Articles, Blog

CHOOSING A NEW INSULIN PUMP! // t:slim X2 vs. Medtronic 670g

October 11, 2019


Hey guys! My name’s Michelle and I’ve had
type 1 diabetes for over 15 years, and this is a diabetes lifestyle channel, so if you
are new here, definitely hit that subscribe button and also click the notification bell
so that you know whenever I post a diabetes related video! Today, I’m actually doing a
tech video which is not common for me to do. I’m going to be talking about two awesome
pumps on the market, the medtronic 670g and the t:slim X2 by Tandem, and doing a basic
comparison of their features for you guys. And I’m going to do my best to channel my
inner Nerdabetic in this video and do a good job for you guys. If you saw my diabetes technology
video that I posted a few weeks ago, I was talking about how my insulin pump here is
quite old, it’s actually over warranty, and how I was waiting for new pumps to become
available in Canada before I made my decision on my next pump. Well, literally less than
two weeks after I posted that video, two new insulin pumps were approved in Canada, which
is crazy, I mean what are the odds of that?! For a really long time now the only choice
for pumps in Canada has been the Medtronic 630g and the Omnipod, so now the selection
is significantly bigger. And since my pump is out of warranty I’ve been doing quite a
bit of research on which pump I want to go with next. I’ve really been looking into the
two new pumps that were just approved in Canada, which are the Medtronic 670g and the t:slim
X2 by Tandem. Since I’ve already been reading up on these pumps for my own knowledge, I
thought I would share what I found with you guys, incase any of you fellow Canadians out
there are interested in hearing about the new pumps to Canada, or if any one else anywhere
in the world is interested in going on one of these pumps in the future. This video is
not sponsored by either of these pump companies, this is just information that I have found
from reading online. I have also not personally tried either of these pumps, so if you have
tried either of these pumps please leave your personal experience in the comments section
down below because not only is it helpful for me, but it’s helpful for other type 1
diabetics browsing the comments section. The first pump we’re gonna talk about is the Medtronic
670g. The Medtronic 670g is the first hybrid closed loop system and it has some cool features.
The coolest one would be auto mode, which is where your pump automatically adjusts your
basal rate every 5 minutes based on the reading from your continuous glucose monitor, which
is the Guardian Sensor 3 for this pump. This helps your blood sugar stay in target range
and helps to prevent some highs and some lows. So pretty much what happens is it gives more
insulin if you blood sugar is high and gives less insulin if your blood sugar is low. Another
great feature of this pump is suspend before low, which will stop your basal insulin up
to 30 minutes before reaching your low threshold, and then it will resume insulin delivery once
you are recovering, and this will help prevent rebounds from low blood sugar. As I said before,
this pump uses the Guardian Sensor 3 from Medtronic and it’s compatible with the Contour
Next Link Glucometer. It is waterproof, uses AA batteries, and can store 300 units of insulin.
Those are the facts of this pump, now lets talk about the pros and cons. And I just want
to totally put this out there, these are my personal pros and cons. Not everyone’s going
to agree with this, so if you don’t agree with my pros and cons and you have different
pros and cons of either of these insulin pumps I’m mentioning in this video, please put your
pros and cons in the comments section because it is so helpful for people when they are
trying to decide on a new insulin pump. So for the Medtronic 670g, I think my pros would
be the two features of this pump, so the auto mode and the suspend before low. I think those
are very advanced features that would help with blood glucose control. In my opinion,
the cons of this pump would be that the auto mode and the suspend before low relies on
the readings of your continuous glucose monitor, but according to the Medtronic website, the
Guardian Sensor 3 continuous glucose monitor should be calibrated 3-4 times a day to optimize
sensor accuracy. And to me, 3-4 calibrations a day is a little bit much for a continuous
glucose monitor. Another thing is the Medtronic CGMs don’t have data sharing so this might
be a problem for children if they want to share their continuous glucose monitor data
with their parents. You can’t really do that with this sensor. Other than that, this seems
to be a pretty good pump! Now onto the next pump, the t:slim X2 by Tandem. So the t:slim
X2 is a pretty sleek pump, and it has an awesome feature Basal IQ. Basal IQ technology is a
software feature on the t:slim X2 that allows for insulin delivery suspension when low glucose
is predicted from Dexcom G6 readings, then automatically resumes insulin delivery once
you are recovering, preventing those nasty post-low blood sugar spikes. I should mention
that initially, Canada will not be getting the Basal IQ feature on their t:slim X2. This
is because we don’t have the G6 here yet. So the t:slim X2 with Basal IQ uses the G6,
and the t:slim X2 without Basal IQ uses the G5. So overall when we get the t:slim to Canada,
initially we will not have this basal IQ feature. But it will just be a matter of a simple software
update to get Basal IQ once the G6 does become available in Canada. T:slim waterproof, it
stores up to 300 units of insulin, and it is USB charged. Those are my facts now lets
get on to my pros and cons. My pros for this pump would definitely be the size it’s pretty
small and sleek, and it’s definitely smaller than the Medtronic 670g. I will write the
dimensions in the description box below. I also really like how it compatible with the
Dexcom because I’ve personally been using the Dexcom for about 3 years now, and I’m
just in love with it, and it would be nice to continue using it. My con for this pump
would be that it doesn’t have auto mode like the 670g, so it wouldn’t automatically adjust
your basal rates like the 670g would. Overall I think these are both great options, and
I’m honestly grateful to have these option available to me in Canada. I really hope that
this video gave you kind of a basic idea for the features of these pumps and how they’re
different from each other. For my Canadian viewer out there, these pumps are approved
but they’re not available yet because that is a process in its own. So definitely stay
in touch with your diabetes education team because they will be the first ones to be
notified once the pumps are available. Also, stay tuned to this channel because I will
try to notify you and keep you guys updated with the status of these pumps. As for what
pump I’m planning on switching to, you will have to stay tuned. Thank you guys so much
for watching and for supporting this channel. It means the world to me. I will see you next
time. Bye!

