{"id":2850667,"date":"2022-03-23T23:42:00","date_gmt":"2022-03-24T03:42:00","guid":{"rendered":"https:\/\/myendoconsult.com\/learn\/?p=2850667"},"modified":"2025-01-14T21:53:06","modified_gmt":"2025-01-15T03:53:06","slug":"best-insulin-pump","status":"publish","type":"post","link":"https:\/\/myendoconsult.com\/learn\/best-insulin-pump\/","title":{"rendered":"Best Insulin Pump : A Comprehensive Guide"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"3000\" height=\"1950\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Insulin-Pump-1.png\" alt=\"\" class=\"wp-image-4422879\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Insulin-Pump-1.png 3000w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Insulin-Pump-1-300x195.png 300w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Insulin-Pump-1-768x499.png 768w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Insulin-Pump-1-1536x998.png 1536w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Insulin-Pump-1-2048x1331.png 2048w\" sizes=\"auto, (max-width: 3000px) 100vw, 3000px\" \/><\/figure>\n\n\n<p><!-- \/wp:post-content --><\/p>\n<p>Insulin pumps are becoming increasingly popular as a way to manage <a href=\"https:\/\/www.myendoconsult.com\/learn\/diabetes-mellitus\/\">diabetes<\/a>, and for a good reason. Insulin pumps can provide better blood sugar control than multiple daily injections of insulin and can be much less disruptive to your life.<\/p>\n<p>If you&#8217;re considering an insulin pump, there are a few things you should know. First, insulin pumps are not for everyone. They require a significant investment of time and effort to learn how to use them properly, and they&#8217;re not right for everyone with diabetes. Second, even if an insulin pump is right for you, it&#8217;s important to understand how they work and what their limitations are. Here&#8217;s a quick overview of insulin pumps.<\/p>\n<h2 id=\"t-1680311144175\" style=\"text-align: left;\">Our Rating of the Best Insulin Pump<\/h2>\n\n<table id=\"tablepress-147\" class=\"tablepress tablepress-id-147\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><strong>Pump<\/strong><\/th><th class=\"column-2\"><strong>Sensor Integration<\/strong><\/th><th class=\"column-3\"><strong>Calibrations<\/strong><\/th><th class=\"column-4\"><strong>System Type<\/strong><\/th><th class=\"column-5\"><strong>User Interface<\/strong><\/th><th class=\"column-6\"><strong>Insulin Capacity<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><strong>Tandem t:slim X2<\/strong><\/td><td class=\"column-2\">Integrates with Dexcom G6<\/td><td class=\"column-3\">None required<\/td><td class=\"column-4\">Hybrid closed-loop<\/td><td class=\"column-5\">Touchscreen display<\/td><td class=\"column-6\">300 units<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><strong>Omnipod 5<\/strong><\/td><td class=\"column-2\">Integrates with Dexcom G6<\/td><td class=\"column-3\">None required<\/td><td class=\"column-4\">Hybrid closed-loop<\/td><td class=\"column-5\">Touchscreen (PDM) or smartphone app<\/td><td class=\"column-6\">200 units<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><strong>Medtronic 780G<\/strong><\/td><td class=\"column-2\">Integrates with Guardian\u2122 4 sensor (with SmartGuard\u2122 tech)<\/td><td class=\"column-3\">None required when Guardian\u2122 4 &amp; SmartGuard\u2122 are enabled<\/td><td class=\"column-4\">Hybrid closed-loop<\/td><td class=\"column-5\">Physical buttons<\/td><td class=\"column-6\">300 units<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\"><strong>iLet Pump (Beta Bionics)*<\/strong><\/td><td class=\"column-2\">Designed to work with Dexcom G6<\/td><td class=\"column-3\">None required in most configurations (subject to updates)<\/td><td class=\"column-4\">Hybrid or fully closed-loop (ongoing trials)<\/td><td class=\"column-5\">Simplified interface; minimal user inputs<\/td><td class=\"column-6\">~300 units (TBD)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-147 from cache -->\n<div class=\"tve_flt\" id=\"tve_editor\">\n\t\t\t<div class=\"tqb-shortcode-wrapper\" id=\"tqb-shortcode-wrapper-4412655-tqb-69d7142bd5481\"  style=\"--tqb-placeholder-height-m:868.844px;--tqb-placeholder-height-t:500.938px;--tqb-placeholder-height-d:500.938px;\" data-quiz-id=\"4412655\" data-unique=\"tqb-69d7142bd5481\" >\n\t\t\t\t<div class=\"tqb-loading-overlay tqb-template-overlay-style-0\">\n\t\t\t\t\t<div class=\"tqb-loading-bullets\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"tqb-frontend-error-message\"><\/div>\n\t\t\t\t<div class=\"tqb-shortcode-old-content\"><\/div>\n\t\t\t\t<div class=\"tqb-shortcode-new-content tqb-template-style-0\"><\/div>\n\t\t\t<\/div><\/div>\n<h2>How do insulin pumps work?<\/h2>\n<p>An insulin pump is a small, computerized device that delivers insulin through a catheter placed just under the skin. Insulin pumps are programmed to deliver small, steady doses of insulin throughout the day (known as a basal rate), and can also give larger doses of insulin at mealtimes (bolus doses).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/DM-technologies.png\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" srcset=\"https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/DM-technologies.png 1500w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/DM-technologies-300x210.png 300w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/DM-technologies-768x538.png 768w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/DM-technologies-624x437.png 624w\" alt=\"\" width=\"1500\" height=\"1050\" \/><\/p>\n<h2>What are the benefits of using an insulin pump?<\/h2>\n<p>There are several potential benefits to using an insulin pump. These include:<\/p>\n<ul>\n<li>Improved blood sugar control<\/li>\n<li>More flexibility in your daily routine<\/li>\n<li>Fewer low blood sugar episodes<\/li>\n<li>Reduced risk of long-term complications from diabetes<\/li>\n<\/ul>\n<p>However, it&#8217;s important to remember that insulin pumps are not a cure for diabetes, and they don&#8217;t eliminate the need for careful self-management.<\/p>\n<h2>What are the disadvantages of using an insulin pump?<\/h2>\n<p>There are also some disadvantages to using an insulin pump. These include:<\/p>\n<ul>\n<li>The need for frequent blood sugar monitoring (<a href=\"https:\/\/myendoconsult.com\/learn\/types-of-glucometers\/\">CGMs<\/a> have largely reduced the burden of frequent checks)<\/li>\n<li>The risk of diabetic ketoacidosis if the pump is not used properly (a <a href=\"https:\/\/myendoconsult.com\/learn\/diabetes-emergency-kit\/\">diabetes emergency plan<\/a> is required if you are on a pump)<\/li>\n<li>The inconvenience of wearing the pump all the time<\/li>\n<li>The cost of the pump and supplies<\/li>\n<\/ul>\n<h2>The types of insulin pumps<strong>\u00a0<\/strong><\/h2>\n\n<table id=\"tablepress-143\" class=\"tablepress tablepress-id-143 tbody-has-connected-cells\">\n<thead>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><\/td><td class=\"column-2\"><\/td><td class=\"column-3\"><\/td><td class=\"column-4\"><\/td>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><strong>Manufacturer<\/strong><\/td><td class=\"column-2\">Medtronic<\/td><td class=\"column-3\">Insulet<\/td><td class=\"column-4\">Tandem Diabetes Care<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><strong>Legacy Models<\/strong><\/td><td class=\"column-2\">MiniMed (530G, 630G, 670G, 770G, 780G), MiniMed 508, MiniMed Paradigm (511, 512, 712, 515, 715), MiniMed Paradigm REAL-Time (522, 722), MiniMed Paradigm REAL-Time Revel<\/td><td class=\"column-3\">Omnipod DASH, Insulet Omnipod UST400, Omnipod Eros<\/td><td class=\"column-4\">Tandem t:slim G4, Tandem t:flex<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><strong>Current Model (Flagship)<\/strong><\/td><td class=\"column-2\">MiniMed\u2122 780G system<\/td><td class=\"column-3\">Omnipod 5<\/td><td class=\"column-4\">Tandem t:slim X2<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td rowspan=\"4\" class=\"column-1\"><strong>Features<\/strong><\/td><td class=\"column-2\">- Links to a CGM (Guardian\u2122 4 or