Guardian Connect
MiniMed Flex
Summary
The Medtronic Guardian Connect is a continuous glucose monitoring (CGM) system that provides real-time glucose data on a compatible smartphone. The system offers optional low and high blood sugar notifications and can be inserted on the abdomen or back of the upper arm.
MARD of 9.6%
The MiniMed Flex is a tubed insulin pump system designed to automate insulin delivery using SmartGuard™ technology and the Simplera Sync sensor. Boluses can be delivered directly through the MiniMed app, while customizable settings help support glucose management throughout the day.
Components
Receiver
Trends and alerts are viewed directly on a mobile device. Available for both iOS and Android devices.
Transmitter
Seashell-shaped with built-in Bluetooth capability that allows it to send glucose data directly to a smartphone every 5 minutes.
Sensor
Sensor is inserted underneath the skin, either on the abdomen or arm. Push buttons applicator allows sensor to be placed on the body in one step.
Controller
Pump receives CGM readings and automatically adjusts insulin delivery. Data from the pump and CGM viewable on compatible smartphones.
Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body. Optional Medtronic Extended™ Infusion set (up to 7-day wear) available.
Reservoir
Tubed insulin pumps contain a plastic reservoir or cartridge that is manually filled with insulin and locked into the pump. ExtendedTM Reservoir MMT-342, 10PK. 3.0 ml (300 units).
Pump
Pump connects tubing to a small patch called an infusion set that attaches to the body.
Device Details
Overview
One of the larger sensors, may be cumbersome to wear on some parts of the body under clothes.
A tubed insulin pump system that works with the Simplera Sync sensor and SmartGuard™ technology to automatically adjust insulin delivery.
Affordability and Access
$$$$
Sometimes covered. The costs vary depending on individual insurance coverage and how insurance classifies CGMs. Price range $0-$600/month.
Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy or DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.
Data Monitoring Options
Yes
CGM data can be linked to a CareLink account and shared with the user's health care team.
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
Data View Options
Yes
The Guardian Connect mobile app allows users to view glucose levels, trends, create customizable alerts, and share blood glucose data with family and friends.
Yes
Data is viewed on the phone app.
Duration and Storage
7 Days
Sensors last 7 days, and transmitter battery needs weekly charging and replacement once a year. Both can be stored between 36°F - 86°F.
2-3 Days. Infusion site and pump reservoir last up to 72 hours and works between 41ºF - 93ºF.
Vision / Auditory / Dexterity
YES text to speech
YES vibration alerts
A LOT of dexterity needed
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Waterproof transmitter when submerged in up to 2.5 meters of water for 30 minutes and must be within 20 feet of a connected mobile device.
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is waterproof for up to 8 feet for 105 minutes.
Avoiding Highs and Lows
Measures sensor glucose 24/7 and sends alerts when a high or low is detected. Trend arrows show the direction glucose is heading, with the rate of change.
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Comfort
More tape is needed for Medtronic sensors.
Small tubed pump. Small patch called an infusion set consists of a complete tubing system that attaches to the body. Tubed pumps have the most infusion sets to pick from.
Easy Insulin Dosing
Sensor trends can be used for dose adjustment.
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.05 increments.
Easy to Use
Rechargeable sensor transmitter but has the most steps to change sensor.
Pump has a rechargeable battery that takes 30 minutes to charge, and lasts about a week.
Fewer Fingersticks
2 daily finger-sticks are needed to calibrate the sensor.
Frequent fingersticks are still required.
Privacy
Somewhat discreet. Ability to see sugar on watch or phone. Sensor requires regular meter use.
Discrete. The MiniMed Flex is small with visible tubing. Can be clipped to clothing or placed in a pocket to be discrete when needed.