I was an early adopter of the Paradigm in 2006, Medtronic’s first integrated pump and Continuous Glucose Monitor. Hi Nicole, good news is on the horizon. But the gap is narrowing. Now mine. 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. So far it has cost me just short of $300. so i got approved by my insurance for a medtronic pump i get it on monday!! Medtronic’s cell phone app display does offer excellent size and contrast but requires one to carry a “connect” fob in order to send the data from the transmitter to the phone app. Once I figured out when it was ok to re-calibrate, the Dexcom adjusted to the new setting immediately. (for some reason, they skipped 505 when naming their various pumps). Extra adhesive was applied over the sensors at the first sign of loosening. Dexcom sensors appears to maintain their accuracy when used beyond 7-days. With regard to the G5 mobile app – it gets a C+ rating at best. I also found it was more uncomfortable to wear than the Enlite. I’m ordering one so I’ll let you know if I like it — I may share my data with my husband. 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. The Dexcom allows 2 consecutive calibration readings, and then you do not calibrate for 12 hours. They go off, and when you acknowledge them it is quiet for a good amount of time. Dexcom pioneered this feature with its SHARE component (available on the G5 and later-model G4 systems). I get comments from people thinking I am wearing a pager, as it is not very stylish nor discrete clipped to my belt. I have used the Medtronic 530G insulin pump with Enlite CGM sensors for 3 years. Any advice would be appreciated. The Medtronic 530G auto syncs with the Contour Next blood glucose monitor, which simplifies things. This includes esoteric ISIG calculations to simply testing and waiting and testing and waiting until the sensor figures things out. 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. Love love love my Medtronic 640g with Enlite sensors. 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. I especially look forward to the 670G pump and CGM coming out. Keeping with common practice, I wore each sensor for as long as it was functioning and performing reasonably well. My final A1C with that system and using a Minimed 630 pump manually (they don’t link) was a 6.5. (USA) 877-735-3648. It is taking them forever to send supplies that are authorized by my insurance. The G4 was great and never had issues. They released the G5 in 2015 and would say it was a little premature for the market. I have had a Medtronic pump for 25 years, but have been counting down the days until my 670G went out of warranty to I could switch to the T-slim/Tandem with Dexcom. I am married to an Eastern Ukrainian and have relatives and friends on all sides of the Russian/Ukrainian debates. The charts are clear, they give you an estimated A1C after 14 days worth of data, and give you clear trends. Although you only have to do 1 test every 12 hours, it does not hurt to calibrate more often. This point you missed; CGM training from the manufacturer. I recently took advantage of a free upgrade to a Minimed 670G with the integrated Guardian CGM system. There is a significant difference in transmitters. However, Dexcom Studio software does not work on Mac systems or integrate with data from an y pumps or meters. All Dexcom CGM displays, including those in the Dexcom receiver, phone app and linked pumps, are bright/high contrast and full-color. 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. My pump is due for replacement so id like medtronic information but nobody calls me back. Between the finger-stick hell and gross inaccuracies that are the Minimed system, I can’t take it anymore. They first signed on Insulet a… In my case, I stuck with the meters that are considered to be top-of-the-line for accuracy throughout the comparisons. I have to return every third sensor. 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). Simultaneous calibrations were performed two to four times daily prior to meals, when glucose levels were in a relatively steady state. Russian and Ukrainian culture expert and political muser. but my endo said that they dont cover CGM censors! • New automated closed-loop systems promise better control with less “mental burden”. Feeling mightily fed up! I am ready to buy my own Dexcom regardless of what my insurance tells me. Our endocrinologist told us to look at the Dexcom and the Medtronic Paradigm. The MiniMed™ 640G Insulin Pump is a sensor augmented pump (SAP) - the latest type of insulin pump that includes Continuous Glucose Monitoring (CGM) capabilities. Accuracy was horrible with Medtronic and Dexcom was always right on. Why call it 505? My experience trying to order the Dexcom CGM, however, was painful. After using the Medtronic CGM for 2 weeks I can understand why it cannot be used to determine how much insulin to dose. As such, I cannot really compare the two. Not needing insulin delivery, I lean towards the Dexcom at the moment. 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. Have constantly been working with the poor customer service department to replace either receiver or sensors because of quality issues. • Simpler and less costly CGM systems may broaden the utility of CGM to those with type 2 diabetes. Any new information on either Dexcom or Medtronic – 2018 information out there? MiniMed™ 670G system includes our newest and most advanced CGM, the Guardian™ Sensor 3 and the Guardian™ Link 3 transmitter. The. wich i know my insurance does she just lazy to check! 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. While Dexcom doesn’t communicate with any pump and doesn’t require calibrations and Medtronic guardian sensors does communicate with 670G and requires calibrations to keep its accuracy, both sensors does have its issues - connection problems, adhesive issues (both don’t stick very well on my dry skin), accuracy at the beginning and end of its life varies and the list goes on. 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). There’s no way this 670G integrated system and sensor will get me an A1C below 7. This sensor is NOT impacted by acetaminophen! However, that doesn’t mean the sensors. The cell phone was needed for both systems. New and improved software programs (plus a brilliant new book called “Practical CGM”) provide guidance on how to interpret/analyze CGM reports, yet few patients bother to look at their own data, and very few healthcare providers have the expertise to convert the reports into useful therapeutic insight to help guide their patients. I live in the greater Denver area, and love to write. I believe my Medtronic training was great and they continue to give more learning tips. The signal will be lost and it will generate alarms to let you know. The battery lasted over a week on vibrate. Here’s why: First of all, if you sleep more than six hours a night, the Minimed system WILL wake you up asking for glucose checks. Dexcom’s G5 Mobile App displays data on the phone and generates the various alerts; Dexcom’s Clarity App generates reports for retrospective analysis. 