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My Initial Thoughts on the MiniMed 530G with Enlite

By Karen Graffeo

Guest Blogger

Posted:  2/18/2014 4:00 PM

Tags:

When my new MiniMed 530G with Enlite system arrived on my doorstep early November, excitement washed over me. It also brought temptation to rip open the boxes and get started right away, but I knew I needed to wait for my training session. Training happened smack dab in the middle of November, and now that I’ve used the new system for a while, I’d like to share some observations and some things I wish I had known.

Training is important
Recently, Naomi posted her thoughts about the 530G with Enlite Training, and as I read it, I nodded right along. I’ll admit, I was a bit cocky when my new system arrived, and I thought training would be a waste of time. In reality, I learned tons during my training session, which to my surprise took about two and a half hours. And beyond that, I found myself talking to the 24-Hour HelpLine a week later to get a refresher on Enlite insertion. I went from thinking I knew it all, to realizing how much I need to learn.

There is a learning curve
The good news? Inserting an Enlite sensor is very different from inserting a Sof-sensor. The bad news? Also that inserting an Enlite sensor is very different from inserting a Sof-sensor. After using Sof-sensors for almost six years, I had overcome any insertion fears. I definitely don’t have a light touch – I tend to shove those Sof-sensors right into me. But with the new Enlite serter, less is more. I’m learning to use a gentle touch. This lighter touch feels much more comfortable to me, and most times, I barely feel the sensor going in.

The HelpLine is a huge help
The first few times I inserted my sensors, I couldn’t get them to stick when I tried removing the inserter. A call to the Helpline put that problem behind me. Although the instructions suggest waiting 5 seconds after insertion to allow the adhesive to stick, my Helpline representative suggested I focus on site preparation and maybe try waiting a little longer to ensure the adhesive sticks. This worked like a charm and I’ve not had insertion issues since.

Threshold Suspend works
I was quite excited about the MiniMed 530G’s new Threshold Suspend feature, but at the same time I found myself a bit freaked out by it. But when it did kick in, I wondered what I had been so scared about. The pump alarmed loudly, I checked my blood sugar and treated my low, and chose the option to cancel the suspend. Easy as can be. A week or so later when Threshold Suspend kicked in at 3 a.m. (I have it set to 60), I decided to let it run its two-hour course so I could test how it worked for me. After the Threshold Suspend kicked in, I’m happy to say my fasting blood sugar stayed between 101 and 125 for the remainder of the morning. I feel an extra layer of security knowing I have Threshold Suspend as part of my pump.

The new sensors are more sensitive
I’m excited that the Enlite sensor is shorter and thinner under the skin, but I quickly learned this makes it more sensitive. Pressure from my waistband or lying on the sensor when I sleep didn’t throw off my Sof-sensor, but can sure mess with my Enlite sensor. So my normal go-to spots to wear sensors are shifting a bit.

Patience is key
I admit I was a bit frustrated with my new system during the first week. Then I took a step back and remembered how awkward things felt last time I trained on a new pump and continuous glucose monitor. I remembered pulling out my instruction books all the time for reference. Once I stopped expecting to be an “expert” and decided to give myself time to learn the ins and outs I felt much better and started enjoying my new diabetes technology.

Overall, I found the new 530G with Enlite came with a larger learning curve than I expected, but once I understood that and began moving along that curve, I really started to love my new system. And now, a few months in, I feel mostly back on auto-pilot again, and I’m happy to find the Enlite sensors are much more comfortable and accurate for me.

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.

Warning: The Threshold Suspend feature will cause the pump to temporarily suspend insulin delivery for two hours when the sensor glucose reaches a set threshold. Under some conditions of use the pump can suspend again resulting in very limited insulin delivery. Prolonged suspension can increase the risk of serious hyperglycemia, ketosis, and ketoacidosis. Before using the Threshold Suspend feature, it is important to read the Threshold Suspend information in the MiniMed 530G System User Guide and discuss proper use of the Threshold Suspend feature with your healthcare provider.

Please visit www.medtronicdiabetes.com/importantsafetyinformation for more details.

