MEDRORONIC MINIMED 780G SYSTEM

I've been with the pump in Smart Guard mode, and sometimes he doesn't convince me so much.In manual mode I found a basal guideline that kept me perfectly flat, but the Smart Guard algorithm does not give me much confidence.Hours and hours without basal with which the bolus of the meals covers perfectly but then begins to shoot until the automatic mode acts together while it takes to correct.

As for the Guardian GL3 sensors, they are a bit roll, as calibrations outside the 70-160 range end up giving problem.

garci said:
hello good leo this chat and I see that there are pwrsonas xej, halexx who have made a hospital change to get, xej, um change in the sensors, I've been arguing with the endocrine for yearsTo make my son patient with type 1 diabetes and celiac, an insulin bomb but I can't get anything, I would like to change hospital and be ableIf they would accept him as a patient, ultimately as you have done because the truth is that I have tried several times and it is like colliding with a wall, thanks

Hi Garci.You can perfectly change hospital even if it does not correspond to your home for nearby.

Today I had review in the new hospital and I have been put by Guardian 3 connected to the 640g that I already had and they have told me that during the month of June I will have the 780g.In the previous hospital they force me to continue with the 640g and the freestyle 2 sensors that so many problems were giving me.

I recommend that you ask your primary care doctor for an interconsultation part, that you give you the number number and through the appointment request application you can select the hospital

You will tell us

A hug

Hello, since Wednesday I have 780g.I want to activate the SMARGUARD automatic mode but I don't get it.
On the Comp.SMARGUARD everything appears in green and only starts starting smarguard with 3 suspensive points and without green vision.
It does not end up activating and I do not know if it is because something I have not activated or I have not done well, or I do not know if a specific time has to spend since you act (although I have already been on a few hours put and nothing).
Anyway, I would appreciate an aid if you use it.
Thank you!

He has just activated me, it is seen that he has had to spend Friday, although the 48 h had passed at noon.
Thanks anyway!

Antonio3334 said:
This system has suggested to give it to me in a few months.
Supposedly corrects ups and doses increasing and decreasing, but I think it does not make the terrible cuts of insulin.
I'm worried about starting with this method when I already have a 4.9 hemo with a 640.
I open the thread to share experiences with those who have it or but with your opinion.If there is already another thread (I did not find it) then I deleted (Borrais) this.

Almost a month ago they put my daughter the bomb 780 g and is an authentic chaos.Before I had the 640g and we have even been with a glycosilada of 5.4.Since it has been 780g, it has become a nightmare.Disconnections without reasons, arrest of infusions every two by three, does not rest at night, glycemia have shot up to values ​​of 300. We are looking forward to communicating with the hospital and returning to 640g.I have the feeling that we are acting as Indian bunny.
And we don't talk about a girl with recent diabetic debut.My daughter is now 16 years old.It is diabetic since the 11 months, being a baby, and carries the bomb since it has a year and a half, it was one of the pioneers in young babies in putting the bomb in Spain.So we discard for those who are thinking that it can be a matter of ignorance of continuous infusion pump treatment.We know what it is.
We can only say that the quality of life that my daughter had with the 640g, has lost it with this new bomb and I will tell you, but I am sure that its glycosilada has shot up with these glycemia that we regited since they put this bomb ofInsulin 780g.

Hello.Can anyone with 780g help me?

I have DM1 for many years.Of the usual bowls, now I have passed to 780g.I have already finished the formation of Medtronic.I have been automatic with autocorrection (smartguard) for 3 weeks.I have a lot of insulin resistance, with an insulin average of 90U/day according to the pump.I have a target of 100mg/dl and active insulin at 3h.

The problem I have is that there are days that blood glucose rises above 200 mg/dl and the pump is not able to go down to objective.It spends more than 8 hours trying to lower glycemia levels, but remains in a flat "curve" above 180. It is constantly providing basal and doing microbolves (usually <1 U).With the bowling calculator app, I put the value of GS and tells me that I should correct myself with several units (between 6 and 10U depending on the value of blood cells and active insulin), but the pump is extremely conservative and it is putting my less microbolosof one unit every 5 or 15 min.On these occasions I have appeared the message "Samrtguard has been in maximum infusion for 7 h. Enter GS to continue on smartguard".

The days that glycemia rises little (<170) corrects it well and keeps me close to objective (100).

In Medtronic they tell me that it does not supply insulin manually because I would deceive the learning of the bomb.But from the first day it seems that the pump is not providing the necessary corrective doses.It gives me the feeling that the pump algorithm does not contemplate a profile like mine and does not supply the insulin I need.

Anyone with a similar experience?Any solution or comment?

A partner who has the 780g that you put the bomb without reluctance tells me

Kenyi said:
Hello.Can anyone with 780g help me?

