I've narrowed down my choices to two, the medtronic paradigm and the one touch ping
My background: been a type 1 diabetic for 16 years and I had a medtronic pump about 14 years back for about a year. I loved the control I had when using the pump but w/o insurance, the supplies just got too expensive for my parents.
I work as a programmer all day long and one of the biggest things I want is to be able to bolus discreetly. I was really intrigued with the one touch ping's meter remote but after getting a demo from one of their reps, I saw the meter itself and it felt like i was downgrading my meter (I just recently switched to a verio IQ about 9 months back and have love love loved it!). After telling this to the rep, she told me that she heard that animas's next pump was going to most likely use the verio IQ (I took this with a grain of salt because I know she really wants me to commit though I hope this to be true).
Given that, if I want to keep using the verio IQ, the one touch ping's meter remote kinda loses it's advantage (reluctant to carry two meters around though it's not out of the question).
The minus with the one touch ping for me was the 200 unit reservoir. I currently consume about 80-100 units of insulin daily (40 lantus, 40-60 apidra as needed). Given that, it'd throw the cycle of changing equipment out of sync. Every 3 days for the infusion set (from what I was told) and about every 2 days for the reservoir. The paradigm has a 300 unit reservoir as you know which is signifcantly bigger. Has anyone been in a similar situation and if so, do you eventually get used to the changes being out of sync?
Otherwise, the rest of the features seem about the same for me. I do like the one touch ping being water proof but it's not a deal breaker. I figure if I can keep my cell phone dry, i can do the same with my pump.
Any help/advice would be greatly appreciated! :)
I chose the Medtronic for the larger reservoir. The funny thing is that after I started pumping my TDD dropped low enough that a Ping would work for me. Not saying that would be the case for you. I probably would have still chosen the MiniMed and I like the Contour Next link meter that came with it. Haven't used the Verio so I can't compare.
First of all please know you cannot go wrong. I really like my medtronic and would choose it again in a heart beat. Now i have never had the alternatives, but they are fine I am told and I would suggest talking to or trying both and then making the decision.
hmm i wonder if i can test drive them both. That would be a huge help. The one touch ping representative did tell me that when i start on the pump, they usually start me at 20% less insulin then my current daily intake. so that'd be roughly 64-80 units a day. If it's around 70, then I might be able to get away with a 3rd day.
I use MM, but last year wanted to check out the Animas Ping. I met with the local rep for a demo, and she let me keep it for a couple days, although not with insulin. It gave me more time to play with the pump and meter-remote menu.
You should definitely try to get hands-on with both.
Personally, I felt the menus on Animas Ping to be more 'button pressing', and annoying, since I was used to the MM menus. So I decided to stick with MM.
The Animas Vibe is awaiting FDA approval, and from what I've seen online (UK), the menus will be easier, and more like MM. If you get Ping, there will be an upgrade available once the Vibe is FDA approved. The Vibe will not have meter remote, and could be used with or without integration with Dexcom CGMS. But reps can't talk about it yet, due to pending FDA.
Also, keep in mind that a 200 unit reservoir will likely only have 175-185 once filled and tubing is primed. Most folks will refill when it gets down to 10-20, and more likely to change at home / a convenient time and not let it 'run dry'. But I agree, you will likely take less on the pump than what you're doing now.
If you are taking large bolus, another thing to consider is the speed. I have heard the Animas Ping will deliver bolus faster than MM.
I don't think the Paradigm is available any more as it's been replaced by the Revel pumps, at least in the USA, and the Veo, in more civilized, FDA-free countries.
The Revel isn't too much different but has some extra alerts w/ the CGM interface that can be handy. I think the Medtronics also have a meter remote option but I've never used it. I like Medtronic a lot but haven't ever played with the other flavors. You don't have to use the meter that comes with the pump, there's a "manual" mode that you can use to input the numbers without the "beaming" feature. When I first got my pump, I thought it was really cool and was sort of bummed to get the CGM, which= back to manual mode but now I don't even think anything of it. I know the Verio has data features. I had a One Touch Ultra Smart a few years ago that also had those but the Medtronic Carelink reports are pretty detailed and I've found them to be both tactically and strategically useful for working to beat up diabetes and recommend them too although, again, I haven't seen anything from the Pings. Good luck with your search!! If you can d/l manuals online, they might help evaluate using it but I've found those will have like 20 pages about changing sites vs. 10 pages on actually using the sucker. There's no substitute for going live!
Unfortunately my insurance won't cover a session with the diabetes educator through my endo's office. They claim since they offer diabetes education they won't pay for the session :/
I'm kind of leaning in that direction. For those in the knowing, if I currently take 40 units lantus and about 40-60 units apidra, what does that translate to roughly with a pump?
You often start with about a 25% reduction in basal, but it changes for everyone after you tweak doses. I was on 16 on shots and now am on 12, so that figure held. My I:C ratios didn't really change when I went on a pump. Also you must remember that everytime you prime you lose about 17-20 units.
While googling around, I came across this video which provided some more information:
I think I'm going to go with the medtronic. Thank you all for the advice, every bit of it helped and it also helped just to write out my thoughts on the pumps. The reason I decided on the medtronic is:
looks like it's easier to debubble the reservoir
the option to be able to add the CGM as needed
I will miss not having it be water proof but since it'll be covered by a warranty, I'm sure I'll be able to adapt.
I am also a MM paradigm user. I love it. As far as discretion goes, I wear it in my pocket, can pull it out under a table, input a bolus, and back in the pocket. Testing the blood glucose is less discrete as far as I am concerned. The Carelink feature is also a helpful tool--you can download data from the pump to review or take to the doc.
It is easy to use, pretty self explanatory, and I have been happy with it. Check with your salesperson--you should get a MM pump coach and you get a certainn number of hours (I seem to remember 10) that you can contatc that person for assistance. With my first pump, that was an extraordinarily helpful part of the pump. I have also had good interactions with their telephone helpline.