Eversense - Ooooops i did it again

Explantation Eversense sensor

The first three months with the Everense sensor really went by and now it was already time to "dig up" the first fellow. Excavation is actually quite good in this case, because the little beast was somehow harder to find than planned.

I almost suspected a bit in advance, because in conversations with other Eversense users, I was always a bit surprised that everyone reported that they could feel the sensor clearly with their finger. However, I have never been able to feel my sensor and during the night, when I slept on the appropriate arm, I often had disconnects and also rarely full rash in the sensor search. All an indication that the sensor is a bit too low. Well, from the announced 5 minutes of the explantation was then just under half an hour.

HOW DOES THE EXPLANTATION WORK?

In principle, the procedure is similar to the implantation. The relevant site is first stunned locally. The injected lidocaine "puffs" the tissue a little. After that, the scar is opened (by the way, I have hardly found it, because superduper heals well) and with a pair of pliers (imagine this roughly like ne big tweezers) the sensor is pulled out. That is ratzfatz. Actually.  As I said, my sensor was apparently still a little stay in my body and so the whole thing was a little hide and seek.

Shortly thought about X-raying in order to better locate the idiosyncratic nerd, but then he decided to stop by himself with the whole "Hide & Seek" and came to his feet after more than half an hour's dud. For me personally, everything is not wild. Something can happen.

NEW SENSOR - NEW LOCATION

For me was not at all a question of whether I would like to have the follow sensor in the same place, because I had chosen the place for the first sensor, unfortunately, a little too far back on the arm, so I wanted to have him this time in any case forward. Easier to reach without larger dislocations. Even if this means a new cut and thus a second scar.

The implantation was in contrast to the removal completely fix and was done almost in a jiffy. After the arm was already stunned anyway, it was just a cut and flupp in with the thing. And: this time I can feel it clearly. As always, I am absolutely convinced of the accuracy, also have some criticisms about which I will write as promised.

Disclaimer: Roche Diabetes Care Deutschland GmbH has provided the Eversense CGM system free of charge. As always, the content of the article is my own experience and opinion and is not influenced by Roche.

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Why I chose Ypsopump

After nearly 5 years with the Animas Vibe, I received a few days ago my new YpsoPump from Ypsomed from the postman in receipt. I had already posted some photos on our Facebook fanpage and there came immediately the question, why just the YpsoPump? The question is certainly right at first sight, because what do you want nowadays with a pump, which has no CGM connection and where the bolus calculator is missing. I will explain it to you all!

To one there is the emotional side. As we have already reported here several times, we have been involved in the development of the pump for over 4 years and therefore it was clear that I would like to wear the pump some time. But of course this has not been decisive. Here are my reasons for choosing the YpsoPump:

• The size! This pump is small and is well in the hand.
• The menu is 100% icon based and comes without font. 
• Touch screen
• Pre-filled ampoules
• Future-oriented: I am a fan of the fact that I can control everything in the future in my iPhone. Already, I have my Dexcom G5 CGM data on the iPhone and I think of Ypsomed that they see the same. I am 100% sure that I can use the pump at any time via an app. When this is going to happen, I can not say I hope as soon as possible. So I then have everything on the iPhone, pump control, CGM data, mySugr, Diasend as evaluation tool. If everything is still linked together, perfect. 
• The clear and straightforward design, almost a little Swedish. 

Some will now say, "You can do almost everything with other pump manufacturers such as Medtronic or Animas?" That is true and if the YpsoPump was not on the market, I would definitely choose one of the other pumps. But I find it simply good and remarkable and gladly supports a manufacturer of us diabetics cooperates and that our opinion also finds hearing. There was no such thing as Dato yet.

What do you think about it? Can you understand my reasons? Finally, a few photos of the unpacking of the pump below.

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Eversense - A new CGM of the future?

In Milan the ATTD we were able to take a little look at it, now in Hohenkammern Roche Media Dialogue Social we had the opportunity to take the new CGM of Senseonics extensively examined. The Senseonics CGM system consists of a sensor, the Ever Sense Smart Transmitter and the app. Actually, everything just as in the Decom G5 is planted, only the sensor for 90 days under the skin. What I found pretty cool at first, is then no longer so after several thoughts. The sensor must, of course, after 90 days also get out and that is currently always associated with a small "operation" and thus with a small scar. Although there are already running trials that the sensor may be 180 days in but I think this will take.

The transmitter is a small square box, which still big comes along a little. It needs to be charged, what I would not be disturbing because it characterized the same can renew his patch, which the transmitter is attached to the body every day for about 15 minutes. What I can not understand why the transmitter is not waterproof. On request, the argument was put that one indeed has a mini-USB port on the transmitter.., what !? The GoPro Hero Session camera also has a mini-USB interface and is also 10m Waterproof, so the argument does not apply to me. As already mentioned, the transmitter means of a will patch on the upper arm mounted just above the sensor. This has the following background, supplied to us by the transmitter of the sensor with power and the second, the data via NFC will be sent to the transmitter.