I have DM1 for many years.Of the usual bowls, now I have passed to 780g.I have already finished the formation of Medtronic.I have been automatic with autocorrection (smartguard) for 3 weeks.I have a lot of insulin resistance, with an insulin average of 90U/day according to the pump.I have a target of 100mg/dl and active insulin at 3h.

The problem I have is that there are days that blood glucose rises above 200 mg/dl and the pump is not able to go down to objective.
,,,
Anyone with a similar experience?Any solution or comment?

Hi @Kenyi

The most aggressive 780g parameters recommended by Medtronic are target 100 mg/dl and insulin duration 2 hours.

I guess you will already, but just in case:
1) Change the infusion equipment (and break the insertion point) and the reservoir every three days.
2) Minimize the formation of bubbles when you drive the reservoir.
3) Keep insulin in use away from heat and sunlight sources.
4) Attend all the alarms / notices of the pump.
5) Recalculate (if necessary) your HC ratios and basal infusion.
6) Tell the HC that you eat in the most precise way you can.

With all this I hope I have helped you (and remember, the 780G usually takes to correct a blood glucose of more than 200 mg/dl in a time between 1 and 2 hours).

mamarvazq said:

Kenyi said:
hello.Can anyone with 780g help me?

I have DM1 for many years.Of the usual bowls, now I have passed to 780g.I have already finished the formation of Medtronic.I have been automatic with autocorrection (smartguard) for 3 weeks.I have a lot of insulin resistance, with an insulin average of 90U/day according to the pump.I have a target of 100mg/dl and active insulin at 3h.

The problem I have is that there are days that blood glucose rises above 200 mg/dl and the pump is not able to go down to objective.
,,,
Anyone with a similar experience?Any solution or comment?

Hi @Kenyi

The most aggressive 780g parameters recommended by Medtronic are target 100 mg/dl and insulin duration 2 hours.

I guess you will already, but just in case:
1) Change the infusion equipment (and break the insertion point) and the reservoir every three days.
2) Minimize the formation of bubbles when you drive the reservoir.
3) Keep insulin in use away from heat and sunlight sources.
4) Attend all the alarms / notices of the pump.
5) Recalculate (if necessary) your HC ratios and basal infusion.
6) Tell the HC that you eat in the most precise way you can.

With all this I hope I have helped you (and remember, the 780G usually takes to correct a blood glucose of more than 200 mg/dl in a time between 1 and 2 hours).

mamarvazq said:

Kenyi said:
hello.Can anyone with 780g help me?

I have DM1 for many years.Of the usual bowls, now I have passed to 780g.I have already finished the formation of Medtronic.I have been automatic with autocorrection (smartguard) for 3 weeks.I have a lot of insulin resistance, with an insulin average of 90U/day according to the pump.I have a target of 100mg/dl and active insulin at 3h.

The problem I have is that there are days that blood glucose rises above 200 mg/dl and the pump is not able to go down to objective.
,,,
Anyone with a similar experience?Any solution or comment?

Hi @Kenyi

The most aggressive 780g parameters recommended by Medtronic are target 100 mg/dl and insulin duration 2 hours.

I guess you will already, but just in case:
1) Change the infusion equipment (and break the insertion point) and the reservoir every three days.
2) Minimize the formation of bubbles when you drive the reservoir.
3) Keep insulin in use away from heat and sunlight sources.
4) Attend all the alarms / notices of the pump.
5) Recalculate (if necessary) your HC ratios and basal infusion.
6) Tell the HC that you eat in the most precise way you can.

With all this I hope I have helped you (and remember, the 780G usually takes to correct a blood glucose of more than 200 mg/dl in a time between 1 and 2 hours).

Hi @Mamarvazq Thank you for your answer.

All the points you mention have followed them correctly.
In point 5) you comment recalculate the "basal infusion" (and the ratio).I understood that in auto mode (smartguard) all we can touch is: objective glycemia, the HC ratio and the active insulin time.But the basal?I think the value introduced is only used in manual mode.And in car is adjusting dynamically.

What I have left to try, is to lower time, that I have 3h as indicated in the training.I believe that what "fails" the bomb for my profile, are the microbolos, that I am very low and although I do them every 10-15min they are entirely insufficient.

For example, on Sunday night I was more than 12h above 170 without any intake or bolus, leaving the bomb to correct on its own.The basal was kept folbous throughout the time and made 37 very small microbolos andClearly insufficient.If I am below 150, it keeps me between 140 and 100, but if it rises above 180-200, there is no way to correct.

I do not know if doing an Easybolus (moving to manual for a moment) could harm (deceive) the learning and calculations that the pump makes.

@Kenyi I have no experience with bombs, but I have read a little of it and they say it costs him to go down when he rises from 180, because he does it with many microbolos, and what they say can be done is to deceive it putting that you eat some hydrate although notyou eat it ...,

regina said:
@kenyi I have no experience with bombs, but I have read a little of it and say it is difficult for him to go down when he goes from 180, because he does it with many microbolos, and what they saywhat can be done is to deceive it putting that you eat some hydrate even if you don't eat it ...,

Hi @regina.Thanks for the answer.

