My experience trying to order the Dexcom CGM, however, was painful. I can’t afford to change to Dexcom, although I would like to try their system, so I will return to Libre. (Already on the market for a few years, the MiniMed 670G Insulin Pump System is a hybrid closed-loop system, meaning that it can automatically adjust certain features of its insulin delivery based on CGM readings. Dexcom’s latest and greatest, the G5, features a transmitter that sends data directly to either a handheld receiver or a mobile phone. I’m on the phone with Medtronic way too often. I was starting to re-evaluate my pump choice too- especially in light of the MINIMED 670G SYSTEM’s FDA approval. As well, its important to note all the sensor issues they’ve had during 2016. She is on the OmniPod so we can't get an integrated sensor. They first signed on Insulet a… Accuracy is best measured by looking at MARD – Mean Absolute RElative Difference. I wore it on my arm, and it was not discrete. 4. Insulin pump technology may be used as an alternative to multiple daily insulin injections for people with diabetes. Most people are willing to put up with some minor inconveniences if the system generates reliable data on a consistent basis. Clarity eliminates many of the reporting options and customization features that were popular with Studio. Of course, the day I ordered the Tandem, Medtronic called to try to convince me to stay. I recently took advantage of a free upgrade to a Minimed 670G with the integrated Guardian CGM system. I am ready to update or change my CMG system. 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. I especially look forward to the, Continuous Glucose Monitor: Dexcom vs Medtronic, Afrezza – One Diabetics Rocky Road to Better Control, Additional Notes: Dexcom vs Medtronic CGM, Additional Notes: Dexcom vs Medtronic CGM - myMusings. 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”. Hi Nicole, good news is on the horizon. The average price target of $125.90 reflects an upside potential of 10.7% in the months ahead.Dexcom (DXCM)Dexcom produces continuous glucose monitoring (or CGM… Thus, I would need to repurchase hardware for something that is clearly a technical issue. Medtronic’s CGM has a lot of moving parts: finicky transmitters, a multitude of error messages, a lengthy/detailed sensor insertion process and a variety of issues that can impact sensor function and accuracy. Dexcom’s download software has some nice features, such as the ability to segment data by day of the week and customize analysis dates. That never happened when I was on the Dexcom system. When reviewing this information, keep in mind that sensor accuracy is best measured in relation to LAB values, not blood glucose meter values. It has been done for years if u stop paying for it the price will come down. Before that, I used the Minimed CGM with my Minimed pump for about two and a half years, so I come to the Dexcom not as a new user or a familiar user, but as an experienced user with allegiance to another manufacturer. I spent the last two years using a Dexcom CGM (G4) and really liked it. The alarms are annoying at night, waking you and your partner. The Dexcom G6 CGM can communicate with a variety of devices, such as the Tandem t:slim X2 insulin pump and certain fitness trackers.) This sensor is NOT impacted by acetaminophen! Medtronic’s Carelink software is web-based, works on virtually all operating systems, is easy to share with healthcare providers, integrates sensor data with pump and meter data, and generates reports that do a super job of revealing post-meal patterns. When the Medtronic CGM says you are 80 and you are really 50 that means the auto suspended won’t kick in and Medtronic CGM will tell the pump to kill you with an overdose of insulin. Just my take on this matter. How does the t:slim X2 insulin pump work with Dexcom G6 CGM? After 3 great years and 1 really bad year, I’m going to spend money elsewhere. there’s something to be said for a system that doesn’t leave a lot to chance. However, Dexcom Studio software does not work on Mac systems or integrate with data from an y pumps or meters. A positive aspect of the Medtronic 640G is that the Contour Next Link Blood Glucose Meter communicates with the pump, which makes calibrating the CGM an extremely simple process. My pump warranty expired in December 2016, but I’m still on the fence about the 670G. There were some interesting accuracy patterns related to day of Sensor use. Dexcom’s G5 Mobile App displays data on the phone and generates the various alerts; Dexcom’s Clarity App generates reports for retrospective analysis. Alarms on the Dexcom are strong and simple. Now mine. 