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	<title>Comments on: Continuous Glucose Monitoring with Medtronic/MiniMed Updated</title>
	<atom:link href="http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/feed/" rel="self" type="application/rss+xml" />
	<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/</link>
	<description>The blog of a bipolar misanthrope</description>
	<lastBuildDate>Mon, 20 May 2013 02:36:50 +0000</lastBuildDate>
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		<title>By: Misanthropic Scott</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7778</link>
		<dc:creator><![CDATA[Misanthropic Scott]]></dc:creator>
		<pubDate>Sun, 07 Apr 2013 03:16:10 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7778</guid>
		<description><![CDATA[Strange. I just checked and can confirm what you say. Only sof sensors can be ordered at this time. However, when I was looking at the products section, only the enlites were listed. Now I can&#039;t even find that page again. I suspect there is a change going on. I don&#039;t know how gradual it will be for those of us who choose not to change.]]></description>
		<content:encoded><![CDATA[<p>Strange. I just checked and can confirm what you say. Only sof sensors can be ordered at this time. However, when I was looking at the products section, only the enlites were listed. Now I can&#8217;t even find that page again. I suspect there is a change going on. I don&#8217;t know how gradual it will be for those of us who choose not to change.</p>
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		<title>By: Misanthropic Scott</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7777</link>
		<dc:creator><![CDATA[Misanthropic Scott]]></dc:creator>
		<pubDate>Sun, 07 Apr 2013 03:14:32 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7777</guid>
		<description><![CDATA[I&#039;m not sure just how outdated my current setup is. I have the paradigm 523 and am using sof-sensors.

Yes. I need to input a reading 2 hours from the time I start my transmitter and sensor. There&#039;s a bit of a but here. The but is that I sometimes hook up the transmitter and then wait until my blood sugar is stable to even bother to tell my pump that there is a new sensor. If and only if I do this, when I tell the pump about the new sensor, within 5 minutes, it will want a new reading. I tend to do this only when I put the transmitter on just before breakfast and know that it will be a while before my blood sugar stabilizes.

As for the 6 hour reading, the technology I have definitely requires it. It is not at all optional. If I don&#039;t provide that BG reading, I stop getting sensor readings. I also have the same situation when I tell the pump that I have a new sensor after 3 days, something you don&#039;t need to do, but I do.

So, with your newer technology, I can&#039;t say how important that 6 hour reading is.]]></description>
		<content:encoded><![CDATA[<p>I&#8217;m not sure just how outdated my current setup is. I have the paradigm 523 and am using sof-sensors.</p>
<p>Yes. I need to input a reading 2 hours from the time I start my transmitter and sensor. There&#8217;s a bit of a but here. The but is that I sometimes hook up the transmitter and then wait until my blood sugar is stable to even bother to tell my pump that there is a new sensor. If and only if I do this, when I tell the pump about the new sensor, within 5 minutes, it will want a new reading. I tend to do this only when I put the transmitter on just before breakfast and know that it will be a while before my blood sugar stabilizes.</p>
<p>As for the 6 hour reading, the technology I have definitely requires it. It is not at all optional. If I don&#8217;t provide that BG reading, I stop getting sensor readings. I also have the same situation when I tell the pump that I have a new sensor after 3 days, something you don&#8217;t need to do, but I do.</p>
<p>So, with your newer technology, I can&#8217;t say how important that 6 hour reading is.</p>
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		<title>By: steve</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7776</link>
		<dc:creator><![CDATA[steve]]></dc:creator>
		<pubDate>Sat, 06 Apr 2013 23:35:05 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7776</guid>
		<description><![CDATA[I&#039;m a bit confused by this talk of another kind of sensor other than the sof-sensor. I just checked and they are the only kind I can even see to order.]]></description>
		<content:encoded><![CDATA[<p>I&#8217;m a bit confused by this talk of another kind of sensor other than the sof-sensor. I just checked and they are the only kind I can even see to order.</p>
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		<title>By: Julia</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7774</link>
		<dc:creator><![CDATA[Julia]]></dc:creator>
		<pubDate>Sat, 06 Apr 2013 11:43:27 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7774</guid>
		<description><![CDATA[Thanks Scott, i think they phased out the soft sensors here.  The only one available is the enlite.  This is the only one that medtronic reps will teach patients.

lol, its funny because I have been putting the sensor on my abdomen and its been quite in accurate.  My buttock (which i think has more fat), seems to be giving my reliable readings so I&#039;ve switched over there.  So maybe the sensor works better in areas with more fat.

I&#039;m scared to massage the area, with the sensor being so sensitive to pressure, I&#039;m scared I will dislodge it slightly.

