I am so excited to see a dual hormonal pump coming soon. The size is not a problem for me considering the amount of time in range achieved. It will be so worth it!
Great work. I like his realistic, no nonsense style. I’ve thought for a long time the sensor really doesn’t work on the last two days. I appreciated him saying it like it is. Diabetes is heavy. This would make it lighter, even if our modern quick fix society (myself included) would love to hear there is a cure right now. Hoping for good things in the future for myself and my 3 other siblings with type one as well as several other close family members. Diabetes is hard but getting better!
Good to see Robin and the progressions of the Inreda. Proud as a Dutchie that he is making such impact. I would not use it in its current state, but maybe in the future! Currently with DIY loop + the habits (which I'm making video's on on youtube), I believe it is not yet time to switch.
I'm happy that a company is working toward a true solution. Two sensors are a bit much. I'm small and it wouldn't be realistic for me in the current phase.
This is not a solution but a higher tech, more expensive bandaid. It's different enough to be protected from competition by patents - just like every insulin product has been since the 1980's.
Sure it's a lot of gear, but I have no doubt that it will get smaller and smaller over time. At some point it seems like the concentrations of insulin (U100) and glucagon will have to get stronger... and pump accuracy will, of course, have to be really precise. The largest part of my OP5 is the reservoir... it's maybe 25 or 30% of the total volume.
Thank you. That was very interesting and informative. I see the "dual hormone" platform as being the future of pump treatment. I'm on a 780G/G4 closed loop now and Smart Guard tends to over correct and run me low overnight, depending on the carb complexity of dinner. It would be nice if there was a "glucagon" aspect to prevent that. I don't know if I would want to deal with so much maintenance, however.
I thought about this years ago and wondered why, with all the technology out there, isn't there a pump combined with a CGM and glucagon. Will I see it in my lifetime? Perhaps. Thank you Justin for keeping us all in the know. You're admired far more than I thin you realize. Mike
@ the size of the pump absolutely can be made smaller. The majority of that pump is integral parts. That pump has been worked on for 20 years. By the time it even became available for the consumer it will look different. By how much, only time will tell
I've listened to this video with interest. The whole idea is wonderful. It's what we all want, really isn't it? To no longer have to think about what we are doing, no carb counting etc. We all want to forget we have diabetes. With this algorithm that is possible. However, there's a massive downside at the moment. I hope that in the future they work out how to make it smaller still, and less maintenance because the maintenance is huge. What I was interested to hear is the TIR. 90% well, I'm getting that some days with being on a closed loop AAPS system using the Dash and G7. It's usually in the 80% to 90% and that is a vast improvement from when I was using the Dash and CGM with no closed loop. Then my TIR was often only 50% to 70% mostly in 60% range. So actually being on the dual hormone system would not really make too significant a change in that way. I do have minimal interaction with my present system. I check my bg on my phone, but it alarms to my watch if I am dropping and even recommends how many carbs I should eat to prevent it dropping any lower. Sometimes I forget to bolus for food, but somehow the loop system catches me up (probably because I have a very low requirement for insulin using probably around 45 units over 3 days). He is right though. Diabetes is a very heavy burden to bear and for those of us who've been bearing that burden for in excess of 50 years, it sometimes used to get too heavy. But now with tubeless pumps and CGMs it is much easier than the old days of glass syringes, test tubes to test your pee and two injections a day. I don't even know how it could possibly have been controlled to any degree those days using those systems.
This is not about the pump, but about snacks for pickleball. :) I play tennis, and when I ran out of snacks and wanted to keep playing the other day, I ordered Door Dash delivery to the tennis court. 😅
I wonder, which settings are needed...no basalrate,but age or weight or...? And does it have any platform / display to see what the System does or to take graphs etc to your endo appointments?