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. I can’t get my t:slim X2 pump to stay connected to my Dexcom transmitter. I have to say that after a month of using the new Minimed – it’s a nightmare. I do this be reviewing the rate or slope of the data. "I think those two are going to be a duopoly here over the next five years." My final A1C with that system and using a Minimed 630 pump manually (they don’t link) was a 6.5. Resetting device does not fix the situation and technical support said I’ve passed the 12 month window. They are persistent, which I guess is good on a medical device, but I wish I could turn some off. You can call Medtronic and talk to a person who can answer questions, you can order a device, and the process of getting a replacement device takes very little effort. An insulin pump delivers precise doses of rapid-acting insulin through a cannula 24 hours a day, to match your body’s needs. The Dexcom also has an iPhone app, but the Share feature was not included on the clinical device I tested. Here is the most important piece. Last week, I had sensor issues in the middle of the night and so had to remove the sensor and relplace it – the replacement failed as well (probaly due to it being the middle of the night and I desperatley needed my sleep and so may have been too quick explore trouble-shooting options). • New automated closed-loop systems promise better control with less “mental burden”. Learn how your comment data is processed. There is a significant difference in transmitters. Today, for those of you who might want to know more, he goes a bit more in-depth, explaining the roles of the sensor, transmitter and insulin pump in the system. However, that doesn’t mean the sensors. The. For me it is like buying a car. Medtronic’s transmitter must be separated from the sensor and charged at least every six days. Feeling mightily fed up! Thank you for the comparison info! This includes esoteric ISIG calculations to simply testing and waiting and testing and waiting until the sensor figures things out. I agree Connie and John – I also use Medtronics CGM and it has helped me catch lows and suspend the pump before lows. I have talked with most of the tech support staff and each one gives me different “trick” to try and fool the sensor into working. The cell phone was needed for both systems. The g5 is terrible and keeps disconnecting for no reason and is very inaccurate. Medtronic’s radio transmitter contains a memory chip that stores up to 40 minutes of data and submits i to the receiver in case the receiver was out of transmission range. Great article – Hoping either the Abbott or Medtronic devices are better. First, CGMs are not devices intended for taking actions/treatments from the glucose values/readins — only blood glucose values readings are take as an accurrate value/reading. 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). MiniMed™ 670G system includes our newest and most advanced CGM, the Guardian™ Sensor 3 and the Guardian™ Link 3 transmitter. The sites were prepared appropriately and rotated consistently. I also found it was more uncomfortable to wear than the Enlite. Dexcom continues to be very simple to use. It uses the Enlite sensor. Any new information on either Dexcom or Medtronic – 2018 information out there? 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). 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. Other than that, I followed all of the rules and regs that each company provides in its Instructions for Use. The 530G pump (in the United States) ceases basal insulin delivery when glucose levels drop below a user-defined threshold. It is also a problem if you lay on the side that the sensor is on. As current users of Medtronic pumps know, Medtronic makes incredibly robust and reliable pump hardware. I also avoided using acetaminophen (the pain reliever found in Tylenol products), as both sensors can produce falsely elevated readings when exposed to acetaminophen. Case-in-point: I do a lot of traveling, so I decided to count up how many items I had to take with me to maintain my Dexcom G5 compared to the Medtronic Enlite (both using the respective mobile apps). The Dexcom G5 was approved in early 2017 to be accurate enough to replace finger sticks for dosing calculations after day 1 of use. (for some reason, they skipped 505 when naming their various pumps). The Medtronic CGM is NOT certified so you still always need to do a finger poke prior giving a bolus insulin dose. CGM accuracy continues to improve, but both systems still underestimate glucose levels overall. Combining an insulin pump with CGM allows your pump to adjust your insulin based on your CGM readings. Gary is certified to train on all models of insulin pumps, continuous glucose monitors and hybrid closed loop systems, and has personally used every system that is currently on the market. I continued to use my Dexcom next to my Medtronic CGM for a month just to compare them, and because I didn’t trust the Medtronic CGM, and I was right to do so. 