Minimed 780G with Smart Guard
MiniMed Flex
Summary
The Medtronic MiniMed™ 780G system is designed with SmartGuard™ technology, which can help with the occasionally missed meal or inexact carb counts. It provides automatic basal adjustments to manage glucose levels to a prespecified target (100 mg/dL [5.5 mmol/L], 110 mg/dL [6.1 mmol/L], or 120 mg/dL [6.7 mmol/L]) and auto correction bolus, every 5 minutes. The advanced hybrid closed-loop system uses current and past glucose trends from the Guardian™ 4 sensor to detect a rapid rise (e.g., a missed meal) in sensor glucose. No fingersticks required when the SmartGuard™ feature is active.
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
Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body.
Controller
Pump receives CGM readings and automatically adjusts insulin delivery. Data from the pump and CGM viewable on compatible smartphones.
Sensor
Sensor is inserted underneath the skin, either on the abdomen or arm.
Pump
Pump connects tubing to a small patch called an infusion set that attaches to the body.
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
This system is integrated and has a customizable settings. Many providers are familiar with Medtronic products.
A tubed insulin pump system that works with the Simplera Sync sensor and SmartGuard™ technology to automatically adjust insulin delivery.
Affordability and Access
$$$$
Coverage information is not yet available. Price range; $0-10,769 to start and $0-$300/Month. Price range varies depending on insurance coverage.
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
CareLink connect is available for care partners with up to five people who can follow a pump user and receive high and low notifications to help keep everyone in the loop.
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
Data View Options
Yes
Data is viewed on compatible smart devices through the MiniMed Mobile App. You can download and view pump or CGM data on CareLink.
Yes
Data is viewed on the phone app.
Duration and Storage
7-day pump 7-day sensor
Sensors last 7 days, transmitter needs weekly charging, store between 36 °F - 86 °F. Pump can be used for up to 7 days with the extended infusion set and works between 40ºF - 104ºF.
2-3 Days. Infusion site and pump reservoir last up to 72 hours and works between 41ºF - 93ºF.
Vision / Auditory / Dexterity
NO 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
Temp Target. Manually increase blood sugar target range to 150 mg/dl during activity. Temp target can run 30 minutes to 24 hours in 30-minute increments. Auto corrections are disabled. The pump is not waterproof.
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
Customizable auto-bolus. Auto-correct bolus corrects highs if carb counts are miscalculated or bolus is occasionally missed. The system aims to maintain a target blood glucose level between 100 mg/dL and 120 mg/dL depending on personalized target glucose settings. Auto-bolus is available every 5 minutes to correct blood sugar between 100 mg/dL and 120 mg/dL (12 corrections per hour). Automatic insulin delivery settings are adjustable.
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Comfort
Somewhat comfortable. Medtronic sensors need more tape than other sensors. Largest pump option.
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
Automatically adjusts settings. Automatically adjusts insulin to reach personalized target between 100 mg/dL and 120 mg/dL. Will automatically revert to manual mode in certain situations. Basal and bolus in 0.025 increments. Extended bolus unavailable when using automated insulin delivery mode.
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.05 increments.
Easy to Use
Easy software. Software makes many dosing decisions. Can be difficult to keep automatic insulin dosing features working. Requires fewer parts than do-it-yourself systems.
Pump has a rechargeable battery that takes 30 minutes to charge, and lasts about a week.
Fewer Fingersticks
Factory-calibrated sensor. Fingersticks needed for backup only.
Frequent fingersticks are still required.
Privacy
Somewhat discrete. Ability to check blood sugar on phone or watch. Pump has tubing but can be clipped to clothing or placed in a pocket to be discreet when needed.
Discrete. The MiniMed Flex is small with visible tubing. Can be clipped to clothing or placed in a pocket to be discrete when needed.