Minimed 780G with Smart Guard
V-Go Patch
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.
V-Go is a convenient credit card-size patch pump that adheres to the skin and can be worn for 24 hours. This system is designed to be used with fast-acting insulin for people with type 2 diabetes who require 20, 30, or 40 units of insulin per day. Users can administer two units of insulin with every press of a button on the device. This device is a hybrid between injections and an insulin pump to allow for discreet dosing without the need for programming or multiple injections.
FDA-approved for people 21 years of age and older with type 2 diabetes.
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.
Patch
Wearable insulin patches come with reservoirs and directions for application. They can be applied on the abdomen.
Device Details
Overview
This system is integrated and has a customizable settings. Many providers are familiar with Medtronic products.
Convenient, discreet, and simple use.
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 2. Supplies provided by DME or pharmacy. Price range; $0-$250/Month.
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.
No Options
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.
No Options
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.
24-Hours
Patch can be worn for up to 24 hours and works in most temperatures (not for use in hot tubs, saunas, or freezing conditions). Does not require batteries or recharging.
Vision / Auditory / Dexterity
NO text to speech
YES vibration alerts
A LOT of dexterity needed
NO text to speech
NO 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.
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly, but the device is water-resistant.
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.
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Comfort
Somewhat comfortable. Medtronic sensors need more tape than other sensors. Largest pump option.
Free of tubing. Patches do not have tubing, but it must be worn in areas that are easy to reach for insulin dosing.
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.
Simple with few steps. 24-hour bolus range: up to 36 units per 24 hours, doses in 2-unit increments. Preset basal rate of 20, 30, or 40 units per 24 hours.
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.
Simple with few steps. Patch is replaced every 24-hours with insulin administered at the click of a button.
Fewer Fingersticks
Factory-calibrated sensor. Fingersticks needed for backup only.
Frequent finger-sticks are 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.
Hideable. Bulkier patch pump, but not as noticeable as injections. Bolus button can be used discreetly through clothing.