Guardian\u2122 3 sensors\/transmitters)<\/td><td class=\"column-3\">- Links to Dexcom G6 CGM<\/td><td class=\"column-4\">- Links to Dexcom G6 CGM<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-2\">- Integrated pump &amp; display<\/td><td class=\"column-3\">- PDM (Android-based) or personal smartphone as controller<\/td><td class=\"column-4\">- Integrated pump &amp; display<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-2\">- Smartphone app (tracks BG trends)<\/td><td class=\"column-3\">- Tubeless pump design<\/td><td class=\"column-4\">- Advanced algorithms (Basal IQ \/ Control IQ)<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-2\">- Compatible with Medtronic Extended infusion set<\/td><td class=\"column-3\"><\/td><td class=\"column-4\"><\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\"><strong>Dimensions (inches)<\/strong><\/td><td class=\"column-2\">3.78 (L) x 2.11 (W) x 0.96 (D)<\/td><td class=\"column-3\">2.05 (L) x 1.53 (W) x 0.57 (D)<\/td><td class=\"column-4\">3.13 (L) x 2.0 (W) x 0.6 (D)<\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\"><strong>Compatible Insulin<\/strong><\/td><td class=\"column-2\">Rapid-acting U100 insulin (Humalog\u00ae, NovoLog\u00ae)<\/td><td class=\"column-3\">U100 insulins (Novolog, Humalog, Admelog, Fiasp)<\/td><td class=\"column-4\">U100 insulins (Novolog, Humalog)<\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td rowspan=\"2\" class=\"column-1\"><strong>Basal Increment<\/strong><\/td><td class=\"column-2\">0.025, 0.05, or 0.1 units<\/td><td rowspan=\"2\" class=\"column-3\">0.05 units<\/td><td rowspan=\"2\" class=\"column-4\">0.1 units<\/td>\n<\/tr>\n<tr class=\"row-12\">\n\t<td class=\"column-2\">(Max bolus 0\u201325 units)<\/td>\n<\/tr>\n<tr class=\"row-13\">\n\t<td class=\"column-1\"><strong>Maximum Basal Rate<\/strong><\/td><td class=\"column-2\">0\u201335 units\/hour (or the Max Basal Rate amount, whichever is lower)<\/td><td class=\"column-3\">30 units\/hour<\/td><td class=\"column-4\">15 units\/hour<\/td>\n<\/tr>\n<tr class=\"row-14\">\n\t<td rowspan=\"2\" class=\"column-1\"><strong>Maximum Bolus<\/strong><\/td><td class=\"column-2\">Standard speed: 1.5 units\/min<\/td><td rowspan=\"2\" class=\"column-3\">30 units<\/td><td rowspan=\"2\" class=\"column-4\">25 units<\/td>\n<\/tr>\n<tr class=\"row-15\">\n\t<td class=\"column-2\">Quick speed: 15 units\/min<\/td>\n<\/tr>\n<tr class=\"row-16\">\n\t<td class=\"column-1\"><strong>Reservoir\/Pod Capacity<\/strong><\/td><td class=\"column-2\">300 units<\/td><td class=\"column-3\">200 units<\/td><td class=\"column-4\">300 units<\/td>\n<\/tr>\n<tr class=\"row-17\">\n\t<td rowspan=\"3\" class=\"column-1\"><strong>Battery Life<\/strong><\/td><td class=\"column-2\">- Requires 1 AA (1.5 V) battery<\/td><td class=\"column-3\">- Rechargeable lithium battery<\/td><td class=\"column-4\">- Rechargeable lithium battery<\/td>\n<\/tr>\n<tr class=\"row-18\">\n\t<td class=\"column-2\">- Recommends AA lithium (FR6) or AA alkaline (LR6)<\/td><td class=\"column-3\">- Android phone as PDM (separate battery management)<\/td><td class=\"column-4\">- Typically up to 7 days of operation (depends on settings)<\/td>\n<\/tr>\n<tr class=\"row-19\">\n\t<td class=\"column-2\">- Accepts NiMH rechargeables<\/td><td class=\"column-3\"><\/td><td class=\"column-4\"><\/td>\n<\/tr>\n<tr class=\"row-20\">\n\t<td class=\"column-1\"><strong>Basal Programming<\/strong><\/td><td class=\"column-2\">Three basal patterns<\/td><td class=\"column-3\">12 basal patterns<\/td><td class=\"column-4\">6 basal patterns<\/td>\n<\/tr>\n<tr class=\"row-21\">\n\t<td rowspan=\"2\" class=\"column-1\"><strong>Insulin on Board<\/strong><\/td><td class=\"column-2\">Yes<\/td><td class=\"column-3\">Yes<\/td><td class=\"column-4\">Yes<\/td>\n<\/tr>\n<tr class=\"row-22\">\n\t<td class=\"column-2\">SmartGuard\u2122 tech available for users needing 8\u2013250 units\/day<\/td><td class=\"column-3\">SmartAdjust technology<\/td><td class=\"column-4\">Control IQ \/ Basal IQ technology<\/td>\n<\/tr>\n<tr class=\"row-23\">\n\t<td rowspan=\"2\" class=\"column-1\"><strong>CGM Integration<\/strong><\/td><td class=\"column-2\">Yes<\/td><td class=\"column-3\">Yes<\/td><td class=\"column-4\">Yes<\/td>\n<\/tr>\n<tr class=\"row-24\">\n\t<td class=\"column-2\">(Guardian\u2122 4 sensor, changed every 7 days)<\/td><td class=\"column-3\">(Dexcom G6 and G7)<\/td><td class=\"column-4\">(Dexcom G6 and G7)<\/td>\n<\/tr>\n<tr class=\"row-25\">\n\t<td class=\"column-1\"><strong>Calibration of CGM<\/strong><\/td><td class=\"column-2\">Not required when using Guardian\u2122 4 sensor with SmartGuard\u2122 tech<\/td><td class=\"column-3\">No<\/td><td class=\"column-4\">No<\/td>\n<\/tr>\n<tr class=\"row-26\">\n\t<td rowspan=\"2\" class=\"column-1\"><strong>Future Model<\/strong><\/td><td rowspan=\"2\" class=\"column-2\">N\/A<\/td><td rowspan=\"2\" class=\"column-3\">N\/A<\/td><td class=\"column-4\">Tandem Mobi (tubeless pump)<\/td>\n<\/tr>\n<tr class=\"row-27\">\n\t<td class=\"column-4\">Tandem t:slim X3 (bolus via smartphone; FDA-cleared Feb 16, 2022)<\/td>\n<\/tr>\n<tr class=\"row-28\">\n\t<td class=\"column-1\"><strong>Major Limitation<\/strong><\/td><td class=\"column-2\">User is tethered to tubing<\/td><td class=\"column-3\">Limited to 200 units of insulin per pod<\/td><td class=\"column-4\">User is tethered to tubing<\/td>\n<\/tr>\n<tr class=\"row-29\">\n\t<td rowspan=\"3\" class=\"column-1\"><strong>Major Advantage<\/strong><\/td><td class=\"column-2\">- Hybrid-closed loop system<\/td><td class=\"column-3\">- Hybrid-closed loop system<\/td><td class=\"column-4\">- Hybrid-closed loop system<\/td>\n<\/tr>\n<tr class=\"row-30\">\n\t<td class=\"column-2\">- Meal Detection\u2122 feature<\/td><td class=\"column-3\">- Tubeless design<\/td><td class=\"column-4\">- Advanced algorithms reduce burden<\/td>\n<\/tr>\n<tr class=\"row-31\">\n\t<td class=\"column-2\">- 7-day Extended infusion set option<\/td><td class=\"column-3\"><\/td><td class=\"column-4\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-143 from cache -->\n<p><span style=\"color: var(--tcb-skin-color-10); font-family: Montserrat; font-size: 30px; font-weight: var(--g-bold-weight, bold); text-transform: capitalize;\">How do I choose an insulin pump?<\/span><\/p>\n<p>If you&#8217;re thinking about using an insulin pump, talk to your doctor or diabetes educator. They can help you decide if an insulin pump is right for you and, if so, which type of pump would be best.\u00a0Once you&#8217;ve decided to use an insulin pump, you&#8217;ll need to choose a pump that&#8217;s right for you. There are many different brands and models of insulin pumps available, so it&#8217;s important to do your research before making a decision.<\/p>\n<p>Considerations when choosing an insulin pump include:<\/p>\n<ul>\n<li>Ease of use: Some pumps are easier to use than others. Be sure to get a demonstration of the pump before you buy it.<\/li>\n<li>Cost: Insulin pumps are expensive, so be sure to find out what your insurance will cover.<\/li>\n<li>Size and weight: Insulin pumps come in different sizes and weights. Consider how easy the pump will be to carry with you throughout the day.<\/li>\n<li>Battery life: Insulin pumps run on batteries, so you&#8217;ll need to know how long the pump can run on a single charge.<\/li>\n<li>Features: Insulin pumps have different features, such as the ability to give bolus doses of insulin at mealtimes or to suspend insulin delivery when blood sugar is low. Consider which features are most important to you.<\/li>\n<\/ul>\n<h2>Choosing the best insulin pump<\/h2>\n<p>When it comes to insulin pumps, there is no one-size-fits-all solution. The best pump for you will depend on your individual needs and preferences. However, there are some factors that you should keep in mind when choosing a pump. First, consider the size of the pump. If you are active or frequently on the go, you may prefer a smaller, more compact pump. Second, think about the features that are important to you. Some pumps offer more advanced features than others, such as bolus calculators and wireless connectivity. Finally, be sure to consult with your healthcare team to ensure that the pump you choose is compatible with your insurance coverage. With all of these factors in mind, you can be sure to find the best insulin pump for your needs.