MiniLink REAL-Time Transmitter

[Tony]

The new sensor from Minimed is here.

MiniLink™ REAL-Time Transmitter (http://www.minimed.com/products/insulinpumps/components/minilink.html)

[Funnygrl]

Wow, that's a lot better than the old one. I can't find any info on how to get it though.

[Tony]

Does look better then the old one and looks smaller then dexcom no?

There is a 12 week back order on the transmitter.
The starter kit is the same price as the old one, $999.
Here is a link if your in the pathway program. Paradigm® Pathway Program - Features and Pricing (http://www.minimed.com/products/insulinpumps/pathway/details.html)

[Gordonm]

What is the cost and are the batteries replaceable? I know the ycan be recharged but even those will eventually die. Does look a lot smaller and nicer than the old one. Does it last any longer?

[Tony]

I'm not sure how much longer life you get with the new transmitter. This would be good to find out.

I'm sure it has to be much longer in life then the old one. They wouldn't improve a product to only go a short distance past what the old did.

[Injecto]

They wouldn't improve a product to only go a short distance past what the old did.

I'm not to sure about that. I can easily see a company do almost anything to make more money nowadays. But I'm hopeful that this is a real improvement over the other sensor. I may get one at this size, but it depends on it's life and the cost of sensors sets.

[NoelD]

mine is on order. Should be here in about a week. I did the pathway upgrade from the current larger transmitter I am wearing now. $349 upgrade, but well worth it for me. Still uses the same sensors as the one that's been out a while and the Guardian. Pics are here (including the charger and sensor): Components of the Guardian® RT Continuous Glucose Monitoring System (http://www.medtronicdiabetes.com/products/guardian/components.html)

[someone]

Does anyone know if the starter kit is on backorder?

[NoelD]

I am not 100% sure, but it shouldn't be.

[NoelD]

Tony, they were saying 12-16 week backorder when I ordered my original one in mid Jan of this year. I got it on 2-5. Anyone who bought/received one in the first part of this year so far should be able to do an exchange of the old one for the new one for free. That's what I was told by 2 people at MM.

[someone]

That's great. I was really close to getting a Dexcom until my doctor told me that this was coming out soon--and by soon he really meant soon.

[flash]

Is the sensor and transmitter one piece and does it attach to your body as the quick sets do ? Does it have its own inserter ?

Flash

[NoelD]

someone, I didn't pay attention to anyone talking about the supposed huge backorder when I ordered mine. I got it in about 2 weeks after placing the order, but YMMV of course. I am glad they are doing free exchanges of the old one.

[Dewey]

The new sensor from Minimed is here.

MiniLink™ REAL-Time Transmitter (http://www.minimed.com/products/insulinpumps/components/minilink.html)

That's awesome, Tony! That's the one that I saw at the Denver Expo! They showed a pic of it & said it was coming out soon! Good to see they've released it! I love the fact that it can be recharged, too! :thumbsup:

Thanks for sharing!

[Tony]

I just spoke with some one from the pathway dept.

She said they are not shipping any transmitters out for at least a couple days. They don't have the transmitters in yet.

I had also called last week before the announcement of the new transmitter, he said they will not be shipping until the end of the month. They didn't have any to ship.

So I would say they are on back order.

[NoelD]

Wow, I guess my rep might be pulling my leg then. He said the order is placed and I should have it in about a week or so. I guess we'll see. They (the 800 number) always told me it was backordered for about 16 weeks with my first one, but I got it in about 2 weeks, that's why I am skeptical about them saying it again.

[frige]

I'm pissed that I just got a cozmo pump.

[Dewey]

I'm pissed that I just got a cozmo pump.

Hey now, don't diss the Cozmo. ALL pumps have good qualities. Besides, if all goes well, the Navigator will be out soon enough & you won't have "CGMS envy" for long. ;)

[Funnygrl]

I'm pissed that I just got a cozmo pump.
Well, you have 30 days after getting a pump to return it.

BUT, the Cozmo still has plenty of features the MM doesn't, and you will still have to pay out of pocket for the CGMS function.

And like Dew said, hopefully we'll see the Navigator soon.

All pumps have their pluses and minuses- it's just the way it goes.

[Tony]

Noel maybe your right, I went by what I was told through the 800 number.

You would have to contact your insurance company to find out for sure if they will cover the cgms. There is a few out there that will cover this as long as you meet their requirements.

All pumps do have their own features and you have to decide what feature is most important to you. Is a cgms more important then a few software upgrades with in the pump or no? Remember.. Mini Med's main goal here is to have a closed loop system.

[Cyborg]

Are any of the CGMS systems approved yet by the FDA to replace fingerstix?

[Injecto]

Are any of the CGMS systems approved yet by the FDA to replace fingerstix?

I don't think so. And even still, it will take a while (long while, perhaps years) before insurance will cover (fully/partially no questions) a CGMS of any sort...

[NoelD]

Noel maybe your right, I went by what I was told through the 800 number.

You would have to contact your insurance company to find out for sure if they will cover the cgms. There is a few out there that will cover this as long as you meet their requirements.

All pumps do have their own features and you have to decide what feature is most important to you. Is a cgms more important then a few software upgrades with in the pump or no? Remember.. Mini Med's main goal here is to have a closed loop system.

You're right Tony. A few of the higher-ups at MM are wearing a prototype, completely closed loop system. You can bet it's an eventuallity, but it's probably a good ways off into the future.

As far as insurance, I think the BlueCross companies are covering it a bit easier than some of the others from what I have seen and heard. It took about 2 weeks for a manual review/approval for mine. My control was "ok" at the time, but not great. I had to submit a month's worth of BG reports from either my pump or meter. I showed significant DP in the AM and have just a touch of hypo unawareness, and I think that was their key deciding factor in my case.

[JediSkipdogg]

I just saw this transmitter today and wow....Minimed hit something dead on. I will say it is probably the nicest device out there yet. I'll talk a little about it.

The transmitter is slightly bigger than a quarter and just a tad thicker than a standard infusion set. It connects to the same sensors, so there's no change in those yet.

The transmitter comes with a little battery charger and the charger is about the size of one of the Omnipods. The nicest part I must say is the charger DOES NOT plug into a wall outlet. It is fully powered by one AAA (I'm 99% sure it was AAA and not AA) and the rep said a battery should last about 4-6 months in it.

The transmitter once fully charged (takes about 1 hour, so you only lose sensor data for 1 hour) will last for 14 days. So every 14 days one needs to go off the CGMS and stick the transmitter in the charger for one hour. THey estimate at this time a transmitter that is properly charged (as in you charge it fully and decharge it fully each use as to not build memory) will last you about 3-4 years.