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100 Comments

  • Reply Doug Klein November 2, 2018 at 4:12 pm

    60 years with type 1 Doug here. Thank you for ANOTHER well researched video. I finished being in the new Dexcom G6 commercials this past weekend down in Atlanta. Both the Dexcom gang and the crew were a ton of fun. How do I send you the links when they finish all the editing?

  • Reply Tara Scott November 2, 2018 at 4:39 pm

    Totally in the same boat as you right now! Also in southern Ontario 🙂 haven’t been on a pump in over 10 years (out of the 18 I’ve been diabetic) my first pump was a Disetronic, then I moved to the MiniMed. Currently working on getting back on the pump. I’ve been reading up on the 670g and I have honestly read more bad than good, coming from the states. I’m the type of person that would rather be more “hands on” with my pump than not.. I’m torn between the technology. Excited to see what pump you decide on!

  • Reply Mel November 2, 2018 at 4:54 pm

    I’m not on the 670g but I’m on the 640g and absolutely love it x

  • Reply olingecko November 2, 2018 at 5:48 pm

    I am anxiously awaiting the data sharing feature from Medtronic. I've been helping my friend geek out about her upcoming transition to the 670G. in my research, I learned that nightscout has a hack to be able to remotely monitor the CGM data from the Guardian 3.

  • Reply Hannah Stacey November 3, 2018 at 2:22 am

    I currently have the Animas ping, which I absolutely LOVE, and I'm so sad that they left the market. I also use the libre sensor which is also fantastic. But my warranty is done and I need to pick a new one and I don't know which to pick. I was on the phone today with Tandem and they said it should be within the next 3-5 weeks for the Ontario ADP to be approved. I love the auto features on the 670G and alot of my friends love it, but I like the sleek look and possibility of the g6 sensor for tslim. I don't like the awkward tubing for tslim with the luer lock thing not on the pump but 2 inches into the tubing, and I don't think touch screen is great for my lifestyle with being a camp counsellor, as I'm constantly around water. I don't like how some people find the sensor so inaccurate with Medtronic, especially after using my very accurate libre.

  • Reply alexandra zingy November 3, 2018 at 4:27 am

    Is the medtronic pump tubeless?

  • Reply Håkan G November 3, 2018 at 9:05 am

    https://www.healthline.com/diabetesmine/tandem-diabetes-basal-iq-review?utm_source=Sailthru%20Email&utm_medium=Email&utm_campaign=diabetesmine&utm_content=2018-11-01

  • Reply Robert C November 3, 2018 at 3:26 pm

    Thanks for your superb videos Michelle.

    I’ve already decided. I’ll be switching to the t:slim X2 with Dexcom G6 as soon as both become available in Canada (Ontario). In the meantime, I’m hanging on to my Animas Vibe with the G4. I hope I won’t have to wait too long for these new (to us) systems to hit the market.

  • Reply Zachary McConnachie November 3, 2018 at 11:06 pm

    I have the T slim X2 and I’m loving it! I love how it connects with the Dexcom. I also really like the look and size of it. I have not had any experience with the Medtronic 670 G but I have held one.

  • Reply Carol Pearson November 3, 2018 at 11:09 pm

    I'm using the TSlimX2 with Dexcom G5. When I upgrade to G6, hopefully this month, I'll have the Basal IQ feature. From what I understand, TSlim and Dexcom are working on combining the X2 with the G6 so it works like the Medtronic 670. (Right now, it's about a step removed.) Anyway…. I love my TSlim. The touch screen is great, it charges quickly, and even pairing with the G5, I can make dosing decisions based on what my Dex says. (G5 is super accurate, and G6 should be more so.)

  • Reply Nerdabetic November 4, 2018 at 2:14 am

    Omg you are so so so amazing 😂😂😂 and your inner Nerdabetic is so so so amazing 😂😂😂😂😂😂

  • Reply Trust me I'm an engineer! November 4, 2018 at 2:27 pm

    Just some minor comments: I use the a Medtronic CGM and it works pretty accurate with two calibrations a day (the minimum). Also Medtronic has "Carelink Connect" for shareing CGM data, but you have to carray an additional device for that.
    Aaannnnd both pumps are proven to not be compatible with OpenAPS, LoopKit or AndroidAPS in near future. (just if somebody where wondering) 😉

  • Reply Robin Renda November 5, 2018 at 3:03 am

    I would never recommend the 670g to anyone. Unless you want a pump that is a complete time suck. If you want a sensor that needs calibration 4 times a day then this is for you. Just a little side note about this sensors calibrations, they aren't always accepted by the pump and that sends you into a loop with a constant alarm for more BG and more calibration. In order for it to calibrate your BG must be within 35% of your SG. AND you also need to calculate your calibration factor ( BG/ISIG ) that number must be between 2-8. ( remember the time suck comment). If you get 2 calibrations not accepted it fry's your sensor and you have to replace it. Even on the first day. Auto mode only works if you don't mind lingering in the 200's for hours at a time. If you have IOB it will not give you a correction. You have to go back to Manuel mode to correct and hope auto mode lets you back in. I almost forgot, although the suspend before low or on low is a fantastic feature it doesn't automatically turn on in Manuel mode. You have to go into a menu and turn it on. So if auto mode kick's you out in the middle of the night while your sleeping, you are unprotected. Huge flaw. While the concept behind this system is great, there are many flaws, which is common with the first model in all new tech. Personally I would wait for the new and improved 690 if this is the tech you're wanting.

  • Reply altamiradorable November 6, 2018 at 12:04 am

    Hi Michelle ! I'm going to a Medtronic presentation on Wednesday in Montreal on the 670g !! We'll see !! As for your pump warranty I had my old one for 12 years without any problems ! I recently puchased a 630 used for 1000$ with all the bells and wistles !

    Researchers in Montreal are working on two hormones (insulin/glucagon) pumps which I think would be a great improvement over single hormone !

    Keep up the nice videos !

  • Reply Madison Delveaux November 6, 2018 at 4:49 am

    This is so helpful thank you so much! Ive had diabetes for 2 years and I never wanted a pump but today I had a diabetes checkup and am looking into these two! Waiting for government plan coverage to be approved hopefully by February!

