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/Tag: insulin

Medtronic’s 670G Hybrid Closed Loop System: How to Customize Settings For The Best Performance

By |2019-02-09T17:20:07+00:00February 7th, 2019|Thinking Like A Pancreas Blog|

Medtronic’s Hybrid Closed Loop System: Getting More Bang For Your Buck By, Gary Scheiner MS, CDE, Jennifer Smith RD, LD, CDE, Alicia Downs RN, MSN, CDE, Annette Valle RN, CDE It’s been about a year and a half since we started using and training/managing patients on the Medtronic 670G “hybrid closed loop” system.  And we’ve learned a lot.  We’ve learned that 670G is beneficial for some, but it clearly isn’t for everybody.  Yes, for the “average” person with diabetes, it can produce improvements in glucose control while helping reduce the risk of dangerous hypoglycemia.  But there are limits to the degree of glucose control that can be achieved, and there are many hassles and extra tasks involved with using the system. There are other hybrid closed loop systems that are already in use, despite not being on the “FDA approved” list of systems. Loop and OpenAPS systems are highly effective for improving glucose control, but they require special equipment and an “app build” to get them up and running. Tandem’s T:Slim with Basal IQ is easy-as-pie to use, but it only turns off basal insulin to help prevent lows. Other systems are coming to market soon:  Tandem’s Control IQ, OmniPod’s Horizon, Tidepool Loop and BigFoot Biomedical’s system are all slated to make automated basal adjustments (similar to Medtronic’s 670G, but with less work on the part of the user), but until the pre-launch studies are completed and the FDA signs off, all we can do is picture them in our daytime fantasies. So for those who want 24-hour automated basal adjustment NOW that is FDA approved, that really leaves just one option:  670G. Medtronic has taking steps to cut down on some of the [...]

Why is Insulin so Expensive And What Options Do Insulin Users Have?

By |2019-01-02T15:33:04+00:00January 2nd, 2019|Thinking Like A Pancreas Blog, Type 1 Diabetes|

A recent study showed that the insulin users in North America make up 14% of all insulin users worldwide, but they account for nearly 50% of total world-wide sales. With so many profit-making avenues, you can see why this three-company oligopoly (Lilly, Novo Nordisk, Sanofi) is keen to keep raising insulin prices.

ADA Scientific Sessions 2018: Gary’s Top-5 Observations

By |2018-07-31T16:13:08+00:00July 24th, 2018|July 2018 Newsletter, Thinking Like A Pancreas Blog|

As usual, this year’s American Diabetes Association Scientific Sessions didn’t place much emphasis on a healthy lifestyle.  There was food everywhere, and trust me, we’re not talking fruits & veggies.  But there was a great deal of research presented on diabetes medications and devices. 

IDS Clinicians Offer Different Perspectives on the Medtronic 670G

By |2018-03-23T21:15:07+00:00March 21st, 2018|Diabetes Bites, March 2018 Newsletter, Thinking Like A Pancreas Blog|

IDS Clinicians Offer Different Perspectives on the Medtronic 670G after 10 days of use. Read what they have to say...

670G and Me: Insights and Incites on Medtronic’s Latest System

By |2017-09-30T12:49:07+00:00September 29th, 2017|Thinking Like A Pancreas Blog|

The 670G represents an important step towards fully automating glucose control. However, it is important to put it in the proper context and set expectations at an appropriate level.

Medicare and Diabetes Technology Insurance Coverage

By |2016-10-14T19:10:39+00:00October 14th, 2016|Thinking Like A Pancreas Blog|

It's awesome that people with diabetes are living normal lifespans, but the current Medicare system is not set up to provide coverage of the technologies that we become accustomed to using when we have commercial insurance coverage to control the disease as well as we can.

Diabetes Friendly Foods

By |2016-12-08T23:26:45+00:00February 18th, 2016|Thinking Like A Pancreas Blog|

What do I eat? Diabetes & Diet If you are new to living with diabetes (or you've lived with diabetes for years and you are looking for information), you've likely heard a lot about food and how it can affect your blood sugar. Your favorite Aunt might have lovingly told you to stay away from “white” food, and your oh-so-helpful co-worker may have said to avoid “Carbohydrates” – it can lead to a lot of confusion. Food is a basic necessity of life – we need to eat – yes, WE ALL NEED TO EAT!! With the right information as well as some self-evaluation you’ll start to learn how food affects your blood sugar. However, it helps to have a place to start. There are plenty of diabetes friendly foods you should continue to eat and some that you might need to add to help keep your blood sugar levels under control. A good list to get you started will help with making a grocery trip a bit easier and give you some results that please you as well. The foods you eat have a direct effect on your blood sugar levels so eating food to help keep glucose levels in target is key when we talk about preventing complications down the road. It also helps to understand a bit about how the body works to move the food we eat into our body for energy. After eating our digestive system breaks food down into smaller pieces - the one that affects blood sugar most is carbohydrate. This is broken down into a simple form of sugar called glucose. When our body gets the signal that it has been fed, insulin is released by an [...]

Blood Sugar Checks – What Have They Done for You Lately?

By |2016-12-08T23:26:46+00:00October 13th, 2015|Thinking Like A Pancreas Blog|

By Diane Herbert MSW, LSW, CDE (pending) If you’re living with diabetes, you have been told many times and in many ways – Check your sugar, test, monitor your glucose, do your finger sticks….. You have also likely been told that this is how you learn your current glucose (sugar) level. I’m wondering how much information you’ve been given about why checking your blood sugar is helpful to you and what it means at different points in your day? Your Body at Work The pancreas and the body are truly amazing when it comes to keeping checks and balances within our systems. As far as your blood sugar goes – the pancreas and the liver perform a seamless dance to metabolize food/energy/sugar to make sure that all the other systems get just the right amount they need at just the right time when they need it. When you live with diabetes, your body’s ability to do that dance breaks down and requires that a third partner be entered into the mix – that partner is you! Your non-diabetes pancreas and liver had blood sugar management skills literally hardwired into their DNA. These are skills that we from the outside continue to only dream about matching. Effortlessly these amazing organs knew how much to adjust for exercise, when to release insulin quickly, when to dole it out slowly over hours, and how to auto-correct with a perfect shot of glucose if we added a late variable to the mix (say going on a roller coaster after eating pizza). Now living with diabetes – that balancing act largely rests on you to perform manually. How can you hope to be able to return to the smooth, graceful [...]