Medtronic 780G
Dexcom G6
Summary
The MiniMed 780G insulin pump operates in Manual mode when the SmartGuard feature is inactive, or the user is not wearing a compatible CGM. This pump has the ability to communicate with a Contour or AccuChek meter.
This sensor lasts for 10 days and only needs finger sticks as a backup. Dexcom G6 has 3 parts - sensor, transmitter, and receiver. Data can be viewed on a compatible mobile device or a separate receiver. Optional low and high blood sugar notifications are available for this system.
FDA approved for insertion on the abdomen (indicated for patients age 2 years and older) or the upper buttocks (ages 2-17 years).
MARD of 9%
Components
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.
Pump
Pump connects tubing to a small patch called an infusion set that attaches to the body.
Receiver
Receives data automatically from the transmitter. Can be substituted by compatible smartphone and smartwatch. Available for both iOS and Android devices.
Transmitter
Sends readings from sensor to device, clips into sensor. Can be used for 90 days.
Sensor
Sensor uses a thin, flexible filament inserted just under the skin to measure glucose levels every 5 minutes. Push-button applicator allows sensor to be placed on the body in one step.
Device Details
Overview
Largest pump on the list, requires tubing which may be visible.
Small sensor can be worn in multiple areas.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and type 2. Pump can be provided by pharmacy or DME. Price range; $0-$8,574 to start and $0-$300/Month. Price range varies depending on insurance coverage.
$$$$
Widely covered. Provided by DME and/or Pharmacy. Price range; $0-$500/month.
Data Monitoring Options
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
Yes
Automatically and continuously sends data to the user’s Dexcom Clarity web-based cloud which is accessible by clinicians. Data upload is possible with Glooko and Tidepool data-management systems.
Data View Options
Yes
Data is viewed on the pump's main screen.
Yes
Users must download the Dexcom G6 and Dexcom Clarity apps to view and share data. Both apps provide multiple data views, sharing options, and access through the clinician portal using a code from the user's device. Caregivers can use the Dexcom Follow app to view data. Glooko and Tidepool can also be used to view data.
Duration and Storage
3 Days
Infusion site and pump reservoir last up to 72 hours and works between 40ºF - 104ºF.
10 Days
Sensors last 10 days, and transmitters last 90 days. They are shipped 3 boxes at a time every 3 months – 9 sensors and 1 transmitter. Works at 50ºF – 108ºF
Vision / Auditory / Dexterity
NO text to speech
YES vibration alerts
A LOT of dexterity needed
YES text to speech
YES vibration alerts
3 sound sources
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Exercise mode. Optional settings for exercise to adjust treatment ranges for activity with the press of a button. Pump is not waterproof.
Water-resistant when submerged in 2.4 meters of water and must be within 20 (unobstructed) feet of the receiver or mobile device.
Avoiding Highs and Lows
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Custom alerts can be set for highs, lows, and rapidly rising or falling glucose levels. Trend arrows show the direction glucose is heading, with the rate of change.
Comfort
Largest 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
Low profile and low maintenance sensor application.
Easy Insulin Dosing
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.025 increments.
Real-time data and alerts make dose adjustment easier.
Easy to Use
Battery required. Pump has button navigation and requires AA battery.
Flexible pump integration. Can be paired with multiple different types of pumps which gives flexibility for how to use the data.
Fewer Fingersticks
Frequent finger-sticks are required.
Factory-calibrated sensor. Finger sticks needed for backup only.
Privacy
Somewhat discreet. Largest pump with visible tubing. Can be clipped to clothing or placed in a pocket to be discreet when needed.
Hypoglycemia safety alarm. Discreet but built-in hypoglycemia safety alarm alerts users when glucose is below 55 mg/dl and is always on.