  • Reply Caged November 8, 2018 at 12:44 am

    Is there no Omnipod in Canada?

  • Reply Rich Lo November 8, 2018 at 3:49 am

    I'll wait for omnipod loop. That setup is better than anything else. The freedom of tubeless and the g6 with loop is going to sends lots of people to omnipod.

  • Reply TJ Sambuca November 9, 2018 at 6:15 pm

    I just got the Medtronic 670G and Sensor (Link)… My numbers have been much better controlled however I agree with Russell Seaton in the fact that it does need some fixes. There have been times when my sensor reading on the pump is up to 100 off from the actual finger stick. But its a learning curve for me as this is my first pump Ive ever used. Im 38 and have been Diabetic (Uncontrolled) for the past 10 years. Good luck with your decision.

  • Reply David Hedeen November 12, 2018 at 9:47 pm

    I hav been using 670g for 6 months. can't count # of nights without even 5 hours continuous sleep. when 670 is working I almost 4get i'm diabetic! When 'need BG to continue auto mode with no sleep, after 3rd alarm I want to throw pump in trash can. please provide your experience with sleepless 670g nites.  I know auto alarm can b turned off at nite, but isn't that the purpose of the 670g?

  • Reply Anne Hjorth November 13, 2018 at 10:25 am

    Hi!💕 I love your channel and it is really helpful. I am thinking about starting one, but I am not sure. I live in Norway and would have to speak English😆 Do you have some general tips to start a diabetes channel?:)

  • Reply Miriam Alx November 13, 2018 at 5:47 pm

    Hi,i also have diabetes for 9 years and im using accu chek spirit combo (pump) for 1 week and its good .I ll recomand you this.

  • Reply Stephanie Mcgrew November 14, 2018 at 7:57 pm

    i have it and grant but it big

  • Reply bondscalper November 14, 2018 at 10:26 pm

    The T-slim x2 will have a much better form of Auto mode and this software update will be in the first quarter of 2019 in the USA
    Its called "Control-IQ Hybrid Closed Loop System" with Automatic Correction Boluses and Dexcom G6

  • Reply Jem November 15, 2018 at 5:42 pm

    I love my 670g pump It’s made such a tremendous difference on my blood sugars with auto mode

  • Reply TheHanStudios November 16, 2018 at 3:34 am

    Hello, Michelle! I'm a US user of the T Slim X2 with Basal IQ with the G6. First of all, the G6 is amazing. 10 day wear and no required calibrations unless you feel like the reading is inaccurate, but 99% of the time the readings are perfect. I must say, though, that the G6 is such new and revolutionary technology that there are still a LOT of issues to be worked out. I've had the G6 for about 3 months and have had between a 30-40% fail rate either near the end of a 10-day cycle, or some time in between. But, I wouldn't use any other CGM because the G6 is so so advanced.

    Now, the T Slim X2. The staff at Tandem are so nice and they've very forward-thinking. They're partnered WITH Dexcom exclusively, so you can expect future iterations of either product to have the other in mind. At the moment, it seems like development has been mostly separate, such as having receivers count as medical devices, and you can only have 1 medical device and 1 mobile device connected at a time, so you have to choose between receiver or pump (pump CGM is required for Basal IQ), so I think they have some work to do there. BUT, Basal IQ has been amazing; it works just like Auto Mode would on Medtronic, but is using a MUCH more accurate CGM to base the decisions on. Also! Early in 2019, Tandem TSlim X2 pumps will get a High Correct mode (not sure on the naming) that will do the micro-boluses when you are high to get your numbers down.

    So, eventually, we will have our own full Auto Mode on the T Slim X2 and it will be much more accurate than the Medtronic, on top of having a longer wear time and basically no calibrations required. Insertion is also MUCH easier than the G5 was, so it has actually become easier than inserting the Medtronic CGM. You also have a modern interface and hardware design, touch screen, rechargeable battery which charges quickly (maybe about 5-10 minutes a day or less needed on average), and the pump is getting 'updated, not upgraded', so your purchase will guarantee you a long life of FEATURE updates and won't require you to deal with expensive trade-ins to stay up to date.

    That's all I have to say about my experience with my first pump, the Tandem T Slim X2 with Basal IQ. It has been a life saver, extremely convenient, and it is still getting better every year. It's also cheaper than the Medtronic 670G by at least 1000-2000 us dollars if you consider the full prices. With Tandem, you get the best CGM sensor in the world which boasts much higher accuracy than the competition as well as no more finger pricks necessary thanks to the partnership with Dexcom, and you also get a pump that will be UPDATED and won't require an UPGRADE to have the latest features. If you take the next step with Tandem, you're investing in the future of Insulin Pumps and CGMs, and you won't regret it! 🙂

  • Reply Lehmejoun November 16, 2018 at 4:37 pm

    why not go with the dana pump along with openaps? (if they are available in canada)

  • Reply ASHLYN HIJAB November 16, 2018 at 9:34 pm

    I posted a comment when this video was first made about liking my 670g pump, well after owning this for a little bit longer save yourself the trouble. The 670g sensor is terrible! I have went through wayyy more test strips in a day than I would without the sensor and my sensor is NEVER accurate. Like I mean it’s been over 100 points wrong. I would never trust my pump on auto mode. My last sensor woke me up, it felt like 50 times durning the night saying I was going low when my sugar was in the high 200s! Honestly so disappointed and I hope they change the quality of the sensor 🤷🏽‍♀️

  • Reply Ben Mitchell November 19, 2018 at 2:18 am

    Don't get the Medtronic 670g. My wife has had it for 2 weeks and it is horrible. We haven't had a good night's sleep since she's been on it. In manual mode it shuts off and stops lows great then doesn't turn back on so her sugar shoots up. Calibration is every few hours to even stay within 30 points of being right at best. The cgms is now off 111 points in spite of several calibrations today. It took a week and a half to get in auto mode even with the help of the pump trainer. Less than 24 hours after her sugar is over 450 and back in manual mode to get it down. Her old cgms is a dexcom 4 and was awesome we thought 10 points off was a lot with it. We are going back to dexcom.