The whole is then sent via Bluetooth to the dedicated app. Unfortunately I could not test the App right, but on the first impression she made a very good figure, what I have seen so.

My conclusion is rather mixed, because I both good find when new technology comes on the market, but then I think to myself every time "Why the engineers do not think it through and ask, for diabetics how to build a device so that it the diabetics also helps..!? " 

Why is not the transmitter waterproof? Especially athletes use a CGM and if that is not waterproof, it brings the athlete nothing. Do I want to 4x a year go under the knife to be removed to my sensor from the upper arm? Yet I see no added value to a Dexcom or Enlite. It's a great approach, but was running in my opinion far moderate. I am excited about what the future holds,

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It is colorful - new patch pump from Kaleido

After the myLife Omnipod previously was the only patch pump on the insulin pump market, this now seems to have company. At the EASD the Kaleido patch pump is currently presented. Let's inject some color, so the slogan of Kaleido. The Dutch manufacturer relies on Color and metallic design. I personally like to talk quite well. The Kaleido patch pump remembers at least not equal to a medical product and is available pretty much every color of the rainbow. Or will be available. Supposedly it is first launched next year in the Netherlands and UK, then in Germany.

The reservoir of the pump holds 200 units of insulin, the pump itself is obtained with a battery "alive". The battery lasts however allegedly only 2 days, so confirmed at least the two Kaleido-staff, with whom I spoke at the booth at the EASD in Stockholm. The dimensions of the pump be 12mm x 35mm x 50mm.

Patch Pump

Once the battery is empty, is (logically with full battery) changed to a 2. pump. However, it is not recommended to the stöpseln Unopened reservoir of the first pump in the alternating pump. I personally find quite a waste. If the matter of the 2 days true battery life, I would consume a maximum of 100 insulin units and must carry the rest in the bin. Seriously? Well, but between "Recommended" and "I'll do it just" is well known, not so much 😉

The charging time of a battery is approximately 2 hours.

The Kaleido patch pump consists of three units, as once already Cellnovo (Where is the actually ???). The pump itself (pump + AC) with reservoir, the catheter and the handset (remote control). The pump is fixed with a patch and a thereon Velcro on the body. Means that you can remove the Kaleido patch pump when required, for example for the sauna. At first glance it all looks but somehow a little shaky.

Patch Pump

The remote control has compared to the PDM of Omnipods well ahead. Flat, narrow, modern. Looks similar to an iPod and the service is super easy. Unfortunately, the Kaleido patch pump has no "emergency button" to insulin delivery if you've forgotten the remote control or for certain reasons, such as for sports, not necessarily want to carry around.

So completely I'm still not sure what to make of the newcomer, at least optically pure I was not entirely averse. Unfortunately, the look is in a device, which me daily alive probably gets more second only to the functionality.

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3 days with the 640G - The end of an era Nutella?

I'm a little in love. And it was almost love at first sight. Last weekend I had a few other eigeladen and Medtronic insulin pump support to Medtronic Meerbusch to accept the new MiniMed 640G under the microscope and of course to test also.

I must admit, I have a purely external love with me right away, but eventually yes count the inner values. This is not a detailed review, but actually more of a spontaneous cry of enthusiasm, particularly relating to the new feature, namely the SmartGuard.

SmartGuard? SmartGuard: Based on your with the Enlite sensor measured glucose values ​​SmartGuard® can calculate 30 minutes in advance, when you are approaching a low blood sugar and stop insulin delivery then automatically. When your glucose levels are stabilized SmartGuard automatically takes insulin delivery on again.

What first sounds a bit like science fiction, really works. That I was able to test the first night with the pump. In the evening there was a relaxed atmosphere in a few drinks. Alcohol usually ends with me in a nasty nasty Hypo. Not because I did not know how to handle the matter of the sugar, pump and alcohol, but simply because I often forget the basal rate to change accordingly. And so evenings where there is alcohol, mostly nights with several blood sugar checks and Freßorgien.

MiniMed 640G unboxing

But not that night. Thanks SmartGuard the pump has time stopped insulin delivery and let me sleep through hypo free. Hello There? How cool is if you please? At first, it makes a little nervous when the pump announces that they now first stops insulin delivery, but it will be sure to get used quickly, especially if you realize that it works. Of course, this does not mean that it is possible to avoid any Hypo with the SmartGuard, because that of course greatly depends on how much insulin as still "on board" is.

