Wednesday, September 2, 2009

Medtronic's Paradigm Veo Wireless Insulin Pump Helps Prevent Hypoglycemia

Filed under: Medicine , Pediatrics

medveo.jpg
Medtronic has released a new insulin pump/continuous glucose monitoring system, called Paradigm Veo, that features intelligent protection against episodes of hypoglycemia when the patient is ignoring the dropping sugar levels. After alerting the wearer of an oncoming event, the Paradigm Veo system automatically stops the insulin pump if the patient does not act on the warning. The system is now available for sale to much of the world, but Medtronic is still awaiting FDA clearance to market in the United States.

The Paradigm Veo System includes an insulin pump with a continuous glucose monitoring (CGM) system (provided by means of a separate sensor and transmitter). The patient uses readings from the monitor in conjunction with occasional confirmatory fingerstick blood glucose measurements to understand their current glucose level. Based on these results, the patient then programs the insulin pump to deliver an appropriate amount of insulin. Insulin combats high blood sugar, a key cause of heart disease and other long-term complications in type 1 diabetes.1 However, if data transmitted from the sensor show the patient’s glucose levels have dropped below a defined threshold, the device alarms to alert the patient. If these alarms are ignored, the insulin pump automatically suspends insulin delivery for up to two hours. This helps to protect against potentially dangerous hypoglycemic events.

The Paradigm Veo is equipped with a Low Glucose Suspend18 (LGS) mechanism, which will halt insulin delivery automatically whenever your glucose levels are too low. This can help to reduce the risk of severe hypoglycaemia. And being a CGM-Ready pump, the Paradigm Veo system can offer you the advanced insight of Continuous Glucose Monitoring19 as well. Giving you all the information you need to make the right decisions:

  • Monitoring and recording your glucose levels 24/7

  • Allowing you to identify trends and make appropriate adjustments to your lifestyle/treatment

  • Warning you when your glucose levels stray from your target range
  • Press release: New Diabetes Device May Be Next Step in Quest for Artificial Pancreas...

    Product page: Paradigm Veo...

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    replies: 8 comments
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    The problem with that design is that the CGMS portion is unreliable (more so for some patients than others) so that when one is sleeping, chances are high that the CGMS will falsely report a low and shut off the flow of insulin, when in actuality the person's blood glucose is either normal or high. Been there, done that with the MM CGMS using the 522 that doesn't have the shut off feature, thank god.

    My wife uses the CGMS and generally has decent results, but it will falsely report lows for her too, just not as often as it did for me. Be forewarned, folks, you DON'T WANT YOUR PUMP TO STOP DELIVERING INSULIN due to a flaw in the CGMS readings!!


    Posted by: just me
    on September 2, 2009 06:39 PM GMT

    It is not clear whether "just me" is fully aware of the algorithms that drive this device. I would not presume anything before speaking to a doctor.


    Posted by: Dr Green
    on September 3, 2009 01:50 AM GMT

    "Dr. Green" you really don't get it: the fact is that the CGMS sensors aren't accurate enough to rely upon. All the algorithms in the world won't change that. IF you really are a doctor, I worry about your patients, because you aren't understanding the most basic issue here of sensor problems. Nothing within the pump can override the bad data coming from current MM CGMS sensors.


    Posted by: justme
    on September 3, 2009 03:26 PM GMT

    I agree that the sensors can be inaccurate. I often find myself testing every couple of hours just to make sure that the sensor readings are accurate. At night, I can be running in the mid-80s and it is reporting mid-50's. That was a common enough occurrence that I shut off the low glucose alarm because it was pretty much worthless.

    When the sensor starts to get to the end of its life, it tends to "flat-line" at around 90 or so, no matter what my sugars do. You're not supposed to chase the numbers, but to watch the trends. But it soon becomes a question of how can I trust the trends if I can't trust the numbers the trends are based on.

    When this current batch of sensors is gone, I won't being buying anymore. I might try the next generation and to be honest, the CGMS has helped me get my patterns better. I guess I would say that it would be good for occasional check of your trends, but for valid day-in-day-out information, it is just too unreliable.


    Posted by: Scott
    on September 4, 2009 06:20 AM GMT

    I agree that the sensors can be inaccurate. I often find myself testing every couple of hours just to make sure that the sensor readings are accurate. At night, I can be running in the mid-80s and it is reporting mid-50's. That was a common enough occurrence that I shut off the low glucose alarm because it was pretty much worthless.

    When the sensor starts to get to the end of its life, it tends to "flat-line" at around 90 or so, no matter what my sugars do. You're not supposed to chase the numbers, but to watch the trends. But it soon becomes a question of how can I trust the trends if I can't trust the numbers the trends are based on.

    When this current batch of sensors is gone, I won't being buying anymore. I might try the next generation and to be honest, the CGMS has helped me get my patterns better. I guess I would say that it would be good for occasional check of your trends, but for valid day-in-day-out information, it is just too unreliable.


    Posted by: Scott
    on September 4, 2009 06:23 AM GMT

    I agree with the other posters concerns in regards to the accuracy of the CGMS. I too have the same problems with mine. Finger stick test 12 times/day because I can't trust the data coming from my CGMS.

    Not only do I get false low's, I often get false highs. Or the CGMS will completely miss an extreme low. Very rarely is the CGMS accurate with my finger stick readings. It has helped in some regard to change my patterns but as Scott said for day-in-day-out data it's pretty much useless and extremely frustrating.


    Posted by: Triskit
    on September 4, 2009 03:14 PM GMT

    I have had both very accurate and inaccurate readings from my MM CGMS; it all depends on the user and how well they calibrate the pump, as well as how well they remember that the readings aren't real-time, they're about 20mins behind. If you keep those things in mind, it's a good representative of your bgl trends.

    If you calibrate during an up or down trend instead of a flat, yes, your readings will be off at least until the next calibration.

    I'm all for TEMPORARY insulin delivery suspension. The ends justify the means. Yes, hyperglycemia is bad over time, but hypoglycemia can kill or seriously injure in minutes.


    Posted by: Shaw
    on October 12, 2009 12:36 PM GMT

    first time user kind of scared of it !!


    Posted by: mary
    on November 18, 2009 07:48 AM GMT

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