  • Reply Albert Larose November 22, 2018 at 6:04 am

    Great video, thank you.
    I have wearing my Medtronic Paradigm pump for about 12 years now.
    I’m changing to the 670g hopefully soon.

  • Reply StarLite December 4, 2018 at 2:43 am

    Ok 2:30 ish that pump thanks for sharing the info!

  • Reply C Comrie December 4, 2018 at 6:10 am

    My MiniMed 670g (which I’ve had since feb 6 this year) is very feisty and it throws me out of calibration all the time

  • Reply Memo Medo December 5, 2018 at 1:31 am

    T slim x 2 can you share the data and the celebration just one time for sonsor and you have to change the sonsor every 10 days and you have another ways to extend the sonsor

  • Reply Robert Padilla December 8, 2018 at 12:05 am

    Auto mode is great in theory but unfortunately I have seen it’s not always accurate. I have gone through a ton of test strips trying to calibrate the CGM. The execution still needs some testing.

  • Reply Mitch james December 8, 2018 at 2:06 am

    I have dibeats too

  • Reply Randy December 8, 2018 at 6:45 pm

    I have a choice between these 2 pumps in March 2019. I am going to choose the T-slim X2. The 670g has to be calibrated 3 to 4 times a day. I've been pricking my finger for 23 years and I'm done with that. The G5 only has to be calibrated a couple of times and the G6 coming soon in 2019 in Canada will require no calibration. It's a no brainer unless you want to continue pricking your finger as before.
    The new Medtronic pump still has to be calibrated 4 times a day, so….yeah, no brainer. I contacted Medtronic about this and they don't seem worried about their pump having to be calibrated 4 times a day.

  • Reply allison twist December 21, 2018 at 5:59 pm

    I have been type 1 for almost 24 years. I have only had the medtronic pump. My Dr. told me back in May when my warranty for my pump was up, I should look into the tslim or omnipod. I loved the omni pod as it is wireless, but my insurance won't cover it since it is disposable. Then I began looking into the tslim x2 and the dexcom. I got the dexcom which I am in love with since no more finger sticking. I really want the tslim x2, however for some stupid reason my insurance United made a deal with medtronic years ago that all their insurers need to go with medtronic if they want insurance too pay 100 percent. I have been disputing this since last May. I will keep you all posted.

  • Reply Macarrondt1 December 22, 2018 at 7:16 pm

    I use 670 with Enlite 3… its amazing

  • Reply Emily Menard December 22, 2018 at 10:32 pm

    I have the 670g the promises it makes sounds cool but it’s garbage. So many problems such as a “sensor updating” which it will constantly ask you to not calibrate it during the time and then completely die. The screen cracked with two months and I just received a new one and it cracked the very next day. Not confident at all with the cgm ask for a calibration every hour and every time I’ve eaten or treated a low bg. The cgm is very easily broken when trying to put it on the charger (I’ve probably have had hundreds replaced because of this problem and I have only had it three months)

  • Reply Cherie Last December 29, 2018 at 10:32 pm

    I am a 28 year T1 veteran and have used an insulin pump for 27 of those years. I am among the first wave of healthy diabetics who fought their insurance company for the right to use insulin pump therapy. I have certainly reaped the benefits with few complications over a long history of T1. I have used both the minimed CGM and the Dexcom G6. I want to caution anyone who uses either CGM to do a couple of things. First make sure you understand the directions from the manufacturer and follow them completely. Its the only way to determine if it works well. Any time you begin a new sensor, regardless of brand, test with your meter to check for accuracy. My experience is that they become more accurate over time with calibration.
    (Again check with the manufacturer.) If it isn't accurate, call tech support to figure out why. Follow their advice. If it continues to be inaccurate then request a replacement at not charge. You may have gotten a bum CGM. Also, understand there is a certain amount of inaccuracy that is permissible with FDA certification of this product. Understand what that is before you use it. I am currently using the G6 with my Minimed Paradigm pump. I simply enter the glucose readings into the pump. I LOVE being able to read my glucose from my phone. The G6 has been very accurate for me, but i have also used it with a 50pt discrepancy to my meter. I was able to correct that with a few calibrations. I think the bottom line is…make sure your sensor is working as expected before you allow a pump to automatically dose your insulin. Also keep in mind that i am healthy after 28 years of T1, this technology is only going to get better and more accurate over time. I use all the tech that's available and its tremendously helpful, but please don't turn over your complete well being to these products without frequently checking for their accuracy. You are more important than that.

  • Reply Kevin McBee December 31, 2018 at 8:01 pm

    I have a paradigm pump and have had metronic pump for nearly 20 years but I am trying the Tandem tslim x2 as i love the g6 cgm. I feel that the g6 is completely different than the g5 and you literally don’t need to calibrate it and is slimmer and don’t have to manually put on body. Due to the Dexcom g6 working with tandem pump, slimmer, touchscreen, Bluetooth capability, smaller and they can literally have new updates by downloading a program online. I will note that a medtronic rep mentioned that if you get the 670 now that you will automatically be upgraded to a new pump in the next year from medtronic that has blue tooth. Anyway, I wanted to try tandem and see how pump is (30 day return policy) plus my insurance uses a pharmacy called express rx which I got my pump and 90 day supply for $60. So. Heck to see if your insurance covers this as they are based out of California. Best of luck to you

  • Reply Chloe matteson January 4, 2019 at 3:28 am

    the tslim is also touch screen

  • Reply Roger Toll January 4, 2019 at 10:46 pm

    I had the Tandem X2 before the upgrade and moved to the 670G because of the features…..biggest mistake of my diabetes life…I switched back to the Tandem and the 670G is gathering dust.
    The 670G is not a good to control at the Tandem X2 – it is very uncomfortable and the changing of battery is a pain. The Medtronic Sensor is very good and compact; however i used to use the Dexcom G5 which was ok..not the best – the G6 works well; however i have had 3 failures in the past 3 months…Dexcom customer service is quite poor and i had to wait 10 days for a replacement to be shipped out….stay with the Tandem X2 in my opinion as it is around the best.

