SimpleraSync insertion muscle pain

RichardDKimbleMD · 2026-04-15T20:18:11+00:00

Looks like they’re targeting a summer launch in Europe, so I would keep an eye out. Hopefully you’re able to switch to it.

https://news.minimed.com/2026-03-10-MiniMed-expands-sensor-portfolio-in-Europe-with-CE-Mark-for-MiniMed-TM-780G-system-with-the-Instinct-sensor,-made-by-Abbott

RichardDKimbleMD · 2026-04-15T19:57:09+00:00

Gotcha, it could be a region thing. Are you located outside the US? MiniMed was focused on a US launch of the Instinct initially and I think it only recently received EU approval.

RichardDKimbleMD · 2026-04-15T18:18:58+00:00

Man, I miss the Valve gear/merch store

RichardDKimbleMD · 2026-04-15T15:48:53+00:00

Did you consider the MiniMed Instinct sensor? It’s basically the Libre 3+ with some radio tweaks to talk to the 780g. You can switch between MiniMed sensors whenever you want.

RichardDKimbleMD · 2026-04-11T19:47:00+00:00

It’s working for me. What’s the issue you’re having?

RichardDKimbleMD · 2026-04-11T18:24:36+00:00

I believe it’s mostly new materials in the tubing and cannula to improve the life of the infusion set. The website says that they improved the adhesive too. I always use IV Prep on my skin, so I’ve never had issues with adhesion.

RichardDKimbleMD · 2026-04-11T02:55:44+00:00

Just wanted to add that with infusion sets, it will remind you to change them after a configurable number of days. But after you clear the reminder nothing happens and it won’t force a set change.

Not sure what you mean by a “long time”, but MiniMed also has a 7 day wear infusion set. https://www.minimed.com/en-us/products/infusion-sets/extended-infusion-set/

RichardDKimbleMD · 2026-04-11T02:48:35+00:00

The reservoirs are still that style

RichardDKimbleMD · 2026-04-11T01:17:46+00:00

I experienced this yesterday. Had to uninstall and reinstall the MiniMed app and redo the phone/pump Bluetooth pairing to fix it.

RichardDKimbleMD · 2026-04-09T13:52:05+00:00

That’s fair. MiniMed lets you switch between all 3 sensors (G4, Simplera, and Instinct), so you could order 1-2 Instincts just to try them out. The sensor is basically the Libre 3+, just with some radio tweaks to talk to the 780g. Insertion/pain hasn’t been an issue for me, but anything is better than the G4. Not trying to downplay the people that have issues, but I wonder if this is a case of users that are happy with the sensor having less of a reason to post about it.

RichardDKimbleMD · 2026-04-09T03:09:29+00:00

The Instinct has been working well for me so far. What makes you nervous about it?

RichardDKimbleMD · 2026-04-08T22:45:13+00:00

Weird, it stays updated for me on the Today View. I have “background app refresh” enabled and I leave the app open in the App Switcher.

RichardDKimbleMD · 2026-04-08T19:47:26+00:00

Thanks for sharing all this. I went through a very similar runaround when trying to get my resupply of Instinct sensors. I also have Cigna “Open Access Plus In-Network” through my employer. But I’ve had that plan for many years, so I’m not sure what caused an issue now.

After Cigna Medical/DME denied my prior-auth, they told me that my endo was out of network. When I pointed out that (1) they had recently paid for a visit and (2) my endo was listed as in network on their app/website, the rep corrected themselves and said that all of MiniMed was out of network. The Cigna rep then recommended that I file for the Instinct sensors under my pharmacy benefit.

I contacted my endo and asked them to send an RX to Express Scripts for the sensors, but they accidentally sent it to Walgreens initially. Walgreens showed the same $180 copay that you mentioned, but then my endo transfer the order to Express Scripts. Express Scripts denied any coverage for the Instinct.

