Michelle Shaw is a daughter, friend, wife, mother of three boys (ages 8, 6, and 4), registered nurse, Medtronic employee, an athlete, and a person living with type 1 diabetes for 27 years. After pumping for 17 years, and wearing a continuous glucose monitor (CGM) for 7 years, Michelle recently switched from the MiniMed Paradigm Revel and Sof-sensor to the MiniMed 530G with Enlite. This article was previously published in our News to Infuse Newsletter, and we thought you’d enjoy us sharing it!
I first used the MiniMed Paradigm 722 insulin pump, and the “tear-drop” looking CGM. CGM gives me peace of mind, and I learned to make it work for me in the early years of the CGM “unknown”. For me, there was no option to give up on my CGM unit. After the 722 and “tear drop” CGM, I transitioned to the MiniMed Paradigm Revel and Sof-sensor with even better success. Now, I don’t want to mislead you, I have had my fair share of effort with CGM. However, because of my persistence, I successfully used Sof-sensor for 7 years before recently switching to the MiniMed 530G with Enlite.
There are some differences and key learnings I believe experienced CGM users should consider when transitioning from Sof-sensor, or other CGM devices, to Enlite. Here are my top 10 things to keep in mind when switching to MiniMed 530G with Enlite (in order of insertion steps):
1. Be open to change. Out with the old and in with the new. There are certain steps you might have done with Sof-sensor that you will have to let go of and learn the new techniques with Enlite, in order to be successful.
2. You must attend training to learn the new insertion techniques. Enlite insertion is EASY, but there are little nuances in the Instruction For Use Guide that must be taught at training to ensure success with Enlite. Go to a training class!
3. Insertion is EASY and comfortable compared to Sof-sensor. Be excited about this new aspect of the sensor, BUT pay attention to insertion technique to make sure you have success.
4. Double button push IS needed with the new Enlite serter. The new Enlite serter is very ergonomical and fits nicely in the palm of your hand for insertion. The GREEN button is your friend. Push once and release to insert. Wait 5 seconds. Then PUSH and HOLD the GREEN button while gently pulling the serter away from your body.
5. Needle fear is reduced. S.I.M.P.L.E. You never have to see the needle.
6. Removal of needle is SIMPLE, and it retracts immediately. No need to use brute force. Just grab the tip of the needle hub while securing the sensor base, and pull upward. Needle comes out of body and retracts immediately into needle hub.
7. Skin irritation is diminished with the addition of the adhesive under the transmitter being larger. If you ever had trouble with skin irritation using the Sof-sensor, you might have better results with Enlite. Due to the larger under-tape, the transmitter has little to no contact with your skin. Overall, the sensor is easier to wear.
8. TAPING SENSOR to body for stability BEFORE CONNECTING TRANSMITTER (I’ve forgotten this step several times). The biggest change for me was to remember to tape the sensor with the overtape. Remember: half on, half off. Half of the tape should be on sensor, and the other half of the tape should be on the body, prior to connecting my transmitter. Taping is important to keep the sensor from pulling out of your body. This technique is taught in class, so make sure you attend a training class prior to starting Enlite.
9. Adhesive tab is new with Enlite sensor. This new piece of tape is now used to secure the transmitter to your body instead of using IV3000 or Tegaderm. It’s important to remember that you don’t have to pull the tape flap tight over the transmitter. Simply bend it over the top and secure it to transmitter to prevent it from moving around on your body. Also, remember to lay the adhesive tab flat before applying the overtape, otherwise you tape this tab down and it becomes difficult to fix (yep, I’ve done that once).
10. THRESHOLD SUSPEND and IMPROVED ACCURACY. The most exciting part of this new system, for me, is Threshold Suspend and improved accuracy. In order to get into the artificial pancreas device technology category, Medtronic needed a more accurate sensor. Enlite sensor has the improved accuracy needed, especially if utilizing predictive alerts and low alerts. Dealing with lows is the hardest part of diabetes. I have been waiting for a device to help take some of the burden of diabetes off my shoulders, especially while I’m asleep. Work with your healthcare provider to make Threshold Suspend beneficial for you. Having this technology in one device that shuts off insulin when I hit my low threshold is a HUGE step forward in diabetes management. For me, this is a game-changer in the management of my diabetes.
I hope these insights and tips help you have a successful switch to the new MiniMed 530G with Enlite. My motto is “to fit diabetes into my life, not my life into diabetes.” With this technology, I am able to do just that. I wish you the best with your new MiniMed 530G with Enlite system, and hope it helps you achieve all of your goals like it has mine.
IMPORTANT SAFETY INFORMATION
Medtronic Diabetes insulin infusion pumps, continuous glucose monitoring systems and associated components are limited to sale by or on the order of a physician and should only be used under the direction of a healthcare professional familiar with the risks associated with the use of these systems. MiniMed 530G with Enlite is intended for the delivery of insulin and continuous glucose monitoring for the management of diabetes mellitus by persons 16 years of age or older who require insulin.
Pump therapy is not recommended for people who are unwilling or unable to perform a minimum of four blood glucose tests per day. Insulin pumps use rapid-acting insulin. If your insulin delivery is interrupted for any reason, you must be prepared to replace the missed insulin immediately.
The information provided by CGM systems is intended to supplement, not replace, blood glucose information obtained using a home glucose meter. A confirmatory fingerstick is required prior to making adjustments to diabetes therapy. MiniMed 530G with Enlite is not intended to be used directly for preventing or treating hypoglycemia but to suspend insulin delivery when the user is unable to respond to the Threshold Suspend alarm and take measures to prevent or treat hypoglycemia themselves.
Please visit MedtronicDiabetes.com/isi for more details.
Tags: continuous glucose monitoring
, diabetes care
, diabetes management
, insulin pump
, insulin pump therapy
, living with diabetes
, MiniMed 530G
, type 1 diabetes