Asante SNAP insulin pump

Animas Ping pumpmedtronic 530G

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Tandem t-Slim

Roche Accu-Chek Combo

Insulet OmniPod

Medtronic 530G With Enlite

Animas One-Touch Ping

Asante SNAP

Pump System Features in Common:

  • 24-hour toll-free helpline
  • Internal safety checks
  • Child button lock-out
  • Full Training Incl
  • Easy-programming
  • Multiple infusion set options
  • Extended bolus options
  • Programmable reminders
  • Download to PC
  • Low batt. warning
  • Low insulin warning
  • Upgradeable software
  • User-set active insulin time

Tandem
t:slim

Unique AdvantagesPotential Drawbacks
  • Bright, full-color touch screen
  • Modern, high-tech appearance
  • Compact, thin dimensions
  • Rapid numeric entry
  • Cartridges hold 300u, easy to fill without bubbles
  • Can calculate boluses up to 50 units
  • Site-change reminder w/customizable day & time
  • Graphic on-screen history display
  • Carb counting calculator
  • Temp basal up to 250%, 72 hrs
  • Can set duration of insulin action in 1-minute increments
  • IOB & time remaining displayed on home screen
  • Missed bolus reminders customizable by day of week
  • Alert for high temperatures which may spoil insulin
  • Secondary basal programs linked with secondary bolus calculation parameters
  • Web-based download software
  • Minimal insulin movement with changes in altitude
  • Small buttons can be difficult to activate; screen goes blank if buttons missed 3x
  • Unlock procedure required to perform any programming every time pump is woken up
  • No integrated clip (must put in a case)
  • Very slow tubing prime
  • Tubing connector looks “medical,” can snag on clothing
  • Basal & bolus settings in same time slots; several steps to set up
  • All delivery cancelled during cartridge change-out & priming
  • Extra confirmation steps with all programming
  • Weak vibrate mechanism
  • Reverse correction inactive unless BG is below 70 mg/dl
  • No meter link
  • Manufacturer is new in pump industry

Roche
Accu-Chek Combo

Unique AdvantagesPotential Drawbacks
  • Full pump programming via linked meter/remote via Bluetooth communication
  • Boluses can be adjusted in percentages for events such as exercise, stress, illness
  • Bright, full-color meter screen
  • History displayed as graphic reports on meter screen
  • Smart scrolling speeds
  • Intelligent IOB adjustment based on expected effect of bolus insulin
  • Choice of 3 programming modes based on user’s level of sophistication
  • Can use alkaline, lithium or rechargeable batteries
  • Basal increments of .01u/hr*
  • Holds 315u insulin
  • Sensitive occlusion detection
  • Site change reminder at 48 or 72 hour
  • Must use linked meter to perform bolus calculations
  • Can only link 1 meter per pump
  • Minimum basal rate .05u/hr*
  • Must check BG on linked meter for bolus calculations (cannot enter BG manually)
  • Must program 24 hourly basal segments
  • Must enter cartridge fill amt. manually
  • Alarms at conclusion of temp basal
  • Need computer/software to change certain temp basal parameters
  • All bolus calculation settings in same time slots; can be complex to set up
  • Limit of 8 time slots for bolus settings
  • Pump is somewhat bulky
  • No integrated clip; must use a case
  • Cartridges can be difficult to fill without bubbles
  • Must stop pump to change cartridge

Insulet
OmniPod

Unique AdvantagesPotential Drawbacks
  • Reduced up-front costs
  • Can program through clothing
  • Discrete pump size (compared to other pumps)
  • No tubing (minimizes wasted insulin, no tangling/snagging, less awkward)
  • No missed/lost insulin from disconnecting
  • Simple, automated cannula insertion
  • Air pockets purged mechanically from reservoir
  • Pump is fully watertight
  • Temp basals can be customized/preset
  • Freestyle meter built into handheld programmer
  • Can customize programming text without PC linkup
  • Large color screen w/full-sentence text and graphing capability
  • Somewhat bulky programmer
  • Pod creates a “bulge” on the skin
  • Cannot enter boluses or make setting changes without programmer
  • Cannot do programming or editing while bolus is delivering
  • Only one canula type/length; may not work for all body types
  • Max reservoir volume 200u; minimum 85u
  • Pod stops working after 72 hours (plus grace period)
  • Handheld will not calculate bolus if BG < 50
  • Dislodged/clogged canula requires complete pod replacement
  • “Disconnection” requires complete pod replacement
  • Pod does not have vibrate option
  • Must suspend when changing basals
  • Temp basal limited to 12 hours max
  • Not covered by some insurance plans
  • Insulin-to-carb ratios in whole numbers only
  • Complex to set up downloading software