Like Noel pointed out (I think he did above) they are doing a pathway transmitter upgrade for $350 for current users. They will be shipping as of today all new orders with the new transmitter (so new users get priority, gee, we didn't see that coming.) If you ordered a "set up kit" in the last 2 months or so they will be exchanging the transmitter for free since they promised it out a few months back.

They are still not approving CGMS for fingerstick replacement. Both MM and Dexcom are fighting the FDA for 5 day wear and are hitting a dead wall. Unfortunately the FDA wants a long term study on both. MM just completed a 1 (or maybe 2) year study called the Star 2 trials (Star 1 was published in the ADA journal in December) that will show the accuracy of the sensors for replacement purposes. Star 3 is still in studies and is suppose to last about 5 years (so completed in 2010 unfortunately) the long term advantages of sensor use with non pumpers, CGMS users on shots, pumpers, and pumpers with CGMS. All 3 of these studies are being/were conducted in England. Star 2 just recently finished and they are analyzying the data currently to publish it this summer.

As for insurance covering the CGMS. Blue Cross of Minnesota is the ONLY (MM stated that) insurance that will cover CGMS with no questions asked. No appeal is needed and they will cover it under durable medical supplies for any customer of their insurance. Other insurance companies are jumping on board on a user by user basis.

Oh...I also saw a diabetic assitance dog (as in one that senses highs and lows, not the dog is diabetic), if anyone wants info on that, just let me know and I can post about that.

Noel, you happy? A thread where I didn't bash MM. LOL

[NoelD]

applauding Kev, good job. I'm proud of ya! I knew you could do it :D

[JediSkipdogg]

applauding Kev, good job. I'm proud of ya! I knew you could do it :D

I still hate the sales rep and nurse in my area. So if I ever go on a MM pump or CGMS I'm living with you for a week Noel. :T

I'm slowly changing on my thoughts of CGMS. Part of that is due to users themselves figuring out ways around the most common problems (like calibrating ONLY when stead and not changing at all.) Now if the Navigator would only come out so I could have something to compare I might look into one.

[jenet]

I just saw this transmitter today and wow....Minimed hit something dead on. I will say it is probably the nicest device out there yet. I'll talk a little about it.
Thanks for sharing the info. I looked and looked all over the website for more detailed info (not very successfully). It is so tempting, and I am so d@mned tired of waiting for the Navigator to come out. I know I've only had my pump a year, but I WANT a CGMS! What I don't want is a CGMS that I have to cover up in the shower (Dexcom) or has a sensor wired to a big transmitter pod that has to also be stuck to you (MM 722 CGMS Version 1.0). And of course, reasonably reliable - gee that's not too demanding, is it? ;)

The new standalone version of the CGMS, however, is looking awfully tempting (very small wireless transmitter, thin lightweight receiver, waterproof for showers, doesn't require changing to the MM pump), but it looks like it still uses angled sets instead of straight in sets. Do you know if the sensors still have to be refrigerated?

I guess I can sleep on it for at least a couple of weeks, since they're probably back-ordered for 3-4 months anyways - probably a good thing to wait and hear reviews from real people. :)

cheers,
j

[Injecto]

THey estimate at this time a transmitter that is properly charged (as in you charge it fully and decharge it fully each use as to not build memory) will last you about 3-4 years.


Man, you have almost made my day Jedi. I'm going to be on the lookout for verification on actual users at the time it comes out to the public, but I'd shell out $1000.00 easy for a sensor that will last 3-4 years as opposed to the last one that only lasted 9 months. This is exciting news for sure.

[Tony]

The transmitter comes with a little battery charger and the charger is about the size of one of the Omnipods. The nicest part I must say is the charger DOES NOT plug into a wall outlet. It is fully powered by one AAA (I'm 99% sure it was AAA and not AA) and the rep said a battery should last about 4-6 months in it.
I looked at the online user guide and saw this. I had thought a plug in charger would be better because you will be going thru some batteries but, 4-to 6 months is good. Did you ask if a lithium can be used in the charger?


Like Noel pointed out (I think he did above) they are doing a pathway transmitter upgrade for $350 for current users. They will be shipping as of today all new orders with the new transmitter (so new users get priority, gee, we didn't see that coming.) If you ordered a "set up kit" in the last 2 months or so they will be exchanging the transmitter for free since they promised it out a few months back.

You will have to trade-in your old transmitter for that price, no? That's usally what upgrade means.

They are still not approving CGMS for fingerstick replacement. Both MM and Dexcom are fighting the FDA for 5 day wear and are hitting a dead wall. Unfortunately the FDA wants a long term study on both.
I did hear one of Minimed's future pumps will be able to adjust basal rates based off the cgms. All the user would have to do is abjust the boluses. The rep said this is 5 years out. MM needs to gather more data for the cgms.

Any talk on future pump upgrades?

[SugarLESSlie]

[QUOTE=JediSkipdogg;203198]

Oh...I also saw a diabetic assitance dog (as in one that senses highs and lows, not the dog is diabetic), if anyone wants info on that, just let me know and I can post about that.

Hi, I'm interested in the assistance dog...

[JediSkipdogg]

I looked at the online user guide and saw this. I had thought a plug in charger would be better because you will be going thru some batteries but, 4-to 6 months is good. Did you ask if a lithium can be used in the charger?

I did not ask that. I didn't even think of it at that time. I just find it pretty cool that it can still be done off of a AAA battery. I expected some expensive lithium battery or a wall plug.

You will have to trade-in your old transmitter for that price, no? That's usally what upgrade means.

My understanding was yes, but I'll let Noel answer that.

I did hear one of Minimed's future pumps will be able to adjust basal rates based off the cgms. All the user would have to do is abjust the boluses. The rep said this is 5 years out. MM needs to gather more data for the cgms.

Currently Yale University is working on an algorithm (sp?) to do that. The rep and trainer yesterday had no knowledge of MM trying to figure out that algorithm yet. They said that is the ultimate goal but they need more information to complete that which I think is partially what they are getting with the Star 3 trial as well. The Star 3 trial is just packed with information on CGMS abilities and uses.

Any talk on future pump upgrades?

They did not have any knowledge of future pumps. They said they are working pretty heavily on upgrading the sensors for higher accuracy and seeing what works best for the longest use to get the most data. They also mentioned if anything happens soon it would be a software upgrade only most likely to get more CGMS info on the screen (maybe something like a basal check suggestion that the Cozmo has as well.) Not a full fledged basal checker (since you need to do it 3 times for complete success) but one that you can get basic info on adjustments with.