  • Reply Morgan S January 5, 2019 at 11:32 pm

    I have the original Tslim right now, for the most part it's been great, but I did have some major battery and occlusion issues for awhile and the company didn't really help (the woman they sent didn't know how to properly load a cartridge and there were SO many air bubbles with her method) but after everything was sorted out it's been fine since

  • Reply aidylaidyl January 8, 2019 at 12:29 am

    I got the medtronic today and im so happy

  • Reply Linda Nelson January 8, 2019 at 5:32 pm

    Typically, I am not a person who comments publicly, but I might feel negligent if I don't share my experience with the 670g. I have now been on this pump for 16 months and I DO NOT recommend this pump to anyone. On paper this is an amazing pump, but in reality it drastically falls short of Medtronic claims.This pump is first-generation technology that functions like first-generation technology. To say that the software is glitchy is a significant understatement. The accuracy of the cgm is so questionable I am shocked it has not been recalled. In my opinion, this pump was released to the public too soon. In fairness, the 670g has been very helpful with lows, but I have found it to be utterly useless with high bgs (which are common due to the inaccurate cgm). When my bg goes above 280 I turn automode off because it will remain high for hours and hours if I stay in auto. I won't go into the massive frustrations associated with calibrations, alarms, etc as I think they are well covered in the other comments. The one thing I am surprised no one commented on is the size of the cgm and the massive amount of tape required to keep it in place. My niece just got the TSlim and when she showed me her dexcom sensor I could not believe my eyes–SO compact and no extra tape. My final comment is with regards to Medtronic as a company. I find them difficult to deal with and typically not helpful. As soon as I can possibly get off this pump, I will walk away from Medtronic after more than a decade of frustration with them, and I will never look back.

  • Reply Susan Haas January 9, 2019 at 12:44 am

    Questions
    : So the Dexcom G6 does NOT work with the Medtronic 670G? Or is it simply a matter of entering your #'s manually into your pump? My Medtronic rep is insisting that a new Medtronic sensor came out about a month ago. Is this true?

  • Reply imNothing 2Autumn January 9, 2019 at 4:06 am

    Either the 670 or omnipod for me. Im leaning toward omnipod. Just because i dont need the cgm that comes with the 670, cuz i use the 14day freestyle libre. Plus the cgm’s that come with the 670 suck compared to freestyle libre. So im leaning hard toward the omnipod. Finally, im also leaning to just using my current insulin pens. Since freestyle libre came out, it basically making insulin pen an equally as good option as a pump. I love my insulin pens with the combination of using freestyle libre. To me my thoughts on getting an insulin pump is just out of boredom and would get one just to see if i would like it. I have had pumps before. Overall hassels with supplies and in general hassels that every insulin pump user has to deal with , to be honest i was more then happy to ditch my insulin pump and go to insulin pens. It was very liberating. After 10 years of using insulin pump, it felt like a ball and chain that held me down and finally was unshackled. That being said, omnipod looks cool to use and might help make things less boring. ✌️

  • Reply Albert Lisch January 9, 2019 at 11:03 am

    I also needed a new pump, having used the Animas with the Dexcom G5, I opted for the medtronic 670g. Big mistake on my part, their CGM is not accurate at all. They have told me that it can be off by as much as 20% on the reading . The sensor should last for 7 days, however they only last 4 to 5 days. At 35 dollars each this is getting expensive. In the year I have had the 670g, the pump had to be replaced twice due to malfunctioning
    The transmitter has been replaced 4 times due to failure. Poor product, very poor customer service. Non helpful technical support. Don't get one.

  • Reply Jason Van Patten January 9, 2019 at 5:24 pm

    I wish I could be of some help; I assume by now you've already chosen your pump of choice. This just showed up in my feed because I was looking for various folks' opinions on the 670G; mine just arrived yesterday and it was in service about 5 minutes after I received it. What isn't in service are the sensors. The box of them are in my cabinet, just like the three boxes of Enlite sensors that came with my previous gen Medtronic (and the boxes of their Gen 1 sensors prior to that). I figured I'd ramble on a bit in your comment section as a 44-year veteran of Type 1 diabetes, and a nearly 15-year vet of using pumps:

    Manage your blood sugar on your own. Seriously. Do it on your own. Do use the pump as the amazing insulin delivery device that it is. But do NOT rely on it and it alone to keep your glucose numbers where they need to be. Poke your fingers.

    Do it.

    There's a reason I'm saying this: All current CGMs fail in the same way in that they can't measure actual BG levels. They're doing funky math based on your skin's interstitial fluid: the "water" between the layers of your skin. They, for hopefully obvious reasons (infections, scars, clotting, et al) can't actually measure your BG levels because they can't get to the BLOOD! And that's what's ultimately needed. Mind you: testing your BG level with a meter also has some percentage of error to it. But that percentage is VASTLY smaller than the CGM.

    Again: SOME folks are lucky(?) enough that their interstitial fluid is accurate and timely enough such that the CGM sensors will work. A LOT of folks aren't so lucky. And those are the folks that will complain about how inaccurate the CGM systems are. There's literally nothing they can do about it either; it's nature. I'm one of those "unlucky" ones and at this point I won't even bother with them. I know they'll fail.

    I'm not some troglodyte that's anti-tech; not in the least. I do believe insulin pumps are a God-send and life-save for T1Ds and I'll do everything I can to continue using one. But the CGM side of the tech just isn't there. Until they can figure out how to test the actual blood without causing all sorts of havoc with the immune system, there's really no point in using it (IMHO).

    And just to drive the point home, my A1c tests over the last year and a half have all been 5.5 … Let that set in. 😉

  • Reply diane depeel January 11, 2019 at 3:36 am

    I love the 670 g. I have the new transmitter and i have no problems with it at all. Auto mode is awesome. Very few lows or highs.

