I’m considering Omnipod too. Like any insulin delivery system, it has pros and cons. I’ve read about them for many years. The technology is changing daily! It’s very exciting. I would check out the videos that cover most all available pumps on a website called TCOYD. It’s run by endocrinologists who have diabetes.
I use Medtronic 780 with Guardian 4 cgm. It’s very good, but has its drawbacks, thus my consideration of Omnipod.
There is also Tandem Mobi. It works with Dexcom cgm. It’s very small.
Good luck and I’ll look forward to reading about what you discover and decide.
@catmm8 welcome to Mayo Clinic Connect. I use an Omnipod 5. It was recommended by a Mayo Clinic endocrinologist along with a continual glucose monitor (CGM). I use a Dexcom G6. My local endocrinologist concurred. I’m looking to upgrade the Dexcom G6 to a G7 later this fall.
I've been using the OmniPod 5 for about three months now. I chose it over other pump options because it's a pharmacy benefit allowing me to switch to something else later if I didn't like it (or something better came along - like the Twiist?). Going with the Medtronic or Tandem pump go against my "durable medical device" insurance benefit and is a four-year commitment. Something you might want to consider as well.
I've had no problems with the pump. I thought it would be difficult to sleep with but it turned out to be a non-issue. Nor have I had any problems with bumping it, etc. In fact, I have more problems with the Dexcom G7 and its reliability than I ever have with the OmniPod. It's only an issue "in public" at say "pool parties" as I might be a bit vain and don't want everyone to see it. But, at 60yr old, such situations are increasingly rare :). The algorithm used by the pump does a pretty good job keeping in range most of the time. And that's impressive given that my pancreas still makes an occasional showing but to throw some randomness in the mix.
Maybe one minor issue is that it requires 85 units minimum and I'm not using that much insulin (yet) over its three day span. So, there's some waste. If that's true for you as well, make sure your insulin prescription is written for the amount of insulin the _pump_ will require and not what _you_ require.
Let me know if there's any other questions I might be able to answer.
How are those using Omnipod doing with skin integrity? I rotate my infusion set every 7 days, as I’m now using the Medtronic Extended Infusion set and Extended Reservoirs. It’s nice to go 7 days, but it can get a little sore. Does the weight of the insulin cause any problems?
You have to replace to pod every three days. I tend to rotate between the front waist and, back waist, and upper thigh. When winter comes, I may try my upper arm (opposite the G7). In theory, you could put it many more places, but you need some skin fat which I lack.
I’ve never noticed the weight of the device (it holds a max of 200 units though I never insert more than 85). But I do often notice the the device itself. I brush it fairly often when it’s on the front of me. It’s not annoying just apparent.
You have to replace to pod every three days. I tend to rotate between the front waist and, back waist, and upper thigh. When winter comes, I may try my upper arm (opposite the G7). In theory, you could put it many more places, but you need some skin fat which I lack.
I’ve never noticed the weight of the device (it holds a max of 200 units though I never insert more than 85). But I do often notice the the device itself. I brush it fairly often when it’s on the front of me. It’s not annoying just apparent.
Okay. I guess there’s a tradeoff for being tubeless. I’d dread switching out every 3 days. I might see if they can send me a sample to wear and see how I like it. (No real insulin inside.) I guess the biggest switch would be the Dexcom. I actually used Dexcom years ago before I had a pump. It was very problematic until I wore it on my upper arm.
Okay. I guess there’s a tradeoff for being tubeless. I’d dread switching out every 3 days. I might see if they can send me a sample to wear and see how I like it. (No real insulin inside.) I guess the biggest switch would be the Dexcom. I actually used Dexcom years ago before I had a pump. It was very problematic until I wore it on my upper arm.
Okay. I guess there’s a tradeoff for being tubeless. I’d dread switching out every 3 days. I might see if they can send me a sample to wear and see how I like it. (No real insulin inside.) I guess the biggest switch would be the Dexcom. I actually used Dexcom years ago before I had a pump. It was very problematic until I wore it on my upper arm.
Depending on how much "real estate" you have and your preference for wearing the Dexcom on your arm, moving the infusion site to a different location is important. In my personal opinion BTW, scaring is minimal from the CGM being a fluid isn't administered. Dexcom G7 lasts 10 days and the 15 day wear G7 is supposed to be released later this year. Pumps and CGM's play better together when they are in direct "sight" of each other. It may be a challenge to keep the tubeless pump, considering site rotation, and CGM in the same area. With a tubed pump, one can move around the infusion set and still keep the pump itself in line of sight. Some thing to consider. I'm due for a new pump the end of next month and I'm staying with a tubed pump. Good you are asking questions. Good luck!
