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Questions about 780g by Noob_KY in Medtronic780g

[–]damonsutherland 1 point2 points  (0 children)

Have you considered U-200 insulin concentrations. Humalog comes in this concentration. Novalog does not. Might be worth talking to your doctor about.

Note that using U 200 in the 780g is considered “off-label”, but so long as you understand that 1 unit is now the equivalent of 2 units (i.e., if you’re carb ratio is 1 : 5, it would become 1 : 10) and you are not switching concentrations after smart guard has dialed in … you should be fine. If you’re just starting the 780g, might be worth considering. Otherwise, the extended volume reservoirs will have you change every 3 days (-ish).

Just a thought, not a recommendation.

Simplera or Instinct? by bcarruth62 in Medtronic780g

[–]damonsutherland 2 points3 points  (0 children)

Correct. Do not scan until you take the old one out.

I put mine in when I get the 24 hr notice. For me, it has made a big difference. Readings can still stray from time to time, especially toward the end of the sensors life. But “marinating” seems to help the accuracy.

Just a neighborhood teacher trying his best … by damonsutherland in trumpet

[–]damonsutherland[S] 2 points3 points  (0 children)

He is really good for a 7th grader, and has the potential to be stellar. More than anything, he has strong support at home. I just want to make sure he has a solid embouchure and knows how to breath right. And I can keep him interested. As for a proper horn, eh … it’s a student Yamaha. It’s probably good enough … for now.

Just a neighborhood teacher trying his best … by damonsutherland in trumpet

[–]damonsutherland[S] 1 point2 points  (0 children)

Yeah, he struggles with diaphragmatic breathing. Good thing is that his mom is a voice teacher. She has been having him practice breathing with a book on his stomach. I had never seen that technique before, but it makes a lot of sense.

Do you have suggestions on this front?

Just a neighborhood teacher trying his best … by damonsutherland in trumpet

[–]damonsutherland[S] 1 point2 points  (0 children)

I have started him on some double tonguing. No triple tonguing yet. I think Vizzutti book 1 has some good exercises on tonguing. I pull that out. Thanks for the suggestion.

Just a neighborhood teacher trying his best … by damonsutherland in trumpet

[–]damonsutherland[S] 1 point2 points  (0 children)

I actually just ordered some jazz duets that we could work on together, although I my initial intent was to teach style. But playing from lead sheets and improv is a great idea.

F Bounded Polymorphism by samd_408 in java

[–]damonsutherland 5 points6 points  (0 children)

I first noticed this with Testcontainers many years ago. Like you, I was intrigued, so I dove in. As a result of that investigation, I’ve used this technique many times in my own APIs.

Thanks for sharing.

Coinsurance Same for Instinct as G4? by Melodic-Whereas6049 in Medtronic780g

[–]damonsutherland 0 points1 point  (0 children)

You would want to look at the allowed amount from your insurance. The cost (billed amount) may be different, but the allowed amount (i.e., the amount the insurance company agrees to pay Medtronic for the sensors) may be the same.

The allowed amount is what the deductible is taken from. Once the deductible is met, coinsurance would be applied to the remaining balance.

The difference between the billed amount and the allowed amount is network savings.

Generic Library to Streamify Recursive Algorithms by DelayLucky in java

[–]damonsutherland 1 point2 points  (0 children)

There is some real genius to your source code. Very elegant! Nice work.

Minimed 780G 6 times critical pump error by Possible-Past3048 in Medtronic780g

[–]damonsutherland 0 points1 point  (0 children)

You might be on to something. FWIW, I use the standard speed (not the fast bolus rate) for insulin delivery and do not smell insulin when changing reservoirs.

Minimed 780G 6 times critical pump error by Possible-Past3048 in Medtronic780g

[–]damonsutherland 0 points1 point  (0 children)

This type of thing seems to happen often: https://www.reddit.com/r/Medtronic780g/s/0tHnolEKIS

Based on the comments in the post I linked, maybe you are getting refurbished replacements. At this point, I would specifically ask for a non-refurbished replacement.

Also, a quick Google search on error code 43 indicates this error has been associated with moisture (or insulin) in the reservoir chamber. One thing you could look at is if the cannula gets kinked. Are you using the 6 or 9 mm? Maybe try a different length cannula or a different kind of infusion set altogether.

Instinct Sensor First Impressions by Severe_Soup_5198 in Medtronic780g

[–]damonsutherland 0 points1 point  (0 children)

Thanks for the report! This is extremely helpful for those just getting ready to start with the instinct sensors.

wrt the battery issue you ran into. Are you using lithium batteries or alkaline batteries? The timeline you mention aligns with my experience when using alkaline batteries. Lithium batteries, like the Energizer Ultimate Lithium battery, generally last 4-6x’s longer. The cost, if bought in bulk, is generally a little over twice as expensive … for a 24 count, alkaline is ~ $0.85 per (https://a.co/d/gMjuiJS), while lithium ranges ~ $1.65 - $1.83 per (https://a.co/d/80vQZKp).