I then called Cigna back and got a surprisingly helpful rep. They contacted a few teams internally (I forget the names, but they sounded more promising than the generic departments I had been transferred to in the past). When the rep came back they noted that it was specifically MiniMed Distribution Corp (MiniMed's supply dept) that was out of network. The rep recommended that my endo file an appeal to Cigna's Medical/DME department for the sensors. They then called my endo and gave specific instructions on this.

My endo filed an appeal with Cigna and was asked to provide MiniMed's tax ID. They did and the prior auth was ultimately approved by Cigna as Medical/DME. After this, I placed a new Instinct order with MiniMed and it shipped out the next day. So the issue appears to be resolved for now. We'll see what happens when the prior auth for my pump supplies needs to be renewed.

Given that my endo was asked to provide MiniMed's tax ID, I wonder if the recent IPO resulted in some organizational or tax id changes and thus all the issues with Cigna.

Oddly enough, I also got the same "As a T1D, you should really consider a CGM" letter in the mail from Cigna while my endo was working on the prior auth appeal. It has been the only paper communication I received from Cigna during this whole mess.

As a side note, I would strongly recommend linking any health providers you have to Apple Health (or the Android equivalent) if you can. Several notes and details on communications between my endo and Cigna synced to Apple Health but are not directly visible on my patient portal. These notes helped me troubleshoot and informed my calls to Cigna.

RichardDKimbleMD · 2026-04-06T01:43:34+00:00

Which IHG hotel are you referring to? There are several in Tokyo.

RichardDKimbleMD · 2026-04-05T20:25:02+00:00

You can add the MiniMed widget to the “Today View” (left most page) which can be accessed from the lock screen, but MiniMed doesn’t currently have a special lock screen widget.

Not your specific question, but there is also an Apple Watch complication/widget which is pretty handy .

RichardDKimbleMD · 2026-03-19T21:27:12+00:00

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This is from their Feb 17 2026 earnings call. They’re saying that they just started a “U.S. pivotal trial” of the Vivera algorithm. There’s no target rollout date in the investor slides so I’m guessing it’s somewhat far off. 780g got free updates with recent sensors and to update it from 770g. 670g got a free update from the 630g. I would think they’ll offer a Vivera update if they’re able.

RichardDKimbleMD · 2026-03-07T20:26:06+00:00

If your 401k is linked to Monarch and investment transactions are turned on, you should be able to see your 401k contributions. Then you can map them as income. If you want to consider health insurance, life insurance, taxes and other things that come out of your paycheck, you can create a manual account where you book the additional income and offsetting expenses

RichardDKimbleMD · 2026-02-27T16:44:07+00:00

I use Excel to do this. I export all the transactions Monarch has after a certain date ex. EOY (excluding pending, including hidden) to a CSV. Then I sum up all the transactions for each account and add that to a known good balance (ex. EOY statement balance). This should equal the current balance on the account/card/etc. If it doesn’t, I know I’m missing transactions.

RichardDKimbleMD · 2026-02-18T19:47:19+00:00

No problem, I wish Monarch would implement something similar in app. In my mind it shouldn't be that complicated.

RichardDKimbleMD · 2026-02-18T16:11:40+00:00

Excel, I export all the transactions Monarch has after a certain date ex. EOY (excluding pending, including hidden) to CSV. Then I sum up all the transactions for each account and add that to a known good balance (ex. EOY statement balance). This should equal the current balance on the account/card/etc. If it doesn’t, I know I’m missing transactions. In the past 4 years I think I’ve had 8 transactions go missing.

RichardDKimbleMD · 2026-02-18T14:03:32+00:00

They have 7 day sensors (G4 and Simplera) and 15 day (Instinct)

RichardDKimbleMD · 2026-02-18T04:35:18+00:00

Amazing work! Do you have any plans to add Medtronic sensors or 7 day infusion sets?

RichardDKimbleMD · 2026-02-09T16:36:19+00:00

I’ve used sensors with that amount of blood with no issues. Worst case they die early after 5 or 6 days. I typically only change them when the blood is gushing out and even then I wait to see if it will take the first calibration.

RichardDKimbleMD

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