  • Reply zachisdiabetic January 13, 2019 at 7:10 pm

    I had the 670g and honestly it worked amazing! The cgm was extremely extremely accurate and I only calibrated it 2 times a day. I always used the auto mode and it was amazing. My blood sugars were awesome. Before I had this pump and I was still on injections my blood sugars were constantly low, to the point where I was passing out all the time. The 670g totally stopped that. Unfortunately after using it for about a year I was unable to put it in my legs anymore because every time I did it would say my insulin flow was blocked. So I was only able to put it in stomach and the back of my stomach. Also the tubing constantly got in the way. I teach special education and my students have autism and sometimes when they were in behaviors they would grab the tubing. I tried to tuck it in my pants but it never stayed tucked in. And then after that first year I was unable to wear the cgm because the adhesive started making me break out really bad to the point where the rash stung really bad. So sadly I went off the 670g and went back on shots for a little bit but I am now getting the omnipod and the Dexcom. My training for the Omnipod is the 1/17/19, which is this upcoming Thursday. I think I’m going to like the omnipod because it’s tubeless and that will suit my lifestyle a lot better. I also think I will like it better because I can put it in more spots because it’s tubeless and I will be able to give my stomach a break because it was staring to get really sore. But what happened with me with the 670g was in no way the pumps fault, everyone is different and it ended up not really working for me with the tubing and where I could put the infusion sites. But before all of this started happening my blood sugars were amazing. I am going to miss the auto mode feature. But I am also very excited to try out the Omnipod!

  • Reply Terry Guarnett January 14, 2019 at 1:12 am

    Hi my name is Tamara Guarnett . I like to meet you oh my God I beg to and I'm just starting a new pumpkin as well I've got the Medtronic MiniMed but I think you're very awesome you and your fiance are the best I watch another show that you might want to be interesting it's the Dale tribe and the little girl has diabetes and she's cold as well in like to meet all of you especially you guys I think you're the best

  • Reply Amanda Richardson January 15, 2019 at 3:20 am

    Wow! This is so great! I have decided today to go on the pump. My sister has the Medtronic 670 it's challenging for a Type 1 Diabetic using it for the first time. I might do the slim X2. Thanks for the video!

  • Reply 00sevensargent January 20, 2019 at 9:16 pm

    I was hoping to get more of an opinion of personal use and how it functions for them day to day

  • Reply Rhonda McGough January 22, 2019 at 5:44 am

    I have been using Medtronic pumps over 15 years and have loved them. I have been using the 670g for 10 months and hate it. I can't get a good nights sleep. Even though I turn off the alerts I am still woken up several times during the night. The pump kicks me out of auto mode often if I can't fix the alarm because I am asleep and tired or I am working in a patients room and can't leave. Once kicked out of auto mode I struggle getting it recalibrated to get it back into auto mode. The sensors are now starting to shorten from 7 days use to 5 days. Recalibrating a sensor is time consuming and has to be well planned for me to make sure I can recalibrate within the 12 hour timeframe. I agree with the comment that the 670g is very time consuming. My A1c is a little better from 6.9 to 6.7. I no longer have nighttime lows which is an extreme improvement for me but controlling my highs has become quite the problem. I find myself constantly in the 200s. I am very disappointed with this pump. I will be changing to the T:slim X2. They have a rental program that will allow me to use the T:slim X2 until my Medtronic 670g warranty expires in 2021. Very affordable and well worth getting away from all the time spent working with the 670g. I am sad to be leaving Medtronic but excited to the prospects of a smaller easier pump and updates to come.

  • Reply Brittneykittie January 24, 2019 at 3:57 pm

    I have the 670 g. It has helped me so much. I've had t1d since I was 8 years old and this is the best control I've ever had

  • Reply imabeast7 January 28, 2019 at 5:59 pm

    i still cant decide between the two. ugh

  • Reply Tiffany Fahy January 31, 2019 at 12:51 am

    Regarding the cons you mentioned about the 670g, Medtronic just came out with an updated version of the sensor that is supposed to be much more accurate than the original. I'm not sure if that means less calibrations, but most people are finding that 3 calibrations (morning, lunch or dinner, and bedtime) are really the max number the pump needs. Too many calibrations and it actually starts to second-guess itself, putting the sensor in what's known as "the BG-required loop". Honestly, that's probably the biggest pain with the 670, because it just continues to ask you for a BG in order to enter (or remain) in Auto Mode, after you've given it several.

    As far as not having the ability to data share, there are people who are using Nightscout, which allows them kind of a "back door" to be able to do this with the 670. It would obviously be better if Medtronic had just done this from the start, but now that they have the Guardian Connect system, I'm guessing that the next pump will also include data sharing.

  • Reply Kim Wallace February 4, 2019 at 11:53 am

    does anyone know if the t-slim will be coming out with an app so you can see the bg's on your phone?

  • Reply Amanda Jenkins February 7, 2019 at 2:25 am

    I just came across your channel as I've been trying to learn as much as possible on the 670g. My pump literally just arrived today and is the only one my ins would cover (after a year of trying and switching ins co). I'm kinda scared as I've read about patients receiving too much insulin at once (I know 1 died) and Medtronic issuing recalls. I hope this works for me. I've never had a pump before and still am so confused on how they work. I've been hospitalized for DKA and have stopped feeling my lows normally. I was diagnosed as a type 1 in my late 20s and never had complications until I was 32 and my husband passed from type 1 complications. Heres hoping…🙏

  • Reply Hadley Poe February 8, 2019 at 12:28 am

    I just got diagnosed in November and I think I’m going to get the tandem t slim

  • Reply The Pot Scientist Reports February 9, 2019 at 12:45 am

    As an American T1D this makes me wish I was canadian. I wish I had less choice for a lower price instead of everything available if you can afford it.

  • Reply Crypto Crouton February 9, 2019 at 10:42 pm

    Is the pigtail connector on Tandem uncomfortable? I have a medtronic tubing now.

  • Reply Rikki Tessandori February 11, 2019 at 4:16 am

    Get the 670G it’s a rough start but once the pump learns you it’s amazing. I have great control!!!

