As the Jedi sugary in his blog indicates, always giving us a real vision of the products we have in the market teaches us how we have products at cheaper prices.
The good thing is to have products for everyone and have where to choose from.We cannot compare a Porsche with a Ford Fiesta, but this does not mean that you can speak ill of any of the products or its factories.They are two good vehicles that make their main function.One is more expensive than another but we do not criticize Porsche or we can say that they win more money and that is why it is a bad house.Each one chooses what he wants and that is the good thing, and if Ford Fiesta has stopped being manufactured because we will have to go to another model and that perhaps costs more, always doing some real assessments.

Low cost systems and lower complication
It cannot be denied that the insulin bomb market has achieved in recent years capture the attention of many more people.Their advances, their integration with sensor systems, their benefits ... have made many people with diabetes that were not traditionally interested in them have begun to look sideways at these devices that in other countries (some not far from us) areThe therapeutic option of starting in the approach of type 1 diabetes and although in recent times we see that the trend is irremissibly there (pump-sensor systems), it is also true that we talk about high cost and complexity systems to alllevels, both technical and at the user level and management.Meanwhile, in the world of multidosis (where we talk about infinitely lower costs) two currents coexist that extend the offer to the patient: traditional feathers and new intelligent feathers that are starting to go to the market and that provide data that is integrated intoCloud platforms, capturing interesting data as MCG or insulin pump systems already do.And in the same way that the feathers are in some cases evolving and abandoning the idea of ​​disposable pen, insulin pumps are trying in some cases the opposite;To create disposable or low -cost bombs, thus providing this therapy with more potential people and demolishing the economic barrier that in many cases separates people from this therapeutic option that continues to demonstrate day by day that is probably the best option in type 1 diabetes.And so alternatives have appeared in disposable or semi -disposable patch type systems (something that I already mentioned in this article has long ago).Business engineers such as CEQUR or Valeritas seek to create entirely mechanical operating devices (therefore, low cost), not fillable (simpler set) and disposable at the end of insulin.This consists of a "cheap bomb", as we could call it.Its simplicity reaches the point that these systems are sometimes not even designed to administer basal insulin, but only bowling during meals.We could therefore say that they are like an insulin pen, but like an insulin pump;permanently placed in our body.

The history of caliber finalsse
Several years ago, a company called Calibra Medical developed an insulin dispensing device in the style of an insulin pump reduced to its maximum expression.Maybe better call it patch.That device - called calibra finals - was perfected and improving until it was acquired by the giant Johnson & Amp;Johnson, who finished developing it and went on to call him one touch via.But the recent abandonment of the multinational of his diabetes business (his division ofAnimas insulin bombs was one of the first products to be descAlogue) has made the CEQUR& AMP;Johnson is no longer its owner.At the moment they call it "simple 3 -day bowling administration."A name nothing commercial ...

The new CEQUR device bought from Johnson & AMP;Johnson (external link in English) consists of an insulin pump type patch that contains up to 200 fast insulin units and serves to meet the needs exclusively of meals.Pressing its two buttons simultaneously, the device administers two insulin units, something that should be repeated until the desired dose is achieved.It can be attached to the skin up to three days and the FDA has already approved it for both use in type 1 and type 2. In the last Congress of Ada of 2018, a study presented showed that its users preferred it to the feathers asform of insulin administration, allowing the operation of its buttons even through clothing, which makes it a highly discreet system.Not only because it is hidden under clothes, but also the device itself already in itself, since it is only 6 mm.thick, 5 cm.long and 2.5 cm.wide, and its meat color makes it even more camouflaged.

One Touch via
The CEQUR system is discreet even in color (Image: Cequr Corp.).

Another curiosity of this already curious device is that it is a completely mechanical system that does not integrate electronics, which directly results in its cost, which would be closer to that of classic insulin feathers than that of a pump.And therefore, like these, it will also be sold in American pharmacies, foreseeably - according to Cequr - in mid -2019.

The other option is the "cheap bomb"
But this idea of ​​low -cost infusion devices is something that this company had already worked for years.Its system called PAQ is able to administer both bolus and basal insulin.PAQ (external link in English) is actually more similar to a low-cost insulin pump, in the style of the already known V-G Valleritas (external link in English) or the Pump touche (external link in English) that already alreadyI commented on his day and that he does not seem to have advanced much in his face.PAQ would be launched about a year and a half after the 3 -day Bowling insulin disposable system.In addition, unlike this system acquired from Johnson & AMP;Johnson, PAQ allows more possibilities and is closer to the concept of a classic insulin pump, but infinitely easier in its handling and options.Preprogrammed basal guidelines, almost without buttons, without screen ... Only a disposable reservoir that separates from the rest of the set after three days.In this video you can see how the system works.It is really simple and an interesting option for many people.

The idea is interesting and because of its simplicity, viable not only for a certain typology of little trained type 1 patients, but also for type 2. In fact, the clinical study they carried out in their day was performed on type 2 patients.

DISPOSABLE PUMP PAQ
The PAQ disposable insulin pump is an interesting alternative (image: CEQUR).

V-go values
Another "cheap bomb" without electronic;V-GO VALERITAS (Image: Valeritas Inc.).

In conclusion, the approach of an economic option for an insulin bomb (in the case of V-GO or Paq values) or a discreet alternative for multidosis therapy (in the case of One Touch Via) is very interesting and they are pathsto explore that in my opinion they should get ahead, sinceThey expand the offer and allow certain patient typologies to find their ideal therapy in these systems.Therapy that today is limited or to carry feathers or to an expensive insulin pump system that in certain cases its center does not place it for reasons outside its diabetes (read personnel needs ... non -existent training among professionals ... Budget item of the hospital ... decisions ... decisionsof the Ministry on duty ... absurd quotas in the number of bombs to put ... or any other reason - sometimes pilgrim - that place our country in the unfortunate queue of Europe in implantation of insulin bombs (by the way, an interesting debate forsome round table).

Do you think this type of multidosis administration systems in "patch" mode are more useful and comfortable than insulin feathers?Do they have more advantages?Would you like to have a simpler patch -type pump to handle?Would that be the preferred way to access this type of devices?

Blog information El Jedi sugary, always giving a real vision of diabetes products.

Link administration-insulina-bajo-coste-cequr- valuetas/