Tandem t:slim X2
Guardian Connect
Summary
The Tandem t:slim X2 is rechargeable, has a touch screen, and can be updated on a home computer.
*Control IQ+ Technology now available for ages 2+
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%
Components
Controller
Compatible smartphone can be used to view and control insulin delivery using the t:connect app.
Infusion Set
An infusion set contains the thin plastic tubing that delivers insulin from the pump to the body.
Cartridge
Tubed insulin pumps contain a plastic reservoir that is manually filled with insulin and locked into the pump.
Pump
Touch screen pump connects tubing to a small patch called an infusion set that attaches to the body.
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.
Device Details
Overview
Smallest tubed pump. Modern interface resembles a smartphone but tubing may be visible.
One of the larger sensors, may be cumbersome to wear on some parts of the body under clothes.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 1 and 2. Supplies and pump provided by DME. Price range; $0-$4000 to start and $0-$300/Month.
$$$$
Sometimes covered. The costs vary depending on individual insurance coverage and how insurance classifies CGMs. Price range $0-$600/month.
Data Monitoring Options
Yes
Tandem t:slim mobile app wirelessly uploads cloud-based Tandem Source web application delivering access to recent patient data.
Yes
CGM data can be linked to a CareLink account and shared with the user's health care team.
Data View Options
Yes
Data is viewed on the pump's main screen and/or on a smartphone with the Tandem t:slim mobile app (available for both iOS and Android devices).
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.
Duration and Storage
3 Days
Pump can be worn for up to 72 hours and works between 40°F - 99°F
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.
Vision / Auditory / Dexterity
NO text to speech
YES vibration alerts
A LOT of dexterity needed
YES text to speech
YES vibration alerts
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.
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.
Avoiding Highs and Lows
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
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.
Comfort
Smallest 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.
More tape is needed for Medtronic sensors.
Easy Insulin Dosing
Customizable dosing. Bolus calculator available to help figure out doses. Offers smallest increments of basal insulin delivery. Basal in 0.001 increments, bolus in 0.01 increments.
Sensor trends can be used for dose adjustment.
Easy to Use
Rechargeable. Pump has a touch screen display and rechargeable battery.
Rechargeable sensor transmitter but has the most steps to change sensor.
Fewer Fingersticks
Frequent finger-sticks are required.
2 daily finger-sticks are needed to calibrate the sensor.
Privacy
Discreet. Smallest tubed pump with visible tubing. Ability to bolus directly on a compatible smartphone. Can be clipped to clothing or placed in a pocket to be discreet when needed. Touchscreen of pump looks like normal tech device.
Somewhat discreet. Ability to see sugar on watch or phone. Sensor requires regular meter use.