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. UnfortunatelyI ‘broke up’ with my Dexcom G5 because I thought the Medtronic 670G would be a simpler system and would ultimately help me stay in my target range more. The company shipped me new ones because of technical problems (per the tech) and it took two months for the devices to arrive. Gary, not difficult to figure out your bias. I live in the greater Denver area, and love to write. Keeping with common practice, I wore each sensor for as long as it was functioning and performing reasonably well. 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. and more good on the dexcom! Access via insurance coverage and professional loaner systems has grown exponentially, yet less than 20% of those eligible for CGM are currently using them. Thank you so much this is an excellent report, I really appreciate all of the hard work. MiniMed™ 670G Insulin Pump and CGM system. It does not display any CGM data. But, given that not many of us have a fully equipped lab to tote around all day, the best we can do is evaluate the systems based on how they compared to our handy-dandy meters. (USA) 877-735-3648. Although you only have to do 1 test every 12 hours, it does not hurt to calibrate more often. Dexcom has submitted their G6 sensor for approval by the FDA with projection to be on the market in mid 2018. I was stressing about whether I needed to switch to Medtronic bc I mistakenly thought that Dexcom was alone in its contraindication with Tylenol. The systems have improved in terms of accuracy, features and ease of use, but the main players remain the same (Medtronic and Dexcom). 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). I was skeptical about spending the extra money (which we didn’t really have) to have another device attached to me… 11.5 months later, i’m now using the Dexcom G6 and this is my personal review.. What Is a G6? With regard to the G5 mobile app – it gets a C+ rating at best. My best guess is that Medtronic copyrighted every other number below 1000. Last time you heard from Dr. Mastrototaro, he gave the short description of how Medtronic’s integrated CGM works. But the gap is narrowing. Dexcom G6 CGM System Support Categories. 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 G4 transmitter tends to last 9-12 months and the G5 transmitter lasts 3 months. Bottom line: Today I’m asking for a return authorization for my unopened boxes of Minimed Guardian sensors and will return to Dexcom. As someone who can not use NSAIDs I am very much looking forward tot his, and many other upgrades the G6 sensor will provide. There are very few steps, and the steps are all very logical. I would love an updated comparison now that Dex Has partnered with another company and has an integrated pump. I recently tried the Dexcom G4 Platinum continuous glucose monitor for a week. Post was not sent - check your email addresses! The Medtronic likes calibrations. Why call it 505? We are looking to get my 6 year old daughter a CGM to help us trend her blood sugar better and tweak her pump settings. They are not yet FDA approved in the US,(we have to have a friend in England order them and ship them over), but in trials right now. Between the finger-stick hell and gross inaccuracies that are the Minimed system, I can’t take it anymore. When I go back to insulin delivery with the pump, I will lean towards the Medtronic. The charts are clear, they give you an estimated A1C after 14 days worth of data, and give you clear trends. The Medtronic 530G System is an insulin pump with integrated Continuous Glucose Monitor built-in. Not needing insulin delivery, I lean towards the Dexcom at the moment. Also have to say that the customer support is great and they will replace any faulty sensors not questions asked. Getting the Medtronic back in sync is useless at that point. An insulin pump that is CGM capable means that you can see and track your glucose levels. Medtronic held an investor meeting earlier this week, which included a presentation on the company’s diabetes device pipeline – including CGM, apps, and its next-gen closed plans. Data may be shared with several “followers” and the alerts are fully customization. Note that these MARDs are higher than what is seen when using LAB values for calibration purposes. Once I figured out when it was ok to re-calibrate, the Dexcom adjusted to the new setting immediately. so i got approved by my insurance for a medtronic pump i get it on monday!! Medtronic sensors appear to fall off a cliff accuracy-wise when used beyond six days. The Medtronic likes calibrations. This doesn’t even touch on Medicare, which continues to sit idly by with its head up its proverbial butt while older Americans suffer needlessly from dangerous glucose swings. Russian and Ukrainian culture expert and political muser. But, Dexcom has much less need for such a feature. He also talks about what goes on in the pump to calibrate that sensor. • Pump therapy, CGM, and pump-CGM therapy facilitate the treatment of type 1 diabetes and can improve glycemic control and reduce hypoglycemia. As a compatible data extraction tool, it also allows HCPs to upload patient data to Dexcom CLARITY for use in more comprehensive reports. The 640G screen has similar quality to Dexcom. So far it has cost me just short of $300. 