Wearing the Beta Bionics iLet Pump

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🎧 Listen on Spotify, Apple Podcasts & more: www.diabetech.info
Learn more about Omnipod 5: bit.ly/OmnipodDiabetech
Mike Natter M.D. and I talk all about his experience wearing the iLet insulin pump from Beta Bionics. The pump only requires one setting - your weight. We get into that as well as how bolusing works, how it compares to other closed loop systems on the market and a lot more!
This episode is sponsored by Omnipod. To learn more about Omnipod 5 and see if you’re eligible for a trial, visit Omnipod.com/diabetech. You can also find full safety information, and free trial terms and conditions at Omnipod.com/Diabetech. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Controller is not waterproof.
📱Follow me here: / diabe_tech | / diabe_tech | / diabetechjustin
Follow Mike here: / mike.natter
Devices behind me:
Sugar Pixel CGM Display: bit.ly/SugarPixel
Tidbyt CGM Display: bit.ly/Tidbyt
Products I Recommend: amzn.to/3N2Qs5F
FRIO Insulin Cooler (10% off w/ JUSTIN10): bit.ly/FRIO
DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care.
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In order to make a living and continue to create free content, I use affiliate links. This means if you make purchases through certain links, I may earn a small commission (at no extra cost to you).
#t1d #diabetes #diabetic

Опубликовано:

4 июл 2024

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Комментарии : 91

@Judi4Him4Ever 6 месяцев назад

Regarding at 42 mins (roughly) I’ve had type 1 for 34 years and have ALWAYS had a “diabetes milletus; uncontrolled” diagnosis the entire time. Sure wish they’d change it to “diabetes milletus, good job trying!” diagnosis.

@cliffvictoria3863 8 месяцев назад

Main reason I think many type 1 diabetics don't have pumps and CGMs is cost. Even with good insurance, they aren't cheap. Many people can't afford the "luxury" of a pump and CGM. Which is one of the big problems with medical providers and insurance companies. They put profits ahead of medical customers. I will be replacing my Medtronic pump with an iLet before the end of the year. I already have the G6. After 47 years as a type 1, I like the ideas of less input and an aggressive algorithm to improve on my, already good, A1C and in range numbers.

@rsilvers129 Месяц назад

Number one reason is they don't care enough to try to get one. There are lots of free pumps for the asking.

@ChipHayes3 8 месяцев назад

Small comment on something you said at the very end. I became diabetic in 1966. At my one year anniversary, I went to a diabetic camp for a week. Back then -1967- the medicos would talk about a cure “still being 8 to 10 years away.” LOTS of good changes since then, but don’t count your chickens yet.

@Judi4Him4Ever 6 месяцев назад

There will probably never be a “cure” for diabetes until they find a way to monetize it.

@Jennifer-ul2vz Месяц назад

I was told cure was 10 years off at 20...I'm now 58..Nor going to happen for me but I have hope maybe my Grandkids could have a shot at a cure in 30 or 40 years.

@ash_tray_6 8 месяцев назад

Thank you Mike! (And Justin!!) So valuable seeing an actual user talking about it, I’m glad that Mike was pretty honest about the actual experience and it wasn’t only sunshine and rainbows. As a diabetic “consumer” it’s equally if not more important to know limitations of all of our systems.

@janansberry6406 9 месяцев назад

Thank you for having this knowledgeable experienced guest on. I pray that the gas and breaks for type 1 comes sooner rather than later. I hope that others that have used I let pumps also comment.

@NanNelson-qz3ej 3 месяца назад

I am a physician, I found this pump to be so easy to use. Most if not all the spikes stopped. They asked if I was eating. I tried to keep my diet the same using the Medtronic and the ilet.

@plants4Ever17 Месяц назад

!! priceless insights shared btwn you and Endo Dr. guest. thank you for the work you are doing to enlighten us.

