13 Responses

  1. Joe
    Joe January 9, 2014 at 4:34 am | | Reply

    All this new equipment sounds interesting, however it all comes down to cost and whether Insurance will cover it.

  2. David
    David January 9, 2014 at 11:30 am | | Reply

    Always fun to anticipate new developments. Hopefully CellNovo also makes some concrete steps forward.

  3. Dan
    Dan January 9, 2014 at 12:05 pm | | Reply

    Pretty depressing that this is all we have to look forward to in the coming year. Nothing at all new that will be a big game changer. The dexcom stuff I already have–but it would be nice to see the new device come to market that would connect to a smart phone.

    All these pumps are small improvements. They are still just doing what they do–pumping insulin.

    I still do not know what all the excitement about pumps has been for years. They are just fancy insulin syringes that are stuck to you 24 hours a day. I know–some people will say you can adjust this or that. Well, I inject and my A1C for the last 10 years has been around 5.0. I do not know a pump user that controls glucose as well as I do with a syringe.

    In addition, the integration of CGM and a pump only does one thing: it allow the user to have one device instead of two (if you use a pump). But then again, most of us carry our cell phone around. So, if dexcom links to a cell phone, even this becomes a non event since you will have to carry our cell phone anyways and your pump if you are a user.

    Inhaled insulin will act faster. Well, if you time your bolus, this is a mute point. In addition, the lungs were not designed to be long term insulin transporters. This idea failed and will fail in the future because most people do not want to take the risk of inhaling insulin at the risk of lung cancer.

    Depressing news for 2014.

    Unless of course, you are in the business of dumping that stuff into the market and making money off it.

  4. Brad
    Brad January 9, 2014 at 5:13 pm | | Reply

    The Dario sounds very interesting, a small all-in-one meter easy to carry around- sign me up!

  5. susan f
    susan f January 10, 2014 at 8:00 am | | Reply

    Hi Dan! It’s really cool that shots work so well for you, because it takes away the worry/trauma of “do I have a bad infusion set” type questions.

    In my years of D, I’ve met diabetics on pumps who use the same basal rate 24/7 – these are the ones that tend to do well on shots :) My peak rate is 2x my lowest rate. If I didn’t have variable rates throughout my day for my basal insulin, I’d wake up high, and drive home low. Everyone’s body is different!

    I was over the moon about the dexcom animas combo THREE YEARS AGO. Now I’m just angry and jaded. The FDA is killing me here. I am still using my out of warranty pump, eternally waiting for the FDA to grace us with its approval.

    So like Dan, not that excited about the things on this list…

    1. Dan
      Dan January 10, 2014 at 7:31 pm | | Reply

      Glad the pump works for you. Hey, if it works for people, I am all for it. I am just saying that it is a what it is, another way to pump insulin into the body.

      By the way, most doctors fail to tell type 1 diabetics how to properly basal with the long acting insulin choices. If you take Lantus, you have to take it in two doses. If you take Levemir, you have to take it at least twice a day but maybe three times. When you read the insert in these insulin packages, you will notice duration of action. Lantus, in most people, really only lasts 10 to 16 hours. Levemir lasts 7 to 16 hours. What is the difference? Who knows? But in some people, the immune system might be working against the insulin. Or it could be that the metabolism of some people is faster than others.

      Nonetheless, if you took the lantus or levemir in multiple shots, you will notice an even coverage.

      I used to think I was brittle and needed more at certain times. However, I take levemir. When I started breaking my dose up into three injections, everything smoothed out.

      But a pump is doing the same things. I am just making the point that these long acting insulin agents are not being implemented correctly.

      How do I know this? Again, it is in the literature the pharmaceutical companies place in the insulin package. In addition, take your long acting insulin the morning and eat breakfast. After that, do not eat anything until about 6 pm. You will notice that your blood sugar will rise before your dinner. This is evidence that the long acting insulin is wearing off.

      It was a marketing ploy to try to convince people they only had to take these agents once her day.

      Dr. Bernstein brought up this issue–Diabetes Solution–a long time ago.

  6. Kevin McMahon
    Kevin McMahon January 10, 2014 at 5:50 pm | | Reply

    Any news on what will happen to Medicare enrollees as they are most likely going to have to switch to a new meter following sole source contract issue? Do we know yet what that new meter/strip will be? Implementing such a massive change will leave hundreds of thousands in the dark as they will struggle trying to figure out how to use the new meter that will most likely show up at their door step unannounced.

  7. susan f
    susan f January 11, 2014 at 8:45 am | | Reply

    An excellent point Dan, and I appreciate your very clinical approach to fine tuning your basals on shots!

  8. Natalie ._c-
    Natalie ._c- January 11, 2014 at 6:00 pm | | Reply

    Dan, I wanted the pump primarily because it was a PITA to remember to shoot up so many times. I might sometimes need 8 shots a day. So it wasn’t an issue of glorified syringe so much as quality of life.

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  10. J A Bell
    J A Bell January 30, 2014 at 6:46 am | | Reply

    Anyone interested in the progress of the Cellnovo system recently I have just seen this info over at

  11. Mike
    Mike September 28, 2014 at 9:24 am | | Reply

    Hi Mike,

    I’m still looking for an integrated smart phone glucose monitor, any news on the horizon on this type of device?


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