Comments

Pam Hare

Posted on Tue Feb 18 19:47:12 GMT 2014

This was great information, Karen! I am in the process of checking with insurance to see how the sensors will be covered so that I can do an upgrade! This gave me some good points of consideration and encouragement. Thank you for sharing!!

Nicole

Posted on Wed Feb 19 00:55:51 GMT 2014

Just curious...was the need for training for the pump itself or the sensor? I should get my system in a week or so (waiting on a prior authorization to be finalized). I probably won't have time to train until the end of March and I don't want to wait that long to use the new pump.

Vincent Myers

Posted on Wed Feb 19 01:23:27 GMT 2014

Great synopsis!

Andrew Inskeep

Posted on Wed Feb 19 01:58:16 GMT 2014

Great story and I agree with you 100%. I never had anyone call me about training so 4 weeks later I started using the system on my own. I called the helpline twice and both times they made me feel like I was an idiot. I still to this day (four months since receiving my system) have not had a call concerning training. I like Minimed but I miss my old system and their helpline. I have to stay with MInimed due to insurance but they didn't do for me what they were supposed to do. Sorry to complain but I do agree with your comments in the story.

Marjorie

Posted on Wed Feb 19 07:27:41 GMT 2014

What are your new go to places for sensor insertion? False lows and pressure related off readings are driving us crazy!

Joel

Posted on Wed Feb 19 16:52:00 GMT 2014

Hi Andrew. I'm so sorry to hear no one has reached out to you regarding training and that you have had a frustrating experience with our customer service team. Meeting your needs is very important to us, and we strive to provide all of our customers with the best customer experience possible. I will have someone from my team connect with you and ensure you are taken care of. Please let me know if there’s anything else I can help with.

Joel

Posted on Wed Feb 19 16:54:38 GMT 2014

Great question, Nicole. The training is on the entire system. You’ll need to learn how to insert the Enlite sensor, which is different from Sof-sensor. Your training will also cover how to use the new Threshold Suspend feature of the MiniMed 530G system. Someone will be contacting you shortly to set up training for your new system.

Nicola

Posted on Wed Feb 19 19:11:57 GMT 2014

Thank you for the information! I am scheduled to see my doctor in April and I am wanting to get on the new MiniMed 530G system! Super excited to make the transition back to Medtronic!

Joel

Posted on Thu Feb 20 17:37:56 GMT 2014

Hi Marjorie. I am sorry to hear about your experience with the sensor. For information on locations for inserting glucose sensors, please visit our website at http://www.medtronicdiabetes.com/customer-support/insertion-site-management/sensor-placement#locations. I would like to connect you with a member from my team to discuss this issue with you, so I will have someone follow up with you shortly.

Joel

Posted on Thu Feb 20 17:39:00 GMT 2014

You’re so welcome, Nicola! If you have any questions about the new system, we have a team of people here who can help. Please let me know if you’d like to speak to someone and I’d be happy to have a member from my team reach out to you.

Mary Elizabeth

Posted on Thu Feb 20 19:52:43 GMT 2014

Thanks Karen for the info!! I hope to get one in December!!

Mary T Smith

Posted on Thu Feb 20 21:03:04 GMT 2014

I received my new pump about 2 weeks ago. Only had 1 day training before using it. I desperately need more training, but i can never get an appointment with my trainer in order to set up some classes. Please help me..MT

Joel

Posted on Thu Feb 20 23:29:17 GMT 2014

Thanks for reaching out and letting us know, Mary. I will have someone from my team contact you shortly to ensure you are taken care of. Please let me know if there’s anything else I can help with.