@SheaCorporaBrandt 2 месяца назад

YES ARTISTS IN MEDICINE!!! This was a small point, but THANK YOU for talking about it. I also have my background in art (theatre specifically) and now work as a Diabetes Educator. More people need to understand hi much art HELPS to be a better / different kind of clinician. I don't think this is understood enough in the health community.

@diabe_tech 2 месяца назад

💯💯👌🏼

@jaredcoffin3907 2 месяца назад

Another super smart video. Thanks again. This kind of info is very special and hard to find presented in such a thoughtful manner. Seriously, you are an amazing interviewer. You ask EXACTLY what one would want to know about.

@diabe_tech 2 месяца назад

@Papamatarese 6 месяцев назад

This is awesome! Thank you for sharing! Am 40 and have been carb counting since I was 11… Awesome to see not only a type 1 diabetic using this but, also an actual doctor. Just signed up to get one 🥳

@diabe_tech 6 месяцев назад

So exciting!! Let us know how it goes.

@ediesparks4764 21 день назад

I'm not really sure which type of diabetic I am. I was initially diagnosed as DM2 in 1998 but have never been well controlled. My current provider is finally doing the work to find out if I am a LADA. I think this pump will be such a help in managing this disease. Like other folks on this thread, I have to agree that even with good insurance the cost is almost prohibitive. At this point, I'm at a point when my health is worth the cost.

@donwilliams9883 8 месяцев назад

I’m excited about getting this now because I’ve learned that shots are highly irregular no matter how many you do, I’ve been doing mdi for years and now see the need for continuous insulin versus shots even with micro dosing the shots

@NanNelson-qz3ej 3 месяца назад

I was in the original study of the ilet pump. I have worn the medtronic and tslim. I cried when I had to give back the pump. It was amazing. The pump was delivered this week, I get the training next week. If you have questions for someone who has worn this, send them on.

@snunnally77 3 месяца назад

Do you prefer the plastic or the steel infusions set? Trying to find the one that hurts the least

@user-no1xf5ce7g Месяц назад

Great video! I've been using the iLet for just over a month. The first week or two were rocky. At some point it learned me and I learned it. Clarity shows a remarkable improvement in my BG's which weren't bad at the start. I've tried both the steel and plastic infusion sets.There's no difference in the feel. I can't feel either. Customer support is fantastic when you have questions. I'm very happy with my choice.

@kimberlytramontano3172 9 месяцев назад

Thanks for the videos. They are so helpful. My 11yr will be starting the ilet hopefully this month .

@diabe_tech 8 месяцев назад

Best of luck!

@Dev-cw6jc 4 месяца назад

Hey , how’s the device working out for your kid

@t1dnerd 6 месяцев назад

Wow, another great video, Justin. I love hearing from other T1s in the medical field. How can I get Dr Mike as my endo? LOL. Great info on the iLet. So excited about the new technology coming. Thanks again!

@diabe_tech 6 месяцев назад

Awww thanks :)

@dalitex-c4885 9 месяцев назад

Extremely useful and thanks to to both of you for this video. I was genuinely excited about the BetaBionics for the features however form factory is big turning down point for me.

@diabe_tech 8 месяцев назад

Glad it was helpful!

@swimm3r137 29 дней назад

28:40 "what if you're in the woods." i caught that you caught that

@sallyl3808 8 месяцев назад

My understanding is that the temporary suspend and was in the trial and, because of some issue, had to be deactivated because of the FDA (and they are working on getting it reactivated). My family member is on this pump right now and that is really the big gap...it needs a temporary suspend. Unhooking for exercise messes up the algorithm, especially if "exercise" is walking all day on vacation for a week and not time boxed into an hour like a workout. And the part about forgetting to reattach is a real problem. They really need a temp off with a time box [1h, 2h] and scheduling in order for this to really be an effective pump. Same issue when you are sick.

@BernardFarrell 5 месяцев назад

Beta Bionics really needs to help users connect with one another so we can support and help one another.

@diabe_tech 5 месяцев назад

Love that idea - you should search for a Facebook group - there must be a few good ones.