Also, alot of the data that the CGMS spits out isn't very useful if you don't use Carelink. The guy I saw yesterday had a 3 inch binder full of every report that Carelink could print out. He printed his BG readings out day by day. I don't think the guy was OCD, but very thurough (especially considering the complications he talked of having 5 years ago after 40some years of diabetes.)


Hi, I'm interested in the assistance dog...

I'll start a new thread on this.

[NoelD]

The $349 is an upgrade price, but my rep said you get to keep your old transmitter. I already have my version 1 earmarked for a member here when I receive the new one. It's been used only since 2-5. There's at least 8 months of use left in it and I'd hate for it to go to waste ya know?

[someone]

Does anyone know the cost of the standalone starter kit? I tried calling them yesterday and still have not heard back. I would assume they are flooded with calls.

[Tony]

Does anyone know the cost of the standalone starter kit? I tried calling them yesterday and still have not heard back. I would assume they are flooded with calls.

The starter kit is $999 for use with the paradigm pump. As for the Guardian REAL-Time cgms I don't know.

What are you looking to do? Keep your pump and use the Guardian?

[JediSkipdogg]

What are you looking to do? Keep your pump and use the Guardian?

I'm not sure what someone is planning on doing but him and I were talking about that in chat earlier. Trying to figure out the price of the standalone system. I for one would like to give it a try, if my insurance company would approve it and the cost is right. Since I'm an Animas user and still have 2 years on my warranty and don't have $1200 for a new pump when mine works fine (not to mention I'm sure MM would charge me the 20% for my supplies) I just want to try a standalone CGMS. I guess I'm tired of waiting for the Navigator and since alot of info is out about how to make a CGMS actually work (thanks to user trial and not company trials) they seem alot better. I do have a call into my insurance company but if I got a GUardian I'd have to drive somewhere else for training since I hate the local MM sales rep and trainer, lol.

[NoelD]

Kev, you're a smart guy. I think you can handle the Guardian. When I got my CGMS, I already knew pretty much what to do. I didn't do the training and haven't had but one issue, but it was my fault with the first sensor. It's not that bad. It's pretty easy.

[JediSkipdogg]

Kev, you're a smart guy. I think you can handle the Guardian. When I got my CGMS, I already knew pretty much what to do. I didn't do the training and haven't had but one issue, but it was my fault with the first sensor. It's not that bad. It's pretty easy.

Thanks Noel. :cool:

6 months ago I thought CGMS were cool, but dangerous. 6 months ago though I also think if you asked most people about it they would say they were nothing but problems. They were following the manufacturer's directions and calling them for support. And unfortunately, I think their support sucked. THen more and more users found out the keys to CGMS such as...

1) sensors are better the longer they are in
2) the first 12 hours of wear is not very reliable but the rest is
3) calibration should only be done while having a steady BG
4) 3 calibrations a day should be done to avoid having the CGMS alert you to calibrate at an unconvenient time

I emailed my insurance today and asked what CGMS units fell under for them (since it seems some put the sensors under prescription while others under DME.) I also asked if they covered the devices and I added that I could get a letter of medical necessity if needed, so this wasn't just an "I want" item. Now I just wait for a reply back from them.

[washadog]

Think for a minute on dexcom and other gcm devices. Do you want extra machine (s) attach to your body? I currently use minimed 722, but don't have the cgm yet. I want one pump with a small sensor that it. Now with other cgms, you have wear another device (s) on you to see your BG reading. I personally don't want too many things on me. What happen you forget or lose your cgm device.

[JediSkipdogg]

Think for a minute on dexcom and other gcm devices. Do you want extra machine (s) attach to your body? I currently use minimed 722, but don't have the cgm yet. I want one pump with a small sensor that it. Now with other cgms, you have wear another device (s) on you to see your BG reading. I personally don't want too many things on me. What happen you forget or lose your cgm device.

For me at least the problem is before I'm technically eligible for a new pump is 2 years. I've only had my current pump for 2 years now. I do have a new insurance so I could get one now anyways as my current insurance has never bought me a pump. The problem is, I have a 20% copay, so that's $1200. Considering 6 months ago I bought a new car and a new house, $1200 isn't easy to just come by for one item when my current one works fine. If I can get a standalone CGMS for $1000 (and pay my 20% on that, so only $200) then I'll be set and not have a problem. $200 vs $1200 is alot.

Not to mention if I get the 522/722 now I feel like I'm taking a step back on the pump side from my Animas. MM hasn't had a software upgrade in 3 years now so they should be due for one soon which is another reason. I know they have the pathway program, but why pathway (which again is more money) if I don't need to? I'm satisfied with my pump, just want a CGMS.

[NoelD]

Potential bad news Kev.... I heard that the warranty on the Minilink might be only for 6 months......

Frequently Asked Questions About the MiniMed Paradigm® REAL-Time System (http://www.minimed.com/products/insulinpumps/faq.html#2)

Maybe they just haven't updated their site yet......?

[someone]

What are you looking to do? Keep your pump and use the Guardian?

Yes, I was planning on keeping my animas pump and using the Guardian separately.

[JediSkipdogg]

Potential bad news Kev.... I heard that the warranty on the Minilink might be only for 6 months......

Frequently Asked Questions About the MiniMed Paradigm® REAL-Time System (http://www.minimed.com/products/insulinpumps/faq.html#2)

Maybe they just haven't updated their site yet......?

That's updated because....

"The MiniLink REAL-Time Transmitter has a self-contained battery, which cannot be changed, but can be recharged using the battery-powered MiniLink charger."

The old transmitter couldn't be recharged. I guess they put a short warranty on it so they don't have to replace the transmitters for short battery life at all.

That doesn't bother me at all though.

[Chaz]

Talked to MiniMed and they received authorization to start shipping yesterday afternoon March 13. Today is their first full day of shipping and I got my starter kit released to ship and it will arrive tomorrow!

I was fortunate to evaluate the MiniLink during a 3 week patient trial of the new CGMS system in February. I liked it so much that I had my starter kit upgrade delayed until the MiniLink was available (of course the MiniMed representative did not know what I was talking about, claiming they do not know about enhancements until released)

Some observations:
- Uses same sensors as old transmitter/CGMS
- No wires or sticky adhesives needed. I used a single IV3000 to cover the whole sensor and transmitter just to make sure it stays put, but I heard of others just using the sensor adhesive to keep it in place. Might work, but riskier.
- The MiniLink recharges very fast if you recharge every time you replace your sensor. Basically, you replace your sensor, and while it is getting "wet" you recharge the MiniLink..takes about 5-10 minutes.
- I was told it has upwards of 90 recharges before replacement.
- Recharge unit uses a single AAA battery for power to recharge the MiniLink. Do not know how long it lasts because I never replaced it during the trial. Stock up on those AAA.
- MiniLink does not beep like the old transmitter when hooked up; it has a small green light under the plastic surface that flashes to confirm connection. It also flashes during charging, then goes off when fully charged.
- Comes with a tester that plugs into the MiniLink. Only used for MiniMed to run diagnostics through the internet if there is a problem
- 30 day return policy on the MiniLink
- 6 month warranty on MiniLink, charger, and tester

[Dewey]

Think for a minute on dexcom and other gcm devices. Do you want extra machine (s) attach to your body? I currently use minimed 722, but don't have the cgm yet. I want one pump with a small sensor that it. Now with other cgms, you have wear another device (s) on you to see your BG reading. I personally don't want too many things on me. What happen you forget or lose your cgm device.

