I'm a MDI diabetic with insulin/carb ratios of 1:3 (breakfast before 6 am), 1:4 (breakfast after 6 am) & 1:5 for lunch and dinner. I use Humalog for rapid acting & 35u of Lantus at bedtime. My endo highly encouraged me to go with a pump that has integrated CGM. So the OmniPod is out. There were some other concerns with the OmniPod that were leading me to discount it as an option.
As I'm in Canada I'm looking at the Animas Vibe and the Medtronic Paradigm Veo with the enhanced Enlite sensors (2nd generation of the Enlite sensors I believe). I've tried the Dexcom G4 as a separate unit and was satisfied with the performance. I don't know how much better the enhanced Enlite sensors will be over the original Enlite sensors.
Cost may be an issue if my insurance doesn't cover CGM. If I have to pay out of pocket then my decision will be based on cost. I know the Dexcom transmitter is said to be good for 6 months & the sensors good for 7 days (official statements from Dexcom). My personal experience with the G4 was 2 weeks before I had to remove the sensor because the adhesive was no longer adhering to my body. The Medtronic transmitter is warrantied for 1 year although the rep. said many people were getting 3 years out of the transmitters. The official statement is that the Medtronic sensors are effective for 6 days although some users have indicated they are able to squeeze 10-12 days from the sensors. I would appreciate if users could give me the actual usage they are getting from their transmitters and sensors.
I have read that the Enlite sensors are not nearly as accurate as the G4 sensors and the Enlite sensors have significant variances in performance and longevity vs the G4 sensors. Hopefully the enhance Enlite sensors don't have these same issues or the variances are significantly less. I've also read that the Medtronic gives a lot of false alarms and loses signal with the Enlite sensors. Is this true. What is the range for the G4 sensors with the Animas Vibe. Any insight on this would be appreciated.
Finally, there are aspects of the Medtronic that appear to be more appealing to me vs the Animas Vibe pump. Less button pushing and fewer menus with the Medtronic, better blood glucose meter integration (I've read the Bayer Contour Next Link USB is one of the more accurate meters out there and the ability to get the pump with 300u insulin capacity. In addition, I have read the Animas doesn't really hold 200u of insulin, more like 180-185u of insulin. Is that true. The Animas also isn't able to display carbs without actually going into the Diasend software. Is this also true. Finally, I think the Medtronic with a USB connection (Bluetooth?) to the computer is preferable to the Animas' infrared connection. How does the Animas software compare to the Medtronic software.
In addition, does anyone have any insight as to customer service/support, warranty coverage, upgrades, etc. for either company? Is there anything else I'm missing or should consider?
Finally, please note that I cannot try the pumps before buying although the Medtronic offers a 90-day return policy. Animas also does, but specifically with respect to the Ontario assisted devices program (don't know if I would qualify). However, the Animas rep was a bit non-committal regarding the 90-day return policy if the pump was bought through private insurance.
Sorry for the long post, but I asking for advice as to users' experience so that I can determine which pump with integrated CGM best meets my needs.