#1126 Grand Rounds: Technology Part II

Pumps & CGMs

In this episode, Scott Benner and Jenny Smith dive into the world of insulin pumps and continuous glucose monitors (CGMs), highlighting their functionalities and benefits in diabetes management. They discuss the emergence of the newer iLet pump, which simplifies user input by adjusting insulin delivery based on meal size and type, promising improved A1C levels for those struggling with diabetes management 1. Scott emphasizes the importance of healthcare providers being knowledgeable about these technologies to better assist patients 2.

It's incumbent upon the doctor to build an office staff that can help shepherd people through these things.

--- Scott Benner

The conversation also touches on the significance of choosing the right device based on individual needs and preferences.

   

Algorithm Pumps

The discussion shifts to the exploration of insulin pump algorithms, such as Omnipod 5, Tandem's Control IQ, and Medtronic's Minimed 780G. Each system offers unique benefits, with Omnipod 5 being more autonomous, while Control IQ allows for user customization based on existing settings 3. Medtronic's system is noted for its aggressive micro-corrections, making it less burdensome for users to manage 4.

The new Medtronic actually has, I think, of the three systems on the market, it's auto microboluses or it's micro corrections along the way are the most aggressive.

--- Unknown

Scott and Jenny stress the importance of matching the right algorithm to a person's lifestyle and financial situation, as not all patients have access to the same resources.