To me, having an extra piece of equipment attached is really a non-issue (not everyone will agree, but this is my opinion). If I'm able to get constant bg readings and can catch highs or lows before they get too out of hand, then in my mind, the equipment is doing what I want & need, and is worth every extra bit I'd have to wear.

I too, am getting tired of waiting on CGMS systems to be released. Each one, regardless of which one a person ultimately goes with (just like pumps) will have pros & cons....some may offer longer battery life or replacable batteries, some are smaller, etc....but in the end, if they're doing what a person wants & needs, then that's the main goal. I just hope that insurance realizes the benefits of these gadgets soon...

[Injecto]

I just hope that insurance realizes the benefits of these gadgets soon...

And the day they do you can just bet that premiums will go up....

[JediSkipdogg]

And the day they do you can just bet that premiums will go up....

That's why they estimate by 2015 (or sometime around there) the average person will use $12000 in medical benefits a year.

I also found out today talking with Medtronic that they have a special. They also lied to me on the phone but that I'll tell in a minute, lol.

They said if you order the Guardian Real Time (this is the standalone CGMS) the prices are as follows...

Now till April 23 - $1039
April 24 till July 31 - $1089
After August 1 - $1339 (this is the regular price)

Now what they lied to me on and I guess I'll have to call my insurance and figure this out....they said they can't bill insurance companies directly yet for the sensors. When I commented that I met a person the other day with my exact insurance (probably a different plan, but the same insurance and office location) and he said he paid $0 out of pocket and his insurance picked it up they had no answer for me. They siad they weren't sure how that was even possible yet. They said if one is lucky enough to get insurance coverage then the user would pay out of pocket and then have to be reimbursed.

Now...I guess the question is, do I go for it or not? I spoke with my insurance and they said my copays for the device and the supplies would be 20%. So that would make the unit $207.80 and the sensors I'd pay 20% of as well. Which if I use one for 9 days, that's $350 for 3 months worth which would be $70 or $23 a month.

Sounds good to me....hmmmmm. Now to think more.

So who wants to house me and let me use their local rep from MM if I chose to do this.

[Injecto]

That's why they estimate by 2015 (or sometime around there) the average person will use $12000 in medical benefits a year.

Key word is "average"....of which we are not. I don't want to hijack this thread anymore with insurance....should start a new one eh?:)

[JediSkipdogg]

Key word is "average"....of which we are not. I don't want to hijack this thread anymore with insurance....should start a new one eh?:)

This website couldn't hold my gripes and complaints reference insurance, but it's not all the insurance companies, it's the medical industry in my opinion.

[someone]

For anyone who is interested, I called Minimed, and the Guardian RT is $1339 including all the stuff you need to get started (transmitter, sensors, charger, etc) and the stand alone unit. The transmitters are $35 each.

[Tony]

For anyone who is interested, I called Minimed, and the Guardian RT is $1339 including all the stuff you need to get started (transmitter, sensors, charger, etc) and the stand alone unit. The transmitters are $35 each.You mean the sensors are 35 each?

[Joanie]

and those last 3 days, so it's about 12 dollars a day...ugh, but worth it

[JediSkipdogg]

and those last 3 days, so it's about 12 dollars a day...ugh, but worth it

Most extend them to at least 6 days, some even 9 days. I think the record is 25 days but I'm not sure I would recommend that at all since you really have no idea if scar tissue is forming or not.

[Tony]

I hear they started shipping the Minilinks and Noel you should have yours any day now. The back order on the old transmitter was due to MiniMed wanting to send the Minilinks instead.

I also heard the Minlink was FDA approved three weeks ago. How come we can't find out when these products go in for FDA approval? Some products we know about and others we don't.

[JediSkipdogg]

I hear they started shipping the Minilinks and Noel you should have yours any day now. The back order on the old transmitter was due to MiniMed wanting to send the Minilinks instead.

I also heard the Minlink was FDA approved three weeks ago. How come we can't find out when these products go in for FDA approval? Some products we know about and others we don't.

Tony, that's what I find interesting. I look on the FDA site on a weekly basis and search all the major companies (since that's the only easy way to do it) and I never saw it. However, it was approved on February 6th and it appears the official FDA notification (when it was added to their site) was on March 9th. MM Reps found out a few days before and started telling people on March 7th. I guess it takes about a month after FDA approval for it to make it on their site unless one searches each day through their meeting minutes.

I also found something else out for those that are interested. The upgrade price for the current CGMS users with the old transmitter is $349 now. HOwever, sometime in April that will be going up to $399 (found that on another forum). So some may want to buy the new one now to save the money then use the new one when their old one wears out.

And this is kinda off topic, but for those interested in the Navigator I found a blog from a 30 day user.... Diabetes Self-Care (http://diabetesselfcare.blogspot.com/)

It's kinda interesting but she says that the Abbott rep said the Navigator may not be out till THE END OF 2007. I think I'll see what my insurance says on the Guardian RT and go from there.

[Tony]

Nice close up on the sensor and transmitter.

[someone]

You mean the sensors are 35 each?

My bad, obviously I meant the sensors. Sorry. I don't know what the transmitters cost, but I heard they last over a year.

Jedi, do you have the link to the summary of safety and effectiveness for the MiniLink transmitters on FDA? I can't seem to find it on the site, maybe it doesn't exist? This is the only page I found that had to do with MiniLink. PMA Final Decisions Rendered for February 2007 (http://www.fda.gov/cdrh/pma/pmafeb07.html) Of course, their search is powered by Google, and maybe Google hasn't indexed the other pages yet.

[Dewey]

And this is kinda off topic, but for those interested in the Navigator I found a blog from a 30 day user.... Diabetes Self-Care (http://diabetesselfcare.blogspot.com/)

It's kinda interesting but she says that the Abbott rep said the Navigator may not be out till THE END OF 2007. I think I'll see what my insurance says on the Guardian RT and go from there.

