Review Medtronic Mini. Med 6. 70. G  Integrated Diabetes Services. Whats the purpose of a diabetes management device  Is it to lower A1c  Prevent hypoglycemia  Spend more time in range  Some combination of all three  Or perhaps we have to look beyond blood sugar control. After all, quality of life has to count for something. Does it make living with diabetes safer and easier The Mini. Med 6. 70. G from Medtronic is an insulin pump coupled with a glucose sensor. It uses a computer program called an algorithm to automate certain aspects of insulin delivery. I decided to try 6. G partially out of professional interest everybody and their great aunt has been asking for my opinion on the system, and partially out of personal interest, as my blood glucose control hasnt been the greatest the past couple of years. Let me start out by saying this Since I started using 6. G, my overall blood glucose control is better. I have to keep reminding myself of this non consequential fact, because every day I find things about this system that I dont particularly like. In my opinion, the pump itself leaves a lot to be desired. There are so many features and so many menus and so many safetyconfirmation steps that my button thumb is starting to form a blister. The color screen is nice, but not large enough to display everything it needs to display. And the freakin clip is upside down. The reservoir connector pokes me in the gut every time I bend over, and I have to unclip it to see the screen and programming menus in the proper orientation. The hybrid closed loop part of the system what I prefer to call the semi automatic feature is what makes 6. Using Ids To Activate Cruise Control' title='Using Ids To Activate Cruise Control' />G special. It functions by making adjustments to the BASAL insulin based on data received from the linked glucose sensor. Since previous generation Medtronic sensors Sof Sensor, Enlite were, shall we say, less than optimal, I went into this highly skeptical. After all, if the sensor isnt feeding the pump a steady stream of reliable data, whats the point Ive been pleasantly surprised by the performance of Medtronics new Guardian sensor. In my experience, the Guardian sensor tends to under estimate glucose values sometimes significantly and the overall accuracy still falls short of the Dexcom G5. And it still requires three hands and four different forms of tape to secure it to the skin, along with four to six fingerstick calibrations per day. But the insertion process is quick and painless and the transmitter signal almost never misses a beat. Overall, Guardian represents a major improvement over Medtronics previous CGM systems. The algorithm that determines the basal insulin doses makes adjustments every five minutes based on recent sensor glucose measurements, insulin delivery and meal carb entries. The algorithm adapts on a daily basis based on what took place over the previous six days. So there are both reactive based on whats already happened and proactive predicting what will happen components to the algorithm. However, the algorithm is highly conservative in nature, doing everything in its power to keep the user far, far away from anything resembling hypoglycemia. The basal algorithm targets a glucose value of 1. The maximum rate of basal delivery is based on a rate that the system believes would cause the glucose to drop below 7. Think of it this way  The max basal in auto mode is sort of like not allowing the captain of the ship to turn the rudder too sharply for fear that the ship might sway too much. Of course, when you have a big ship and a small rudder, that isnt likely to happen. So why the ultra conservative approach  Most likely because regulatory authorities such as the FDA like it that way. Less risk of hypoglycemia less chance for negative feedback and legal issues. But it does make the system less responsive than it could be. For those who normally have a significant difference between their peak basal and their valley basal, perhaps due to a pronounced dawn phenomenon, the algorithms max basal may not be enough to meet peak basal needs. By the way, bolus doses are NOT automated. Users must still enter their carbs into the pumps bolus wizard calculator as well as the blood glucose value. But the users original sensitivity correction factor and target settings are NOT applied. The system calculates correction doses based on a conservative target of 1. Despite these shortcomings, Im seeing less overall variability more time in range, fewer extreme highs lows, and my overnight glucose levels are more stable than theyve been in years. Its rare that I dont wake up within a reasonable range in the morning. The overnight part makes perfect sense. Because the system adjusts the basal delivery whenever glucose levels are trending up or down, it is able to alter the glucose pattern over the course of many hours and keep things in range assuming nothing else interferes. It reminds me of a large cruise ship. When the ship is moving at high speed, a small rudder will not allow it to change directions quickly enough to avoid things like icebergs this is what happened to the Titanic. Not that 6. G is going to cause anyone to crash and sink, but there are similarities in terms of what it can and cannot do to self regulate blood glucose levels. On long stretches of open water, a big cruise ship with a small rudder can  get you from port to port very effectively. During the journey, if the ship starts to veer off course, it has enough space and time to get back on course. G does the same thing  Over the course of many hours, with nothing affecting glucose levels other than the livers usual glucose production, the basal insulin can be adjusted to offset subtle ebbs or flows in glucose levels. Start to rise a bit  The basal delivery increases so that over the next several hours, youre back on track. Start to drop a bit  The reverse takes place. As a result, you wake up pretty close to the systems set point of 1. Here Come the Icebergs. Everyone who lives with diabetes knows about the hour to hour, minute to minute challenges we must contend with. These are the icebergs the things the system must navigate around in order to prevent extreme highs and lows. Essentially, anything that can cause a rapid, abrupt rise or fall in glucose levels represents an iceberg. Remember, were dealing with a huge, fast moving ship with a small rudder. The pumps basal adjustment just isnt powerful or responsive enough to prevent high and low glucose levels when confronted with icebergs. The icebergs include Food particularly rapidly digesting carbohydratesPhysical activity particularly heavy exerciseStress particularly sudden, unexpected crisesSudden hormone changes resulting from injuriestrauma, rebounds from lowsManual Bolus insulin from injections or inhaled insulinThere are also several limitations to the system which hinder its ability to keep glucose levels within range continuously Limits to the automated basal adjustment. As described earlier, the automatic basal adjustments are limited in terms of magnitude and duration. The maximum basal is relatively conservative and can only run for a maximum of 4 hours. The minimum basal zero delivery can only run for a maximum of 2. In the first film in the Mission Impossible Film Series, made in 1996, Jim Phelps is called upon for a new assignment dealing with very sensitive. Cruise ships are considered to be notorious hotbeds for illness, especially the firing out both ends kind. If youd rather spend your trip soaking up sun and. Diabetes educator, Gary Scheiner gives his detailed review of the MiniMed 670G insulin pump. The 670G represents an important step towards fully automating. Amazons Prime Day is Tuesday, July 11th, with deals kicking off at 9pm ET tomorrow, July 10th. If youve never participated in the day before, it can be a bit. How to Have a Successful Amazon Prime Day. Amazons Prime Day is Tuesday, July 1. ET tomorrow, July 1. If youve never participated in the day before, it can be a bit overwhelming. Using Ids To Activate Cruise Control' title='Using Ids To Activate Cruise Control' />You are here Home Disney Military Discounts How to Activate Your Disney Armed Forces Salute Theme Park Tickets. Magneti Marelli Software Rt3 Login. 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