Laura

Posted on Sun Feb 23 02:12:30 GMT 2014

I also had kind of a NOT HAPPY feeling towards customer service/training issues
they NEVER answer the phone, you always have to wait for a call back, I had 6 people contact me that they were my rep, which was very confusing, even after I was settled with one rep other were still calling saying they were my rep for training, there is a big NON COMMUNICATION problem within the company and they really have to work on a new protochol of how they deal with new customers, but after your $10,000 is paid its like their job is done.
Then I was told that I could do a payment plan for my balance and I get a bill for the whole thing, had to call them and I was never given the paperwork for this by the sales rep...heck he got his commission and ran, after submitting now I get a FULL bill again and the amount I owe has changed.STILL NO PAYMENT PLAN INFO..REALLY !!! get it together
I heard good things from a friend with his Medtronic salesman and rep, but I didnt get that with mine, then my rep was helpful for the first couple weeks, then it went silent and I really didnt know if I was dialed in good or not, they make you feel like you should know everything about the machine but we are new and dont have a clue, so now I have to rely on my Dr. to handle adjustments...didnt give me a warm fuzzy feeling, thank goodness my husband is good with everything and helps me out alot.

Joel

Posted on Mon Feb 24 17:48:37 GMT 2014

I am very sorry to hear you’ve had a frustrating experience with our customer service, Laura. I will have someone from my team contact you shortly to make sure you’re taken care of. Please let me know if there’s anything else I can help you with.

Byron

Posted on Fri Feb 28 21:06:04 GMT 2014

I'm upgrading from the Paradigm pump to the new 530 G -- what clips and cases work with the new 530G pump?

Joel

Posted on Fri Feb 28 22:48:50 GMT 2014

That’s exciting, Byron! The same cases and clips that worked with your Paradigm pump will also work with your new MiniMed 530G system. You can visit our online store to check out the cases and clips we have available: http://my.medtronicdiabetes.com/cases--clips. Keep us updated on your journey with the new system! Let me know if you have any other questions.

Antoni Grippi

Posted on Fri Apr 04 14:42:11 GMT 2014

Hello my name is Antoni. I have been dutifully waiting for training since the middle of last month. I have a bill for the quickserter, but don't dare use it, since I am new to pump therapy.

I am studying to be a patient health navigator and would like to be a pump trainer.
However, if it is part of your corporate culture to confuse and frustrate your clients, then who wants to represent that?

I have been in customer service for some time and lord knows we are not an easy bunch, let alone the diabetes factor of making us irritable and uncomfortable in our own bodies.

But when numerous people "reach out" to me without being able to actually give me what I need (training) I have to wonder why they were instructed to call.

Numerous emails and phone calls bordering on stalking have gotten a call back from someone purporting to my trainer, and a vague reference to the "possibility" of getting trained if I can drive several hours, and I was asked about my availability.

Within an hour of that offer, I emailed back, stating that ANY appointment I could get, I would take. "Great" came the reply, "..possibly 2 (more) weeks from now". Ok I say. We'll that was 10 days ago and I still don't have a date or time.

As a single father and student, I cannot wait a month for training and then be given short notice or no notice about where and when I need to be somewhere.

Thanks,
AG

Joel

Posted on Fri Apr 04 16:17:41 GMT 2014

Antoni, I am sorry you have not yet received training and the frustration this has caused. Meeting your needs is very important to us. I will have someone from my team connect with you today and ensure you are taken care of. Please let me know if there’s anything else I can help with.

Gabby

Posted on Wed Apr 23 19:30:49 GMT 2014

I love the sensor and being able to have a good idea of what my blood sugar is at any time of day, however I can't seem to keep it stuck to my skin. I insert it fine, but after working out and then taking a shower it comes right off. I even use the adhesive sheets that come with the sensors to help keep it on but they either come off as well or they don't help much to keep the sensor on. I could replace the sensor every time this happens, but then I would be replacing it almost every 24 hours. Anyone have any tips that they have found to keep it on through working out and showering? I really would like to use the CGM system, but I don't have the time, patience, or money to use 7 sensors a week.

Joel

Posted on Wed Apr 23 19:51:43 GMT 2014

Hi Gabby. I’m sorry to hear you’re experiencing issues keeping your sensor on. Here are Enlite sensor taping tips you may find helpful: http://www.medtronicdiabetes.com/res/img/pdfs/Enlite-taping-tips_8.5x11_100913.pdf. I will have someone from my team contact you to try and help, too. Please let me know if you have any other questions.

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