If that's the case, then I'm with you, Jedi. :( I sure hope that the Navigator comes out sooner than the end of 07. If not, I'll be a bit frustrated (to say the least). I sure as he** could have used the cgms tonight to catch that 300 before it got there...

I think Lifescan has been the only company that has Not falsely raised peoples' hopes.

[JediSkipdogg]

If that's the case, then I'm with you, Jedi. :( I sure hope that the Navigator comes out sooner than the end of 07. If not, I'll be a bit frustrated (to say the least). I sure as he** could have used the cgms tonight to catch that 300 before it got there...

I think Lifescan has been the only company that has Not falsely raised peoples' hopes.

I could have used a CGMS to catch my 39 last night. Oh yeah, that's the 39 that came 5 hours after the 321. Which is the main reason I want it. My A1C isn't terrible but lately I've just been rebouding like crazy. And I have always liked the Guardian RT (it has slightly more features than the in pump version) but had heard it cost $2000 and I hated that sensor. Now the sensor is down in size and the price is down. I think I'll call my doctor today and see if she'll get the ball rolling on one without me seeing her (my next appt isn't till May which is after that $1039 sale.)

[NoelD]

You mean the sensors are 35 each?

If you pay full price without negotiating. You can typically get them for what insurance would pay which is typically 50% or so.

[Dewey]

And the day they do you can just bet that premiums will go up....
Perhaps so...but, if they're going to go up (raise rates) anyway, might as well make it worth our while & be covered for things we could truly use, no?

Now...I guess the question is, do I go for it or not? I spoke with my insurance and they said my copays for the device and the supplies would be 20%. So that would make the unit $207.80 and the sensors I'd pay 20% of as well. Which if I use one for 9 days, that's $350 for 3 months worth which would be $70 or $23 a month.

Sounds good to me....hmmmmm. Now to think more.

So who wants to house me and let me use their local rep from MM if I chose to do this.

Jedi, I'd say it's up to you. I'd think a little more about it, then make an ultimate decision. Personally, I'm getting tired of the whole "waiting game" with other CGMS systems, so it's very likely I'd opt to go with the Real Time CGMS one. I also dig the new design. I didn't realize that the newer systems (not the MiniLink part, the actual systems) are smaller as well and look more like a pump. :thumbsup:

I could have used a CGMS to catch my 39 last night. Oh yeah, that's the 39 that came 5 hours after the 321. Which is the main reason I want it. My A1C isn't terrible but lately I've just been rebouding like crazy. And I have always liked the Guardian RT (it has slightly more features than the in pump version) but had heard it cost $2000 and I hated that sensor. Now the sensor is down in size and the price is down. I think I'll call my doctor today and see if she'll get the ball rolling on one without me seeing her (my next appt isn't till May which is after that $1039 sale.)

This is why it would be helpful to me, too. There are times where I can't catch a higher number before it occurs (likewise with some lows). When I did the trial, we went hiking one day, and were able to catch & treat a low before it even got to 60. To me, that's awesome & it potentially saved me from a bad reaction. I know the systems are not 100% accurate (and may never be), but preventative maintenance is the goal, and being able to catch things before they get too out of hand is definitely key.

[MinimedPumper07]

Can somebody please explain this thing to me.

I dont have the normal cgms and am really excited about this minilink. what exactly do i need to buy? is it only 1 thing that you buy every 4 years? i have never used a cgms but i really want this thing!

and how long does a sensor last? i know it says 3 days but how long can i really safely wear it for?

[FrankDr]

I'm getting tired of the whole "waiting game" with other CGMS systems, so it's very likely I'd opt to go with the Real Time CGMS one. I also dig the new design. I didn't realize that the newer systems (not the MiniLink part, the actual systems) are smaller as well and look more like a pump.
Given that the other CGMS options are getting poor reviews (dexcom) or are getting further from the market (Navigator) - this option is looking very attractive. What I've seen looks good. I'm going to get the process started on this one. I'll be using the Guardian stand-alone with the Cosmo pump.

[someone]

Given that the other CGMS options are getting poor reviews (dexcom) or are getting further from the market (Navigator) - this option is looking very attractive. What I've seen looks good. I'm going to get the process started on this one. I'll be using the Guardian stand-alone with the Cosmo pump.

I have always wanted to get one of these. Finally, there is one that I can get. I have already faxed my prescription in and talked to the Minimed rep. Hopefully, I will be ordering my stand alone Guardian RT as soon as Minimed calls me back.

As for the Dexcom, I was about to get it last month when I found out my doctor wasn't "certified". Perhaps this is a good thing? I guess I'll just have to see for myself..

[JediSkipdogg]

I will be getting the Guardian RT in about a month. I spoke with my nurse educator (in charge of pumps and CGMS) and she said she would contact Minimed for me and get the process started. They have my current insurance info and she'd see how hard it would be to get it covered. She said since I want the Guardian RT it may be slightly harder as it just came out in December and they don't have billing codes for it yet, so I may have to pay out of pocket for that and then get reimbursed. The sensors they said shouldn't be a problem.

[MinimedPumper07]

y wouldnt the sensors be the problem? arent they 350 bucks for 10 of them?

[someone]

I haven't even tried getting insurance coverage yet. Since I'll be switching insurance very soon, I'm just going to pay out of pocket to start out.

[ThuntDon]

I got my MiniMed MiniLink last night (one day after ordering it), and hve it on now (90). It's really nice compared to the old transmitter. I won't have those ugly adhesive leftovers on my body. If I hadn't goofed up in trying to put the transmitter ID into the wrong place, everything went well. It came plugged into the charger, so it was completly charged, ready to go. To answer MiniMedPumper, yes it's about $35 for each sensor, but most of us get a lot more days than that out of them.
Good luck, Don

[JediSkipdogg]

y wouldnt the sensors be the problem? arent they 350 bucks for 10 of them?

My insurance is already covering the sensors for someone using the 722. He said getting the sensors covered for him was just a letter of medical necessity and he had no problems after that. With the sensors they at least have an insurance billing code now. With the Guardian RT it's so new that they haven't even created a billing code which all medical items need.

[Dewey]

I called my endo's office today to see about getting on the MM RT as well. I love my Cozmo, so will keep using that as my pump, but am not happy with the major delays that we end-users are having to deal with on the Navigator.

I also wrote Abbott with regards to the Navigator:

I've been reading conflicting information on the Internet with regards
to the Navigator Continuous Monitoring system. Is it true that it may
not be released until the end of 2007? If that is the case, I'd really
like to know, so that I can explore other options. I think consumers
have been more than patient with regards to the release of this system,
and should be properly informed if it is going to take longer (to be
released) than expected, so that they can make the appropriate health
decisions based on their needs. Thank you in advance for any information
you can provide.

