Great article – Hoping either the Abbott or Medtronic devices are better. • Simpler and less costly CGM systems may broaden the utility of CGM to those with type 2 diabetes. As well, its important to note all the sensor issues they’ve had during 2016. I do like the way the integrated Medtronic system suspends basal before a low bg, but when I check with a finger prick, I am already perilously low because their SG readings read higher than the actual levels. A calibration reading of 150mg/dl and a sensor value of 120mg/dl represents a MARD of 20% (a 30-point difference on a value of 150). As someone who can not use NSAIDs I am very much looking forward tot his, and many other upgrades the G6 sensor will provide. The are incompetent. Tandem to Launch t:slim X2 Insulin Pump with Dexcom… The FDA has approved Tandem’s t:slim X2 Insulin Pump with Dexcom G5 Mobile continuous glucose monitoring (CGM) integration, the first sensor-augmented insulin pump approved to let users make treatment decisions without… FDA Approves the Dexcom G6 CGM System, No Finger… Dexcom CLARITY Using the Dexcom G6 Pro reader, you can upload patient data collected from a Dexcom G6 Pro session to Dexcom CLARITY for reference during session follow-up. This point you missed; CGM training from the manufacturer. Thus, I would need to repurchase hardware for something that is clearly a technical issue. As current users of Medtronic pumps know, Medtronic makes incredibly robust and reliable pump hardware. Medtronic hopes to launch at least 10 products over the next two years: new CGM and apps, 670G pump with Bluetooth, AI, and more! The customer service at Dexcom was great at first, but declined greatly after I had come to rely on the sensors. I am a Dexcom G5 user and wish there were more options than the two suppliers (Dexcom or Medtronic/Enlite) to choose from. The 640G’s “Smartguard” feature temporarily suspends basal delivery when hypoglycemia is approaching. Continuous Glucose Monitoring Systems (CGM) Medtronic & Dexcom Review & Comparison, My Nutrition Journey – From Low-Fat to Keto to Balanced, IDS Clinician Ben & Jerry’s Ice Cream Challenge, Blood Glucose Testing and How To Get Over The Fear Of Pricking Your Finger, Reducing treatment-related complication for blood cancer patients, Routine eye scans may give clues to cognitive decline in diabetes, Both systems use very thin introducer needles and automated insertion devices. The Medtronic 530G auto syncs with the Contour Next blood glucose monitor, which simplifies things. I have moved to using only the G5 receiver device for monitoring the past few months. (USA) 877-735-3648. He was named 2014 Diabetes Educator of the year by the American Association of Diabetes Educators. The pump that receives a signal from the Enlite sensor has the ability to react in an automatic fashion. The Dexcom G5 was approved in early 2017 to be accurate enough to replace finger sticks for dosing calculations after day 1 of use. Simultaneous calibrations were performed two to four times daily prior to meals, when glucose levels were in a relatively steady state. Fingerstick values taken with a home-use meter are intrinsically less accurate than lab values, and this contributes to a greater degree of inaccuracy by the CGM. They first signed on Insulet a… The Dexcom also has an iPhone app, but the Share feature was not included on the clinical device I tested. Dexcom’s poor performance and customer service has gotten the best of me. My Medtronic has done this to me several times at work and in my sleep. I was starting to re-evaluate my pump choice too- especially in light of the MINIMED 670G SYSTEM’s FDA approval. MiniMed™ 670G system includes our newest and most advanced CGM, the Guardian™ Sensor 3 and the Guardian™ Link 3 transmitter. How does the t:slim X2 insulin pump work with Dexcom G6 CGM? Contrary to what Connie says accuracy is important. The Dexcom Clarity site is nice. Both systems offer High & Low alerts as well as rate of change alerts, albeit Medtronic’s rate of change alerts are much more customizable. One of the new benefits of CGM use is the ability to have caregivers and loved ones track the data in real-time on their smartphones and be alerted of potential problems. Do I understand that there are times that even if you are in a meeting at work, at church, or whatever, the pump/cgm … The systems have improved in terms of accuracy, features and ease of use, but the main players remain the same (Medtronic and Dexcom). The Dexcom mobile app has the added benefit of allowing the user to choose from nearly two dozen audible patterns for each type of alert – making it nice to hear somthing other than a “BEEP” for an alert. Why call it 505? He speaks at local, national and international conferences on a multitude of topics in diabetes care. I started using the Dexcom CGM January 2018 with the G5. After using the Medtronic CGM for 2 weeks I can understand why it cannot be used to determine how much insulin to dose. It does not display any CGM data. Wrong. Bottom line: Today I’m asking for a return authorization for my unopened boxes of Minimed Guardian sensors and will return to Dexcom. It is taking them forever to send supplies that are authorized by my insurance. I’d like to know how the upcoming iLet stacks up too. Most recently, they announced a project to morph the DIY Loop app that automates insulin delivery into a commercial product. Thank you for the comparison info! Does anyone have any advice on which one to get? So please remove all comparison statements regarding accuracy! Their sensors have malfunctioned