Can i confirm something with you. After you put on the sensor, 2 hours it will prompt you for a meter reading.  Then the next calibration is 12 hours later (or at least thats what it says on the screen on the pump).  But I recall something about entering it again in 6 hours for the first reading after the 2hr reading. Have I remembered correctly?  If so, how important is the 6 hour reading?]]></description>
		<content:encoded><![CDATA[<p>Thanks Scott, i think they phased out the soft sensors here.  The only one available is the enlite.  This is the only one that medtronic reps will teach patients.</p>
<p>lol, its funny because I have been putting the sensor on my abdomen and its been quite in accurate.  My buttock (which i think has more fat), seems to be giving my reliable readings so I&#8217;ve switched over there.  So maybe the sensor works better in areas with more fat.</p>
<p>I&#8217;m scared to massage the area, with the sensor being so sensitive to pressure, I&#8217;m scared I will dislodge it slightly.</p>
<p>Can i confirm something with you. After you put on the sensor, 2 hours it will prompt you for a meter reading.  Then the next calibration is 12 hours later (or at least thats what it says on the screen on the pump).  But I recall something about entering it again in 6 hours for the first reading after the 2hr reading. Have I remembered correctly?  If so, how important is the 6 hour reading?</p>
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		<title>By: Misanthropic Scott</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7762</link>
		<dc:creator><![CDATA[Misanthropic Scott]]></dc:creator>
		<pubDate>Wed, 03 Apr 2013 17:35:30 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7762</guid>
		<description><![CDATA[I only had them for a few months. I never got any issues with them resolved.

Interestingly, I now have an Oxford HMO that pays for all diabetic supplies at the cost of a PCP office visit copay. It&#039;s been working well for me not even having a drug plan.

Of course, any non-diabetic medications I need are expensive as hell. But, they still come to less than the monthly cost of a drug plan. So, this may be an option for anyone who has Oxford as an option.

I never thought I&#039;d settle for an HMO instead of a POS or PPO. But, with not having a company paying any part of my health insurance now, I was lucky to be able to get access to this plan through a small business we own.

Health insurance in this country is ridiculously expensive. I want the public option. I would buy into medicare in a heartbeat.]]></description>
		<content:encoded><![CDATA[<p>I only had them for a few months. I never got any issues with them resolved.</p>
<p>Interestingly, I now have an Oxford HMO that pays for all diabetic supplies at the cost of a PCP office visit copay. It&#8217;s been working well for me not even having a drug plan.</p>
<p>Of course, any non-diabetic medications I need are expensive as hell. But, they still come to less than the monthly cost of a drug plan. So, this may be an option for anyone who has Oxford as an option.</p>
<p>I never thought I&#8217;d settle for an HMO instead of a POS or PPO. But, with not having a company paying any part of my health insurance now, I was lucky to be able to get access to this plan through a small business we own.</p>
<p>Health insurance in this country is ridiculously expensive. I want the public option. I would buy into medicare in a heartbeat.</p>
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		<title>By: nancy</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7761</link>
		<dc:creator><![CDATA[nancy]]></dc:creator>
		<pubDate>Wed, 03 Apr 2013 16:54:51 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7761</guid>
		<description><![CDATA[Still an issue for you?  I had Caremark as my Rx supplier for 3 yrs.  My pump and CGS supplies were all covered under the DME (durable medical equipment) benefit from my health insurance carrier, not under the pharmacy benefit.  Also, I found they&#039;d cover the Lily insulin with my doc&#039;s Rx.]]></description>
		<content:encoded><![CDATA[<p>Still an issue for you?  I had Caremark as my Rx supplier for 3 yrs.  My pump and CGS supplies were all covered under the DME (durable medical equipment) benefit from my health insurance carrier, not under the pharmacy benefit.  Also, I found they&#8217;d cover the Lily insulin with my doc&#8217;s Rx.</p>
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		<title>By: nancy</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7760</link>
		<dc:creator><![CDATA[nancy]]></dc:creator>
		<pubDate>Wed, 03 Apr 2013 16:50:03 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7760</guid>
		<description><![CDATA[yep.  especially when multiple finger sticks yield 20% swings both ways.  thanks!]]></description>
		<content:encoded><![CDATA[<p>yep.  especially when multiple finger sticks yield 20% swings both ways.  thanks!</p>
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		<title>By: nancy</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7759</link>
		<dc:creator><![CDATA[nancy]]></dc:creator>
		<pubDate>Wed, 03 Apr 2013 16:45:07 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7759</guid>
		<description><![CDATA[Hi Julia - I inconsistently have the same issues you&#039;ve reported, too.  I say inconsistently because 4 out of 5 times, I have to pull the sensor out because of awful calc errors.  

Have you tried adjusting the angle?  My CDE/pump trainer (also a long-term diabetic) advised against inserting at the 45 degree angle the original documentation recommended (also the angle the &#039;feet&#039; (the part that sets on your skin) are set.  (I use the Minimed soft sensors with a 523 Paradigm pump).  The &#039;sweet spot&#039; for me is somewhere between 90 and 45 degrees to the skin surface.  Ideal is 60 - 65, but it&#039;s all a WAG without a guide and with my variable inner tube around my waist.  