I basically got a "generic" reply:
Dear Dewey,

Thank you for contacting Abbott Diabetes Care, maker of FreeStyle and
Precision products.

FreeStyle Navigator has not been approved for sale by the FDA at this
time. Any decision about the choice and timing of an individual using a
new medical device should be discussed with your Healthcare providers.

Please let us know if we can be of further assistance.

Sincerely,

Jonathan
Abbott Diabetes Care
When I read the letter, all I could think was "DUH!" I understand that the folks at Abbott could get into serious trouble for disclosing things before they're released, but this is just getting ridiculous. Sorry if I've hijacked the thread...didn't mean to, Tony. Just saying I may be joining the ranks of those purchasing the MM RealTime system!

[someone]

How long does it take to change sensors with the Minimed from the time you put the sensor in, until the time you start getting readings and how often is calibration required?

[JediSkipdogg]

How long does it take to change sensors with the Minimed from the time you put the sensor in, until the time you start getting readings and how often is calibration required?

Noel would be the best on this but here is what I understand from reading the manual (I've read the complete thing.) Once you put the sensor in you leave it in for 5 minutes to adjust. Then after that you connect the transmitter which takes 2 hours to calibrate. At the end of two hours you have to enter a BG (which means don't put a new sensor in right before going to bed.) Then after that you must calibrate every 12 hours or it alarms at you. The gentleman that gave that talk that persuaded me to get one recommends calibrating 3 times a day. The reason is if you wake up at 6 am and calibrate, then calibrate when you get home from work at 5 pm...your next calibration MUST be before 5 am or it alarms. Basically, you just woke yourself up. So 3 a day is the way to go.

[FrankDr]

I love my Cozmo, so will keep using that as my pump, but am not happy with the major delays that we end-users are having to deal with on the Navigator.
. . . .
Just saying I may be joining the ranks of those purchasing the MM RealTime system!

Same here . . It's seems like these two items are the 'best of breed' solution for now. The only issue I can see is that the two sets of data (Cosmo pump and MM cgms) can't be integrated into a single report ( or should I say, it just hasn't been created yet - )

[Funnygrl]

Same here . . It's seems like these two items are the 'best of breed' solution for now. The only issue I can see is that the two sets of data (Cosmo pump and MM cgms) can't be integrated into a single report ( or should I say, it just hasn't been created yet - )
A Cozmo rep told me that they will be releasing a feature that allows the Cozmanager software to import data from CGMS systems. I wasn't able to get details. Stay tuned, I guess.

[NoelD]

Noel would be the best on this but here is what I understand from reading the manual (I've read the complete thing.) Once you put the sensor in you leave it in for 5 minutes to adjust.

** Actually to get the best accuracy, I've always been told 15 minutes. So, I normally wait 15-20 minutes.


Then after that you connect the transmitter which takes 2 hours to calibrate. At the end of two hours you have to enter a BG (which means don't put a new sensor in right before going to bed.)

**It's about 2 hours, not dead on the money though. It will alarm you to calibrate. Before bed is a good time really, to let the sensor get coated with intersitial fluid good before it starts monitoring. In my opinion, it's a good practice. You don't lose anything really. I always insert and then connect right at bedtime when I insert a new sensor. I don't "start" the sensor right away though. I let it stay inserted and waiting. The next morning upon waking, I start it, then it almost ALWAYS asks for a calibration immediately, no 2 hour wait, and your BG is really stable then as well, a good time to calibrate.




Then after that you must calibrate every 12 hours or it alarms at you.
*True

The gentleman that gave that talk that persuaded me to get one recommends calibrating 3 times a day. The reason is if you wake up at 6 am and calibrate, then calibrate when you get home from work at 5 pm...your next calibration MUST be before 5 am or it alarms. Basically, you just woke yourself up. So 3 a day is the way to go.

** Yep, I calibrate 3-4 times a day normally.


Also, about the Navigator, I haven't saw where it's any more accurate than the MM RT/Guardian, actually the opposite. From the blogs/postings that I've saw, it's not *as* accurate as my experience with the MM RT. Seriously, I have had less false lows/highs than the postings/blogs about them with the Navigator. I had, and still do have high hopes for it, but I have a feeling that it will not live up to it's expectations. And I doubt that it will ever get FDA approval for fingerstick replacements with the level of accuracy that it's at now. A friend of mine who's an Endo has a patient in the trial, and he's not as impressed with it as he is with the MM one I am on. That tells me something, personally. Put it this way, if the Navigator, in it's current form, DOES get FDA approval for fingerstick replacements, then the MM one will/should be a shoe-in for it now as well. They should do a side-by-side comparison of the two, accuracy-wise.

[JediSkipdogg]

Also, about the Navigator, I haven't saw where it's any more accurate than the MM RT/Guardian, actually the opposite. From the blogs/postings that I've saw, it's not *as* accurate as my experience with the MM RT. Seriously, I have had less false lows/highs than the postings/blogs about them with the Navigator. I had, and still do have high hopes for it, but I have a feeling that it will not live up to it's expectations. And I doubt that it will ever get FDA approval for fingerstick replacements with the level of accuracy that it's at now. A friend of mine who's an Endo has a patient in the trial, and he's not as impressed with it as he is with the MM one I am on. That tells me something, personally. Put it this way, if the Navigator, in it's current form, DOES get FDA approval for fingerstick replacements, then the MM one will/should be a shoe-in for it now as well. They should do a side-by-side comparison of the two, accuracy-wise.

There was one done a year or two ago in trials. It showed the Navigator to be more accurate. However, one needs to keep in mind that was before all the secrets of CGMS use were found out. I hear the biggest complaint with the Navigator is the 10 hour startup time. And one can't really go the final few days without any calibration because it will then get off. I think calibration is the key and calibrating while level is even more key. You get those two down, and you have a pretty accurate system, both of which they didn't know 2 years ago.

Hopefully I hear back on Monday or Tuesday about mine.

[NoelD]

yep, maybe the results I've seen on the Navigator have to do with unoptimized/un-ideal calibration? Who knows :D

[someone]

Noel would be the best on this but here is what I understand from reading the manual (I've read the complete thing.) Once you put the sensor in you leave it in for 5 minutes to adjust. Then after that you connect the transmitter which takes 2 hours to calibrate. At the end of two hours you have to enter a BG (which means don't put a new sensor in right before going to bed.) Then after that you must calibrate every 12 hours or it alarms at you. The gentleman that gave that talk that persuaded me to get one recommends calibrating 3 times a day. The reason is if you wake up at 6 am and calibrate, then calibrate when you get home from work at 5 pm...your next calibration MUST be before 5 am or it alarms. Basically, you just woke yourself up. So 3 a day is the way to go.