countless times, and my transmitter malfunctioned and left me in a l lurch. CGM Display: Nothing is changing with the hardware, and Tandem says the pump interface looks very much like the first-gen combo device of the t:slim and Dexcom G4. Also, both Dexcom and Abbott CGMs are FDA certified to provide BG reads that can be used for insulin dosing. Medtronic has also introduced a cell phone app which can display sensor data in real-time with the aid of a Bluetooth transmitter called “Connect”. I can’t get my t:slim X2 pump to stay connected to my Dexcom transmitter. Poor Bluetooth connection with the iPhone and constantly miscalibrated. I had a Medtronic pump for close to 20 years and their cgms from 2008-2014. Resetting device does not fix the situation and technical support said I’ve passed the 12 month window. There are things I like about both, and things I dislike about both continuous glucose monitors. 4. Dexcom’s built-in adhesive eliminates the need for extra tape for most people, Both Sensors function well past their “approved” life-cycle (7days for Dexcom and 6 days for Medtronic) with a bit of ingenuity (and some extra tape). However, many people who use an insulin pump prefer to have a receiver/display that can be carried separately for ease of access and detection of alarms. Oh, well… While I am disappointed to learn there is no way to get around the Tylenol problem (which is HUGE if you cannot take NSAIDs), at least I can quit researching now. Alarms on the Dexcom are strong and simple. Thank you so much this is an excellent report, I really appreciate all of the hard work. The sites were prepared appropriately and rotated consistently. I get comments from people thinking I am wearing a pager, as it is not very stylish nor discrete clipped to my belt. My last correction is on the “Data Sharing”. When I go back to insulin delivery with the pump, I will lean towards the Medtronic. Looking at rates of accuracy, Medtronic’s sensor was closer to the fingerstick calibration 43% of the time; Dexcom was closer 57% of the time. Support wise, Medtronic has Dexcom beat hands down. Great review. The Medtronic 530G System is an insulin pump with integrated Continuous Glucose Monitor built-in. The signal will be lost and it will generate alarms to let you know. Diabetics keep your money and learn how to eat properly. The cost of CGM is prohibitive for me so that would be helpful. The Medtronic signal only travels a few feet and is frequently lost even when in close proximity to the sensor. G6 is the name of the latest Dexcom Continuous Glucose Monitor (CGM) system. but my endo said that they dont cover CGM censors! I also found it was more uncomfortable to wear than the Enlite. The latest on Dexcom’s work with Verily to make a more simple and accessible CGM; also, the “Pro Q” professional CGM and insulin dosing advice for people on multiple daily injections. Clarity eliminates many of the reporting options and customization features that were popular with Studio. And, despite what other consumers report, I have not had any luck getting my malfunctioning sensors replaced. Even when my insurance stopped paying and I had to use expired donated sensors, they worked perfectly. So far it has cost me just short of $300. An insulin pump that is CGM capable means that you can see and track your glucose levels. I do this be reviewing the rate or slope of the data. The Carelink cloud software is difficult to upload to, and if you upgrade to a new computer, browser, or operating system, well… good luck. They do not pair with a pump, but they are good for 14 days and require no fingerstick calibration. The Dexcom allows 2 consecutive calibration readings, and then you do not calibrate for 12 hours. Introduction to Dexcom CGM (41) Using Your Dexcom CGM System (72) Using CLARITY Reporting Software (24) Compatibility (20) Setting Up Your System (38) Sharing with Followers (3) Reordering Sensors & Supplies (14) Troubleshooting (44) Secondly, the multiple daily calibrations needed for the Minimed sensors require at least three finger sticks each – more if you enter follow up BGs as prompted and re-calibrate instead of declining a calibration (they don’t explain that in the manual). I am not using the pump for insulin delivery at this time, so I have to set my basal rates to 0, disable auto-off, and plug the reservoir hole with a cap from an infusion set with the tube cut off. I can’t afford to change to Dexcom, although I would like to try their system, so I will return to Libre. Stay far far away from the Medtronic sensor…This sensor is a piece of CR–. Ive been on medtronic pump for about 20 years i think and im not very tech savvy so it serms like the simplest system for me. The cell phone was needed for both systems. Hi Joy, We are updating our pump comparison page now, it should be ready any time now. The sensors were stored properly and placed in appropriate/adjacent sites. The pump will be completely unaware of your CGM, and be unable to do any of the auto mode things the 670g does with Guardian sensors. The stuff needed to use/change/charge the Medtronic sensor and transmitter combo lays flatter on the 2 options. App/Software ( necessary for generating reports from the sensor and transmitter combo lays flatter on sensors... An A1C below 7 will complain about calibration errors if an input value is off from what sensor. Time you press a button as well, its important to note all stuff. 530G insulin pump delivers precise doses of rapid-acting insulin through a cannula 24 hours day. 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