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. As the saying goes, “If something can go wrong, it probably will”. I also tried both, as I am an offshore sailor/ long distance runner/ old guy, but I decided on Medtronics, not because of the product, but how they handled their customers. Stay far far away from the Medtronic sensor…This sensor is a piece of CR–. If this was a boxing match, it would probably be a split decision in favor of Dexcom. Dexcom’s transmitter never requires charging. Support wise, Medtronic has Dexcom beat hands down. He speaks at local, national and international conferences on a multitude of topics in diabetes care. Additionally, the Minimed sensor, which only last a week (I could get three from the Dexcom sensors) are frequently WAY off – in numerous cases by more than 100 mg/dl. Below Calibration: 62% 64%, Above Calibration: 37% 35%, Exact Match: 1% 1%. Do I understand that there are times that even if you are in a meeting at work, at church, or whatever, the pump/cgm … As a Medtronic pump user for over 9 years and CGM user for 5 years, I’d take the customizable alert alarms and alicia downs December 6, 2017 at 6:15 pm - Reply The Dexcom G5 was approved in early 2017 to be accurate enough to replace finger sticks for dosing calculations after day 1 of use. But Abbott and Dexcom are "clearly the two lead horses," Blicker said. Editor's note: This article was updated on January 8th, 2019. Not needing insulin delivery, I lean towards the Dexcom at the moment. My pump is due for replacement so id like medtronic information but nobody calls me back. Love love love my Medtronic 640g with Enlite sensors. The 640G’s “Smartguard” feature temporarily suspends basal delivery when hypoglycemia is approaching. G6 is the name of the latest Dexcom Continuous Glucose Monitor (CGM) system. Medtronic takes things another important step: automated therapy adjustments. My daughter uses a Medtronic 670G insulin pump and I understand there is a Medtronic CGM that will communicate with this pump to automatically adjust insulin dose based upon the CGM reading. Dexcom pioneered this feature with its SHARE component (available on the G5 and later-model G4 systems). These companies are becoming multimillionaire on sick peoples money.don’t say you can’t manage it without a cgm. G5, as well as G4 Platinum, utilizes Dexcom’s up-to-date 505 algorithm for translating subcutaneous electrical impulses into glucose values. The Enlite becomes accurate after 2 or 3 calibrations, and the Dexcom takes about 2 days before it is stable. Wish I had the G4 device to this day. Abbott and Dexcom aren't alone in recognizing the opportunity in CGM; incumbent Medtronic and startup Senseonics are among the medtechs, large and small, also seeking a slice of the market. When I go back to insulin delivery with the pump, I will lean towards the Medtronic. Enter your email address to subscribe to this blog and receive notifications of new posts by email. I want so badly to find a new supplier! I use the Minimed Connect option (a separate key chain device) to send data from the pump to my iPhone. The guy who called simply filled out the web form information and said he would pass it on to “sales.” When I finally heard from sales, they passed me on to a distributor who will have to call me “sometime next week, probably.” I have never had this problem with Medtronic. Any advice would be appreciated. The signal will be lost and it will generate alarms to let you know. Charger for Transmitter (AAA battery included), Customized overtape (above sensor, below transmitter), Larger overtape (above sensor and transmitter), Connect device (for transmitting data from pump to phone app). I have used the Medtronic 530G insulin pump with Enlite CGM sensors for 3 years. I have moved to using only the G5 receiver device for monitoring the past few months. The main purpose for CGMs is to track real time data – to be alerted of potential problems ( for me lows). My daughter has finally decided to give the CGM a try and the Dexcom was recommended. So please remove all comparison statements regarding accuracy! I believe my Medtronic training was great and they continue to give more learning tips. Type 1 Diabetes and healthcare advocate. I had to tote 10 items to manage my Medtronic sensor changes, but only 3 for Dexcom (see list and photo below). While Dexcom maintained its accuracy from week one to week two, Medtronic’s accuracy took a major dive when the sensor was used beyond its “approved” six days. thanks, Here’s our run down on the 2 CGM options available https://integrateddiabetes.com/choosing-a-cgm-3-heads-are-better-than-one/. Thanks! The Carelink cloud software is difficult to upload to, and if you upgrade to a new computer, browser, or operating system, well… good luck. The Enlite will complain about calibration errors if an input value is off from what the sensor reads by more than about 40 points. This point