilled, as for right now I am not using my Medtronic CGM. :(

Keep us posted.

]]> By: Titos http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45013 Titos Tue, 08 Jul 2008 23:09:24 +0000 http://www.diabetesmine.com/?p=4901#comment-45013 My son has been using the navigator for 6 weeks now. Impressions: - Very accurate on the abdomen, less accurate on the arm - Very good and timely alarms, excellent trending info you can work with - Transmitter a bit big, but what the hell - Tremendous help when doing exams, sports or driving. You can manage to avoid both lows and highs by reacting to the trends (though it is more difficult to avoid highs than lows). If you wear the cgm and behave as you did before and react to it you will definitely increase time spent within euglycemic zone. What does happen however is that he can now do things he could not do before, so he does them (e.g. eating pizza, KFC or other things that are difficult to control). Fingesticks apart from calibration are down to 2-3 (or less) per day My son has been using the navigator for 6 weeks now. Impressions:

- Very accurate on the abdomen, less accurate on the arm
- Very good and timely alarms, excellent trending info you can work with
- Transmitter a bit big, but what the hell
- Tremendous help when doing exams, sports or driving.

You can manage to avoid both lows and highs by reacting to the trends (though it is more difficult to avoid highs than lows). If you wear the cgm and behave as you did before and react to it you will definitely increase time spent within euglycemic zone. What does happen however is that he can now do things he could not do before, so he does them (e.g. eating pizza, KFC or other things that are difficult to control). Fingesticks apart from calibration are down to 2-3 (or less) per day

]]> By: Ellen http://www.diabetesmine.com/2008/07/abbott-navigator-a-first-look.html/comment-page-1#comment-45012 Ellen Tue, 08 Jul 2008 23:07:42 +0000 http://www.diabetesmine.com/?p=4901#comment-45012 Looking forward to reading all your comments about the Navigator. Thank you for sharing. Looking forward to reading all your comments about the Navigator. Thank you for sharing.

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