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Comparison Of Different Insulin Pump Makes Under Routine Care Conditions In Adults With Type 1 Diabetes.

Abstract AIMS: To compare long-term HbA1c changes associated with different insulin pumps during routine care in a large cohort of adults with Type 1 diabetes representative of other clinic populations. METHODS: Observational, retrospective study of 508 individuals starting pump therapy between 1999 and 2014 (mean age, 40 years; 55% women; diabetes duration, 20 years; 94% Type 1 diabetes; median follow-up, 3.7 years). Mixed linear models compared covariate-adjusted HbA1c changes associated with different pump makes. RESULTS: The pumps compared were: 50% Medtronic, 24% Omnipod, 14% Roche and 12% Animas. Overall HbA1c levels improved and improvements were maintained during a follow-up extending to 10 years (HbA1c : pre-continuous subcutaneous insulin infusion (pre-CSII) vs. 12 months post CSII, 71 (61, 82) vs. 66 (56, 74) mmol/mol; 8.7 (7.7, 9.6) vs. 8.2 (7.3, 8.9)%; P < 0.0001). The percentage of individuals with HbA1c ≥ 64 mmol/mol (8.0%) reduced from a pre-CSII level of 68% to 55%. After adjusting for baseline confounders, there were no between-pump differences in HbA1c lowering (P = 0.44), including a comparison of patch pumps with traditional catheter pumps (P = 0.63). There w Continue reading >>

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Popular Questions

  1. Amyk

    Which is the best insulin pump & CGM

    Hi,
    I'm T1D and 7 weeks pregnant. Currently I use insulin injections. I am planning to switch to pump along with CGM. Can you guys recommend some?
    TIA

  2. coravh

    I know people like the dexcom, but medtronic has been getting better. As for pumps, I always liked my medtronic but my suggestion to you is to talk to the local reps and see who you feel most comfortable with (also who your insurance pays for as well).
    Cora

  3. elbruce

    They all do the same thing (I.e. Deliver insulin in small doses) so it really comes down to the features that appeal to you. A quick run down of the main features:
    Cordless - omnipod
    Touchscreen- tandem t:slim
    Integrated Dexcom - tandem, animas
    Integrated CGM/"Artifical Pancreas" - Medtronics
    Here is a nice page with tons of useful info:
    http://www.insulin-pumpers.org/links.shtml
    Good luck! I personally love my dexcom and t:slim and when the X-2 is approved for the G5 I am going to upgrade but until I don't mind the separate devices.
    Sent from my iPhone using Diabetes Daily

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