  • Reply Panda paw 16 February 12, 2019 at 6:00 am

    I did a test trial for the t:slim and it is an amazing pump, but I really strongly disliked the tubing. I am a very active runner, and the tubing would always get in my way and annoy me sooo much. I am now on the Omnipod and I enjoy it much more, but I think that the t:slim can be an awesome fit for some people, but it just wasn’t the right fit for me

  • Reply Dave Holden February 13, 2019 at 4:22 pm

    I was an ANIMUS PING(BEST PUMP EVER) user. Just did the switch to the Medtronics 670G. No diff in cost between the 630G & 670G so I opted for what I thought the better of the two. I DO NOT use the CGM as being a Type 1 for 57 yrs I pretty much keep on top of my glucose readings. Also, sensors are expensive and another device you have to attach to your body! The "calibration" Ms Lord also mentions is ridiculous. FIRST – the 670G is NOT waterproof – it IS water RESISTANT. (Animus WAS water proof) The ANIMUS meter would allow me to set up my bolus value (Glucose value & Carb value) and "tell" the pump my dosage – and I did not need to touch one button on my pump!. The 670G DOES NOT!! This is my biggest complaint. I prefer NOT to have to pull my pump out and press a lot of "OK" buttons. Yes, the CONTOUR meter "sends" the reading to the pump and you can manual bolus – but why can't the meter perform the same way as my Animus did? I plan to keep using my ANIMUS meter since the test strips are 1/2 the cost of the CONTOUR. Please educate me if I am doing something wrong with the 670G & meter?

  • Reply Jos Keulen February 16, 2019 at 9:40 am

    Medtronic 670G

  • Reply casey polwart February 26, 2019 at 6:02 am

    Hi i have type one diabetes and im on the sensor and the pump the animis vibe one

  • Reply Lina Fernandes March 2, 2019 at 12:16 pm

    I’ve had the omnipod since May 2018 and it’s been horrible my pod like to fail and send me into DKA I’ve been in DKA 4 time because of my pod failing they also leak way to often!!!!!! So instead of me staying on the omnipod I decided I’m getting the T Slim X2 in 2 weeks!!!!

  • Reply David Levy March 7, 2019 at 4:28 pm

    Question……………if the T Slim X2 is rechargeable, how/when do you recharge it? Do you have to disconnect if from the infusion set and thus suspend delivery of insulin while it is charging??

  • Reply Lucy G March 10, 2019 at 5:22 pm

    So I’m with animas still even though it went under so I’m in a time crunch to pick and this helped sooooo much

  • Reply SaloOom Gamer March 18, 2019 at 9:18 pm

    Wow there are a lot more people like me than I imagined…

  • Reply James Sweeny March 21, 2019 at 8:06 am

    I had the 670G for over a year. DO NOT GET IT, Please I beg you listen to the warnings, the auto mode hardly works due to the fact that the sensor is widely inaccurate and it sends the pump into a never ending loop of blood sugar checks over and over.

  • Reply Daniel GenX6887 Harrison March 23, 2019 at 2:24 am

    I've been using Medtronic pumps since the beginning of this decade. Just 4 months ago, I switched to the tslim X2. The pump itself is great! But I've been having problems with the Tandem infusion sets constantly failing on me. Makes me regret switching from Medtronic sometimes since they have the better infusion sets.

  • Reply Liz Torres March 27, 2019 at 1:35 pm

    Are these pumps better than just using a syringe? Does the pump stay inserted in the body night and day/all the time? And isn't this more uncomfortable that injecting when necessary?

  • Reply Duane McMahon March 29, 2019 at 7:45 am

    X2 for me

  • Reply Alana Dies April 1, 2019 at 11:55 pm

    I’ve been diabetic since 2004. I don’t give the years as s diabetic bc it makes me feel old lol but I’ve been one for more than half my life now.

    Insurance in the states is a joke sometimes. Especially when they say how many times you can check your levels and what types of insulin you can use. Like talking a difference in 24 hour coverage. And 18 hours coverage. Not the same. Levemir And lantus react so different for me anyway. So what’s most frustrating and actually harmful for diabetics and their insurance in Canada ?

  • Reply daniel lebrasseur April 3, 2019 at 2:53 pm

    it takes a very strict diet and especially the advanced calculation of carbohydrates to talk about a product good or bad after the most important is the cardio to have a better reaction to insulin,

    you have to do calibration 4 times a day with the sensor guardian 3 to maintain a good reading and have training with medtronic before crying here

  • Reply Jason DuLac April 3, 2019 at 4:01 pm

    Thanks for the great video Michelle! Very informative!

    About to take on a new insulin pump and I am leaning towards the TV: slim X2 over the 670g. Primarily because of the calibration hassles that I’ve had in the past with Medtronic CGI. Otherwise I’ve loved the Medtronic pump’s I’ve had in the past 20 + years!

  • Reply m4 Rath April 7, 2019 at 8:10 am

    I love my tslim only thing I don’t like is charging it. I’ve had it for 2 years and the battery is significantly gotten worse

  • Reply m4 Rath April 7, 2019 at 8:12 am

    I also absolutely love my g6 and the t90 infusion sets

  • Reply thehotdogish April 10, 2019 at 3:44 am

    I'm from the US and want to mention that Bigfoot Biomedical in 2020 will be coming out with a closed loop pump that will have a disposable cartridge that houses the battery and pre-filled insulin vial. It has no screen on the pump, but will operate with a smartphone and will partner with Abbott's Free-style Libre CGM for a no fingerstick calibration since Libre is factory calibrated. You can follow Bigfoot Biomedical on FB. Not sure how long it would take to become available in Canada. You can always send them a PM to inquire. They respond quickly. View the video for a sneak preview in the following link. (The video will play after a short commercial).
    https://www.cnet.com/videos/hackers-inspired-the-next-big-thing-in-diabetes/?fbclid=IwAR1LKqnRENdbocsU_Uf7pphB0GulnRNP2rOKqqOnCEPIiRAVeczk3sJ2dDU

  • Reply okaychegs April 19, 2019 at 4:57 am

    The 630G (previous generation) the con is its a bit large and thick, in your pocket it is quite heavy. The t slim looks so good

  • Reply SaFierah Cook April 26, 2019 at 3:25 am

    Get the tslim I have had it for 2 years and it is absolutely amazing

  • Reply DCARA06 May 18, 2019 at 6:54 pm

    Researching for my 8yr old daughter who was diagnosed 6months ago. I like the idea of the Omnipod tubeless system. We’re also living in Canada. Have you looked at tubeless at all? Can you swim with the two pumps you talked about? Do all pumps require a blood test finger prick?