Thanks. I say just calibrate it whenever you test.. wouldn't that make it more accurate anyways, along with reducing alarms? Do you have the complete manual in a digital format? I'd be interested in reading the whole thing. :D

EDIT: nevermind, I guess you want to calibrate while level

[NoelD]

someone, you are right. You only want to calibrate when your BG is stable.Morning upon waking, 3-4 hours post lunch, and right at bedtime 3-4 hours after supper is best. That's when I do it.

[JediSkipdogg]

Thanks. I say just calibrate it whenever you test.. wouldn't that make it more accurate anyways, along with reducing alarms? Do you have the complete manual in a digital format? I'd be interested in reading the whole thing. :D

All of the manuals for MM are online in PDF files at this location User Guides (http://www.minimed.com/help/userguides.html).

[MinimedPumper07]

do u have to calibrate it? i want to just calibrate it once a week, is that possible?

[Tony]

do u have to calibrate it? i want to just calibrate it once a week, is that possible?

Every 12 hours I think. Noel?

[Funnygrl]

do u have to calibrate it? i want to just calibrate it once a week, is that possible?
Why would you care how often it needs to be calibrated? You still need to test your blood sugar before bolusing or treating a low and such.

[MinimedPumper07]

see i wasnt planning on doing that. i was hoping just 1 calibration upon insertion, then no sticks for a week

[Tony]

see i wasnt planning on doing that. i was hoping just 1 calibration upon insertion, then no sticks for a weekNo it doesn't work that way. You still have to test like funnygrl said.

[JediSkipdogg]

Calibration is AT LEAST every 12 hours. And if you miss a calibration, it alarms to you (not sure if you still get readings then or not.) The devices aren't reliable enough to go without calibrations at this time and correcting a high with insulin without verifying first with a fingerstick is not only stupid but deadly (for you and those on the road if you do and drive.)

[NoelD]

Calibration is AT LEAST every 12 hours. And if you miss a calibration, it alarms to you (not sure if you still get readings then or not.) The devices aren't reliable enough to go without calibrations at this time and correcting a high with insulin without verifying first with a fingerstick is not only stupid but deadly (for you and those on the road if you do and drive.)

If you do not calibrate at least every 12 hours.... You will NOT get readings until you DO SO, and it starts SHOWING them 15 minutes after you calibrate if you forget to. When you insert a new sensor and start it, it will ask to calibrate at about 2 hours after starting it. Then it will ask again at 6 hours. From that point on it's once every 12 hours until you insert a new one.

This is how I do it:

Friday evening - insert new sensor while still using current one. Then when sensor end message pops up, I unhook the transmitter and reconnect it to then new one. I immediately "start" it and about 2 hours later it asks for a calibration. Then another 6 hours later. Then once every 12 hours thereafter.

Monday evening when sensor end message/alarm is displayed, I go in and choose new sensor. Within 15 minutes it asks for a calibration. Then at 6 hours again. From then on until Thursday evening calibrate every 12 hours and repeat Monday routine on Thursday evening when Sensor end message/alarm is diaplayed.

I use only one sensor a week this way. YMMV, but I hate having to throw out a good sensor I can get at least a week from, and I'd hate to beat up my insurance company that bad and go through the new sensor routine 2x a week. It's much easier and less hassle for me to do one sensor a week. As always, YMMV. I would do 3 days with the first or second sensor just to see if your body is ok with it for a week or more.

[JediSkipdogg]

Noel, I just want to clarify something/double check....

You say when you first insert the sensor it takes a 2 hour calibration. Am I correct that during those 2 hours you get no readings?

Yet when you "reset" the sensor for another 3 days, it only takes 15 minutes?

I guess I'm puzzled on how it knows that it doesn't need the 2 hours for the 2nd use of it.

[NoelD]

You say when you first insert the sensor it takes a 2 hour calibration. Am I correct that during those 2 hours you get no readings?

*** Right, NO readings until after the first calibration 2 hours later. After you enter the calibration, within 15 minutes it will start displaying readings.

Yet when you "reset" the sensor for another 3 days, it only takes 15 minutes?

*** Yes, about 15 minutes after "starting" the "new" sensor (which is really the old one) it will start displaying readings.

I guess I'm puzzled on how it knows that it doesn't need the 2 hours for the 2nd use of it.
*** Because the sensor is already coated in intersitial fluid I guess, I don't really know the mechanics behind it, but it KNOWS somehow that it only needs 15 minutes.

[Tony]

Noel you had said in another thread that you put in the sensor before bed. Do you still have the 2 hour wait period in the morning when you attach the transmitter?

[NoelD]

I don't always put it in before bed. When I do, I just connect to it (without "starting" it), and go to bed. When I get up, and "start" it, it asks for a calibration within 15 minutes. Lately, I've been inserting it in the early evening, around 5-6pm. That way I get a decent calibration in 2 hours and a really good calibration right before bedtime around midnight. That calibration at midnight resets the calibration time to 12 hours, but I always do it when I wake up 6-7 hours later because that will be the best calibration out of all times to do it.

Lately I calibrate upon waking, before supper around 5 or 6pm, and right at bedtime. I think 3 is a good number. 2 isn't quite enough in my opinion, and 4 is a bit much and you run the risk of mis-calibrating and accuracy suffers then.

[Tony]

My questions is, If you can insert a new sensor a couple hours before you take the old one out and the calibration is 15mins instead of the normal 2 hours. Why not do this all the time? You lose 15mins. instead of 2hours.

[NoelD]

My questions is, If you can insert a new sensor a couple hours before you take the old one out and the calibration is 15mins instead of the normal 2 hours. Why not do this all the time? You lose 15mins. instead of 2hours.

I tried that a few times and it didn't work. I think it knows when it's a "New" sensor and if it's been "used" before. I wish it'd work so I only lose 15 minutes instead of 2 hours. I thought the exact same thing but it just hasn't worked for me. Like I said, I think it "knows".

[Tony]

How is it, it can calibrate in 15 mins and other times it's 2hours?

Did you get your Minilink yet?

[NoelD]

It's only 2 hours if it's a new sensor. If you are at the day 3 "Sensor End" message, and tell it there's a new sensor while leaving the previous one in, it calibrates in 15 minutes. Why? I don't know. That's just my experience with it. I do not know how it "KNOWS" there's a new, really new, sensor. It just does somehow.

[someone]

NoelD, what do you do when the system seems miscalibrated? Mine was working great last night until this morning when I wasn't stable and had to calibrate. Now it is quite off. Should I just wait until I'm stable, then just calibrate it again, or have the bad calibrations already hurt the accuracy?