@s.elsworth3068 19 дней назад

The company doesn't even have videos on their device. It's almost like they don't know it's 2024 and there's a thing called RU-vid.

@BernardFarrell 19 дней назад

I gave up using my iLet this week. Just a sad disappointment all round.

@dinnerandamurder 8 месяцев назад

My adult son was also diagnosed at 9. He’s very Attention deficit ADHD and it has been really problematic as he is constantly forgetting to bolus and it’s resulted in his pump chasing highs. The iLet would be exactly what he would love. He doesn’t want to dig into numbers and count carbs. He doesn’t want to worry about things. I’m the opposite and would want every number going on. But I am sending him these videos on the iLet. He will love this I think. He was about to pull the trigger on switching to the Medtronic because it did every 5 minute check and offset. He has the Tandem t-slim now and he hates that 5 hour glucose on board only check and offset only so often thing. I’ve been asking to hold off and look at new pumps, as reviews on the Medtronic and especially those guardian sensors are really bad. Thank you for digging into this for us!

@diabe_tech 8 месяцев назад

I think the iLet could be great. Or even Omnipod for flexibility.

@dinnerandamurder 8 месяцев назад

@@diabe_techhe was on the Omnipod at first, but he works a real physically demanding job where he sweats. Omnipod and sweating do not go well together. Replacing them got crazy expensive. He eats before he leaves for work, so wouldn’t add in that meal and the iLet does shut off if you start going low, so that should handle it.

@dinkster1729 8 месяцев назад

I have a 780 G (Medtronic) and Guardian 3 cgms and think they are the best combo we have ever had. The Accu-chek meter says to change batteries after 2 days since the last change so I'm phoning Accu-chek on Monday to find out what's wrong. Otherwise, no other problems. Very accurate after 2 readings by the way.

@brendaparker6766 9 месяцев назад

Sounds so crazy, hope it will be successful

@leonahanson9127 3 месяца назад

I use the 780 pump and gaurdian 4 it works great for me being uncontrollable it brought all of my numbers down its amazing the cgm between the glucose reading and the cgm 10 points off. The dexcom was 50 points off so thats why i don't use a pump that goes with dexcom.

@hitomihutzell 5 месяцев назад

Thanks!

@diabe_tech 4 месяца назад

Thank you!!

@dinkster1729 8 месяцев назад

I think you should realize, the 2 of you, that there are many disabled people on insulin who could use a plug in and forget about it system like this. Right now, there are lots of people in LTC's (Long term care facilities) and assisted living facilities who are on insulin and can''t begin to understand how to manage their insulin pump and when to change the sets and the sensors or fill the reservoirs. A system that you are describing here has to be better than the nonsensical systems that are in place in our LTC's, acute care hospitals, assistive living facilities, schools, etc. There was an interesting article in our local newpaper on Oct 10, 2023 about a 4 year old on a pump and cgms who is supposed to run the system under the watchful eye of an EA or the principal or the vice-principal. Totally ridiculous, of course. However, maybe, that wee tot would do better if someone only had to enter her weight and the size of the meal.

@wan2852 9 месяцев назад

No more carb counting? Have always felt the healthiest diabetics eat the fewest carbs (and take the least amount of insulin...). Carb counting will be eliminated only when CGM's get more accurate. Plug and play!

@carebears4295 6 месяцев назад

I so wish there was a way to brighten the screen

@TFD1982 4 месяца назад

Sucks when I’m in the bathroom or bed room and can’t see anything

@rgmartin1040 5 месяцев назад

As a TID with gastroparesis, I’m wondering which of these systems would best help with corrections due to extremely unpredictable digestion. Any thoughts?

@artistinvermont 6 месяцев назад

Fantastic so interesting

@diabe_tech 6 месяцев назад

Glad you think so!