you missed; CGM training from the manufacturer. Medtronic hopes to launch at least 10 products over the next two years: new CGM and apps, 670G pump with Bluetooth, AI, and more! In 1947 I did not even have a glucometer to test my sugar. The bottom line is this: Medtronic still isn’t up to par with Dexcom when it comes to accuracy. I’m using a Medtronic Paradigm pump and Dexcom CGM. However, insertion of Dexcom is a simpler process requiring fewer steps and less equipment. I like that the 530G is one integrated device for pump and CGM. Dexcom CGM transmitters can only be paired with one medical device (either a Dexcom receiver or t:slim X2™ insulin pump) and one consumer device (phone or tablet) at the same time. Sorry, your blog cannot share posts by email. The sensors were stored properly and placed in appropriate/adjacent sites. They do not pair with a pump, but they are good for 14 days and require no fingerstick calibration. Being the fair and impartial (ahem) guy that I am, I spent the past eight weeks putting each company’s latest system to a head-to-head test. I want you back Dex! The first two calibrations of the Medtronic CGM should be done 2 hours apart, but you can shorten it to 15-20 minutes apart and the sensor will stabilize. Don’t let anyone ever tell you accuracy is not important. Poor Bluetooth connection with the iPhone and constantly miscalibrated. As is the Libre by Abbott, and closed loop suystems depends on this accuracy to make constant dosing adjustments. You do have to figure out what drivers to install, and despite them not telling you so, you must reboot your computer before you can upload data. Dexcom’s poor performance and customer service has gotten the best of me. I had a Medtronic pump for close to 20 years and their cgms from 2008-2014. The vibrate is strong, and I sleep with it in my pillow case to not wake my wife. I have been a Dexcom user for years. Any and every time one computer is giving another computer instructions accuracy is important. I will not get into technical differences, just observations. I wish I read this before getting the 630g. The G4 was great and never had issues. Other than learning the sensor insertion (which requires a bit of dexterity) and setting up the mobile app, everything about it is simple. An award-winning Certified Diabetes Educator, Masters-level Exercise Physiologist and person with type-1 diabetes since 1985, Gary Scheiner has dedicated his professional life to improving the lives of people with insulin-dependent diabetes. Even when my insurance stopped paying and I had to use expired donated sensors, they worked perfectly. The 640G pump (in Europe) takes things a step further by temporarily turning off basal insulin delivery when hypoglycemia is anticipated — thereby preventing the low rather than waiting until it has already occurred. Great review. 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. Here, I am only reviewing the 530G with Enlite sensor and Dexcom G4 Platinum for continuous glucose monitoring. I can’t take anymore of dexcom mistakes. As such, I cannot really compare the two. so i know they do but i seen alot of Bad reviews on the medtronic CGM's!! Dexcom continues to provide a more accurate, user-friendly system, but Medtronic is a step ahead when it comes to data analysis/reporting and integration with automated insulin delivery. Ive heard that medtronic CGM is now covered by medicare. I filled out a web form, and waited a week for someone to call me back. As an independent company, Dexcom has done a decent job of “integrating” with a number of devices, including insulin pumps (Animas Vibe, Tandem t:slim G4), cell phones, and smart watches (Apple Watch and Pebble). He was named 2014 Diabetes Educator of the year by the American Association of Diabetes Educators. The display on the Medtronic 530G is relatively small, monochromatic (black and white), and low-contrast. However, in all cases, integration only replaces the traditional Dexcom receiver with the display of data on these other devices. The pump reads data from the sensor, but the working distance between them is only about 4 feet before the signal is lost. Also, both Dexcom and Abbott CGMs are FDA certified to provide BG reads that can be used for insulin dosing. Our endocrinologist told us to look at the Dexcom and the Medtronic Paradigm. Simultaneous calibrations were performed two to four times daily prior to meals, when glucose levels were in a relatively steady state. Having just experienced six out of eight Medtronic sensors not performing and/or telling me to replace them prematurely, I am so disillusioned with the Medtronic system. Accuracy is a matter of life and death. The are incompetent. I was an early adopter of the Paradigm in 2006, Medtronic’s first integrated pump and Continuous Glucose Monitor. This represents the difference between fingerstick meter values and sensor glucose values, so a lower MARD is better. 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