[NoelD]

NoelD, what do you do when the system seems miscalibrated? Mine was working great last night until this morning when I wasn't stable and had to calibrate. Now it is quite off. Should I just wait until I'm stable, then just calibrate it again, or have the bad calibrations already hurt the accuracy?


Yes, wait until you are stable again and then calibrate. It's happened to me a time or two as well. I will not calibrate when I am higher than 140, or lower than 75. That's just what I personally do. Just like my scenario right now. I'm 180, and have no idea why. I was due to calibrate about 20 minutes ago, but since I took a correction bolus about an hour ago, I really am starting to come back down. I will wait until about 2.5-3 hours from the correction bolus (since that's Apidra's active time in me) to test again, and if I am 85-95, like I should be, I will then calibrate again. It does not harm your sensor to wait to calibrate. If you do mis-calibrate and get a "CAL ERROR" message, wait about an hour or more to calibrate again, because if you DO and it miscalibrates again, and you get another "CAL ERROR" that means your sensor is no good and you must insert another new sensor. The transmitter will not pick up the same sensor again after 2 CAL Errors, or at least I haven't had it do so yet.

[someone]

No, I did not get an error, I just felt that the readings were not accurate, but it seems now that they are accurate again.

[NoelD]

No, I did not get an error, I just felt that the readings were not accurate, but it seems now that they are accurate again.

Yes, most of the time it will work itself out. It does get off a bit sometimes when your BG is rapidly changing. It seems to lag by about 15 minutes in my experiences. The first few weeks I wore it, I tested EVERY 2 hours to get a feel of how accurate it was and to see if the 15 minute rumor I heard was true. It is for the most part.

[It Ain't Over]

Went to the MM advanced pumping session last night. There were a few points the trainer made about the Minilink.
She said that MM is a month away from completing a clinical trial designed to support the use of the Minilink, it is directed at Health Insurers.
She said that MM is working to get FDA approval for seven day use of the sensor, FDA put a limit of three days on a sensor now. The trainor had one in its eighth day and it was just starting to read about 20- 30 pts hi. She said that when they get to the end of their usefullness the sensor start to read higher.
Said the price is $649, sensor still $35 each. And the upgrade from the 515 or 715 pump to the 522 or 722 pump is $299.
She strongly recommends we start the paperwork now, in advance of next months release of the clinical trial. She said the early results were that the patients with A1c's of 8% and higher were able to lower their A1c's by 2, as in 6.0%. The patients in better shape were able to improve a lot, but not by 2%. Mentioned 1-1.5 %. We had some discussion on that and with the endo's setting the standard at 6% now, that standard is with reach for those of us that battle to get to 6.5%.

[Dewey]

I also found out today talking with Medtronic that they have a special. They also lied to me on the phone but that I'll tell in a minute, lol.

They said if you order the Guardian Real Time (this is the standalone CGMS) the prices are as follows...

Now till April 23 - $1039
April 24 till July 31 - $1089
After August 1 - $1339 (this is the regular price)

This is very interesting....This is why I get frustrated sometimes (dealing with both insurance & big companies). I received an e-mail the other day from someone at MM, stating that the system is $1339. Now don't get me wrong, I'll pay my fair share & all, but if I can save a couple of hundred dollars, you can bet your a** that I will do my best to (especially if I'd have to pay out of pocket)! I also don't want insurance (providing they do cover some of it) to have to pay more than they have to, if they don't have to.

The person that e-mailed me also stated that insurance is Not covering at this time...However, hubby called our insurance company twice to ask about coverage of the CGMS, and Both times, they said they would cover it up to 90% (provided a letter of medical necessity was provided & the script was written same as it is for a pump - under DME).

I look forward to getting a CGMS, but am getting a little frustrated at the different stories I'm hearing.

[Injecto]

I also don't want insurance (providing they do cover some of it) to have to pay more than they have to, if they don't have to.

Great point, and one that I just can't most people to understand. You see, if one store has a cost of $100 and the next has a cost of $90 for insulin, then I go to the $90 store because then insurance pays less (even if I pay nothing). I do have an insurance cap and once I get to it I'm on my own, so just because one has insurance should not mean that they allow themselves (or insurance) to be charged just any price.

[JediSkipdogg]

The person that e-mailed me also stated that insurance is Not covering at this time...However, hubby called our insurance company twice to ask about coverage of the CGMS, and Both times, they said they would cover it up to 90% (provided a letter of medical necessity was provided & the script was written same as it is for a pump - under DME).

I was told that as well and I think that is partially still true. My insurance told me they would cover it and MM said they wouldn't. I think the problem is MM has no way of billing insurance without a billing code. That's where the holdup is from my understanding. I'm of course still waiting to hear back from my doctor's office, going on just over a week now.

I still don't understand why everything needs a billing code. Can't the **** thing be billed as the Guardian RT? Why do they need some fancy code for every category of device?

[vlisz-mi-rova]

My guardian RT started to give me false readings at the end of a second day of use after a great performance; even with a proper (stable) calibration it would always read that my sugars were 100-120 a flat line for most of the day.
After third day I restarted the sensor and 15 minutes later new readings started coming in, but stayed flat around 100-120 again for half a day until I just removed the sensor.
I'm going to try a new one tomorrow.

[Diabetes Kid]

Is the sensor and transmitter one piece and does it attach to your body as the quick sets do ? Does it have its own inserter ?

Flash

Um is the transmitter removable like how the Animas IR 1250 insets r???? and is that how u recharge ur battery??????? :\

[duck]

Um is the transmitter removable like how the Animas IR 1250 insets r???? and is that how u recharge ur battery??????? :\

I don't know anything about the Animas...But the Sensor and transmitter in the MiniMed system are two separate things. The transmitter can be removed from the Sensor, and the transmitter contains the battery that needs to be recharged. The Sensor is what is "inserted" under the skin and cannot be arbitrarily removed.

[Joanie]

I get my minilink on Monday! I can't wait to start :D :D :D

[poodlebone]

I get my minilink on Monday! I can't wait to start :D :D :D

I got mine on Wednesday. On Tuesday, the insurance specialist from MM had called me and I think he said that someone else would be contacting me about training, but I haven't heard from anyone else yet. I'm dying to get started! Are you being trained by someone from Minimed, or someone from your doctor's office/hospital?

[bdub]

NEW.....since one year

[Joanie]

I got mine on Wednesday. On Tuesday, the insurance specialist from MM had called me and I think he said that someone else would be contacting me about training, but I haven't heard from anyone else yet. I'm dying to get started! Are you being trained by someone from Minimed, or someone from your doctor's office/hospital?


My doctor said that somebody from Minimed would be contacting me. I hope it doesn't take too long.