<\/p>\n<h3>Tandem T Slim X2<\/h3>\n<p>The Tandem T slim X2 insulin pump is a state-of-the-art device that offers users the latest in diabetes technology. The pump features control IQ, which automatically adjusts basal insulin delivery to keep blood sugar levels in target range. In addition, the pump is a hybrid closed loop system, meaning that it can be used with compatible <a href=\"https:\/\/myendoconsult.com\/learn\/continuous-glucose-monitors\/\">continuous glucose monitors<\/a> (Dexcom G6) to improve control further.<\/p>\n\n<table id=\"tablepress-144\" class=\"tablepress tablepress-id-144\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><strong>Feature<\/strong><\/th><th class=\"column-2\"><strong>Comment<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Time in range (70\u2013180 mg\/dL)<\/td><td class=\"column-2\">The Control IQ system helps prevent extreme glucose readings.<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Ease of placing pump commands (bolus entries)<\/td><td class=\"column-2\">Commands are entered via a colored and responsive touch screen.<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Water resistance<\/td><td class=\"column-2\">Watertight up to 3 feet (approximately 1 meter) for up to 30 minutes.<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Effect of elevation above sea level<\/td><td class=\"column-2\">Insulin delivery may be interrupted in low atmospheric pressure (e.g., at altitudes above 10,000 feet or during takeoff).<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Integration with other devices<\/td><td class=\"column-2\">Bluetooth connectivity allows linking to smartphones and CGMs.<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">Tethered tubing<\/td><td class=\"column-2\">Tubing can get caught on clothing or other objects.<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Battery life<\/td><td class=\"column-2\">Typically requires recharging every 7 days (maximum), depending on usage.<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\">Risk of inadvertent entries<\/td><td class=\"column-2\">The unlock procedure helps prevent accidental insulin boluses.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-144 from cache -->\n<h3>Omnipod 5<\/h3>\n<p>The Omnipod 5 Insulin Pump is a small, wearable insulin pump that provides a convenient and discreet way to manage diabetes. The pump can be worn on the body for up to three days at a time, and it is waterproof, so it can be worn during activities such as swimming or showering. The <a href=\"https:\/\/myendoconsult.com\/learn\/insulin-pump-failure-protocol\/\">pump delivers insulin<\/a> through a small plastic tube (cannula) that is inserted just under the skin. The pump automatically delivers insulin based on the user&#8217;s glucose levels, and it can also be manually adjusted to provide bolus doses of insulin before meals or snacks. The Omnipod 5 Insulin Pump is an easy-to-use and effective way to manage diabetes, and it offers a convenient and discreet alternative to traditional insulin pumps.<\/p>\n\n<table id=\"tablepress-145\" class=\"tablepress tablepress-id-145\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><strong>Feature<\/strong><\/th><th class=\"column-2\"><strong>Comment<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Time in range (70-180mg\/dl)<\/td><td class=\"column-2\">SmartAdjust Technology is a hybrid closed loop system<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Ease of placing pump commands (bolus entries etc)<\/td><td class=\"column-2\">Entries via a simple touch screen of a separate handheld android smart device.<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Water resistance<\/td><td class=\"column-2\">Waterproof for depths up to 25 feet for up to 60 minutes. It has IP28 certification<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Effect of Elevation above sea level<\/td><td class=\"column-2\">Interruption in insulin delivery can occur at low atmospheric pressures (mountain climbing above 10,000 feet or take-off during air travel)<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Integration with other devices<\/td><td class=\"column-2\">Bluetooth connectivity to phones and CGMs. Insulin pump can be controlled via either an Insulet-provided controller or a compatible phone (using the Omnipod 5 app)<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">Tethered Tubing<\/td><td class=\"column-2\">This is a tubeless pump. Some users love this feature.<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Battery life<\/td><td class=\"column-2\">Recharge of lithium battery in Insulet-provided controller or a compatible phone<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\">Risk of inadvertent entries<\/td><td class=\"column-2\">The unlock procedure prevents accidental insulin boluses<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-145 from cache -->\n<h3>Medtronic Minimed 780G<\/h3>\n<p>The Medtronic MiniMed\u2122 780G system is an insulin pump that utilizes advanced features to help people with diabetes manage their condition. The pump is capable of delivering insulin in small doses throughout the day, or it can automatically deliver a large bolus of insulin at mealtimes. The pump is designed with Meal Detection\u2122 technology, which detects a rapid rise of blood sugar levels, typical during mealtimes, and pushing a correction dose. The pump is also able to automatically adjust insulin delivery based on the user\u2019s blood sugar levels. The MiniMed\u2122 780G system also features a CGM (Continuous Glucose Monitor) that continuously monitors the user\u2019s blood sugar levels and sends alerts to the pump if those levels get too high or too low. The system also comes with a smartphone app that allows users to track their blood sugar levels, insulin delivery, and other important data.<\/p>\n\n<table id=\"tablepress-146\" class=\"tablepress tablepress-id-146\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><strong>Feature<\/strong><\/th><th class=\"column-2\"><strong>Comment<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Time in range (70-180mg\/dl)<\/td><td class=\"column-2\">SmartGuard\u2122 technology is a hybrid closed loop system. Fingersticks required in manual mode and to enter SmartGuard\u2122. Pivotal trial participants spend avg of > 93% in SmartGuard\u2122.<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Ease of placing pump commands (bolus entries etc)<\/td><td class=\"column-2\">Hard tactile physical buttons and a complex menu (learning curve)<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Water resistance<\/td><td class=\"column-2\">Waterproof for depths up to 12 feet for up to 24 hours (when the reservoir and tubing are properly inserted)<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Effect of Elevation above sea level<\/td><td class=\"column-2\">Interruption in insulin delivery can occur at low atmospheric pressures (mountain climbing above 10,150 feet)<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Integration with other devices<\/td><td class=\"column-2\">Bluetooth connectivity to smart phones, CGMs, and select Apple Watches\u00ae.<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">Tethered Tubing<\/td><td class=\"column-2\">Tubing may get caught on clothing etc.<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Battery life<\/td><td class=\"column-2\">Standard AA battery life<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\">Risk of inadvertent entries<\/td><td class=\"column-2\">The unlock procedure prevents accidental insulin boluses<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-146 from cache --><!--more--><\/p>\n<h2>The Verdict<\/h2>\n<h3>Tandem T Slim X2<\/h3>\n<p>The Tandem T Slim X2 is arguably the best hybrid closed loop system on the market. It integrates with the Dexcom G6 CGM (the current gold standard of continuous glucose monitoring) which means no fingersticks. The control IQ keeps you in range.