After reading your article twice it sounds like a lot of work for not much improvement overall. Trusting the 670G system, combined with some creative self-management techniques, has led to improved glucose management. Here are a few insider tips to help you get the most from 670G: Interestingly, I don’t believe the limitations inherent to 670G are limited to this particular system, although shortcomings to 670Gs algorithm and elimination of certain self-management tools may amplify the challenges. My Detailed Review of the MiniMed 670G from Medtronic.

Out of the box the pump comes in a practice mode so you can play with buttons before hook up (or even before training). Asking for calibrations five minutes or less appart This device takes at least a solid hour on average to operate if you include hour long calls to tech service. I am 78, 54 years T1, currently on a Paradigm 523 that is due for replacement, and have never done CGM.

The basal algorithm targets a glucose value of 120 mg/dl, and there are limits to how long the system can deliver zero basal insulin as well as the magnitude and duration of maximum basal delivery. The target BG (which the user can not change except to target higher for exercise) is just too high to allow for really tight control.

I decided to try the 670G partially out of professional interest (everybody and their great aunt have been asking for my opinion on the system), and partially out of … Delivery can be suspended temporarily and carbs can be consumed before/during exercise to keep from dropping low. I was sitting at 4.7 and decided to eat a meal.

Your review is the only one that I have found that speaks honestly to this point.

many users are echoing this response. For those who normally have a significant difference between their “peak” basal and their “valley” basal, perhaps due to a pronounced dawn phenomenon, the algorithm’s max basal may not be enough to meet peak basal needs. The only problem is it closes with velcro istead of a snap. Instead I switched to Tandem after 20 years with Minimed and I could not be happier. There are a few big issues I have with the Sensor. My problem is at night while I’m sleeping, the auto mode delivers way to many micro boluses, causing my number to fall below range. The pump decided only to give .35 of my bolus and then shut itself out. I think the fact that you are still getting comments on your article now, almost a year and a half later speaks to how relevant and well written your article is. I am one that doesn’t have a regular schedule I work days but the intensity changes daily. Plan to perform fingersticks four to eight times a day for sensor calibrations and to keep the auto-mode feature running smoothly.

For me and my body and lifestyle, this system is flat out dangerous. I was in range 78% of the time in manual mode. There are a number of ways to “outsmart” the system, but this is not one of them. The reservoir connector pokes me in the gut every time I bend over, and I have to unclip it to see the screen and programming menus in the proper orientation. These are the icebergs – the things the system must navigate around in order to prevent extreme highs and lows. In the 35 years of having T1D, I don’t believe that I have ever felt more burdened with the disease than I do now. I maintain a 6.2-6.5 a1c with only pump therapy, no cgm. At this point I need make the best use of the new system, despite its problems. Its not a phone or for funsies. Without the option to temp basal or reduce the bolus on the previous meal intake, one is often left with no option but to “feed the insulin” to avoid a low. I am considering going into manual mode with the omnipod before I lose my mind. After reading your review I will probably not go with the Medtronic, and go with the tubeless Omnipod for my active lifestyle.

I am going back to conventional pump therapy. My other gripe is demanding calibration with arrows on screen. I am going to start using that now. The pump’s target is 120 mg/dL and can’t be set lower. Unless you’re a subject under the United Healthcare dictatorship, you have CHOICES. And while the pump has a target, it really views its job as keeping you “in range,” which is a different thing. It uses a computer program (called an “algorithm”) to automate certain aspects of insulin delivery. It is way bigger, bulkier and the reservoir pokes me in the stomach. Quality of infusion sets is beyond terrible. Fear of new complexities? I am using the medtronic approved belly locations and still not getting good results.

I was a long time Medtronic user but when I upgraded to the 670 I hated it. Since I started using 670G, my overall blood glucose control is better. There are also several limitations to the system which hinder its ability to keep glucose levels within range continuously: Despite these “icebergs”, I have managed to achieve better glucose control with 670G than I could achieve on my own using a pump and non-integrated CGM. Why? She can go over billing info etc. was 6 last month. BUT, the CGM system is horrible. Hi Michael, yes I have been an educator with Integrated Diabetes Services for over 3 years. You use fewer sensors that way. I use MDI and am more aggressive because of my beloved Dexcom G5.

Have you had this issue as well? Thanks Alicia, For now I am just using the pump and no CGM. OK, first things first. I dont understand the need for so many steps to achieve one action. HI Carolyn, we work with patients around to globe to help them find the right tech for them and maximize itse use in their lives. I absolutely hate this pump and refuse to use the CGM even though I have been offered 3 months free usage of it. You might want to look into Looping if you’re open to a non FDA option. « How I Started Running with Type 1 Diabetes (After Saying “I Don’t Run” for Years). Keeping your bg in good control then is its own reward.

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