Those who do not just mercilessly miscalculated in carbohydrates and injected vast amounts of insulin, which the SmartGuard can certainly help his hypos reduce a good deal.

Personally, I'm excited to see how the case is in sports and am looking forward on further testing.

If that actually everything still works so wonderful, I will definitely miss my Nutella orgies and the jelly beans beside my bed to eke out a lonely existence and eventually shrivel like dried fruit miserably.

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Insulin ... If not now, then when?

When Open Journal meeting in Taunus, I noticed that the "splash" absolutely were outnumbered among the participants. I play so long ago with the idea of ​​switching to the pump, but somehow I could not bring myself to struggle through the issue really tackle.

DC on Monday after the weekend in Hofgut Georgenthal I am informed about the current pump models. For me actually just 2 pump models are suitable. Either the Accu Chek Combo by Roche that the Ilka has, or the Medtronic VEO 754. All I've been reading about the insulin pump has convinced me. Let's see how I decide if I think both times in his hands.

Today me Medicum Hamburg has recalled and we immediately agreed an appointment for a trial basis. Before the various pump models are imagined. After talking I get the Accu Chek Combo as Leihpumpe to familiarize myself with a pump. I'm pretty excited to see how it feels so with pump. Should I convince the trial wearing, the next steps will be discussed with my doctor. Because want to have a pump and a pump are getting two different pairs of shoes. As is known, a pump therapy is not cheap and will be approved by the whole in many cases, only with much emphasis. What did you do so for experiences with the pump application made? Were there any complications?

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Spoiled for choice of insulin pump - 5 pumps compared

Insulin selection. We often reach news, with the question of the "best" insulin pump. The best insulin pump? Is it? Honestly, I think that needs to be invented, but according to the current state of developments, I am confident that some manufacturers make straight since a large Schirtt in the right direction.

Nevertheless, the best insulin there personally for me at the moment not yet. Each insulin pump on the market has their advantages and disadvantages. This is like the handle in the bag gummy. All are good, but so have their gustatory advantages and disadvantages. The white, for example, I do not get down with a hypo. It is similar with the insulin pump. What has the one that has that others do not. For the other then what, what one has not. This makes the decision easier, of course not.

Especially people who have never worn an insulin pump, have probably when deciding especially hard because they have not really compare it to.

Should I decide exactly new for an insulin pump, I would first of all put me 2 questions:

Do I want a tubeless pump?

Do I want a pump with sensor support?

This can narrow down a good bit of the selection before.

I once looked at the current pump in the German market more closely and I made each thought about my personal highlights and ... what is actually the opposite of highlights? ..,.

Maybe it will help the one or the other in the decision.

Anmias Vibe

Insulin Pump

Per

CGM capability (Dexcom integration)

Color display

Available in many (trendy) colors

Contra

cumbersome menu system (pump falls beginners but probably not soooo much on)

Display difficult to read in the sun

no "Back" button (time-consuming)

MiniMed 640G

Insulin Pump

Per

CGM capability (Enlite)

SmartGuard (automatic pre-Hypo shutdown)

Bolus over possible meter (Bayer Contour Nextlink)

Pre-programmable bolus / temp. Basal rate

Display to ambient brightness adjusts

(Soon) available in 2 sizes

Contra

Sensor Duration 6 days (problematic when you're self-pay)

seems a bit clunky

Bolus only in pump, not in the meter

can not be "blind" for example, in the bag use (Easy Bolus unfortunately not so easy)

mylife Omnipod

mylife Omnipod

Per

tubeless pump

discretely

Contra

Operation / insulin delivery only possible via PDM (ie the need to always use)

only Teflon catheter possible

PDM (Personal Diabetes Manager) very big and clunky

CGM is not capable

Accu Chek Insight

Photo 28/06/15 14 39 32

Per

Porsche in design, is very high (metal back)

small, no rough edges

prefilled vials (Novo Rapid. Yep, no winding required)

can be "blind" use (Quick bolus)

rotatable display

Contra

Bolus calculator only in the remote control and not in pump

Remote acts compared to the pump as a unit of The Land Before Time

Blood sugar can not be retroactively registered in the diary in the Fernbedieung / meter

only specially manufactured for the Insight catheter usable

No CGM Integration

mylife YpsoPump (not yet on the market)

Insulin Pump

Per

prefilled vials

Mini pump (extremely small and flat)

Touch Display

Contra

No CGM Integration

no bolus calculator

While the Animas Vibe insulin pump has advertised to the German market a few years ago so that at launch, it is waterproof, now all manufacturers of the above mentioned pumps have followed suit. Note, however, that "waterproof" refers to fresh water and the depth to which the pump is waterproof, so can vary by manufacturer.

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