Scott&#039;s recommendations about putting the sensor in and waiting several hours before hooking up the sensor and massaging the insertion site every so often (to increase the flow of interstatial fluid or break up the pooled blood from the capillary that ruptured during insertion - the latter is my thought, not his!) have been VERY VERY helpful for me and my results are increasingly better.

The next &#039;enhancement&#039; I&#039;d like is sonar to know where the scar tissue and capillaries are so I can avoid them going in - that&#039;s the #1 problem I have.  VERY frustrating when it doesn&#039;t work, but EQUALLY, VERY rewarding when it does!  

Thanks again Scott for starting this blog!

Good Luck Julia]]></description>
		<content:encoded><![CDATA[<p>Hi Julia &#8211; I inconsistently have the same issues you&#8217;ve reported, too.  I say inconsistently because 4 out of 5 times, I have to pull the sensor out because of awful calc errors.  </p>
<p>Have you tried adjusting the angle?  My CDE/pump trainer (also a long-term diabetic) advised against inserting at the 45 degree angle the original documentation recommended (also the angle the &#8216;feet&#8217; (the part that sets on your skin) are set.  (I use the Minimed soft sensors with a 523 Paradigm pump).  The &#8216;sweet spot&#8217; for me is somewhere between 90 and 45 degrees to the skin surface.  Ideal is 60 &#8211; 65, but it&#8217;s all a WAG without a guide and with my variable inner tube around my waist.  </p>
<p>Scott&#8217;s recommendations about putting the sensor in and waiting several hours before hooking up the sensor and massaging the insertion site every so often (to increase the flow of interstatial fluid or break up the pooled blood from the capillary that ruptured during insertion &#8211; the latter is my thought, not his!) have been VERY VERY helpful for me and my results are increasingly better.</p>
<p>The next &#8216;enhancement&#8217; I&#8217;d like is sonar to know where the scar tissue and capillaries are so I can avoid them going in &#8211; that&#8217;s the #1 problem I have.  VERY frustrating when it doesn&#8217;t work, but EQUALLY, VERY rewarding when it does!  </p>
<p>Thanks again Scott for starting this blog!</p>
<p>Good Luck Julia</p>
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		<title>By: Misanthropic Scott</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7755</link>
		<dc:creator><![CDATA[Misanthropic Scott]]></dc:creator>
		<pubDate>Mon, 01 Apr 2013 14:48:03 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7755</guid>
		<description><![CDATA[Perhaps you should see if you can still get the sof-sensors. I still have a couple of boxes. When they run low, I&#039;m not sure whether I should try the new ones or whether I&#039;ll have a choice in the matter.

Have you tried massaging and kneading the area around the sensors? Also, try going for a walk and see if that changes anything. I know any kind of exercise completely changes both my ISIGs and my insulin absorption.

I wonder if they&#039;re either going too deep or not deep enough. They look fairly short, but going in at a right angle, they probably need to be. You might try areas of your body with more or less fat* to see if they work better in either situation.

* Note: I&#039;m not implying anything about your weight, just acknowledging that our body fat is not an even covering on our bodies, thankfully. Else, weight gain would make people look like Bibendum (the Michelin Man, yes he has a name).]]></description>
		<content:encoded><![CDATA[<p>Perhaps you should see if you can still get the sof-sensors. I still have a couple of boxes. When they run low, I&#8217;m not sure whether I should try the new ones or whether I&#8217;ll have a choice in the matter.</p>
<p>Have you tried massaging and kneading the area around the sensors? Also, try going for a walk and see if that changes anything. I know any kind of exercise completely changes both my ISIGs and my insulin absorption.</p>
<p>I wonder if they&#8217;re either going too deep or not deep enough. They look fairly short, but going in at a right angle, they probably need to be. You might try areas of your body with more or less fat* to see if they work better in either situation.</p>
<p>* Note: I&#8217;m not implying anything about your weight, just acknowledging that our body fat is not an even covering on our bodies, thankfully. Else, weight gain would make people look like Bibendum (the Michelin Man, yes he has a name).</p>
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		<title>By: Julia</title>
		<link>http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7753</link>
		<dc:creator><![CDATA[Julia]]></dc:creator>
		<pubDate>Mon, 01 Apr 2013 06:30:56 +0000</pubDate>
		<guid isPermaLink="false">http://misanthropicscott.wordpress.com/2007/12/05/continuous-glucose-monitoring-with-medtronicminimed-updated/#comment-7753</guid>
		<description><![CDATA[Thanks.  For me the enlites don&#039;t seem particularly accurate, its more a hit or miss.  If ISIG drops to below 10, no matter how long i wait, the ISIG never goes back up.  Very frustrating]]></description>
		<content:encoded><![CDATA[<p>Thanks.  For me the enlites don&#8217;t seem particularly accurate, its more a hit or miss.  If ISIG drops to below 10, no matter how long i wait, the ISIG never goes back up.  Very frustrating</p>
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