Thanks, very interesting. Some questions or points that went missing or I did not notice. Approx how fast does glucagon dosing react? Let's say you're a bit low, say around 4 mmol/L and you quickly do some sudden physical activity without preparing for it by eating (I know this is not good, but it happens), how fast is the glucagon response? We all know that response to insulin dosing is painfully slow. I assume this glucagon formulation is very different than what is used for the emergency glucagon pens (now nasal spray) which is stored lyophilized until use, and what about stability? I believe glucagon in solution is much less stable than insulin at ambient temp. Also, are there delivery settings required, similar to what is done with insulin, for the glucagon side? Ok, too many questions - but this is exciting. Thanks for great content.
Hi, why there is not improvement in Cgm technology? Sensor warming is boring especially with GL3 sensors. I think there must be another solution for cgms with no warming. Simply by using radio waves and device with the size of smart watches.
It seems like in the future it might be a choice but with what they have now and the smaller one, I am not interested. It is not made for people with very busy lives. All the change this every 2 days is way tooooooo much for me.
Twice the hardware, one quarter the meantime between failure, twice the cost of supplies, twice the effort of supply changes. A solution for the medical supply industry's shrinking diabetes profit margins. The 20 years of development effort would have been better spent on gene therapy to cure T1D - forever "just 10 years away" - because decades of treatment is more profitable than cure. You can always find excuses for why something is too complex or too hard. Nothing is too hard for a well educated and MOITIVATED person with diabetes to do, and it's not that hard IF you are willing to make lifestyle changes away from denial and 20SIGNAL. The unhealthy late 20th Century Instant Gratification with no effort North American lifestyle is hurting a lot more people than those with T1D.
I am so excited to see a dual hormonal pump coming soon. The size is not a problem for me considering the amount of time in range achieved. It will be so worth it!
Great work. I like his realistic, no nonsense style. I’ve thought for a long time the sensor really doesn’t work on the last two days. I appreciated him saying it like it is. Diabetes is heavy. This would make it lighter, even if our modern quick fix society (myself included) would love to hear there is a cure right now. Hoping for good things in the future for myself and my 3 other siblings with type one as well as several other close family members. Diabetes is hard but getting better!
That was funny thing for me, as I live in the Netherlands. This kind of talk, or Dutch directness is a known thing.
I do appreciate that as well 😊
Good to see Robin and the progressions of the Inreda. Proud as a Dutchie that he is making such impact. I would not use it in its current state, but maybe in the future!
Currently with DIY loop + the habits (which I'm making video's on on youtube), I believe it is not yet time to switch.
“The device is a bit heavier, but the disease is a bit lighter” is a good summary of the potential benefit and trade off.
I'm happy that a company is working toward a true solution. Two sensors are a bit much. I'm small and it wouldn't be realistic for me in the current phase.
This is not a solution but a higher tech, more expensive bandaid. It's different enough to be protected from competition by patents - just like every insulin product has been since the 1980's.
Amazing unit. I can't wait to see how the future goes for his product. What freedom this would bring to all T1D patients.
Sure it's a lot of gear, but I have no doubt that it will get smaller and smaller over time. At some point it seems like the concentrations of insulin (U100) and glucagon will have to get stronger... and pump accuracy will, of course, have to be really precise. The largest part of my OP5 is the reservoir... it's maybe 25 or 30% of the total volume.
Thank you. That was very interesting and informative. I see the "dual hormone" platform as being the future of pump treatment. I'm on a 780G/G4 closed loop now and Smart Guard tends to over correct and run me low overnight, depending on the carb complexity of dinner. It would be nice if there was a "glucagon" aspect to prevent that. I don't know if I would want to deal with so much maintenance, however.
I thought about this years ago and wondered why, with all the technology out there, isn't there a pump combined with a CGM and glucagon. Will I see it in my lifetime? Perhaps.
Thank you Justin for keeping us all in the know. You're admired far more than I thin you realize.
Mike
It will be great and I am planning to get one of the kid version for my 5 year old son. Hope it will be available in our country too..
Imagine in 20 years when they learn to make it smaller and work with one cgm
This earned a dark, knowing lol from me! 😂
You can’t make insulin and sugar smaller
@ the size of the pump absolutely can be made smaller. The majority of that pump is integral parts. That pump has been worked on for 20 years. By the time it even became available for the consumer it will look different. By how much, only time will tell
I have a mobi. Imagine the potential of just the size of two of those. Really small. That’s just today’s tech as well.