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/tandem-tslimx2jpg-300x251.jpg\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/tandem-tslimx2jpg-300x251.jpg 300w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/tandem-tslimx2jpg-768x644.jpg 768w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/tandem-tslimx2jpg-624x523.jpg 624w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/tandem-tslimx2jpg.jpg 940w\" alt=\"tandem t slim x2\" width=\"300\" height=\"251\" \/><\/p>\n<h3>Omnipod 5<\/h3>\n<p>The SmartAdjust technology is Insulet&#8217;s new hybrid closed loop system which is fully integrated with Dexcom G6. It is the third hybrid-closed loop system on the market. The absence of a tubing makes it appealing to some patients (e.g. athletes). Users of this pump type have more &#8220;real estate&#8221; in terms of their preferred site of pump placement. This can be advantageous in patients with significant scar tissue (lipohypertrophy), since alternate sites can be readily utilized without the inconvenience of being tethered to an infusion set.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.myendoconsult.com\/learn\/wp-content\/uploads\/omnipod-dash.png\" alt=\"Omnipod 5\" \/><\/p>\n<h3>Medtronic Minimed 780G<\/h3>\n<p>The current version of medtronic&#8217;s Minimed series, the Minimed 780G is an excellent hybrid closed loop system. Multiple or daily calibrations are no longer needed when using the Guardian\u2122 4 sensor with SmartGuard\u2122 technology. Alerts issues from 770G have been addressed and are significantly <em>less frequent<\/em>. This is a huge improvement on previous versions of this pump, placing it on par with both the Tandem T slim X2 and Omnipod 5 pumps in terms of ease of use. The meal detection technology is a revolutionary feature that helps mitigate periods of significant postprandial hyperglycemia. As practicing endocrinologists, we have received very good feedback from patients who have switched to the current Minimed 780G pump.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/MM780G-system-image-100mg-US.png\" alt=\"\" width=\"266\" height=\"281\" \/><\/p>\n<h3>\u00a0<\/h3>\n<h2>Selecting a personalized insulin pump<\/h2>\n<p>We have developed this simple tool to help you select the right insulin pump for you. There are three simple questions. Are you willing to <a href=\"https:\/\/myendoconsult.com\/learn\/why-should-i-check-my-blood-sugar\/\">check your blood sugar<\/a> twice a day? Do you prefer a tubed or tubeless pump and finally, how many units of insulin do you require a day. This tool is based on a well thought out algorithm based on feedback from patients, diabetes educators and diabetes care specialists.<\/p>\n<div class='fluentform ff-default fluentform_wrapper_46 ffs_modern_b_wrap'><form data-form_id=\"46\" id=\"fluentform_46\" class=\"frm-fluent-form fluent_form_46 ff-el-form-top ff_form_instance_46_1 ff-form-loading ffs_modern_b\" data-form_instance=\"ff_form_instance_46_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">choosing the right insulin pump<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_46_item_sf\" aria-label=\"Newsletter\">\n                    Newsletter                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_46__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_46_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='2850667' \/><input type=\"hidden\" id=\"_fluentform_46_fluentformnonce\" name=\"_fluentform_46_fluentformnonce\" value=\"130b6749bd\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/learn\/wp-json\/wp\/v2\/posts\/2850667\" \/><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-46_1\" ><h3 class='ff-el-section-title'>Insulin Pump Recommendation Tool<\/h3><div class='ff-section_break_desk'><p>Provide three responses and get a personalized feedback in less than 5 seconds.\u00a0<\/p><\/div><hr \/><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Are you willing to check your blood sugar using a fingerstick monitor at least twice daily?\">Are you willing to check your blood sugar using a fingerstick monitor at least twice daily?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_21776d128947855f4ebd09e61f5aa374'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_21776d128947855f4ebd09e61f5aa374' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_84cbe81a43e836380926ba5ff378a169'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_84cbe81a43e836380926ba5ff378a169' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Choose the type of pump\">Choose the type of pump <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_1d675db462492f8a7f75f9062eaedb17'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I prefer a tubeless pump\"  id='input_radio_1_1d675db462492f8a7f75f9062eaedb17' aria-label='I prefer a tubeless pump' aria-invalid='false' aria-required=true> <span>I prefer a tubeless pump<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_62f2805cab1f628c51642ccf98ab7ca4'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"I prefer a pump with a tubing\"  id='input_radio_1_62f2805cab1f628c51642ccf98ab7ca4' aria-label='I prefer a pump with a tubing' aria-invalid='false' aria-required=true> <span>I prefer a pump with a tubing<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Do you require more than 100 units of insulin a day?\">Do you require more than 100 units of insulin a day?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_daaa113b8254a6342a3285787fa77a44'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_2_daaa113b8254a6342a3285787fa77a44' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_64066636f552cbebc43920d4c18abead'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_2_64066636f552cbebc43920d4c18abead' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Recommendation\">Recommendation<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff_item_selected ff-el-image-holder'><label style='background-image: url(https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/omnipod-dash.png)' class='ff-el-image-input-src' for='checkbox_1083249a727a63543a7200097fa25dae' aria-label='Although the Insulet Omnipod 5 Pump is tubeless, it is limited to only 200units. You may need to change the pod every 1-2 days'><\/label><label class='ff-el-form-check-label' for='checkbox_1083249a727a63543a7200097fa25dae'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" checked=\"1\" value=\"Item 1\"  id='checkbox_1083249a727a63543a7200097fa25dae' aria-label='Although the Insulet Omnipod 5 Pump is tubeless, it is limited to only 200units. You may need to change the pod every 1-2 days' aria-invalid='false' aria-required=false> <span>Although the Insulet Omnipod 5 Pump is tubeless, it is limited to only 200units. You may need to change the pod every 1-2 days<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Recommendation\">Recommendation<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff_item_selected ff-el-image-holder'><label style='background-image: url(https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/omnipod-dash.png)' class='ff-el-image-input-src' for='checkbox_5_d793994c1ca692feba2b533daf6ecc92' aria-label='The Insulet Omnipod 5 Pump is tubeless, it is limited to only 200units. You may need to change the pod every 2-3 days'><\/label><label class='ff-el-form-check-label' for='checkbox_5_d793994c1ca692feba2b533daf6ecc92'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" checked=\"1\" value=\"Item 1\"  id='checkbox_5_d793994c1ca692feba2b533daf6ecc92' aria-label='The Insulet Omnipod 5 Pump is tubeless, it is limited to only 200units. You may need to change the pod every 2-3 days' aria-invalid='false' aria-required=false> <span>The Insulet Omnipod 5 Pump is tubeless, it is limited to only 200units. You may need to change the pod every 2-3 days<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Recommendation\">Recommendation<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff_item_selected ff-el-image-holder'><label style='background-image: