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I take care of a type 1d special needs guywho wears a Dexcom & omnipod 5. What suggestions do you have because the Omni gets changed every 3 days, cgm every 10 days. We wear them both on the same arm. Because they come due to change on different days we will run short on dexcom if we change it a day early to keep up with the pod placement. Does this make sense??? What do other people do? He is so thin & can only wear it on upper arms.

Thank you for this interview with Dr. Alonzo. His perspective is refreshingly flexible and understanding with regard to the mental health challenges of living with T1D. I especially appreciated the section from 11:45 - 17:25. “Big picture goal,” “Don’t have to win the A1c sweepstakes,” “We can soften our attention to diabetes in a safe way so you can live the happy life that we are actually shooting for.” After 46 years with T1D, I can attest to how rare this attitude used to be. I am glad I've lived long enough to see the change in approach.

Ummmmmmmm We DADS night out (golf,bowling, etc) thanks for your work listen on my ride home

DO NOT RECOMMEND. First sensor wildly inaccurate, second sensor died after one day and multiple sensor issues, and no customer service contact number so if you can't get help or have trouble logging on, you're out of luck. Just canceled my subscription.

2 weeks into Stelo. Very educational. I will probably keep using it to keep my glucose in range so I can get to normal from prediabetes. Watching my daughter deal with type 1 means I am very motivated.

Unfortunately not all insurances cover CGMs. So this is the solution I've been waiting for since being diagnosed 2 years ago. So far 5 days in, its been accurate to finger stick readings within 10 points.

I hope Dexcom will remedy the failure of the Stelo app to point users to Clarity.

This is really good info, lots of interesting insights and info. Looking forward to ketone monitors (but not holding my breath).

I tried. Stella seems to be accurate for me, but the most disappointing part is customer service. The first unit didn't work it went too 70 low and and stay there, I filled out the forms on the website to get a replacement twice, but never heard back.

I'm having keeping the G7 on. They never last ten days. Last night while I spelt the sensor fell off and I can't get a new one till monday! I never had this problem with the G6 but I can't get that now. The glue just does not hold when I sweat and I sweat a lot here in Florida. Last month I had one only last four days. I have tried to complain but never get an answer. What a waste of money, great product electronically but physically they are poorly made. I've seen crap from China with a better track record then the G7.

I am using the Stelo and very pleased. Medicare would not cover a CGM because I don’t use insulin. This GGM gives me an opportunity to monitor my health.

they totally ripped me off buyer beware.

I'm not quite sure where the existing news is about. Nothing new and nothing for type 1s, which is the important part. I thought about some new technology they are adding.

Another great episode. The Stelo was released just as I decided to take my diabetes management to the next level. It has been a real eye-opener. I am so thankful for CGM in general and for Dexcom going straight after the market segment with T2 and poor or no insurance coverage. As the first Stelo users approach one month of use, I would like to see a deep dive into Clarity.

Sometimes when you’re looking for back-up plans is me right now, my current cgm is back ordered at the moment, and my primary physician quit the practice so I don’t have a Dr to get me prescription for a different cgm, and here is an over the counter cgm that’s in the affordable range, but it can’t connect to a pump or won’t give me alarms, oh no I guess I’ll just have to open the app and manually check my blood sugar a couple of times per day

No longer in the “dark” being T2 & non insulin user❤ I love knowing what spikes my BS🎉

Been looking at switching to G6 or G7 for phone use. How do these work if you have a phone and apple watch? I don't have apple watch, but would guess it'd be same issue, lose the app on phone, it would immediately not work on watch?

as a T2D, not on insulin, the inability to calibrate is a non-starter.

I’m 36. I’ve been T1 since April 2001. I will get on my knees and cry tears of joy if smart insulin ever becomes a reality. I’ve worn a pump for over 20 years and it now feels like a ball and chain. I can’t express the mental burden this would relieve. Best of luck all involved.

