18 Responses

  1. Scott E
    Scott E March 20, 2014 at 4:45 am | | Reply

    So now the only hope, I suppose, is that you’ll not be automatically enrolled in the “New Technology Upgrade Guarantee” (or whatever it’s called)… wouldn’t that be a kick in the pants!

    Interesting to read about your mismatched-color conundrum. It’s one I’ve been thinking about for my next pump… I’m just getting tired of black (ahem, “smoke”) and may end up joining you in fashion-awkwardness!

  2. Joe
    Joe March 20, 2014 at 5:14 am | | Reply

    Regarding the Dexcom G4 software with the Mac, I just boot into virtual windows to use the Dexcom studio software.

  3. Julie
    Julie March 20, 2014 at 5:53 am | | Reply

    How do you handle carrying the dexcom cgm with a pump and a cell phone? I looked at dexcom and decided I did not want to carry that many devices. I currently have the Medt 523 and use their cgm. My endo just wrote a rx for the new sensors that were released with the 530g.

    1. Gunnja
      Gunnja March 29, 2014 at 10:29 pm | | Reply

      I’m very interested in hearing the response to Julie’s Q re:carrying so many devices (stage Dexcom receiver, pump and cell phone) as they seem as though they I’ll load up a waistline! Thx

  4. Sarah
    Sarah March 20, 2014 at 6:39 am | | Reply

    Way to go, Mike! Good for you for standing up for what you wanted! :-) I’m happy for you!!

  5. StephenS
    StephenS March 20, 2014 at 7:14 am | | Reply

    Interesting that t:Slim has an ad on this page too (awkward).

    Congrats on the new pump! Another lesson in don’t rush into anything, although I did rush into my Revel purchase almost four years ago. Hope your new choice brings you lots of good health, as mine has so far.

  6. David
    David March 20, 2014 at 7:48 am | | Reply

    Congrats, it all worked out in the end. Hopefully your diabetes “utility belt” can soon lighten up a bit when the Dex G5 launches. Having diabetes is so multi-faceted including learning about insurance coverage, hard-sell medtronic, questionable PR, and tone-deaf FDA!

  7. Doug
    Doug March 20, 2014 at 1:15 pm | | Reply

    Im impressed that your insurance is paying for a new pump every 2 years on average . Im disappointed, but not surprised, that Minimed continues to let their sales force architect the customer service focus. Its not that they wont sell you what you want, they in typical Minimed fashion, will strong arm you into getting what hey want to sell. If it means lying to you and telling you then dont sell the pumps with no CGMS then they lie. Again no change in my impressions of Minimed… The 800 lb gorrilla in the market continues its ways … Cudos to you for not backing down.

  8. Vicki
    Vicki March 20, 2014 at 3:53 pm | | Reply

    Just my story. I started using the Soft Sensor with Medtronic in 2007 which is the pump I use now. Two years ago my endo ordered me to wear a CGMS all the time. I went with DexCom and have worn it for two years with no insurance problems. I am now up for a new pump in May of this year. I thought I should keep an open mind and try it but the DOC does not report good results. Anyone else have experience with this?

  9. Jane
    Jane March 20, 2014 at 11:09 pm | | Reply

    We’re still loving our Cozmo – nothing measures up!

  10. Merle Gleeson
    Merle Gleeson March 21, 2014 at 6:34 pm | | Reply

    Mike – I’m in the same boat you are. I’m a long-time MedT user who is now in the market for a new pump. I tried the t:slim and while it looks “cool” I found it too cumbersome. Wondering why you gave up on it? As a HUGE Dexcom fan who trialed the MedT 530G I can say I’m not switching. I may reluctantly go with the MedT Revel as well. I’m not excited with any of the current pumps and am quite disappointed with the lack of new pump technology over the years.

  11. Bob Seneshen
    Bob Seneshen April 10, 2014 at 12:57 pm | | Reply

    I’m reading with interest the discussion of standalone pumps, integrated CGM’s and standalone CGM’s. I am a 61 year old veteran of T1 (48 years). Located in Canada. Just finishing my 5th year with a Medtronic Paradigm 722. Up for a new pump with the Ontario governments ADP (Assitive devices program). Did not particularly like the Med T sensors. Have found them to be unreliable and expensive. Very disappointed with the lack of innovation on the new MedT pump. Monchrome screen. Give me a break.

    At this point I’m looking at the Animas. I use 85 to 100 units daily and I’m not sure about the smaller reservoir.

    Will follow this thread while I look at my options.

    Bob S

  12. Jen
    Jen April 16, 2014 at 8:13 pm | | Reply

    After the Revel, I was the opposite, I was willing to jump ship and try the t:slim, didn’t trust MedT, still don’t. I had issues galore with my MedT. I’m quite happy with my decision. Each person is compatible with a different pump, it’s not a one size fits all that’s for sure. YDMV

  13. Thomas Brady
    Thomas Brady May 13, 2014 at 11:09 am | | Reply

    I’ve been T1D for 48 years and on insulin for 42 years, currently using MDI. Two years ago my endo convinced me to trial a pump, which I did with an Animas Ping, primarily because I was a sailor and got soaked frequently, and hated the Ping – the tubing hung-up on everything. In addition, there was no CGM integration, but Animas said it was imminent. That was the end for me of pump trials.