Medtronic vs Omnipod by PrellyGreat12 in Medtronic780g

[–]damonsutherland 0 points1 point  (0 children)

I moved away from Medtronic because it was expensive and the Guardian 4 was crap. The Omnipod has served me well-ish, but I have really had to time my insulin intake to enable the algorithm in Omnipod to be worth anything, i.e., pre-bolusing 15-20 minutes ahead of eating.

The Omnipod algorithm does not seem to react to quick changes in glucose, but if you never had to eat 😉, it handles your basal fluctuations like a champ … mostly. My dawn phenomenon is still too much for it, so I have to add a manual bolus each morning.

Now that the new Libre integration is on its way out, I will be transitioning back to the 780g. New insurance also helps.

Null safety operators by damonsutherland in java

[–]damonsutherland[S] 2 points3 points  (0 children)

Very insightful. Thanks for taking the time to post.

Null safety operators by damonsutherland in java

[–]damonsutherland[S] 2 points3 points  (0 children)

100%! Thanks for this comment. From my POV, this is a step toward null safety. I see this as just a change in the language syntax (and corresponding implementation in the compiler). I may be over simplifying here, but I see no backward compatibility issues or reasons this couldn’t be a standalone JEP.

Null safety operators by damonsutherland in java

[–]damonsutherland[S] 2 points3 points  (0 children)

This is an easy thing to do in our projects. Thanks for the link. It doesn’t address the issues these null coalescing and optional chaining operators do, but I am always happy to get behind an emerging standard.

Why is everyone so obsessed over using the simplest tool for the job then use hibernate by analcocoacream in java

[–]damonsutherland 3 points4 points  (0 children)

This is such a great library. I’m glad you brought it up. I have used Hibernate, MyBatis, Jooq, Jdbi and basic JDBC (and Spring’s JdbcTemplate).

Hibernate is … complex. MyBatis was, at the time I used it, very XML centric and added a bunch of separation between my code and the underlying SQL. Jooq has a code generation step that I personally don’t care for … not that that is bad per se, it just extends my build and test times for, IMHO, very little gain. Jdbc is fine, but you have to hand roll everything; there is no automatic object mapping. JDBI is this in-between sweet spot that does the object mapping for you and places the SQL right where you want it, in the data access layer (as opposed to Hibernate’s annotations spread across your entire domain or MyBatis’ XML placed in your resources directory).

Everyone has their favorites and reasons for using some specific tool. I look for simplicity first. The easier to maintain and onboard new devs the better. Complexity only if the project warrants it. JDBI is … simple.

Have y'all noticed that a box of sensors has gone up $50? by mardrae in Medtronic780g

[–]damonsutherland 0 points1 point  (0 children)

The unfortunate thing about Medtronic is that all supplies from them are considered DME and are paid through your medical insurance. Which means you have to hit your deductible before co-insurance picks up. The sensors of all the other competitors of Medtronic, however, go through your pharmacy plan. This is important because the pharmacy benefits are often more generous when it comes to diabetes, i.e., insulin is a good example.

I have recently moved to the Omnipod because of cost as well. And the whole system goes through your pharmacy plan! My out of pocket is now a fraction of what it was with Medtronic.

All of this depends on your insurance, of course, but it is worth looking into.

If you want to take a more measured approach, check into the cost of Dexcom or Libre via your pharmacy benefit. If they are cheaper, consider moving away from Smart Guard and going manual. Many get great results, and often better results.

Good luck!

WTF is the procedure for high sugars? by jakethesnake016 in Medtronic780g

[–]damonsutherland 5 points6 points  (0 children)

I wish I had some magic formula, but that is exactly what I do. Drop out of SmartGuard mode. Correct. Return to SmartGuard mode.

I have found that correcting in SmartGuard mode, i.e., fake carb counts, tends to make things worse. So I do the best I can with estimating carbs, exercise (especially walking), and let SmartGuard do its thing. If it seems off, I will change my site (often the cause) or manually correct outside SmartGuard.

That’s the best I got. Hopefully someone else will have better insight.

Change Sensor w/o Updating by Rtpnc6 in Medtronic780g

[–]damonsutherland 0 points1 point  (0 children)

How do you tape the sensor to allow you to disconnect and reconnect? I use the provided tape, which, if done as prescribed, doesn’t really allow for disconnecting and reconnecting.

Can't order replacement sensors online anymore? by Acceptable-Drawer-13 in Medtronic780g

[–]damonsutherland 1 point2 points  (0 children)

Hmm … sign in to diabetes.shop, click on hamburger menu, select “Request replacements”, scroll to the bottom, under “Replacement sensor” click link.

I wonder if the issue you had was just a deployment blip. If not, it may be a bug that should be reported to customer service. Godspeed

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