Yes

Translation ... Medtronic is so far behind in their CGM technology they have finally realized in order to sell more pumps they need a better CGM to go along with it. I bought my first Medtronic pump in 2009 (remember, they were the primary pump choice back then) and I bought it because of the "new" CGM technology at the time - a sensor that would send readings automatically to the pump, plot them on a chart and you could download for further tracking and analyzing - pretty cool! I LOVED the Medtronic pump but hated the sensors which were inaccurate, bulky, needed charging, only lasted 3 days, required constant calibration and were so expensive! So I used the pump but not their CGM and entered finger stick reading manually. Fast-forward 15 years Medtronic sensors are still the same profile shape/size,, still need charging, very awkward to insert, now last 7 days with better accuracy but not the best out there, AND are still expensive! Meanwhile, Abbott Libre sensors came along (among others which are good but I have only personally used Libre sensors). Libre's are small, easy to insert, accurate, don't require charging, last 14 days are are less expensive - everything Medtronic's weren't! To be fair, Medtronic is not only a diabetes company, they manufacture other medical devices but as such I believe they lost their focus on CGM's over the last decade. With the great strides in CGM technology over the last few years they can't catch up so good on them for finally realizing they should partner with a company that actually makes fantastic CGM's. I'm very much looking forward to using a Libre sensor with my Medtronic 780G. BTW, the 780G is a fantastic pump but the whole experience will be so much better with a fantastic CGM to match!

It can’t be calibrated. It won’t give readings below 70 mg/dl or above 250 mg/dl (just “low” or “high”). It transmits data to the app every 15 minutes instead of every 5. And the only notifications are for “spikes” and “daily insights” so if your glucose is dropping fast you won’t have any idea. I really feel like this is a fine product for pre-diabetic people and “fit-fluencers” and people who think a CGM is the next magic bullet for weight loss. For diabetics people… not so much. I would definitely not use the Stelo if you’re using insulin.

No one ever, it’s about the sensors that have issues with medication’s. I can tell you I take a medication that that interferes with Dexcom and Medtronics sensors the ones it does not interfere with is Libre and Eversense. Just thought I’d throw that out there. No one ever talks about it. It’s a big big deal for me.

this is why healthcare costs so much. goverment meddling. they are marketing the same product differently just to get past the crazy hoops fda forces them to comply to.

I have type 1 and I will try this.

Do you think fast acting insulin once a week will be available soon ?

Does metformin works for lada?

Would it be possible to be negative for islet cell antibodies and gad-65 but still develop lada later on? My dr told me I don’t for for type2, I was tested for type 1 and kada but Dr said results came negative… I was tested for mody too and negative.. I am lost. Now we are going back to recheck for lada again 😢

So, I have to be using a fast acting insulin to be approved?

I’m on basaglar insulin , metformin, and pioglitazone for type 2 diabetes. I’ve been a diagnosed diabetic since 2001. Medicare will not approve Dexcom 6 or 7 now.

It’s sorta sad bc everyone can get the g7 except all of us down in Australia 😭

Do you think omipod 5 will be in the phone app soon in the UK?

Is there anyway to tell if your employer is self-pay or premium based?

Very entertaining!

Great report! Thank you

Does the transfer of manufacturing from Germany to Malaysia have anything to do with the quality issues?

Great interview, but from my experience, by default the Dexcom support handle sensor errors / bad sensors in the same category as "goodwill" and count those against you. I guess you'll just have to fight that battle with their support when you hit the limit. While I think G7 is more convenient than G6, there's a lot of people on the Dexcom Reddit complaining about the G7 sensor wires coming out of the insertion needle during shipment (you can actually see this before attempting insertion - it will 100% fail). I would imagine the failure rate of these G7 sensors will be much higher than G6, and it makes me question whether the reason for this policy change is as the CEO stated in this interview... I personally think they will continue to purposely miscategorize replacement requests as a way to increase their rejection rate and cut costs.