url(https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/tandem-tslimx2jpg.jpg)' class='ff-el-image-input-src' for='checkbox_1_5fbe0b1ca475f9ad046f403f697dcda0' aria-label='Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days'><\/label><label class='ff-el-form-check-label' for='checkbox_1_5fbe0b1ca475f9ad046f403f697dcda0'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" checked=\"1\" value=\"Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days\"  id='checkbox_1_5fbe0b1ca475f9ad046f403f697dcda0' aria-label='Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days' aria-invalid='false' aria-required=false> <span>Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Recommendation\">Recommendation<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/tandem-tslimx2jpg.jpg)' class='ff-el-image-input-src' for='checkbox_3_0c4900953daf89846b16792d0b2f9819' aria-label='Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last the recommended 3 days'><\/label><label class='ff-el-form-check-label' for='checkbox_3_0c4900953daf89846b16792d0b2f9819'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last the recommended 3 days\"  id='checkbox_3_0c4900953daf89846b16792d0b2f9819' aria-label='Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last the recommended 3 days' aria-invalid='false' aria-required=false> <span>Tandem T Slim X2 is a tubed pump that can hold up to 300 units in a cartridge. It will last the recommended 3 days<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Recommendation\">Recommendation<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Medtronic-770G.png)' class='ff-el-image-input-src' for='checkbox_4_20fd3a08e3b9a8c68880ad851fbff125' aria-label='Medtronic Minimed 770G is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days'><\/label><label class='ff-el-form-check-label' for='checkbox_4_20fd3a08e3b9a8c68880ad851fbff125'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Medtronic Minimed 770G is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days\"  id='checkbox_4_20fd3a08e3b9a8c68880ad851fbff125' aria-label='Medtronic Minimed 770G is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days' aria-invalid='false' aria-required=false> <span>Medtronic Minimed 770G is a tubed pump that can hold up to 300 units in a cartridge. It will last 2-3 days<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Recommendation\">Recommendation<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Medtronic-770G.png)' class='ff-el-image-input-src' for='checkbox_2_ec974a7fd15a230b06c802380ee59d12' aria-label='Medtronic Minimed 770G is a tubed pump. It will last the recommended 3 days based on your responses'><\/label><label class='ff-el-form-check-label' for='checkbox_2_ec974a7fd15a230b06c802380ee59d12'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Medtronic Minimed 770G is a tubed pump. It will last the recommended 3 days based on your responses\"  id='checkbox_2_ec974a7fd15a230b06c802380ee59d12' aria-label='Medtronic Minimed 770G is a tubed pump. It will last the recommended 3 days based on your responses' aria-invalid='false' aria-required=false> <span>Medtronic Minimed 770G is a tubed pump. It will last the recommended 3 days based on your responses<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='' id='label_' aria-label=\"How likely are you to recommend this tool to others?\">How likely are you to recommend this tool to others?<\/label><\/div><div class='ff-el-input--content'><table class=\"ff_net_table\">        <thead>\n            <tr>\n                <th colspan=\"11\">\n                    <span class=\"ff_not-likely\">Not at all Likely<\/span>\n                    <span class=\"ff_extremely-likely\">Extremely Likely<\/span>\n                <\/th>\n            <\/tr>\n        <\/thead>\n                <tbody>\n            <tr>\n                                                <td>\n                    <input type=\"radio\" class=\"ff-screen-reader-element\" value=\"0\" data-calc_value=\"0\" id=\"net_promoter_score_0_f1044c1135234f362a467c7fda16a16e\" name=\"net_promoter_score\" aria-invalid=\"false\" aria-required=\"true\" >\n                    <label class='ff-el-net-label' for=\"net_promoter_score_0_f1044c1135234f362a467c7fda16a16e\">\n                        <span>0<\/span>\n                    <\/label>\n                <\/td>\n                                                <td>\n                    <input type=\"radio\" class=\"ff-screen-reader-element\" value=\"1\" data-calc_value=\"1\" id=\"net_promoter_score_1_5003b2ad59a5b58b74a09ebfad4f8af9\" name=\"net_promoter_score\" aria-invalid=\"false\" aria-required=\"true\" >\n                    <label class='ff-el-net-label' for=\"net_promoter_score_1_5003b2ad59a5b58b74a09ebfad4f8af9\">\n                        <span>1<\/span>\n                    <\/label>\n                <\/td>\n                                                <td>\n                    <input type=\"radio\" class=\"ff-screen-reader-element\" value=\"2\" data-calc_value=\"2\" id=\"net_promoter_score_2_1ef67bd5193e27038f13eab3aeebca23\" name=\"net_promoter_score\" aria-invalid=\"false\" aria-required=\"true\" >\n                    <label class='ff-el-net-label' for=\"net_promoter_score_2_1ef67bd5193e27038f13eab3aeebca23\">\n                        <span>2<\/span>\n                    <\/label>\n                <\/td>\n                                                <td>\n                    <input type=\"radio\" class=\"ff-screen-reader-element\" value=\"3\" data-calc_value=\"3\" id=\"net_promoter_score_3_81a12006cd8f0908f90086629503da3c\" name=\"net_promoter_score\" aria-invalid=\"false\" aria-required=\"true\" >\n                    <label class='ff-el-net-label' for=\"net_promoter_score_3_81a12006cd8f0908f90086629503da3c\">\n                        <span>3<\/span>\n                    <\/label>\n                <\/td>\n                                                <td>\n                    <input type=\"radio\" class=\"ff-screen-reader-element\" value=\"4\" data-calc_value=\"4\" id=\"net_promoter_score_4_468a7a302eb6b2843ab5a76af1493e57\" name=\"net_promoter_score\" aria-invalid=\"false\" aria-required=\"true\" >\n                    <label class='ff-el-net-label' for=\"net_promoter_score_4_468a7a302eb6b2843ab5a76af1493e57\">\n                        <span>4<\/span>\n                    <\/label>\n                <\/td>\n                                                <td>\n                    <input type=\"radio\" class=\"ff-screen-reader-element\" value=\"5\" data-calc_value=\"5\" id=\"net_promoter_score_5_d6b3354b0afb87d80e77dc933fd39926\" name=\"net_promoter_score\" aria-invalid=\"false\" aria-required=\"true\" >\n                    <label class='ff-el-net-label' for=\"net_promoter_score_5_d6b3354b0afb87d80e77dc933fd39926\">\n                        <span>5<\/span>\n                    <\/label>\n                <\/td>\n                                                <td>\n                    <input type=\"radio\" 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type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_46_1 = {\"id\":\"46\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_46_1\",\"form_id_selector\":\"fluentform_46\",\"rules\":{\"input_radio\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_2\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"checkbox\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"checkbox_5\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"checkbox_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"checkbox_3\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"checkbox_4\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"checkbox_2\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"net_promoter_score\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}}},\"debounce_time\":300,\"conditionals\":{\"input_radio_1\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_radio\",\"value\":\"no\",\"operator\":\"=\"},{\"field\":\"input_radio\",\"value\":\"yes\",\"operator\":\"=\"}]},\"input_radio_2\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_radio_1\",\"value\":\"I