  • Reply Mika June 5, 2019 at 4:47 pm

    I just got my G670 and so far it is superb. Anyway, moving from injections to a pump seems like freedom after 23 years.

  • Reply Josh Brooks June 8, 2019 at 11:25 pm

    I have the 670g. Although best pump I’ve ever had. I am constantly going up and down even counting carbs to the point where I need to eat or give insulin. I don’t know why any of the CGMs read sugar/institual fluids every minute opposed to every 5 minutes. Would help react sugar better. I can’t wait until new pumps and CGMs come out. I have done better on A1C but I can’t get sent to my phone with easy app and share sugar???

  • Reply Erica June 21, 2019 at 1:50 pm

    I have the Medtronic 670g pump with the guardian 3 sensor and I've tried auto mode. Auto mode is not all that it's cracked up to be. When my blood sugar was high from being sick, and my blood sugar was 250 mg/dl the correction bolus was very very small, way too small to ever bring that number down. In auto mode, the correction bolus and wanted to give me was 0.1 units. In manual mode, they wanted to give me at least 2 units, which makes more sense. Also, I stopped using auto mode because it has a target blood sugar of 150 mg/dl and there is no possible way of changing the target blood sugar in auto mode. Personally I would like to have an average blood sugar between 83 and 100 mg/dl. I'm thinking about switching over to the tslim and dexcom, unless Medtronic tweaks a few things in this pump.

  • Reply aimee newman June 27, 2019 at 1:12 am

    What would anyone recommend for a 4 year old getting one of these pumps soon?

  • Reply Jake Braden June 27, 2019 at 10:58 pm

    I just recently got the T:Slim X2. By the end of the year they will have auto for high. They do currently have auto for lows. Again, UPDATEABLE! (The G6 Sensor works hand on hand with it and checks every 5 minutes) This data is also available on this stylish touch screen pump. Looking good for 2019! Can't wait to see more updates.

  • Reply Chassity Dickert July 4, 2019 at 2:08 pm

    T-slim

  • Reply Chassity Dickert July 4, 2019 at 2:08 pm

    It is so good just like America we are better

  • Reply Syd B July 7, 2019 at 3:11 am

    T slim has auto mode now, tight?

  • Reply Paul Human July 26, 2019 at 9:47 pm

    As I understand it, Tandem will be introducing an autobolus feature in 2020 and that, together with its BasalIQ feature, would allow it to be defined as a closed loop automatic pump. Hopefully, by then it will also work with the 14 day Dexcom G6 CGM sensor which would make it pretty much unbeatable! One question I have though, is whether the rechargeable battery in the Tandem is replaceable? The pump represents a fairly significant outlay, especially when not covered by medical aids, and to have to repurchase it as often as one might a smartphone would be reason for concern and a deal breaker in my opinion. What lifespan can one reliably reckon on for these pumps?

  • Reply Timothy Chiacchira August 14, 2019 at 6:52 am

    HATE the 670g I have had it for 2 years and it is horrid… horrid.. just bought a Tslim x3. So sad I ever used this dangerous pump. suspend on low does not work at night sometimes so if you have lows at night.. do not use this pump. the pump no steer clear

  • Reply vijaykumar nidwanche August 25, 2019 at 3:38 pm

    How i buy it in india pleases guid me i using Apidra also using at night Lantus my age is 16 how i buy it please replay me

  • Reply Stephen Lambrecht September 4, 2019 at 6:28 am

    Being a type 1 for 53 years I am happily switching over from Animas Vibe to Tandem T-slim Basal IQ. I have worn the Dexcom G6 for nine months and find it extremely good. I was a Dexcom lab rat during the very early development of the device. I wore some of the very first prototypes which lasted 6-12 hrs. From early experience with Medtronic I will never ever use any of their devices. Also a "shame on you" for Johnson & Johnson who killed Animas because they could not see enough profit from their purchase of the company. J&J is also highly responsible for the opioid crisis plaquing or civilization…all money driven.
    Back to pumps (any) basal rate delivery is not some which can just be switched off. Basal insulin behaves like the intermediate long acting insulins in our systems. It takes 4 hrs to see any change in insulin activity even if insulin is stopped. I learned this from the first insulin pump wearer in the US. He was a CDE and the endocrinologist he work with discovered this phenomenon and began educating pump users in the very early days. Rapid acting insulin was new to the market, so much was being learned. Basal Novolog or Humalog behaves like the old type N insulin of yesteryear when administered in small continuous dose over time. John stated that until your basal rates are spot on your blood sugars never will be. Basal rate, insulin sensitivity and correction factor all work toward stable glucose levels. Each will affect the other so there is a lot of initial testing to get each one correct. Once you get it your sugars will be stable whether you eat or not.
    One of the beauties of the Tandem T-Slim system is the predictive algorithms can be modified by what Tandem has learned. Just a firmware upgrade will add new features and accuracy to the system. As Tandem says "Update, not Out of Date".
    Johnson & Johnson are in bed with Medtronic and I would stay as far away from each as I can.

  • Reply Erin Reese September 5, 2019 at 2:33 am

    I have been a T1D for 35 years and have had a Medtronic pump since mid 2000's.i currently have the 670g with the Guardian sensor and I hate it. There's is a huge flaw with the automode. If you take it out of automode for whatever reason, or get bumped out for whatever reason and don't turn on the auto suspend, it will keep giving you insulin regardless of how low your blood sugars are reading. Also, I'm not too sure what the hype is over their algorithm but it doesn't work worth crap. I have been bugging my Endo to try the t:slim & Dexcom because I have heard so many better things about it.

  • Reply walter mendez September 18, 2019 at 5:24 pm

    Metronics customers service is junk

  • Reply kaity pie October 3, 2019 at 8:18 am

    I have diabetes I got it when I was 2 and now I'm 11

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