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BUILT BY EUGENE KAGANOVICH
Insulin Pumps Reviews
INSULIN PUMPS REVIEWS
When we plan to buy a cell phone, TV, computer, etc.; we are searching for information and reviews. We read reviews at amazon.com, cnet.com or blogs. We talk to our friends about their experience. Searching information online is extremely difficult. The comprehensive reviews of insulin pumps are not available. They are missing issues that you can experience with pumps. Usually they cover basic staff, but all these web sites carry the load of advertisements from each insulin pump company.
My advice is speak to your doctor, who will prescribe the pump, discuss with the CDE before making the decision which pump to choose. Insulin pump devices are expensive. Companies make a huge profit. Every company has a system with sale’s department,CDE who stand up for their products. If you go to FDA web site, you will be surprised how many times one or another company recalled their devices.
A Guide for patients and health professionals how to choose insulin pump
Mimined is a pioneer in insulin pump business. The first Insulin pump was built in 1983.
Insulet Corporation developed the first wireless Insulin pump -
TANDEM DIABETES t: slim
My mom has Type 1 diabetes. Six years ago she started on insulin pump, her first pump was Minimed Paradigm 712.
She chose Minimed because of large cartridge. After a while, I understood it is hard for her to use Minimed because of her eyes complication and I helped switch her on Omnipod.
Omnipod does give you freedom but quality of the pump is poor. It was not easy to choose a right pump for her. I stopped at t:slim insulin pump. Searching all over Internet for information about t:slim insulin pump.
Watching video review on YouTube, reading blogs, searched online libraries for comprehensive review. After a few months, I understood that information about t:slim insulin pump is not available and what is available doesn’t help me make the right decision.
DIFFERENCES FROM OTHER INSULIN PUMPS NEW LOOK AND DESIGN
Please see my comparison table of the insulin pumps. It’s based purely on my own experience.
My point is simple. Pump will NOT change how you eat or exercise. I was using the insulin pumps over 15 years. It did change quality to my life. I could work in ICU as RN.
Flexibility of insulin pumps is huge.
Almost all pumps have similarity and at the same time different technical parameters. Why is my comparison table different from companies? My review is based on owner’s manuals from each insulin pump. Some data is not available in technical manual or it is very difficult to understand.
My goal is to bring all these data to easier way to understand that you as a customer can make a right decision.
INSULIN PUMPS COMPARISON TABLE
MiniMed Paradigm Revel
Animas OneTouch Ping
or 1 unit/ 40 sec
Revel model -
Bolus under 1 U/ 1.1-
Bolus 1 U and more 0.5 to 0.9 U/sec
Bolus 1 U or more 0.2 to 0.4 U/sec
In general 1 units 1 or 3 sec
1 Unit over 40 sec
Rate of delivery during Bolus
Bolus >3 units -
Bolus <3 units -
<3 units -
Frequency basal delivery
Model 522 0.05-
Model Revel -
0.2 u/hr every 3 minutes
5 min for all basal rate
How insulin pump is developed? Why are we experience so many recalls?
If you are doctor, certified diabetes educator or person with diabetes, you are limited to find trustful information about insulin pump.
How to make a right decision? Do you know how the insulin pump was developed? What steps are taking for developing safe medical device? How is FDA approving medical equipment?
I used all brands of insulin pumps. They all have some kind of problems. How many times did you receive letters from the company with recalls of infusion sets, cartridges and even the insulin pump? Why is this happen?
From my experience as a nurse in ICU I saw many recalls for medical equipment. Why companies are rushing to push devices on the market without comprehensive reviews and testing? Every company has quality assurance staff, who check errors, issues and other problems with products. FDA is involved with intensive reviews of the product. When the product is in use we are finding problems, why is it?
OK, but what about the end user. Like me. Do I like design and functionality of the device? I was involved in providing feedback in development of insulin pumps, which were taking place with focus groups and surveys. This is a market research. It is limited. Companies are collecting surveys and review information from focus group, and engineers make decisions how design medical devices.
Going back to insulin pumps development. All major companies Minimed, Animas and Omnipod were using focus group and surveys to get an idea what end user likes and how to build a new version of insulin pump. However, at the end, they were stuck with horrible user interface, not attractive medical device which I have to use years (every single day, no weekends).
Insulin pumps companies are trying to accomplish safety and simplicity of their pump. After rolling the product to the market and using for a while end users find glitches, errors, which require recalls. What companies don't understanding they can lose customers’ trust and money. I have been analyzing design of insulin pumps for the long period of time (over 15 years).
What do you see in new generation of the pumps from these companies? Nothing. New generations of the insulin pump doesn’t include significant changes. (Delivery of insulin from 0.025 to even smaller dosage). I’m not sure who needs such smaller dosage if you are using the old cartridges which leaks insulin. What is more important smallest dosage or fixing leaking cartridge, poor occlusion detection?
How to choose insulin pump
I started pumping in 1996. My choice was between Minimed 500 and Disetronic H-
How many self-
Alarm functions. You have to understand you are relying on the pump to deliver correct dosage. If your pump is malfunction and delivers are the wrong amount of insulin, you can develop hypo reaction. If it is in the middle of the night, you can be in a big trouble.
Are you getting the pump for your kid or for the adult?
How much insulin does the cartridge hold 300 cc or 200 cc? What is the smallest dosage the pump delivering?
What types of boluses is pump delivering? ( Standard, extended and mixed)
Software. What reports can you generate? Can you manually entry data? Check if the pump is waterproof (water resistant)
Ask if you can try the pump?
Check what kind of infusion set is accepted by the pump.(Paradigm or luer luck connection)
Depending on company policy, you have 30 days to return insulin pump with appropriate doctor’s letter. The company doesn’t want such option, because you can try and return it. The pump warranty 4 years. The insurance will buy a new pump every 4 years.
You can’t blame your doctor or CDE who advised you, which pump to choose. They are not with you 24h a day.
Animas One Touch Ping
Animas Company was founded in 1996. Acquired by Johnson & Johnson on February 18, 2006.
First insulin pump on the market -
Who can you talk to?
Doctors are busy or have limited knowledge of every aspect of insulin pumps. The certified diabetes educators (CDE) if they are specialized in insulin pump can help you more in choosing the right pump.
They can provide technical data of the pump which they work with. If you have a friend or family member who is using the insulin pump, ask them about their experience. I’m sure they can share more information with you. If you know, which pump you are getting contact directly the company and speak with customer support.
Every company's website has a page with a comparison table of insulin pumps. Every time when I read these comparison makes me confused. They use different technical words and add plus or green check marks that their pump has better features than another.
Example: the insulin pump omnipod has a meter (accept freestyle test strips) pre build in PDM, and other companies have the glucometer that work remotely – What is different between them? Does it make sense to include this information in the comparison table? This is biomartketing -
The price of the insulin pump is high. It can go up to $8000. Private health insurance covers 100% or 80%. After four years you can choose another pump or stay with the same company.
PART #1. INTRODUCTION TO INSULIN PUMP