Category Archives: Reviews

Medtronic and Dexcom in a good light.

Tuesday’s post covered a couple of potential issues with devices made by Medtronic and Dexcom. And I seem to remember a similar post that included Medtronic a couple of months ago.

Taken just as they are, these posts might give you the impression that I have a problem with Med-T and Dex. Trust me… I do not have an axe to grind. I really do try to be fair and balanced. Not fair and balanced like a certain news organization here in the States that eggs on congress to repeal the Patient Protection and Affordable Care Act (the house voted against it 37 times already), then champions House Speaker John Boehner when he states that “…creating a better environment for jobs has been and will remain our top focus”. But I digress.

What I’d like to do today is talk about the things that I really like about the Medtronic pump I have, and the Dexcom continuous glucose monitor (CGM) I’m using as part of a clinical trial. M’kay?
 
 
First, Medtronic.

The single best thing I can say about my MiniMed Paradigm® Revel™ insulin pump is that it’s reliable. It has never once failed me. Oh, I’ve gotten a motor error or two now and then, but I was always able to overcome that without too much difficulty. By “without too much difficulty”, I mean within five minutes.

I’ve also dropped my pump several times over the last three and a half years. I’ve scratched it. I’ve let it get dirtier than a medical device should ever be, and it still keeps going. It’s been on bike rides and runs and through airport security more than a few times. No problems here… still pumping.

And when it comes right down to it, what I want most out of a medical device designed to help keep me alive is reliability. My pump has that in spades.
 
 
Now, Dexcom.

There’s a lot to like about the Dexcom G4™ continuous glucose monitor. To begin with, the insertion process is simple, smooth, and often completely painless. For the study I’m participating in, I’m required to wear the sensor on my belly only, so I haven’t had a chance to try it anywhere else. But I really like the fact that I can get the sensor in easily, and that once it’s in I almost never feel it.

Since it’s not integrated with my pump, the Dexcom CGM has its own display device. Much has been written about how 21st century and sexy this little thing is. I mean, it is kinda nice, and it looks a lot like other electronic devices we all carry around every day. But I really dig two things about it. One, it holds a charge for a loooong time (and recharges quickly). And two, the range on the device is pretty good. I’ve gotten into the habit of reminding myself to put it in my pocket every time I stand up now, so I don’t leave it on a table or on my desk at work. But if I’m in a meeting in a big conference room, I can leave it on the conference table and get up to walk around the room without worrying about whether I’ll be out of range. At home, I can sit it on the front steps while I mow the front lawn (I have a small yard, but it’s big enough to be out of range for other CGMs).

Finally, I like the Dexcom Studio™ software used to track all of the data from the CGM. Lots of user-friendly, understandable graphs, charts, and other features that help me understand my glucose trends better. I could go into detail, but if you’re really interested in finding out more about it, you should probably check out the information on the Dexcom website.

I haven’t tried a lot of continuous glucose monitors (just Dexcom and Medtronic), but my impression of the Dexcom G4™ is that it’s the Cadillac of CGMs right now. If you disagree, feel free to let me know why by leaving a comment.
 
 
So you see, it’s not all bad. If you think about where we were twenty years ago, there really has been a lot of hard work done and progress made on insulin pumps and CGMs. I hope that in future years, Medtronic and Dexcom will be able to keep the best features of their current products, and improve and enhance the worst. Our lives, and the quality of our lives, depend on it.
 
 
 

Book Review.

I guess there really is a first time for everything, so here it is… my first book review. This book has already been written about in multiple places. Here is my take.

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When I attended the JDRF summit in Bethesda, Maryland a couple weeks back, I picked up Amy Ryan’s book Shot: Staying Alive with Diabetes.

Amy is a lawyer by trade, practicing in Washington, D.C. (why do they say practicing? Seems to me she’s working), specializing in the commercialization of new medical technologies. She was diagnosed with Type 1 Diabetes at age 29.

The book details her diagnosis, getting through law school, carrying her daughter through to full term delivery, surviving a pretty serious infection, and everything in between.

A lot of Type 1s will identify right away with Amy’s descriptions of high and low BGs, MDI versus pump decisions, and the general idea of living a meaningful life with diabetes. Especially if you’re a woman living with Type 1. That’s not a knock; it’s the truth. Amy is a woman, and she brings a perspective to the story that the fellas can’t.

But I think the most value in this book is in Amy’s clear descriptions of things like hypoglycemia, diabetes burnout, how an insulin pump works, and more. For this reason, I think it’s a terrific book for a parent, a spouse, or a co-worker of a Person With Diabetes. She explains things in terms that someone not living with diabetes can understand.

So while I can endorse the book for PWDs, I can most definitely endorse the book for any non-PWD who wants to understand us better. I’m making The Great Spousal Unit and The Live-In Niece read this book. Then I think we’ll talk about it a bit. Maybe have a question and answer session.

More information on Shot: Staying Alive with Diabetes, including an excerpt from the book and information on where to purchase, is available at http://www.amyryanshot.com/.

Disclosure: I bought the book, I read it, and now I’m writing about it. Nothing deeper than that.