V-Go Patch
MiniMed Flex
Summary
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.
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
Patch
Wearable insulin patches come with reservoirs and directions for application. They can be applied on the abdomen.
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
Convenient, discreet, and simple use.
A tubed insulin pump system that works with the Simplera Sync sensor and SmartGuard™ technology to automatically adjust insulin delivery.
Affordability and Access
$$$$
Widely covered for insulin-dependent type 2. Supplies provided by DME or pharmacy. Price range; $0-$250/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
No Options
Yes
Pump data can be viewed by your healthcare team on the CareLink therapy management software.
Data View Options
No Options
Yes
Data is viewed on the phone app.
Duration and Storage
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.
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
NO vibration alerts
A LOT of dexterity needed
NO text to speech
YES vibration alerts
A LOT of dexterity needed
Patient Considerations
Active Lifestyle
Limited Adjustability. No way to adjust long-acting insulin for higher activity on the fly, but the device is water-resistant.
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
Limited customizability. System requires manual dose adjustment and limits the ability to adjust insulin levels throughout the day.
Precise dosing. Pumps allow different amounts of basal insulin at different times of day and very precise dosing.
Comfort
Free of tubing. Patches do not have tubing, but it must be worn in areas that are easy to reach for insulin dosing.
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
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.
Customizable dosing. Bolus calculator available to help figure out doses. Basal and bolus in 0.05 increments.
Easy to Use
Simple with few steps. Patch is replaced every 24-hours with insulin administered at the click of a button.
Pump has a rechargeable battery that takes 30 minutes to charge, and lasts about a week.
Fewer Fingersticks
Frequent finger-sticks are required.
Frequent fingersticks are still required.
Privacy
Hideable. Bulkier patch pump, but not as noticeable as injections. Bolus button can be used discreetly through clothing.
Discrete. The MiniMed Flex is small with visible tubing. Can be clipped to clothing or placed in a pocket to be discrete when needed.