Choice of pumps

Hello, I'm José, I've already spoken here before, in the end I decided to switch to the pump and give up the insulin balls, I've had T1D for 31 years, I'm from 92... anyway, they offer me 3 types with different sensors:

- medtronic 780g with guardian 4

- ypsopump with libre 3 or dexcom g6

-tandem with dexcom 7

I'm looking for something that allows me to mentally disconnect a little from diabetes, that goes automatically or almost, and improves blood glucose, I don't know what your experience is, if you could help me a little, in principle my idea is the ypsopump since it comes with a battery and is smaller and the free sensor 3 is also smaller... but I don't know, I have read that if you do sports you have to stop the insulin infusion 1 hour before and so on, I don't know how different it will be in theMedtronic, if it would be better in terms of sport, I am between the medteonic or the ypsopump, I like the ypsopump more, but I don't know how reliable the free 3 sensor is...however it is just as accurate as the free 2...haha, anyway, you can tell me your experiences.Thanks 🙂

I use the free 3+ and I find it much better than the 2.

I can't talk to you about bombs but I'll send you a link that I found quite interesting.

Link

Thanks @Ricki21, in fact I've seen it this month but thanks for the info on free 3, I hope it's more accurate and doesn't disconnect so much...

I have the Ypsopump and for a year I have been with the libre 3 but first I was with the Dexcom G6 for a year and a half and I can tell you that in my case much better with the libre than with the dexcom, at first I also had mistrust in the libre 3 due to previous experiences with the libre and the libre 2 but I can tell you that the libre 3 surprised me for the better.

Regarding the pump itself, the issue of the regular algorithm... if you lead a life with very regular schedules, it learns well, but if you have variations in meal times, changes in work shifts, etc.... it does strange things.

Hello @jasom, thank you for responding to see if I see some color to the topic, now with your two comments I'm safer with the free link 3, because the truth is I don't have good experiences with 2... I understand, let's say that if you eat every day at the same time and you don't have a very dynamic life, you're fine... have you tried any other bombs?By strange things, what do you mean?And for the sports issue, how do you do the insulin infusion 1 hour before (if you do sports)?I'm pretty lost, I've never had a pump..🙂

Hello!

I decided to take the step in June, in principle it was going to be the Tandem with the G7 (which is the sensor that I have had for a year, and previously I was with the G6).When they called me in September they told me that they were going to give me the Medtronic one with the new sensor, the Simplera.I was shocked, but well, I went to the course... At the course they confirmed that it was going to be Medtronic's with the Guardian 4 because the Simplera was out of stock... And it turns out that I go on the internet and it smells strange... In the end I decided to reject it.Personally, I give more importance to the sensor.For me, the Dexcom has been a radical change in my life: not a single failure and absolute peace of mind, easy insertion, 30 minute warm-up and, on top of that, you can calibrate it (it is true that the last run did fail a lot, but it is not usual).I didn't want them to change it, much less for the Guardian, which seems very complex and old to me, not to mention that practically no one speaks well of it.

Just last week, I went to the endo and after talking quite a bit, she told me that they would put me on the Tandem with the G7 without a problem.I thought that after having refused they would not let me get another one or I would end up at the end of an endless waiting list, but no.It has been much easier.They have told me that it is possible that they will call me for the first quarter of 2026.

They say that the Tandem is a little more difficult because of its algorithm, but I think there are few real differences.

I tell you my experience so that:

1. Think about what you give the most importance to, sensor, pump, size, connectivity, etc.Look at everyone's characteristics, opinions and decide your priorities and compare.

2. If you back out at any part of the process, or want to change, that's okay.Apparently, our opinion does count.

Luck!You'll tell us!

P.S.: Another one from 92 here :)

Hello @NiñaBurbuja, thanks for responding, another of my fifth hahaha very good good things abound..

Anyway, I have been looking and comparing for several days, it is true what you say, the most important thing for me is the sensor, if the sensor does not measure well, the insulin is not correct and well, there are problems...

They offer me the g6 or the free link 3, the g7 only if I choose the tandem, mind you, I haven't really even looked at the tandem because it's supposed to be the least automatic, but from what I read, it's automatic too, right?I mean closed handle, after the bolus, if you're still high, it self-corrects and has a sport mode and keeps you linear at night, right?Many people use the tandem but of course I don't know its advantages.

I have compared in several places and they say that the free link is more accurate than the g6... but of course the fault is that it cannot be calibrated and that sets me back, I suppose the g7 will hit the free link a couple of times.

The ones from '92, the best, without a doubt ;)

The Tandem is automatic, in fact, they recently released new software that improved it considerably.I think the difference is that it has some more functions, but they must be manual.As for whether it has a sport and sleep mode option, yes, it does too.The truth is, I am not very clear about the real difference, I have seen many videos of people who have used the Medtronic and the Tandem and most of them think that the Tandem is more complicated, but once they know how to use it they are very happy.

