Name

Name of person with diabetes

What ALL the systems do and require you to do.

All systems increase the insulin when the glucose is going high and reduce or stop the insulin when the glucose is going low.

All systems require you to carbohydrate count and enter the carbs for each meal and snack into the system.

All systems require the carbohydrate to be entered into the system 15 minutes before eating as often as possible to support how the system works.

All systems require you to change the cannula where the insulin is delivered through every 2-3 days.

All systems require you to check for ketones when the glucose goes above 14.0mmol/L and do a pen injection if the ketones are above 0.6mmol/L.

All systems require you take fast acting carbohydrate to prevent or treat low glucose levels.

All systems require you to wear a continuous glucose monitoring sensor such as the Dexcom G6 or Medtronic Guardian 4 that you change every 7-10 days.

All systems will occasionally require a finger prick blood glucose if unsure of the accuracy of the sensor.

All systems require you to attend four start-up session in the first two weeks.

All the systems will need several adjustments in the first month, then settings updates at least every three months in clinic.

Do you agree to all the above? 

Age

The systems you can choose depends on your age, due to licencing.

Select your age range below to see which systems you can choose from, then only look at those systems.

MiniMed 780G.

You must be 7 years of age to use this system.

If you are not going to be 7 in the next few months, you cannot select this system.

Go this page to learn about the MiniMed 780G System and watch the videos.

https://www.medtronic-diabetes.com/en-gb/insulin-pump-therapy/minimed-780g-system

What you will wear:

An insulin pump that has a tubing connected to the body.

The SmartGuard algorithm is within the pump.

The Guardian 4 glucose sensor (no finger pricks required). If you are on a different sensor, we will be able to change you to the Guardian 4 when you start. 

If parents/guardians want to be able to see readings on their phone, the young person will need a compatible phone – this is not essential

The pros:

·       Very simple to use. The system automatically calculates and updates the basal rates and correction factors. All that needs updating are the carb ratios occasionally.

·       The research shows this system on average gets  improvements in time in range, between 4.0-10.0mmol/L, getting 70-75% on average.

The cons:

·       Only from age 7.

·       The pump has a tubing and must stay connected to the body almost all the time.

·       The Guardian 4 sensor is not as accurate as the Dexcom G6, but it still accurate enough to get fantastic results.

T:slim with Control IQ

You must be at least 6 years of age to use this system.

If you are not going to be 6 in the next few months, you cannot select this system.

Watch this video to learn more.

https://www.youtube.com/watch?v=tKvFGC7RRFI

Go to this page to learn more:

https://www.makingdiabeteseasier.com/uk/products-and-support/control-iqtm-technology 

What you will wear:

An insulin pump that has a tubing connected to the body.

Control IQ algorithm is within the Pump.

The Dexcom G6 glucose sensor (no finger pricks required).

The pros:

·       You can program different basal rate and correction factor settings for holidays and weekends if your activity levels are very different.

·       The research shows this system on average gets good improvements in time in range, between 4.0-10.0mmol/L –70-75% on average.

·       Uses the Dexcom G6 which is the most accurate sensor.

·       If the algorithm gets updated, you can plug the pump into the computer to download the update.

The cons:

·       The system runs off the basal rates and correction factors that you and the diabetes team set. The system does not set or adjust these setting automatically. Therefore these settings must be kept up to date as you grow. If not, the time in range will start to decrease.

·       The pump has a tubing and must stay connected to the body almost all the time.

Omnipod 5

You must be 2 years of age to use this system.

The young person will need a mobile phone theta is compatible with the Dexcom G6 for this to work - https://www.dexcom.com/en-GB/compatibility

If you are not going to be 2 in the next few months, you cannot select this system.

Watch this video for an overview:

https://www.youtube.com/watch?v=gJxZpFnNtBE 

Go this page to learn about the Omnipod 5.

https://www.omnipod.com/what-is-omnipod/omnipod-5

What you will wear:

An insulin POD that does not have tubing.

The Omnipod 5 algorithm is within the POD.

The Dexcom G6 glucose sensor (no finger pricks required).

You can choose from a handset or a compatible mobile phone to deliver bolus's from. This does not need to stay within 6 meters of the POD for the algorithm to work. But it does need to be within 6 meters to deliver a bolus.

The pros:

·       Very simple to use. The system automatically calculates and updates the basal rates and correction factors. All that needs updating are the carb ratios occasionally.

·       The research shows this system on average gets good improvements in time in range, between 4.0-10.0mmol/L –70-75% on average.

·       No tubing

·       Uses the Dexcom G6 which is the most accurate sensor.

The cons:

·       Not available until after September 2023

·       The POD's are quite bulky on little people – 5cm in length, 4cm in width and 1.5cm in height – If you snap a pack of dextrose tablets in half and put the two halves side by side – that’s the size of the POD.  

·       It's the latest System with the least amount of research to date, but what has been done shows it is effective. 

CAMS APS FX

You must be at least 1 years of age to use this system. You can get a pre-filled insulin cart with the Ypsopump.

If you are not going to be 1 in the next few months, you cannot select this system.

You will need an Android mobile phone compatible with the Dexcom G6 -  https://www.dexcom.com/en-GB/compatibility

Watch this video to learn more.

https://www.youtube.com/watch?v=LACVcubZx7c

Read the frequently asked questions: 

https://camdiab.com/faq 

See YpsoPump verison here -https://www.mylife-diabetescare.com/en-GB/mylife-loop.html

What you will wear/use:

An insulin pump that has a tubing connected to the body.

The Dexcom G6 glucose sensor (no finger pricks required).

A compatible Android Phone to run the CAMS APS FX algorithm from via an APP - You are required to buy one of these, we cannot supply a phone.

The pros:

·       Can be used from 1 year of age.

There is an insulin pump cart, which means you do not need to draw up the insulin into a reservoir.

·       Very simple to use. The system automatically calculates and updates the basal rates and correction factors. All that needs updating are the carb ratios occasionally.

·       The research shows this system on average gets good improvements in time in range, between 4.0-10.0mmol/L, getting 70-75% on average.

·       Uses the Dexcom G6 which is the most accurate sensor.

·       You can bolus from the phone, so no need to get your pump out.

·       If the algorithm gets updated, you will get the update via the APP

The cons:

·       Need a compatible Android phone that always stays within 6 meters. Your phone must always be by your side.

·       The pump has a tubing and must stay connected to the body almost all the time.

Time to decide

Select the System you want and we will send you a google form like this to do some basic training and tasks.

Once you complete the tasks we can order you System and book your start.

If you cannot decide select that option below and we will contact you to answer further questions.