Medtronic 530G with Enlite

medtronic 530G
Unique AdvantagesPotential Drawbacks
  • Company in pump business 30+ years
  • Industry leader in R & D
  • Displays data from Medtronic Enlite Continuous Glucose Monitor
  • Low glucose suspend feature
  • Quickest/simplest bolus programming
  • Slim/streamlined attachable clip
  • Optional remote control (@ addl. cost)
  • Low reservoir alert in units or hours remaining
  • Accepts radio communication from up to 3 blood glucose meters
  • Easily downloadable to online Carelink program for complete data analysis
  • Can set I:C ratios in .1g increments
  • Generates insulin/carb/BG statistics
  • Volatile RAM – memory can be lost
  • Not water-tight
  • No food database
  • Must use proprietary infusion set tubing
  • Must purchase CGM along with pump
  • Backlight “flashes” during programming
  • Must pay for loaner/backup pumps
  • Customer service may not be prompt or friendly
  • Holds 180 units; 300-unit version is slightly larger
  • Insulin-on-board only deducted from correction boluses
  • Duration of action set in whole-hour increments
  • Alerts may not be loud enough for some to hear

Animas
Ping

Unique AdvantagesPotential Drawbacks
  • Links with One-Touch Ping BG meter for programming boluses
  • 35-Unit maximum bolus
  • Fully water-tight
  • Very bright, full-color screen; easy to read
  • AA Lithium battery lasts 6-8 weeks
  • Adjustable screen contrast
  • User-defined timeout setting
  • User-defined occlusion sensitivity
  • Customizable tune for alerts
  • Cartridges very easy to fill without air bubbles
  • Downloads to Diasend web-based software

 

  • Battery change requires re-priming
  • Cannot see cartridge inside pump
  • Extra button presses required with most standard programming
  • No data averages or statistics generated
  • Cannot recall blood glucose or carb history on pump
  • Insulin On-Board is not subtracted uniformly from boluses
  • Blank screen in rest mode
  • 200-Unit cartridge limit
  • Cursor speed (scroll) difficult to master
  • Meter/Remote large, outdated, screen difficult to see
  • Bolus delivery may be too rapid for some people

Asante
Snap

Unique AdvantagesPotential Drawbacks
  • Lowest up-front cost
  • 30-Day free trial
  • $99 Upgrades at any time
  • Fast/simple change-outs; uses prefilled 300u cartridges
  • Quick entry to bolus calculator
  • Large readout on display screen
  • Carb-adding feature
  • Built-in flashlight
  • No charging or battery changes
  • Alerts for impact/water damage
  • Can set reminder to deliver a future bolus
  • Old pump bodies store all pump settings (for replacement setup)
  • Temp basal as high as max basal setting
  • Can “insert” segments into timed profiles
  • Notifies of low cartridge upon wake-up (not during sleep)
  • Weekday/weekend alerts
  • IOB set in 15-min intervals, can be deducted from correction or meal boluses

 

  • Company new in pump industry
  • No download software or meter/CGM link
  • Requires proprietary infusion set tubing (options limited)
  • Only holds Humalog cartridges
  • No vibrate option
  • Can’t go below 1u:3g carb
  • Maximum basal limited to 4u/hr
  • Correction factor must be set between 10 and 125
  • No bolus calculations when BG below 70 mg/dl
  • Makes “squeaking” sound during delivery
  • May develop air bubbles in tubing while priming
  • Alerts user periodically when temp basal running (if >50% change)
  • Slow scrolling to high numbers (BG, carbs, insulin doses)
  • Formidable hand strength required to attach tubing to pump body

 

Copyrights Integrated Diabetes Services 2013. Data current as of 7/1/2013.