I have long complained about the Medtronic Continuous Glucose Monitor (CGM), but for a little while, I had made peace with the sucker because I had entered some sort of CGM zen in which I could use a single sensor for two weeks, and in a couple of cases, nearly a month. It was amazing. Two boxes lasted so long that the last few actually expired.
With longevity like that, I could overlook the inaccuracies and idiosyncrasies of the Medtronic sensor as compared to the Dexcom. It hurts like hell, but if I only need to harpoon myself once every three weeks, whatever!
But then it stopped. Two boxes of magic sensors, and now I can get maybe 7 days, if I’m lucky. Back to where I started. Shit.
And so, I find my mind wandering. I think of that Omnipod rep I see everywhere in San Diego (John? Josh? I’ve got his business card somewhere…), and his promise of a new Omnipod and a new Dexcom sometime this year. Hmm. And I start searching for images and press releases (sensor porn?).
Looks like the new Dexcom is hoped for sometime this year. More accurate, better, blah blah– what really gets me is that they ditched that stupid egg-shaped sensor, and are going with a slimmer, boxier one. Thank goodness. Who would ever design a giant, black, egg-shaped receiver? Do you know of any popular consumer electronic devices that are egg-shaped?
Medtronic has been promising a new, better sensor for a while now, but, well, I won’t wait forever. My patience has expired.
If I switch to the Dexcom sensor, though, why bother sticking with the Medtronic pump? I have used a Medtronic pump since I started pumping in 2005, when the only choices offered by Kaiser were Medtronic and Animas, and I kept with the Medtronic so I could have the integrated CGM and pump. But the pump itself is very utilitarian. If I get a new CGM– do I want a new pump, too? Which one?
The Tandem t:slim is the hot new kid on the block. But then I’m carrying around two receivers, for the Dexcom and the t:slim, plus a meter. And the slick black screen is cool, and the iPhone-ish design is a big step forward… but it’s still not that small. I mean, neat, yeah, but not like, “Oh wow, I’m going to go through all the trouble of arguing Kaiser should cover this” neat.
I like the Omnipod in theory. A patch pump, with a purse-able receiver is an attractive idea. And I admit I’m a sucker for their marketing approach– “We are the pump of diabetic athletes!” they seem to say, and I find myself thinking, “Well, maybe if I had that pump, I would be a diabetic athlete!” But then when I look at the pump– it’s still kind of big. That’s a big lump to have attached to my arm or torso or whatever. The new one (this summer?) is going to be smaller… but only by a third, which is still not the svelte nubbin I was hoping for.
The real question for me is, given the weight and size of the pod, how much shear stress can it take before it comes off? The Omnipod seems popular among kids, which is promising– kids probably go through way more wear and tear than I do. But I see kids with the pods strapped on or otherwise doubly-adhered. Do I have to? How often am I going to have to deal with a pod that’s fallen off due to jostling and sweating? And, okay, let me just be direct: how much sex does it take to un-adhere an Omnipod?
When I saw the Cellnovo last year at the American Diabetes Association conference, I thought that was a sexy pump. I totally want that. But there’s the whole FDA issue there. Darn.
Recommendations? Advice? Votes? Any insulin pump reps out there want to make a case?