The problem I see, for that day of the course, is that, regardless of the pump, what we will have to do is investigate on our own to get the most out of it, as with the sensors, because from the hospital they give the basic guidelines and at home.

As for the sensors, I have seen that it is something quite personal, for whatever reason, some sensors work better for some people and others others.In my case, I wore the Libre 1 and 2 and the G5, 6 and 7, and with the Libre I could never trust them, they gave me differences of more than 50 and they were not even sustained, that is, one time it gave me an error of +50 and the next time I looked at it, it gave me an error of -30;I did not live peacefully.However, with the Dexcom ones, the sensor that has failed me has been strange.But there are other people to whom the opposite has happened.Unfortunately, the only thing left to do here is to try them.

Let's see if someone who has used one can help you a little more.I have watched many YouTube and TikTok videos, the bad thing is that most of them are in English and if you don't know how, they are quite difficult to understand.

All the best!

vigante9200 said:
@vigante9200 said:

Hello, I'm José, I've already spoken here before, in the end I decided to switch to the pump and give up the insulin balls, I've had T1D for 31 years, I'm from 92... anyway, they offer me 3 types with different sensors:

- medtronic 780g with guardian 4

- ypsopump with libre 3 or dexcom g6

-tandem with dexcom 7

I'm looking for something that allows me to mentally disconnect a little from diabetes, that goes automatically or almost, and improves blood glucose, I don't know what your experience is, if you could help me a little, in principle my idea is the ypsopump since it comes with a battery and is smaller and the free sensor 3 is also smaller... but I don't know, I have read that if you do sports you have to stop the insulin infusion 1 hour before and so on, I don't know how different it will be in theMedtronic, if it would be better in terms of sport, I am between the medteonic or the ypsopump, I like the ypsopump more, but I don't know how reliable the free 3 sensor is...however it is just as accurate as the free 2...haha, anyway, you can tell me your experiences.Thanks 🙂

@vigante9200 said:

Hello, I'm José, I've already spoken here before, in the end I decided to switch to the pump and give up the insulin balls, I've had T1D for 31 years, I'm from 92... anyway, they offer me 3 types with different sensors:

- medtronic 780g with guardian 4

- ypsopump with libre 3 or dexcom g6

-tandem with dexcom 7

I'm looking for something that allows me to mentally disconnect a little from diabetes, that goes automatically or almost, and improves blood glucose, I don't know what your experience is, if you could help me a little, in principle my idea is the ypsopump since it comes with a battery and is smaller and the free sensor 3 is also smaller... but I don't know, I have read that if you do sports you have to stop the insulin infusion 1 hour before and so on, I don't know how different it will be in theMedtronic, if it would be better in terms of sport, I am between the medteonic or the ypsopump, I like the ypsopump more, but I don't know how reliable the free 3 sensor is...however it is just as accurate as the free 2...haha, anyway, you can tell me your experiences.Thanks 🙂

In principle, the best algorithm is that of yosopump.

Tandem is fine because you can configure different profiles.

The one from Medtronic is the one I like the least but it works well for many people.

Whatever the case, I'm sure you'll do well.Cheer up!

I have had a pump for 25 years.Now with insight I Android aps (non-commercial closed handle system)

Hello Jose,

I am a user of Ypsopump and freestyle 3+, I do sports daily, with the pump on, I have never had to take it off and so far I have zero hypoglycemia, it is true that you have to take into account the type of sport you are going to do and depending on that use one of the two functions that the pump has.In my case I do CrossFit daily as it is a high intensity sport, I put it in Boot mode so that it applies a greater amount of Insulin and does not cause hyperglycemia, on the weekends I take the bicycle, here the situation varies I give it the Ease-off mode because as it is cardio the glycemia drops and in this mode the administration of insulin is reduced to avoid hypos.I honestly don't see any complications in sports.In everyday life the algorithm controls your insulin levels and learns, if you change activity it is normal that you have to modify parameters to avoid increases or decreases. The algorithm is predictive in stable conditions but not if you change the activity parameters or extra food intake (common sense). The pump is small, it is managed with the phone and at least in my case my times in range are usually between 91 and 96% with many days at 100.

