Closed-loop pump options – November 2018

We’re talking about a closed-loop system which ties your CGM and pump together so that it decreases or increases insulin flow as required to help maintain your target glucose levels. Not all pumps can do this. All this discussion is written with the Australian environment in mind, and especially in the context of my November 2018 …

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Australian Insulin Pumps – November 2018

There have been a few slight developments in the Australian pump landscape since my August update. So here’s a new run-down. There are 7 pumps that can currently be purchased new through private health insurance: Tandem t:slim X2 Medtronic 640G Medtronic 670G Accu-Chek Combo Ypsopump Cellnovo DANA RS As usual I’ll run through them with brief …

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Segal’s Law

To quote from Wikipedia, Segal’s Law is an adage that states: “A man with a watch knows what time it is. A man with two watches is never sure.” How is this relevant to diabetes? Well, for the last fortnight I’ve been wearing three CGMs. It’s been quite enlightening. The three systems I’ve been using have been: …

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CGM accuracy – Calibration is King!

Over the years I’ve spent some time living with multiple CGM systems: Dexcom G4 and G5 Medtronic Guardian2/Enlite (640G pump) FreeStyle Libre FreeStyle Libre with Spike/xDrip+ Incidentally for the purposes of this technical discussion, the Libre is a Continuous Glucose Monitor. Any lack of alarms/etc does not change this, even if “Flash” monitoring doesn’t have …

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Have I cooked my insulin?

We’re getting well into Summer here in Australia, and the question of how to keep our insulin safe in the heat keeps coming up. All the manufacturers will tell us are the storage requirements listed in the official drug approvals. Legally they would find it hard to recommend anything outside that without first going through …

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