prefer a tubeless pump\",\"operator\":\"=\"},{\"field\":\"input_radio_1\",\"value\":\"I prefer a pump with a tubing\",\"operator\":\"=\"}]},\"checkbox\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"input_radio_2\",\"value\":\"yes\",\"operator\":\"=\"},{\"field\":\"input_radio_1\",\"value\":\"I prefer a tubeless pump\",\"operator\":\"=\"}]},\"checkbox_5\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"input_radio_2\",\"value\":\"no\",\"operator\":\"=\"},{\"field\":\"input_radio_1\",\"value\":\"I prefer a tubeless pump\",\"operator\":\"=\"}]},\"checkbox_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"input_radio_1\",\"value\":\"I prefer a pump with a tubing\",\"operator\":\"=\"},{\"field\":\"input_radio_2\",\"value\":\"yes\",\"operator\":\"=\"}]},\"checkbox_3\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"input_radio_1\",\"value\":\"I prefer a pump with a tubing\",\"operator\":\"=\"},{\"field\":\"input_radio_2\",\"value\":\"no\",\"operator\":\"=\"}]},\"checkbox_4\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"input_radio_1\",\"value\":\"I prefer a pump with a tubing\",\"operator\":\"=\"},{\"field\":\"input_radio_2\",\"value\":\"yes\",\"operator\":\"=\"},{\"field\":\"input_radio\",\"value\":\"yes\",\"operator\":\"=\"}]},\"checkbox_2\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"input_radio_1\",\"value\":\"I prefer a pump with a tubing\",\"operator\":\"=\"},{\"field\":\"input_radio_2\",\"value\":\"no\",\"operator\":\"=\"},{\"field\":\"input_radio\",\"value\":\"yes\",\"operator\":\"=\"}]}}};\n                            <\/script>\n            \n<h2>Who can get an insulin pump?<\/h2>\n<p>Based on the current medicare guidelines in 2023, patients with type 1 diabetes mellitus and type 2 diabetes patients on an intensive multiple daily insulin injection regimen qualify for insulin pump therapy.<\/p>\n<p>The decision to use an insulin pump as part of diabetes management is an individual one, and should be made in consultation with a healthcare provider. However, there are some general guidelines for who may be a good candidate for an insulin pump:<\/p>\n<ol>\n<li>Type 1 diabetes: Insulin pumps are typically used by people with type 1 diabetes who require insulin to manage their blood sugar levels.<\/li>\n<li>Intensive insulin therapy: Insulin pumps are generally used for people who require intensive insulin therapy, which means taking multiple daily injections of insulin or using a basal-bolus insulin regimen.<\/li>\n<li>Self-management skills: Insulin pump therapy requires a high level of self-management skills, including the ability to perform blood glucose monitoring and calculate insulin doses.<\/li>\n<li>Motivation and willingness to learn: Insulin pump therapy also requires a high level of motivation and willingness to learn about the device and its use.<\/li>\n<li>Financial coverage: Insulin pumps can be expensive, and may not be covered by insurance or other healthcare plans. People who are interested in using an insulin pump should check with their insurance provider to see if it is covered and what the cost may be.<\/li>\n<\/ol>\n<p>In addition to these general guidelines, there may be specific medical considerations that need to be taken into account when deciding whether insulin pump therapy is appropriate. This includes factors such as pregnancy, age, and other health conditions.<\/p>\n<p>It is important to note that insulin pumps are not appropriate for everyone with diabetes, and not everyone will benefit from this type of therapy. Your healthcare provider can help you determine if insulin pump therapy is right for you, and can provide guidance on how to use the device and manage your diabetes effectively.<\/p>\n<h2>What does a hybrid closed-loop insulin pump mean?<\/h2>\n<p>The term &#8220;hybrid&#8221; in the context of the hybrid closed loop insulin pump refers to the combination of a continuous glucose monitor (CGM) and an insulin pump. The system is considered &#8220;closed loop&#8221; because the CGM and insulin pump are integrated and work together to automate insulin delivery. However, the system is not fully closed loop, as it still requires some manual input from the user.<\/p>\n<p>The system is also referred to as an &#8220;artificial pancreas&#8221; because it mimics the function of the pancreas in delivering insulin to the body. The hybrid closed loop system uses the CGM to measure blood glucose levels in real-time, and the insulin pump uses an algorithm to calculate the appropriate amount of insulin to deliver based on the glucose levels, rate of glucose and the estimated insulin sensitivity factor of the individual.<\/p>\n<h3>Benefits<\/h3>\n<p>The hybrid closed-loop system has several benefits over traditional insulin pumps, including:<\/p>\n<ol>\n<li>Improved glucose control: The hybrid closed-loop system can help to maintain stable blood glucose levels, which can reduce the risk of long-term complications associated with diabetes.<\/li>\n<li>Reduced risk of hypoglycemia: The algorithm used by the hybrid closed-loop system is designed to minimize the risk of hypoglycemia by automatically adjusting insulin delivery based on glucose levels.<\/li>\n<li>Flexibility: The hybrid closed-loop system allows for more flexibility in daily activities, as the system can adjust insulin delivery based on changes in activity or food intake.<\/li>\n<li>Ease of use: The hybrid closed loop system is designed to be user-friendly and easy to operate, with a simple interface and automated features.<\/li>\n<\/ol>\n<h3>Limitations<\/h3>\n<p>The hybrid closed loop system also has some limitations, including:<\/p>\n<ol>\n<li>Cost: The hybrid closed loop system can be expensive, and may not be covered by insurance or other healthcare plans.<\/li>\n<li>Training: The system requires specialized training to use effectively, and may not be appropriate for individuals who are not able to learn how to use it.<\/li>\n<li>Maintenance: The system requires regular maintenance, including changing infusion sets and sensors, which can be time-consuming and require additional supplies.<\/li>\n<\/ol>\n<h2><strong style=\"color: var(--tcb-skin-color-10); font-family: Montserrat; font-size: 30px; text-transform: capitalize;\">Progress Toward an Artificial Pancreas<\/strong><\/h2>\n<div class=\"flex max-w-full flex-col flex-grow\">\n<div class=\"min-h-8 text-message flex w-full flex-col items-end gap-2 whitespace-normal break-words text-start [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"5dd240df-a17b-47ec-9183-ada8ab43e953\" data-message-model-slug=\"o1-pro\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[3px]\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<p>For many years, real-time continuous glucose monitoring (RT-CGM) and insulin pumps functioned separately, requiring users to interpret CGM readings themselves and manually adjust insulin doses. The ultimate goal is to replicate the pancreas\u2019s natural ability to secrete insulin in response to blood glucose fluctuations, creating what is often termed an \u201cartificial pancreas.\u201d Such a system consists of a continuous glucose sensor, an automated insulin-delivery mechanism, a control algorithm linking sensor data to insulin output, and a way to display glucose levels in real time. Barriers to full automation include limited sensor accuracy, the time lag between rapid-acting insulin administration and its physiological effect, and the many daily factors\u2014from meals and exercise to menstrual cycles and acute illness\u2014that change insulin requirements. Still, each incremental improvement reduces the burden on people with diabetes.<\/p>\n<p>One of the earliest advances was the low glucose (threshold) suspend feature, which halts insulin delivery when sensor glucose drops below a preset level. Although this does not fully prevent lows caused by incorrect insulin dosing or missed carbohydrates, it helps reduce the severity of hypoglycemia if a user does not respond to alarms. Systems evolved further with suspend-before-low technology, predicting an oncoming low and pausing insulin in advance. After glucose recovers, normal insulin delivery resumes automatically, lowering the risk of severe hypoglycemia with minimal user intervention.