I've listened to this video with interest. The whole idea is wonderful. It's what we all want, really isn't it? To no longer have to think about what we are doing, no carb counting etc. We all want to forget we have diabetes. With this algorithm that is possible. However, there's a massive downside at the moment. I hope that in the future they work out how to make it smaller still, and less maintenance because the maintenance is huge. What I was interested to hear is the TIR. 90% well, I'm getting that some days with being on a closed loop AAPS system using the Dash and G7. It's usually in the 80% to 90% and that is a vast improvement from when I was using the Dash and CGM with no closed loop. Then my TIR was often only 50% to 70% mostly in 60% range. So actually being on the dual hormone system would not really make too significant a change in that way. I do have minimal interaction with my present system. I check my bg on my phone, but it alarms to my watch if I am dropping and even recommends how many carbs I should eat to prevent it dropping any lower. Sometimes I forget to bolus for food, but somehow the loop system catches me up (probably because I have a very low requirement for insulin using probably around 45 units over 3 days). He is right though. Diabetes is a very heavy burden to bear and for those of us who've been bearing that burden for in excess of 50 years, it sometimes used to get too heavy. But now with tubeless pumps and CGMs it is much easier than the old days of glass syringes, test tubes to test your pee and two injections a day. I don't even know how it could possibly have been controlled to any degree those days using those systems.
This System sounds great!
What do you think of this pump. It is great to see how you have Robin on TH-cam. My problem is the infuussets.
This is not about the pump, but about snacks for pickleball. :) I play tennis, and when I ran out of snacks and wanted to keep playing the other day, I ordered Door Dash delivery to the tennis court. 😅
I wonder, which settings are needed...no basalrate,but age or weight or...? And does it have any platform / display to see what the System does or to take graphs etc to your endo appointments?
Thanks, very interesting. Some questions or points that went missing or I did not notice. Approx how fast does glucagon dosing react? Let's say you're a bit low, say around 4 mmol/L and you quickly do some sudden physical activity without preparing for it by eating (I know this is not good, but it happens), how fast is the glucagon response? We all know that response to insulin dosing is painfully slow. I assume this glucagon formulation is very different than what is used for the emergency glucagon pens (now nasal spray) which is stored lyophilized until use, and what about stability? I believe glucagon in solution is much less stable than insulin at ambient temp. Also, are there delivery settings required, similar to what is done with insulin, for the glucagon side? Ok, too many questions - but this is exciting. Thanks for great content.
Where is the promised link to Inreda?
Way to big & 2 sensors is too much to make it work
All heading in the right direction. A choice for blind diabetics.
Hi, why there is not improvement in Cgm technology? Sensor warming is boring especially with GL3 sensors. I think there must be another solution for cgms with no warming. Simply by using radio waves and device with the size of smart watches.
I can see 3 sites. But 4?
Unfortunately is way too bulky and cumbersome! It will be a hard seller in the USA!!
Lots of people wear their supplies in a Fanny pouch. ESP kids
$$$$$$$$😮
It seems like in the future it might be a choice but with what they have now and the smaller one, I am not interested. It is not made for people with very busy lives. All the change this every 2 days is way tooooooo much for me.
Twice the hardware, one quarter the meantime between failure, twice the cost of supplies, twice the effort of supply changes. A solution for the medical supply industry's shrinking diabetes profit margins. The 20 years of development effort would have been better spent on gene therapy to cure T1D - forever "just 10 years away" - because decades of treatment is more profitable than cure. You can always find excuses for why something is too complex or too hard. Nothing is too hard for a well educated and MOITIVATED person with diabetes to do, and it's not that hard IF you are willing to make lifestyle changes away from denial and 20SIGNAL. The unhealthy late 20th Century Instant Gratification with no effort North American lifestyle is hurting a lot more people than those with T1D.
*The maintenance is INSANE* *NO THANK YOU*
Alot to do? Maintenance? Skin scaring clothing coverage? 😢full time job.
👍✨👋✌️in👋✨💯