@luigifulco4117 8 месяцев назад

HI, I follow your videos, I find them very interesting and well done. I would like to ask you a question: How do you manage the first 24 hours with the G6 connected to the Omnipod 5? Obviously I think you leave the loop open and therefore lose one day of G6 efficiency which is reduced to nine effective days. I currently use G6+DASH+iAPS and following a normal diet there is no need for any correction, everything happens automatically. Luigi

@zakm0n 8 месяцев назад

The best control I ever had was on OpenAPS with an old medtronic because it's algorithm could be so aggressive. Tandem with u200 humalog is better than with u100 humalog, but im excited to replace it with a Beta in January. I am terrible at remembering to prebolus, and I have a fine line between under and over bolusing, and that causes me to shy on the side of a spike. My insulin resistance is crazy high so a typical meal bolus is 15-35u, not something you wanna overbolus on. The UAM feature of OpenAPS worked amazing and hopefully beta's bolus algorithm will too.

@diabe_tech 8 месяцев назад

Why did you get off OpenAPS?

@zakm0n 8 месяцев назад

@diabe_tech concern with my aging medtronic pump, and issues keeping the hardware alive and connected. Forgetting to turn on tethering, forgetting my APS at home, forgetting to charge the APS, pump battery going from 2 bars to full dead in less than 8 hours, and not having a backup plan killed it for me. The amount of stress lifted by going to the tandem which works so long as it's charged and the CGM is active was crazy.

@zakm0n 8 месяцев назад

@diabe_tech also, I would've gone omnipod but 180u isn't enough. My TDD went from 100-150u a day to 200-300 a day on u200 from 2020 to 2022, and I'm working on finding why, but a 300u cartridge is absolutely required for me, even if I were to go back to using u100 and only needed half what I take now, I'd be changing a pod almost daily.

@user-nr5he3ic9o 9 месяцев назад

This pump would drive me crazy with the no carb counting small medium large dosing. But I’m not burn out yet cause I was diagnosed a couple of years ago. If it gets to be too much work in the future I just might try this pump.

@diabe_tech 8 месяцев назад

It’s not for me, but could be great for many.

@diabe_tech 8 месяцев назад

It’s not for me, but could be great for many.

@BernardFarrell 5 месяцев назад

Yes please, this pump really needs a snack option. As well as an option for exercise/activity.

@kimrall7350 3 месяца назад

goal range 70-130 within range is 97% it's a PITA, but micromanaging is doable. takes hours out of the day. want a1c to be in non-diabetic range (5 to 5.6). can iLet do this?

@lthomas63 5 дней назад

Question: I watched a few of your videos on this pump and I was wondering, does it actually slow down insulin delivery if it feels that your sugar is going to go low because that wasn’t really addressed?

@paulfrantzis1 5 месяцев назад

Soaking the g7 doesn't take any total wearable time away from the sensor. Yes it activates the sensor, but the actual countdown starts when you enter the sensor code

@owenbrowning8754 7 месяцев назад

What about type 2 ?

@jenniferstroschine7293 8 месяцев назад

CGMs of all kinds need to improve immensely in accuracy before you make that leap. CGMs have trouble staying in range being accurate or dying before their due date sending you on fun rides. Pumps only work if the CGMS work. Wish some one would improve those first.

@dinkster1729 8 месяцев назад

Most pumps do work on manual mnode. Can you imagine you went into Gaza to visit an aging relative and then, the Israelis cut off food, electricity, water and you can't get out???? I figure our host has lived a pretty good life if he can't imagine himself getting caught short like that. All t1d's live a precarious existence dependent on modern conveniences, I think.

@cwrichardson3 2 месяца назад

If you work out before you eat, your energy levels will be lower. If you are lifting heavy, you need those fast acting carbs. I work out after work so i can push those heavier weights. I'm 6'2, 240 with 18% bodyfat.

@marinakiell1069 9 месяцев назад

Justin, I just want to make sure you’re okay. Does the reason for having no Friday, 9/29/23 video have anything with the rain and flooding of NewYork? which I presume is where u are now when filming biweekly.

