I caught the Asante Snap video-chat here on TUD a year or so back and was very interested. I was only about a year into switching from MDI to a (Medtronic) pump and had a lot of frustrations. It was too soon for my insurance to cover changing to another device, also I use Novolog not Humalog, so I put my interest on a back burner. But I saw the promo for doing a trial a few weeks back and decided to go for it. I started on it last Tuesday, 1/13/15 and it occurs to me some people also thinking about a switch might be interested in how it's going so far.
- Novolog vs Humalog: problem? No. Some people say they've had issues switching but I see no difference whatsoever
- Insurance coverage: will they pay for the switch? Dunno yet, but IIRC the controller itself is about $250 if I have to pay out of pocket, which is pretty manageable.
Things I don't like:
- Infusion set tubes only come in 23" and 42". I have the 23" which seems a little short, whereas 42" seems like I'd always be getting tangled up in it. I'm used to Mio 32", and that seems just about right
- Glass insulin reservoirs have key advantages but are more shock-sensitive. My first day, the pump slid off my lap and clunked on the floor, setting off a howling alarm that required me to swap out the reservoir/pump body and replace it--bit of a waste given that these things are supposed to go 6 days. In the trial situation Asante just said they would send me a new one but I don't know if my insurance company would be quite so nice, so this could be a significant downside. Gotta be more careful anyway!
Things I like. A LOT:
- Pre-filled reservoirs. NO MORE TAPPING BUBBLES, and no more voids that cause BG spikes when you don't get all of 'em
- Pre-filled reservoirs. NO More waiting for the insulin to warm up before changing sets. This is one of the biggest single annoyances of pump life. Anyone else suddenly remember today's the day they have to change their infusion set NOW, only you've gotta leave in 5 minutes or you'll be late for work? Or your alert goes off a minute after switching the light off at bed time and now you've not only got to get up and go through the whole rigmarole of changing it but also you can't start until your insulin bottle has had 20 minutes to get up to room temp after being in the fridge so it won't be full of bubbles.
- Pre-filled reservoirs. They're made of glass, which means the insulin stays good for much longer, meaning...
- 6 Days between reservoir replacements!!! You still have to change your infusion site every 3 days because the site gets saturated like with any other system, but it's MUCH simpler not to have to go through the whole infusion set changing process (which is simpler with this system to begin with b/c pre-filled reservoirs)
- Programming niceties. Get this: you can tell the thing NOT TO ALERT you about a low reservoir in the middle of the effing night, if there's a reasonable amount of insulin still in there. I LOVE this. My damn Medtronic always decides to wake me up at 3 a.m. to let me know I'm going to run out of insulin around freakin' lunchtime. This message couldn't wait??? Well, yes it could, and now it does.
- Programming niceties: when you pause the pump during your morning shower or whatever, the pump tells you how much insulin you missed when you start it again. Really handy to have that info--especially nice when you've paused it for exercise: now you know how much insulin you just didn't have to take because you were out there virtuously burning BG by physical exertion.
- Readability: the've really done a great job with making the screens easier to read and interpret, using contrasting backgrounds, large type san-serif faces, etc.
- Built-in flashlight. Well, that's self-explanatory isnt it? Very handy!
Things in Medtronic's favor
- Carelink. For all it's retro Java clunkiness, I really like being able to upload my data to the cloud directly from my BG tester and be able to track it, send it to my endo etc. Asante says they're working on something similar, but it's not available yet.
- BG tester talks to pump. I like having the tester automatically send my number to my pump before bolusing. It's less streamlined having to do it manually and easier to enter a wrong number by mistake.
Hope this is of use to anyone else considering a Snap. I'm happy to answer any questions if I can or compare experiences with others who are trying it out.