Keep up the great work

I have been faithful since 2018 going to Dr. every 3 months. Medtronic told me my C-Peptide was too high. Well in the beginning it was 1.8. I had 2 strokes because of diabetes. Mayo clinic put me on the on the insulin pump. I have been taking good care of my health. Lost tons of weight. So because I am taking care of myself doesn't mean I am not a diabetic now. I do not want to have more strokes so the pump and supplies are not covered by Medicare. They do cover the insulin. It just wows me about the supplies not getting covered now according to Medtronic.

Shameful behavior by Novo Nordisk - abandoning insulin-dependent patients. I am shocked.

Where is Brandon Mouw today? I haven’t heard anything for three years.

Looking for advice for my father 87, Type 2 , not technically inclined, we have a Dexcom G6, he lives in an assisted living in MA where they are not permitted to deliver insulin shots. We spoke to his endocrinologist who thought a pump would be too complicated for him so we are looking for another option. Listening to these talks, seems there must be a way we can set something up that has a 7 day +- supply where we can manage the delivery remotely. Any thoughts , suggestions would be greatly appreciated. Lastly we currently pay someone to come in once a day to deliver 10 units of lantus.

I do not care for the name change and they closed our local offices after the name change. I am no longer locally supported.

Direct to watch for the G7 requires an Apple Watch Series 6 or above, second gen SE or Ultra.

Thank you for covering this. I have had T1D for 40 years and my father even longer. Even if I have inject once a day, and still follow LC to stay in a healthy range - this would be such a boost for my QofL. The burden of the disease for me is the constant checking in with it and taking action to remain or get back to normal numbers. The fastest insulin I have access to atm is Fiasp which takes 90 mins to reach full activity. This means you have to act as early as possible to not go too far out of range. Then you have to check around 90 mins to see how well you matched to the amount needed. It sometimes feels like I am running a marathon with no end. Next time you are talking about GRI could you please ask about what number they consider "normal". I have seen Diabetes associations recommending T1D have numbers higher than normal. This concerns me as it only addresses fear of severe hypos which can be avoided completely with LC. I would really like to know that my control, using GRI, will be the same as healthy living non-diabetic. I would also like to know what are the challenges they are working on to make it happen. Many thanks for the interview - it was so exciting to hear It was good to have a timeline too - even if it is years off. I want it to be safe to use.

This is the dumbest thing I have even seen so I seen a girl with it and they says it's smaller then the Omnipod 5 but truth is it's bigger even if you hook it to your body you will have a wire coming out and then needle part hooked up and then the dexcome g7 so it's like having a omnipod 5 on your body and 2 g7 cgms on your body or a crazy long ass wire which is worse tandem you failed

When you initially call is only a cast member that is on the video call. If the CM needs assistance to see if the person qualifies then they might call in a health professional. If you are approved for the DAS pass you manage it by an app. on your phone. CM does not give you a return time. It's all through the app and it's not a shorter line. You wait outside the line the same amount of time the standby line is. So if the line is 2 hours you will get a return time for 2 hours on the app. Please do your research before giving out the wrong information. Many disabled are getting caught in this mess and it has been mentally and emotionally exhausting and very hard to deal with on top of the already disability that they might have.

The theory behind this is what we want, but, but it looks to me that you're going to have to have 2 infusion sites. Then, how often are you going to have to change infusion sites. Plus, two tubes to work around. I've been pumping for 20yrs and I think that it is one of the next steps. Only time will tell.

Use the pump if you NEED to. If there is not a need, than don’t use it. There are serious quality of life negatives about this product. The device lacks common sense design. Seriously, an elementary school student wouldn’t design a product this bad. A calibration warning is no reason to have a fire alarm. If you have this product, it’s pretty much a neon sign announcing to everyone with ears that you are a diabetic. Again…. A calibration warning …smh.

Too bad it won’t stay on back of your arm