Do you use a dexcom sensor and a MM pump?

I currently use the a Medtronic pump and the CGM that is linked with it. I am not satisfied with how my sensor readings are so far off from my actual meter readings. My endo tells me the Dexcom is a much better, more accurate sensor than the Medtronic. I am conflicted because I don’t know if it will be worthwhile to always have a second device attached to me.

I wanted to hear from others who use a pump that does not integrate with their Dexcom sensor, and find out how that works out for them.

I also wanted to hear comments from people who have converted from a Medtronic sensor to a Dexcom and the results.

I am currently at a 6.8% a1C, but am Planning a pregnancy and want to be in the best control possible, hopefully in the 5’s.

Any insight would be greatly appreciated.

I have LADA. Started with injections and a Dexcom. Went to a Medtronic Minimed and LOVE it! HATED wearing 2 devices so I stopped the Dexcom and kept the pump. When Insurance allowed I got the Medtronic CGM. I think Dexcom and Medtronic have essentially the same problems and benefits. I am very pleased with my Medtronic pump/CGM and highly recommend it!

Hi, Nicole. I have been using a Dexcom G4 CGM plus a MiniMed Paradigm Revel pump, and a One-Touch UltraLink meter. I calibrate the G4 manually with results from the UltraLink meter, and the meter wirelessly transmits the results to the pump. When away from home for a few hours, I don't bother bringing the meter.

Both the pump and the G4 fit easily into a shirt pocket, even though I bought a protective case for the G4 (from Tallygear, http://www.tallygear.com/index.php?route=product/product&produc...).

I download the BGL routinely from both the pump, using Medtronics online website (which you may be doing already) and also the data from the G4 using Dexcom's "Studio" software.

It's a bit of a hassle that everything doesn't integrate perfectly, but the G4 is so reliable (wearing it for 2 weeks regularly) that I don't mind.

Best wishes.

Hi Nicole,
I currently have MM pump and Dexcom Gen4 CGMS. I've used MM pump for 15+ years, Dexcom CGMS for 2 years. Prior to Dexcom, I used MM CGMS for 2.5 years.

I have much better results with Dexcom CGMS, and I find it more convenient for my lifestyle. I prefer having it as a separate device than the pump, because I can set it on the table/desk and see it more frequently and make adjustments/corrections sooner. At nighttime, I often missed MM CGMS alarms, with the pump under the covers. With Dexcom, I keep the receiver under my pillow, and hear them every time.

In another post, I referred to the MM CGMS as 'high-maintenance' compared to Dexcom.

With MM, I used each sensor 6-7 days, with a restart at day 3 and 6, and battery recharge/new sensor on day 7. I had to be careful with when to enter calibrations, and often calibrations did NOT seem to get the CGMS back on track. Trends were often inaccurate - it might show going up slightly, I would check BG, and find it 100-150 pts higher. I had many lost sensors, CAL errors, etc. I actually found TuD after many frustrations with MM CGMS, and was searching for help !

With Dexcom, the calibrations can be done at my convenience, and each sensor lasts 10-14 days, and sometimes more. Most BG readings are within 5-20 pts, and when occasionally off by more, I enter a calibration and Dexcom usually adjusts accordingly, and much quicker than MM did.

After switching to Dexcom, and making some changes in diet, I was able to reduce my A1C from 6's to 5's. For me, Dexcom showed less lag-time from BG rise after eating, so it helped me identify better food choices, and better timing for my insulin.

Thanks for the insight!

Hi Nicole. I am on my second month with the D4....Love it! I have been on the Omni Pod pump for a few years and fought getting the 2nd device. So glad I finally did. My readings have been consistantly accurate. I have had no problems at all, so far. Because I have only changed the sensor every two weeks there has not been much additional attention required and as I am already used to having an alien kiwi sized attachment, the smaller new "growth" has not been an issue. Good luck!

Thanks for the helpful insight. I had a hard time believing that sensors could actually BE accurate. But the comments I have seen here give hope.

Please tell me why you hated wearing the 2 devices. That is one of my main concerns as well. I just wanted to hear some of the details of what you didn’t like.

I can't agree with this at all. I wore the Medtronic pump/CGM and Dexcom side-by-side for days when I first got the Dexcom, and the accuracy and timeliness are night-and-day different. In my opinion, no one should be using the Medtronic CGM at this point even if they use the Medtronic pump (like I do). The Dexcom is that much better. The two-device issue is barely relevant when the accuracy of the Dexcom is so much better.

I used the MM pump for 14 years and their CGM for 18 months. I have nothing but praise for their pump, but the CGM was useless. Over a 6 month period it totally missed something like 5 or 6 lows in the 40's and 50's, which I did not feel until they were that low. Not a lag-time issue, but a total miss. I can't afford that, because if I'm that low before I even notice it, it doesn't give me much wiggle room. And if it happens while I'm sleeping, then I could be in real trouble. I have not had that problem with the Dex. As far as having 2 devices, I wear jeans most of the time, and they fit in my pocket like lovebirds. I just don't consider it a problem. And no matter whether you use the MM CGM or the Dex, you're still going to have 2 devices plugged into your belly. The MM is PRETTIER and has a low profile, but what does that matter if it's not telling you what you need to know. The MM also has better on-pump data -- they've got some pretty hot software engineers, but again, what does that matter if the information isn't correct?