<\/p>\n<p>A larger leap came with hybrid closed-loop (HCL) systems, where the insulin pump increases or decreases basal insulin rates in response to sensor glucose values, but users still deliver boluses before meals. This approach is especially useful for stabilizing glucose during fasting periods or overnight. To make the most of these systems, users typically still need to pre-bolus for meals, be mindful of exercise, and follow guidelines for treating oncoming hypoglycemia. Though HCL lessens some of the mental effort of managing diabetes, a fully closed-loop solution\u2014one that handles both basal needs and mealtime spikes\u2014remains challenging because current rapid-acting insulin does not match real-time glucose fluctuations quickly enough. Looking further ahead, dual-hormone configurations that add substances like glucagon or amylin may better replicate a healthy pancreas\u2019s ability to both lower and raise blood glucose levels.<\/p>\n<p>The long-term safety, affordability, and effectiveness of fully automated approaches are still under investigation. Yet many people affected by diabetes have pushed for faster progress through the #WeAreNotWaiting movement, which led to do-it-yourself systems that integrate commercially available pumps, CGMs, and open-source software. Although these user-driven technologies have shown promising results in reducing average glucose levels and boosting time in range, they operate outside the traditional regulatory framework, raising safety and liability questions. Some developers have recently sought regulatory clearance for open-source platforms, resulting in new FDA-approved applications like Tidepool Loop. Early data suggest do-it-yourself or open-source systems can further improve glucose management compared to standard sensor-augmented pumps, but healthcare teams must balance the benefits of rapid innovation with concerns about proper oversight and reliable support.<\/p>\n<p>It is likely that progress toward an artificial pancreas will continue in small but meaningful steps. Early threshold-suspend features have already reduced nighttime hypoglycemia, while suspend-before-low systems and hybrid closed loops offer increasingly hands-off solutions. Although these partial-automation approaches can introduce additional alarms or technical demands, many users and research studies highlight how they improve glycemic stability, reduce the immediate risk of severe events, and potentially ease the emotional and logistical burden of diabetes. As sensor accuracy improves, faster or smarter insulin formulations enter the market, and automated algorithms adapt to individual patterns, the dream of a fully closed-loop system\u2014capable of handling mealtimes, exercise, and everything in between\u2014draws ever closer.<\/p>\n<div class=\"flex max-w-full flex-col flex-grow\">\n<div class=\"min-h-8 text-message flex w-full flex-col items-end gap-2 whitespace-normal break-words text-start [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"b5068851-280c-4c36-814d-ae70af3babe0\" data-message-model-slug=\"o1-pro\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[3px]\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<h2><strong>Closed-Loop Control (CLC) Insulin Delivery<\/strong><\/h2>\n<p>Fully automated, or \u201cclosed-loop,\u201d insulin delivery depends on algorithm-based insulin adjustments, which introduce added layers of safety considerations. While overnight insulin management in these systems tends to be straightforward, controlling post-meal glucose levels and accounting for exercise remain the most difficult challenges. Historically, most randomized trials of closed-loop technology have been small and short term, often conducted under highly controlled conditions.<\/p>\n<hr \/>\n<h3>iLet Bionic Pancreas<\/h3>\n<p>Approved by the FDA in 2023, the iLet Bionic Pancreas takes a step closer to fully automated insulin delivery. Instead of requiring precise carbohydrate counting, users only classify each meal as small, medium, or large. The system also initializes insulin settings based on the individual\u2019s body weight. A 13-week multicenter randomized study involving 219 adults with type 1 diabetes showed that the iLet led to a greater reduction in A1C (\u22120.5%, 95% CI \u22120.6 to \u22120.3; p &lt; 0.001) compared to standard care, without any significant increase in hypoglycemia.<\/p>\n<hr \/>\n<h3>Other Automated Insulin Delivery Systems<\/h3>\n<p>A range of closed-loop approaches have emerged, employing either a single hormone (rapid-acting insulin) or a dual-hormone strategy (insulin plus glucagon) to more closely mimic normal physiology. Evidence remains insufficient to identify a single best approach or algorithm. Common algorithm designs include:<\/p>\n<ul>\n<li><strong>Model Predictive Control (MPC):<\/strong> Predicts future glucose levels and adjusts insulin accordingly.<\/li>\n<li><strong>Proportional Integral Derivative (PID):<\/strong> Calculates insulin delivery based on how far current glucose deviates from a target.<\/li>\n<li><strong>Fuzzy Logic (FL):<\/strong> Uses rule-based logic that emulates clinical decision making.<\/li>\n<\/ul>\n<p>Multiple meta-analyses underscore the effectiveness of artificial pancreas systems. In one review of 40 randomized trials (1,027 individuals with type 1 diabetes), there was a notable 9.6% increase in time spent within the 70\u2013180 mg\/dL range, along with reduced high and low glucose events, regardless of whether single or dual hormones were used. Another meta-analysis involving 24 studies (585 participants) showed a 12.6% improvement in time in range for artificial pancreas systems overall, with dual-hormone systems achieving better outcomes than single-hormone setups. Longer-duration studies (at least eight weeks) confirm these findings, and a meta-analysis in 504 children similarly found improved time in range in both single- and dual-hormone closed-loop approaches, with dual-hormone setups offering additional advantages.<\/p>\n<h2>Comparison of CLC (Closed-Loop Control) Systems<\/h2>\n\n<table id=\"tablepress-148\" class=\"tablepress tablepress-id-148 tbody-has-connected-cells\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><strong>Feature<\/strong><\/th><th class=\"column-2\"><strong>Medtronic 670G\/770G<\/strong><\/th><th class=\"column-3\"><strong>Medtronic 780G<\/strong><\/th><th class=\"column-4\"><strong>Tandem t:slim with Control IQ<\/strong><\/th><th class=\"column-5\"><strong>Omnipod 5<\/strong><\/th><th class=\"column-6\"><strong>iLet Bionic Pancreas<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><strong>Insulin Delivery<\/strong><\/td><td class=\"column-2\">Tubing<\/td><td class=\"column-3\">Tubing<\/td><td class=\"column-4\">Tubing<\/td><td class=\"column-5\">Tubeless (Pod)<\/td><td class=\"column-6\">Tubing<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><strong>CGM<\/strong><\/td><td class=\"column-2\">Guardian\u2122 3<\/td><td class=\"column-3\">Guardian\u2122 4<\/td><td class=\"column-4\">Dexcom G6<\/td><td class=\"column-5\">Dexcom G6<\/td><td class=\"column-6\">Dexcom G6<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><strong>Reservoir Capacity<\/strong><\/td><td rowspan=\"2\" class=\"column-2\">300<\/td><td rowspan=\"2\" class=\"column-3\">300<\/td><td rowspan=\"2\" class=\"column-4\">300<\/td><td rowspan=\"2\" class=\"column-5\">200<\/td><td rowspan=\"2\" class=\"column-6\">180<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">(units)<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\"><strong>Calibration Needed<\/strong><\/td><td class=\"column-2\">Yes<\/td><td class=\"column-3\">No<\/td><td class=\"column-4\">No<\/td><td class=\"column-5\">No<\/td><td class=\"column-6\">No<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\"><strong>Supplies<\/strong><\/td><td class=\"column-2\">DME company<\/td><td class=\"column-3\">DME