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. thanks, Here’s our run down on the 2 CGM options available https://integrateddiabetes.com/choosing-a-cgm-3-heads-are-better-than-one/. This represents the difference between fingerstick meter values and sensor glucose values, so a lower MARD is better. 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. Questions about our services? The Medtronic CGM is NOT certified so you still always need to do a finger poke prior giving a bolus insulin dose. Insulin pump technology may be used as an alternative to multiple daily insulin injections for people with diabetes. The Dexcom sensors don't work with medtronic pumps at all. 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. My daughter has finally decided to give the CGM a try and the Dexcom was recommended. When I go back to insulin delivery with the pump, I will lean towards the Medtronic. Just my take on this matter. As current users of Medtronic pumps know, Medtronic makes incredibly robust and reliable pump hardware. 4. It has been done for years if u stop paying for it the price will come down. 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. 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. There are very few steps, and the steps are all very logical. The Medtronic 530G System is an insulin pump with integrated Continuous Glucose Monitor built-in. That never happened when I was on the Dexcom system. 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. Thank you for the comparison info! I can’t afford to change to Dexcom, although I would like to try their system, so I will return to Libre. He speaks at local, national and international conferences on a multitude of topics in diabetes care. Do I understand that there are times that even if you are in a meeting at work, at church, or whatever, the pump/cgm … I wore it on my arm, and it was not discrete. There was a marked difference in accuracy when sensors were used beyond their approved days of use. 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. 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… Dexcom has no such feature. The G4 transmitter tends to last 9-12 months and the G5 transmitter lasts 3 months. The main purpose for CGMs is to track real time data – to be alerted of potential problems ( for me lows). The t:slim X2 insulin pump is integrated with the Dexcom G6 CGM, allowing you to view your CGM value, graph, and trend arrow, as well as receive any Dexcom alerts and alarm, right on your t:slim X2 pump. Thus, I would need to repurchase hardware for something that is clearly a technical issue. 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. The overall MARD for each system was as follows: Medtronic Enlite: 18.3% MARD Dexcom G4: 13.3% MARD. Poor Bluetooth connection with the iPhone and constantly miscalibrated. (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. The 640G’s “Smartguard” feature temporarily suspends basal delivery when hypoglycemia is approaching. 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. He also talks about what goes on in the pump to calibrate that sensor. This site uses Akismet to reduce spam. If this was a boxing match, it would probably be a split decision in favor of Dexcom. We’re just not there yet. 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. How does the t:slim X2 insulin pump work with Dexcom G6 CGM? The vibrate is strong, and I sleep with it in my pillow case to not wake my wife. Dexcom’s signal (radio or bluetooth) tends to pick up pretty well as long as the receiver (or phone) is within 20 feet of the transmitter. The 640G screen has similar quality to Dexcom. The pump that receives a signal from the Enlite sensor has the ability to react in an automatic fashion. 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. Support wise, Medtronic has Dexcom beat hands down. Alarms on the Dexcom are strong and simple. Both systems can beep and/or vibrate to alert the user of a potential problem and both have adjustable settings, but the vibrate mechanism on Dexcom’s receiver is considerably stronger, and it can beep much louder (when desired). You can change the alarm to vibrate, but then it vibrates every time you press a button as well as when it alarms. The Dexcom Clarity site is nice. Also have to say that the customer support is great and they will replace any faulty sensors not questions asked. Medtronic’s transmitter must be separated from the sensor and charged at least every six days. But Abbott and Dexcom are "clearly the two lead horses," Blicker said. The cost of CGM is prohibitive for me so that would be helpful. Great article – Hoping either the Abbott or Medtronic devices are better. The Medtronic signal only travels a few feet and is frequently lost even when in close proximity to the sensor. 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. 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. Of course, the day I ordered the Tandem, Medtronic called to try to convince me to stay. 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. Based on personal experience and that of our clients, I’ve found Medtronic Enlite sensors last an average of 8-10 days; Dexcom sensors last an average of 12-14. She is on the OmniPod so we can't get an integrated sensor. The bottom line is this: Medtronic still isn’t up to par with Dexcom when it comes to accuracy. Even when my insurance stopped paying and I had to use expired donated sensors, they worked perfectly. After 3 great years and 1 really bad year, I’m going to spend money elsewhere. Dexcom’s transmitter never requires charging. I’m using a Medtronic Paradigm pump and Dexcom CGM. The batteries wear out in about 3 days with vibrate on. and more good on the dexcom! The Enlite will complain about calibration errors if an input value is off from what the sensor reads by more than about 40 points. Medtronic also allows th euser to vary the alert settings by time of day – a potential value for those wanting more aggressive or fewer alerts while working or sleeping (or sleeping at work). As a compatible data extraction tool, it also allows HCPs to upload patient data to Dexcom CLARITY for use in more comprehensive reports. However, I can say that most of what I experienced reflects what I have seen among countless clients/patients who have worn the various CGM systems. An insulin pump that is CGM capable means that you can see and track your glucose levels. Dexcom’s download software has some nice features, such as the ability to segment data by day of the week and customize analysis dates. 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. 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. You put the sensor on, attach the transmitter, calibrate after 2 hours and it works. Data may be shared with several “followers” and the alerts are fully customization. Receiver device for monitoring the past few months i got approved by my insurance paying. Monday! this time, i will not get into technical differences, just observations has this! Hypoglycemia is approaching Medtronic 640g with Enlite CGM sensors for 3 years. also has an sensor. 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