Yes, a way to force down the blood glucose is to put a bolus simulating HC, but with that the bomb is deceived and I understand that it is harmed in your learning of your profile.That is why I asked if the same would happen with an esybolo, which is to tell him to put some insulin units but without intake, to Piñón.The bad thing is that you have to remove the car mode to move on to manual and then return to the car.It would be interesting for Easybolus to also be available in car (smartguard) under the responsibility of each.

Hello.

For a few weeks they have passed me to 780g, before I had the 760g and for now it has been a great advance, it is more improved and the amounts in continuous microbolos are increased better, but of course, the pump does not give if before strong increases, which are usually to erroneous to the pump for poor HC measurements in meals.

The conclusions are clear, the existing systems are as I say "half fools", they work very well for basal corrections, but for corrections after food intake at all, if you are wrong to put the data ... wing, winged or downturnto song.
In case of climbing, of course I put fictitious bowling, I have no choice.

After this idea, the worst thing I have are, of course, the alarms overall sensor-bomb: as you have a weird day you are continuously day and night with the music and vibrations, a torture.

One of the improvements that I am looking forward to is that Guardian sensor 4 appears, which in theory should not be calibrated, now to have to calibrate at least twice a day is a punch.

Juan David said:
Hello.

For a few weeks they have passed me to 780g, before I had the 760g and for now it has been a great advance, it is more improved and the amounts in continuous microbolos are increased better, but of course, the pump does not give if before strong increases, which are usually to erroneous to the pump for poor HC measurements in meals.

The conclusions are clear, the existing systems are as I say "half fools", they work very well for basal corrections, but for corrections after food intake at all, if you are wrong to put the data ... wing, winged or downturnto song.
In case of climbing, of course I put fictitious bowling, I have no choice.

After this idea, the worst thing I have are, of course, the alarms overall sensor-bomb: as you have a weird day you are continuously day and night with the music and vibrations, a torture.

One of the improvements that I am looking forward to is that Guardian sensor 4 appears, which in theory should not be calibrated, now to have to calibrate at least twice a day is a punch.

Hello Juan David

On the guardian transmitter 4 (G4), six weeks ago when we started with 780G, they told us that there were g4 stock problems and gave us the G3.I know there are 780g patients who have Guardian 4.
Do you know if they changed us to the G4?Deadlines?

Greetings

Hello Juan David
I would like to know if when the guardian does not carry 4 notes any difference between the bombs.

Hello.
Forgive but enter from time to time and I have not read you.

They have not given me date in the hospital for Guardian 4, despite insisting, so K has to wait a few months.

I was surprised by 780g.As the days pass it is improving (... AI ...), a pass, my glycemia curves are almost "straight" for almost all day, that did not happen to me with the previous one.

I told you, if you take many HC and do not measure them correctly some climbs, but very few and do not exceed 200-210 of blood glucose by automatic microbolos.I have only had this last month two strong climbs, and they were because I did not wear the pump on.

As often happens with automatic systems there are never improvements without some negative effects: in exchange for these improvements for microbolians, sometimes hypoglycemia appear especially at the beginning of the morning (70), but I prefer to assume them, a little water withSugar and ready.

I think K when the guardian sensors 4 give me, the system is going to be close to the perfect.

If those of Medtronic continue like this, the next bomb will be an artificial pancreas ... uff

I forgot, I have gain weight, but it must be because I am almost as if I had no diabetes, so I have to do "regime" (I am trying discontinuous fast because I regime I already have to be diabetic) and I have already pajed a few miles.

And another thing, every diabetic is a world, I already realize k k kty one feels good, another can sit badly, each one we have to find our system.

On June 1 they pass me to 780g with the G4, I only hear good things of this bomb and obviously it is not the panacéa but I assure you that it is sooo better than the 670g that I have been in for 2 and a half years, which almost no useThe automatic mode of how bad it is.I just hope I let me sleep stable because 670 is unable to get off 140 all night

How well I really want to try the truth.I have been waiting list for a year and a half and it is desperate 🤦

macarron_con_diabetes said:
on June 1 they pass me to 780g with the G4, I only hear good things of this pump and obviously it is not the panacéa but I assure you that it is very much better than the 670g thatI have been for 2 and a half years, which almost does not use the automatic mode of how bad it is.I just hope I let me sleep stable because 670 is unable to get off 140 all night

Hi @macarron_con_diabetes

Do you already have the 780G?In the end, what transmitter did they give you?The G3 or G4.Do you know if there is already stock of the G4?

Thanks and greetings

Hello everyone!!

I take the opportunity to ask if someone can clarify a doubt.I have been with smartguard for a week and I see that hyperglycemia takes a long time to correct them, the self -corrections are very slight so it leaves me many hours high.Is the bomb learning on the march?I'm afraid to change the duration of insulin to a little less time