If you have any questions or want to know anything else, here I am

vigante9200 said:
@vigante9200 said:

Hello, I'm José, I've already spoken here before, in the end I decided to switch to the pump and give up the insulin balls, I've had T1D for 31 years, I'm from 92... anyway, they offer me 3 types with different sensors:

- medtronic 780g with guardian 4

- ypsopump with libre 3 or dexcom g6

-tandem with dexcom 7

I'm looking for something that allows me to mentally disconnect a little from diabetes, that goes automatically or almost, and improves blood glucose, I don't know what your experience is, if you could help me a little, in principle my idea is the ypsopump since it comes with a battery and is smaller and the free sensor 3 is also smaller... but I don't know, I have read that if you do sports you have to stop the insulin infusion 1 hour before and so on, I don't know how different it will be in theMedtronic, if it would be better in terms of sport, I am between the medteonic or the ypsopump, I like the ypsopump more, but I don't know how reliable the free 3 sensor is...however it is just as accurate as the free 2...haha, anyway, you can tell me your experiences.Thanks 🙂

Hello, good morning, I haven't been able to answer before, but thank you very much for your honest comments, they have guided me a lot, I thought that the query in the forum was not going to have much interaction, but in a good way it surprised me, it even moved me a little because they are very detailed answers, it seems that you have invested some time, thank you very much guys, I think I will take the ypsopum with the free 3, thanks again ❤️❤️

I have the bomb course at the end of January and also the training of everything.

They tell me that the one they usually put in my hospital is the one from Medtronic or with a guard or with a sensor that will be similar to the free one2.I want ypsopump first and the tandem second, so the Medtronic one is the last one I would like.But I don't know if I'll be able to choose and I don't know what to do to get another one different from the one in the contest.I asked about the ypsopump and the endocrinologist told me that it is reserved only for pregnant women, I don't know why.

Hello.Based on my own experience and what doctors say, the Medtronic pump is the best blood glucose control option.It works very well preventing hiccups in general, and in particular during physical activity.As a defect, which is a consequence of the above, it has a "hard" infusion limit that puts you at 300 or so if you overeat, but that can be solved manually.In any case, I have only worn pumps of that brand;I have no comparison experiences.

Of course, say goodbye to "forgetting" to keep an eye on your diabetes.In my experience, the pump greatly improves your control;For me it dropped below 6 without hiccups, which is practically normal.But there is still a long way to go before patient comfort is the goal.You have to be attentive all the time;I would say the same, or even more, than with pens and retardation.

As for sensors, I don't know the Dexcom ones.The G4 is much more precise than the Libres;When I made the change I had the opportunity to compare them using a manual glucometer, and that's definitely the case.However, it turns out that it fails much more.Lately I want to detect some improvement, but rare is the box of 5 in which 1 or 2 or 3 or all of them do not fail, it is certainly exasperating.Medtronic changes them for you, but the thing is that instead of having something programmed that you know when to change, what you have is something that fails at whatever time, for example, at 4 in the morning, and you're screwed.

It also happens to be a fairly old sensor, with a large battery that needs to be recharged, 4 different adhesives, which also seem to have been designed by stingers, and some awkward procedures.They have developed another more modern sensor, but it has not reached me and it will not reach me, they have told me in Health.Anyway, from what I've read, it fails equally.And they also have a partnership with Abbot to use a third party based on Libre, but same thing as far as I'm concerned.

Luck.

@Cristobal.Cortes said:

Hello.Based on my own experience and what doctors say, the Medtronic pump is the best blood glucose control option.It works very well preventing hiccups in general, and in particular during physical activity.As a defect, which is a consequence of the above, it has a "hard" infusion limit that puts you at 300 or so if you overeat, but that can be solved manually.In any case, I have only worn pumps of that brand;I have no comparison experiences.

Of course, say goodbye to "forgetting" to keep an eye on your diabetes.In my experience, the pump greatly improves your control;For me it dropped below 6 without hiccups, which is practically normal.But there is still a long way to go before patient comfort is the goal.You have to be attentive all the time;I would say the same, or even more, than with pens and retardation.

As for sensors, I don't know the Dexcom ones.The G4 is much more precise than the Libres;When I made the change I had the opportunity to compare them using a manual glucometer, and that's definitely the case.However, it turns out that it fails much more.Lately I want to detect some improvement, but rare is the box of 5 in which 1 or 2 or 3 or all of them do not fail, it is certainly exasperating.Medtronic changes them for you, but the thing is that instead of having something programmed that you know when to change, what you have is something that fails at whatever time, for example, at 4 in the morning, and you're screwed.

It also happens to be a fairly old sensor, with a large battery that needs to be recharged, 4 different adhesives, which also seem to have been designed by stingers, and some awkward procedures.They have developed another more modern sensor, but it has not reached me and it will not reach me, they have told me in Health.Anyway, from what I've read, it fails equally.And they also have a partnership with Abbot to use a third party based on Libre, but same thing as far as I'm concerned.

Luck.

As for being aware, of course yes, but I don't know, for me, many people who have gone from pen to pump after many years have told me that they would not return to the pens and that on many occasions they mentally disconnect from the db.