    Now retired, and on Medicare, I found that my insulin costs were over $3,000 a year out of pocket due to congress not allowing Medicare to negotiate prices with drug manufacture under Part D. That made me look at the pumps again after dividing that I could live with the tubing for $3,000 a year. I went through the following analysis:

    1. Omnipod was a non-starter due to lack of Medicare approval and my past experience with one of their execs who I worked with and ridiculed my diabetes when I was “losing it” after missing two meals and insulin. Their customer service on the blogs seemed to be really a problem. Strike out!

    2. Animas had really not changed in two years since my trial. Although I do not sail anymore due to a car accident and loss of balance, I was dismayed that they had not advanced in two years and were still not CGM integrated. They now say it is imminent after FDA approval, I was unimpressed that the pump itself was unchanged. I was also not really interested in CGM right now. Strike out for lack of advancement!

    3. SNAP had some nice ideas, but I was concerned with their “staying power” in the marketplace financially. Strike out – at least on this round.

    4. Medtronics was the 400 lb. gorilla in the room. I was turned off by their attitude on everything. FIrst, the proprietary connections from the reservoirs to the infusion sets. I do not like to be captured to buy from one company more than I have to. The proprietary reservoirs were a second turn-off to me. Yes, I could buy off-market ones but with MedT’s warning that their usage voids the warranty! That is marketing BS to me! Next, I saw no real innovation in their pump product offering. The low glucose cutoff was NOT a wow to me as the active insulin on-board with a low glucose is the bigger issue to me. I then heard that MedT would not sell the 530g without the sensor, which Medicare would not approve. I wanted the 530g now and I believe that Medicare will in the future approve CGM. I wanted to add the CGM later. In addition, my research has shown that the Dex system is far more accurate and easier to use than MedT’s. Given MedT’s history of keeping everything proprietary, I never saw them integrating the Dec. Last, I heard on several blogs that Medicare patients were being given “refurbished” pumps not new ones and not 530g’s. I called MedT and was told that it was a “business decision” to only sell the integrated 530g and CMS together, and it was not approved for Medicare. I told the rep that their decision basically left me out of the CGM market for four years even if Medicare approved the CGM since the pump they were FORCING me to buy would not integrate and was yesterdays technology. When I asked him if MedT was shipping refurbished units to new Medicare customers, he claimed to “have to check on that”. DUH, it’s a simple question that they should have the answer to. After that conversation, I liked MedT even less. I have no interest in their business decisions dictating what I buy and how I chose to manage my T1D! A big STRIKE OUT! I have no desire to do business with them! Their attitude stinks! By the way, my endo is a HUGE MedT fan and would have pushed me to them until I hit the roof over their business practices and total lack of customer orientation.

    5. T:Slim was the last unit I looked at. I saw the concerns about their longevity and financial staying power in this market against the “big players”, who have done nothing to match T:Slims offering. I looked at their finances in their SEC filings and found they are profitable at the gross margin level at the end of 2013, but are losing at the net profit line due to the high SG&A of building a sales force and gaining market share. As a former CFO, I get that and can live with it. In addition, to support that growth, they had over $120 million on their balance sheet in cash and equivalents to finance their growth. I’m comfortable that they can stay the course to bottom-line profitability. I read everything I could find on the T:Slim pump. YES, they did have a cartridge recall, but they handled that in textbook B school fashion and it’s in the rearview mirror. Oh, didn’t MedT also have a leaking reservoirs recall at about the same time? Didn’t all of the Lite test strips have to be recalled last year forcing me to another brand when I could not get them? Recalls happen in a highly-regulated FDA environment. The litmus test is how you handle one, not if it happens. I like the pump when I met with the rep and handled it. Hey, there is no pump out there that will satisfy every one of your wishes and wants. It’s the one that you feel the best with. I liked the coming integration with the Dex also and was told that there would be an upgrade path once that happened and for me once Medicare got off its bureaucratic butts and figured that it’s cheaper to do the CGM than pay for the complications! Three run base hit!

    I talked to my endo who got the idea that the MedT was a non-starter and I was determined that unless she had a surprise for me, it was T:Slim or nothing. She actually was waiting for a patient to be her first on that pump. Done deal! With an A1C of 7.5, hypoglycemic unawareness, wide blood glucose swings, a C-Peptide of <0.1, testing 9x a day, dawn phenomenon, haven taken pump ed 101 in the last wow years, I certainly qualified and I've ordered the T:Slim. End of decision!

  14. padaddy
    padaddy November 20, 2014 at 3:00 pm | | Reply

    I’ve been T1 for 30 years, pumping for 15. My first pump was the deltec cozmo. I still miss it. In my mind it was definitely the best-featured pump on the market, unfortunately it was just never able to catch up to medtronic’s hold on the marketplace/insurance cycle. I’m now on my 2nd minimed. It’s fine, I still miss some features of the cozmo. I’m now on the 530G, and tried using the CGM for awhile. It was just never very reliable. My insurance company allowed me to switch to the Dexcom (in fact- there was no struggle at all- I just stopped ordering the enlites and put in an RX for a dexcom), I guess I’m very fortunate that way. I’ve been very happy with the Dexcom from day 1. Anyway, I have one more year on the minimed and then will be looking forward to trying something different. I’m hoping that tslim may be upgraded by then. Any other recommendations out there from experienced pumpers?

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