@diabe_tech 9 месяцев назад

Awww I love that you sent this message. I am totally ok with the flooding! I'm going to start doing episodes every other Friday moving forward. Podcast will remain every Monday :)

@marinakiell1069 9 месяцев назад

Ok, I was wondering why u weren’t showing up this past Friday & was totally expecting one 😉

@amygreen758 5 месяцев назад

Is Fiasp the only insulin approved for it? I had bad allergic reactions to Fiasp and it's vasodialating ingredient.

@diabe_tech 5 месяцев назад

No there are other insulins that are approved for it! Definitely Humolog, maybe more.

@quratulain4995 6 месяцев назад

What is the cost of pump and do it have any monthly expenses

@BernardFarrell 5 месяцев назад

$3,500 for the pump itself. My insurance covers the monthly expenses, which is cartridges, tubing, and infusion sets.

@edwinswiers 2 месяца назад

Can I be a subject for this company in the Netherlands

@wan2852 8 месяцев назад

Anyone on a pump should have a basic understanding of MDI should their pump go haywire. In some (many?) cases doing so has converted pump users back to MDI where due diligence will match pump results.

@diabe_tech 8 месяцев назад

yea I feel so behind on MDI haha - I need a refresh, thanks!

@dinkster1729 8 месяцев назад

With or without a cgms? My husband was in hospital in mid May for 10 days. The internal medicine specialist asked me about going off the pump--my husband's disabled so I run the pump for him--and giving half the insulin as basal and half as meal boluses with the cgms in place. I just looked at him and said, "Half of what? Some days his TDD (Total Daily Dosage) is 100 and some days, it's 33." Fortunately, the internal medicine specialist in charge of the floor then agreed that my husband stay on his pump and cgms. R.N.'s who are not CDE's are really antsy about pumps. They know syringes and like them even it they are totally obsolete. Even patients like me who aren't that techy can run an insulin pump with cgms. I haven't had no cgms since 2008 so I can't really remember how horrible that was--check bg 2 h. after patient eats. 20.0. Oh. I thought he might be low. Check at 3 h. he's higher now, not low as I thought he might be. Our a1c was only slightly higher than the present one, but I was so stressed out without a cgms and I had to do a lot more bg readings--10 to 15 a day to keep my husband at 7.3% a1c as opposed to 6.9% nowadays.

@wan2852 8 месяцев назад

"Time in range" is bogus if your range is 70-180.

@dinkster1729 8 месяцев назад

Good point! Increase your range and get a better TIR. My husband's ENT specialist just looked at me sharply when I told him I wait for a good week to get my dh's bg tested for a1c. LOLOL! I guess that's why double blind studies were created. Experimenters cheat.

@gurugamer8632 7 месяцев назад

How does target range keep you in range on the Beta Bionics iLet Pump compared to Omnipod 5?

@dianarodriguez9783 6 месяцев назад

Omnipod 5 sucks anything is better than ominpod programming they did is stupid.

@ScottNipper-xs5zw 6 месяцев назад

I wouldn't mind getting it if it was wireless I had tandem tslim x2 I hate the wire I ripped it out so much now funny won't ever return to a wire again

@TFD1982 4 месяца назад

EXACTLY keep the idea of what this does just MAKE IT WIRELESS 😭😭 I want my freedom back!

@edwinswiers 2 месяца назад

With this pump

@ScottNipper-xs5zw 6 месяцев назад

Wire being ripped out hurts

@TFD1982 4 месяца назад

Oh hell yeah it does and that my 1 complaint besides not being able to take it off for long periods of time. Showers suck and I’ll no longer be able to go to the pool or beach if I decide to have a vacation.

@marinakiell1069 9 месяцев назад

I’ve notice u pronounce Fiasp as Fee-ah-sp. I’ve also heard others pronounce it as Fee-ass-sp Maybe it’s just another You say tomato I say tomahto Potato potahto

@diabe_tech 9 месяцев назад

Hahahaa I have no idea but need to find out!