company<\/td><td class=\"column-4\">DME company<\/td><td class=\"column-5\">Pharmacy<\/td><td class=\"column-6\">To be determined<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\"><strong>Control via Smartphone<\/strong><\/td><td class=\"column-2\">Data viewable from smartphone<\/td><td class=\"column-3\">Data viewable from smartphone<\/td><td class=\"column-4\">Smartphone bolus capability<\/td><td class=\"column-5\">Compatible smartphone controller<\/td><td class=\"column-6\">No<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\"><strong>Algorithm Initiation<\/strong><\/td><td class=\"column-2\">48 hrs in <strong>Manual Mode<\/strong> to estimate TDI<\/td><td class=\"column-3\">48 hrs in <strong>Manual Mode<\/strong> to estimate TDI<\/td><td class=\"column-4\">Weight &amp; TDI entry with max 50% TDI over 2 hr<\/td><td class=\"column-5\">TDI estimated from programmed basal rates<\/td><td class=\"column-6\">Weight entry<\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\"><strong>Bolus Automation<\/strong><\/td><td class=\"column-2\">No<\/td><td class=\"column-3\">Yes, every 5 min; up to 1 auto-correct bolus\/hr if BG predicted >180<\/td><td class=\"column-4\">No<\/td><td class=\"column-5\">Unknown<\/td><td class=\"column-6\">Unknown<\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td class=\"column-1\"><strong>Other Inputs<\/strong><\/td><td class=\"column-2\">CIR, AIT<\/td><td class=\"column-3\">Unable to override bolus dose<\/td><td class=\"column-4\">CIR, ISF, AIT fixed at 5 hours<\/td><td class=\"column-5\">CIR, ISF, AIT; bolus calculator uses CGM rate of change<\/td><td class=\"column-6\">\u201cUsual for Me,\u201d \u201cMore,\u201d or \u201cLess\u201d (custom meal sizing)<\/td>\n<\/tr>\n<tr class=\"row-12\">\n\t<td class=\"column-1\"><strong>Extended Bolus<\/strong><\/td><td class=\"column-2\">No<\/td><td class=\"column-3\">No<\/td><td class=\"column-4\">Yes (up to 2 hours)<\/td><td class=\"column-5\">No<\/td><td class=\"column-6\">No<\/td>\n<\/tr>\n<tr class=\"row-13\">\n\t<td class=\"column-1\"><strong>Algorithm Adjustment<\/strong><\/td><td class=\"column-2\">Every 6 days<\/td><td class=\"column-3\">Every 6 days<\/td><td class=\"column-4\">TDI scales basal changes<\/td><td class=\"column-5\">Every 3 days (pod change)<\/td><td class=\"column-6\">Continuously or based on updated weight<\/td>\n<\/tr>\n<tr class=\"row-14\">\n\t<td class=\"column-1\"><strong>Target<\/strong><\/td><td class=\"column-2\">120 mg\/dL<\/td><td class=\"column-3\">100, 110, or 120 mg\/dL<\/td><td class=\"column-4\">112.5\u2013160 mg\/dL<\/td><td class=\"column-5\">110, 120, 130, 140, 150 mg\/dL (customizable by time of day)<\/td><td class=\"column-6\">100, 110, 120, 130 mg\/dL (customizable by time of day)<\/td>\n<\/tr>\n<tr class=\"row-15\">\n\t<td class=\"column-1\"><strong>Exercise<\/strong><\/td><td class=\"column-2\">Temp target 150 mg\/dL for 2\u201312 hrs<\/td><td class=\"column-3\">Temp target 150 mg\/dL for 2\u201312 hrs<\/td><td class=\"column-4\">Exercise target 140\u2013160 mg\/dL (cannot program duration)<\/td><td class=\"column-5\">\u201cSleep Mode\u201d targets 112.5\u2013120 mg\/dL without auto-bolus; can set target 150 mg\/dL (\u201cless aggressive\u201d) for 1\u201324 hrs<\/td><td class=\"column-6\">None<\/td>\n<\/tr>\n<tr class=\"row-16\">\n\t<td class=\"column-1\"><strong>Safety Mode*<\/strong><\/td><td class=\"column-2\">Yes; forced exits from HCL<\/td><td class=\"column-3\">Yes; exits to \u201cSafe Basal\u201d up to 4 hrs; 5.7 vs. 1.7 exits\/week vs 670G<\/td><td class=\"column-4\">Not applicable (defaults to manual basal settings)<\/td><td class=\"column-5\">Yes; forced exits are \u201crare\u201d<\/td><td class=\"column-6\">Yes; \u201cBG-run mode\u201d uses manually entered BG up to 72 hrs, forcing switch to alternate therapy<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-148 from cache -->\n<p><strong>Abbreviations &amp; Notes:<\/strong><\/p>\n<ul>\n<li><strong>TDI:<\/strong> Total Daily Insulin<\/li>\n<li><strong>CIR:<\/strong> Carb-to-Insulin Ratio<\/li>\n<li><strong>ISF:<\/strong> Insulin Sensitivity Factor<\/li>\n<li><strong>AIT:<\/strong> Active Insulin Time (duration insulin is considered active)<\/li>\n<li><strong>HCL:<\/strong> Hybrid Closed Loop<\/li>\n<li><strong>*<\/strong>Safety Mode** refers to a fallback or \u201csafe basal\u201d mode when the system cannot run closed-loop (e.g., sensor failures, exceeding limits, or user override).<\/li>\n<li>Insulin delivery and CGM pairing may vary by region and specific device model. Be sure to verify local regulatory approvals and product instructions.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Collyns OJ, Meier RA, Betts ZL, Chan DSH, Frampton C, Frewen CM, et al. Improved Glycemic Outcomes With Medtronic MiniMed Advanced Hybrid Closed-Loop Delivery: Results From a Randomized Crossover Trial Comparing Automated Insulin Delivery With Predictive Low Glucose Suspend in People With Type 1 Diabetes. <a href=\"https:\/\/doi.org\/10.2337\/dc20-2250\">Diabetes Care. 2021 Feb 12;44(4):969\u201375.<\/a><\/li>\n<li>Medtronic announces latest data on MiniMed<sup>TM<\/sup> 780G system with the newest Guardian<sup>TM<\/sup> 4 sensor<sup>i<\/sup> at American Diabetes Association 82nd Scientific Sessions [Internet]. Medtronic News. [cited 2022 Dec 5]. Available from: <a href=\"https:\/\/news.medtronic.com\/Medtronic-Announces-Latest-Data-on-MiniMed-TM-780G-system-with-the-newest-Guardian-TM-4-sensor-at-American-Diabetes-Association-82nd-Scientific-Sessions\">https:\/\/news.medtronic.com\/Medtronic-Announces-Latest-Data-on-MiniMed-TM-780G-system-with-the-newest-Guardian-TM-4-sensor-at-American-Diabetes-Association-82nd-Scientific-Sessions<\/a><\/li>\n<li>American Diabetes Association Professional Practice Committee; Summary of Revisions:\u00a0<em>Standards of Medical Care in Diabetes\u20142022<\/em>.\u00a0<em>Diabetes Care<\/em>\u00a01 January 2022; 45 (Supplement_1): S4\u2013S7.\u00a0<a href=\"https:\/\/doi.org\/10.2337\/dc22-Srev\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.2337\/dc22-Srev<\/a><\/li>\n<\/ol>\n<h2>Disclaimer<\/h2>\n<p>The opinions expressed here represent the views of a practicing <a href=\"https:\/\/www.linkedin.com\/in\/akuffo-quarde-1a81a477\/\">hormone specialist<\/a> (endocrinologist) and must not substitute the advice of your health care provider. This blog post is written for a non-medical audience interested in learning more about hormonal disorders. The author has no commercial conflicts of interest to declare. Also, read our <a href=\"https:\/\/www.myendoconsult.com\/learn\/wp-content\/uploads\/MEC-Privacy-Policy-Template.pdf\" target=\"_blank\" rel=\"noopener\">privacy policy.<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Insulin pumps are becoming increasingly popular as a way to manage diabetes, and for a good reason. Insulin pumps can provide better blood sugar control than multiple daily injections of insulin and can be much less disruptive to your life. If you&#8217;re considering an insulin pump, there are a few things you should know. First, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4409153,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63,95],"tags":[],"class_list":["post-2850667","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endocrineblog","category-endocrine-reviews-diabetes","post-wrapper","thrv_wrapper"],"_links":{"self":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/2850667","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/comments?post=2850667"}],"version-history":[{"count":287,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/2850667\/revisions"}],"predecessor-version":[{"id":4422880,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/2850667\/revisions\/4422880"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/media\/4409153"}],"wp:attachment":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/media?parent=2850667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/categories?post=2850667"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/tags?post=2850667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}