I will tell you that some people do very well with the MM CGM, and have no complaints -- it just didn't work for me.

I used the Medtronic CGM on and off for 2-1/2 years and absolutely hated it. It was painful, caused severe bruising, and was inaccurate a good bit of the time. I switched to the Dexcom 7+ and it was like night and day. The sensors never hurt and the results were usually in the ballpark of my meters or at least trending the same direction. The G4 is markedly better than the 7+.



I hate carrying two devices and miss the pump integration of Medtronic. Also the Medtronic system is just more sophisticated than Dexcom. Medtronic has predictive alarms; it also allows you to see previous numbers. With Dex you can only see the current number and a graph for the previous numbers.



I do my best to wear cargo type pants as much as possible or else use a Spibelt for one or more devices. In my pockets I need to carry my pump, my Dex, glucose tabs, my phone, and occasionally car keys. Somehow I manage because it is definitely worth it to use Dexcom.



My Revel warranty ran out in the fall, so I switched to Animas because it will be the first combo pump with Dexcom. I actually hate the Ping compared to the Revel, but it will be worth it once the Animas Vibe is released.



So do I like carrying two (okay, maybe 5) things in my pocket? No. Is it worth it because I now use the Dexcom G4? Absolutely yes.

I use the MM pump (10+ years) and used MM CGM for about 6 months but couldn't take it because calibrating was difficult, the readings were too far off, and the sensor would fall off in less than a day even with tons of tape. Sticking it anywhere other than my stomach was also really difficult.

I switched to the Dexcom 7+ a little over two years ago. It solved all those problems but I didn't enjoy that egg-shaped receiver. Rotated it around all over (legs, arms, stomach, lower back).

I very excitedly switched to the Dexcom G4 about 6 months ago. Unfortunately it doesn't adhere as well (still better than the MM) but the accuracy is definitely spot on 98% of the time. My A1c has dropped from a mid 7 to a low 6 somewhere in the midst of all this. Plus I'm much more aware of what my bloodsugar is doing on days where everything else in unpredictable.

Exotic: have you tried using medipore tape to attach your sensors? I have used it with my realtime monitor and it sticks really well. I just place one piece over the transmitter, site, everything and don’t worry about it again until its time for a new sensor. It comes off easily, pain-free. Give it a try!

I have T1DM. Currently, I have the Dexcom Seven Plus and MM 523 pump. I personally like the Dexcom system - ease of use, reliable and change to a new sensor every 7 days.

Also, I highly recommend skintac and tac away wipes for CGM and pump users.

I've tried a few different tapes but I don't think I've tried that. Will have to give it a shot. I've also heard good things about Opsite Flexifix but haven't tried that yet. Either way and even without the extra adhesive, I keep a CGM in almost 24/7.

I was a Medtronic pump/Dex user; now Animas pump/Dex so still two devices. Began with integrated Medtronic/CGMS, horrible readings, especially during the night, so bad I would just turn off the alarms totally at night to sleep. Agree with all as to the difference with the Dex and accuracy vs Medtronic's CGMS. When my Dex begins to be off by more than 20 points either direction consistantly, I know the sensor is nearing it's life end. For me average 2 weeks, many times into week 3. Dropped my A1C from over 8 when began medtronic pump/cgms to low 7's. Switched to Dex, A1C stays pretty consistant at 6 (5.6 to 6.3) - couldn't do it without the Dex! I use a spi belt to carry the dex in, wear pump clipped to waistband. Works fine but don't wear skirts/dresses much. At night, pump goes in spibelt around waist and Dex rests by my pillow in bed.

Korrie,
Does it come wiht the belt or is it a seperate purchase?

I have been having the same issues with my mm pump/CGM. I am so frustrated that I am looking for an alternative.

Rumor is that the animas and the t-slim(a new brand) pumps are planning on integrating with the dex.

The spibelt is a aftermarket purchase, made for runners but fits the dexcom perfectly, both the older 7+ and the newer G4. Here's the link www.spibelt.com
I order the original or non-logo belt, works great.
Yes, it is true that the goal is to have animas and dex together, is already approved for use in the UK, but not yet in the US. It is called the Animas Vibe. I am not sure about the t-slim, but I wanted the waterproof pump so I chose animas when I switched pumps, in addition to the one day being able to upgrade to the Vibe here in the United States. I have been super happy with the Dexcom. It's not always perfect, there will be wacky sensors and failures, but I have become very dependent on it and do trust that the Dexcom will accurately show me the direction my sugars are moving allowing me to determine if I need to perform a blood sugar test or if I can just keep an eye on the Dexcom and the readings it provides.