Depending on how much "real estate" you have and your preference for wearing the Dexcom on your arm, moving the infusion site to a different location is important. In my personal opinion BTW, scaring is minimal from the CGM being a fluid isn't administered. Dexcom G7 lasts 10 days and the 15 day wear G7 is supposed to be released later this year. Pumps and CGM's play better together when they are in direct "sight" of each other. It may be a challenge to keep the tubeless pump, considering site rotation, and CGM in the same area. With a tubed pump, one can move around the infusion set and still keep the pump itself in line of sight. Some thing to consider. I'm due for a new pump the end of next month and I'm staying with a tubed pump. Good you are asking questions. Good luck!
Good points. I normally make it on my cgm to day 5 out of 7, but I had forgotten about trying to keep cgm and pump on the same side of the body. I used to do that with my previous G3 Guardian. It seems so primitive really, but hey I’ll try anything to get my full 7 days. I have a lot less body real estate than I used to have (lol. I’ve lost a lot if weight) but enough that my G4 should work a full cycle.
Are you type 1?
I’m considering Omnipod too. Like any insulin delivery system, it has pros and cons. I’ve read about them for many years. The technology is changing daily! It’s very exciting. I would check out the videos that cover most all available pumps on a website called TCOYD. It’s run by endocrinologists who have diabetes.
I use Medtronic 780 with Guardian 4 cgm. It’s very good, but has its drawbacks, thus my consideration of Omnipod.
There is also Tandem Mobi. It works with Dexcom cgm. It’s very small.
Good luck and I’ll look forward to reading about what you discover and decide.
@catmm8 welcome to Mayo Clinic Connect. I use an Omnipod 5. It was recommended by a Mayo Clinic endocrinologist along with a continual glucose monitor (CGM). I use a Dexcom G6. My local endocrinologist concurred. I’m looking to upgrade the Dexcom G6 to a G7 later this fall.
I've been using the OmniPod 5 for about three months now. I chose it over other pump options because it's a pharmacy benefit allowing me to switch to something else later if I didn't like it (or something better came along - like the Twiist?). Going with the Medtronic or Tandem pump go against my "durable medical device" insurance benefit and is a four-year commitment. Something you might want to consider as well.
I've had no problems with the pump. I thought it would be difficult to sleep with but it turned out to be a non-issue. Nor have I had any problems with bumping it, etc. In fact, I have more problems with the Dexcom G7 and its reliability than I ever have with the OmniPod. It's only an issue "in public" at say "pool parties" as I might be a bit vain and don't want everyone to see it. But, at 60yr old, such situations are increasingly rare :). The algorithm used by the pump does a pretty good job keeping in range most of the time. And that's impressive given that my pancreas still makes an occasional showing but to throw some randomness in the mix.
Maybe one minor issue is that it requires 85 units minimum and I'm not using that much insulin (yet) over its three day span. So, there's some waste. If that's true for you as well, make sure your insulin prescription is written for the amount of insulin the _pump_ will require and not what _you_ require.
Let me know if there's any other questions I might be able to answer.
How are those using Omnipod doing with skin integrity? I rotate my infusion set every 7 days, as I’m now using the Medtronic Extended Infusion set and Extended Reservoirs. It’s nice to go 7 days, but it can get a little sore. Does the weight of the insulin cause any problems?
You have to replace to pod every three days. I tend to rotate between the front waist and, back waist, and upper thigh. When winter comes, I may try my upper arm (opposite the G7). In theory, you could put it many more places, but you need some skin fat which I lack.
I’ve never noticed the weight of the device (it holds a max of 200 units though I never insert more than 85). But I do often notice the the device itself. I brush it fairly often when it’s on the front of me. It’s not annoying just apparent.
Okay. I guess there’s a tradeoff for being tubeless. I’d dread switching out every 3 days. I might see if they can send me a sample to wear and see how I like it. (No real insulin inside.) I guess the biggest switch would be the Dexcom. I actually used Dexcom years ago before I had a pump. It was very problematic until I wore it on my upper arm.
Omnipod 5 is compatible with Libre 3 as well
Ok. I’ve been seeing concerning things about Libre lately. Doubt I’d go with it.
Depending on how much "real estate" you have and your preference for wearing the Dexcom on your arm, moving the infusion site to a different location is important. In my personal opinion BTW, scaring is minimal from the CGM being a fluid isn't administered. Dexcom G7 lasts 10 days and the 15 day wear G7 is supposed to be released later this year. Pumps and CGM's play better together when they are in direct "sight" of each other. It may be a challenge to keep the tubeless pump, considering site rotation, and CGM in the same area. With a tubed pump, one can move around the infusion set and still keep the pump itself in line of sight. Some thing to consider. I'm due for a new pump the end of next month and I'm staying with a tubed pump. Good you are asking questions. Good luck!
Good points. I normally make it on my cgm to day 5 out of 7, but I had forgotten about trying to keep cgm and pump on the same side of the body. I used to do that with my previous G3 Guardian. It seems so primitive really, but hey I’ll try anything to get my full 7 days. I have a lot less body real estate than I used to have (lol. I’ve lost a lot if weight) but enough that my G4 should work a full cycle.