Evaluating Diabetes Technology: The Pros and Cons of Different Devices with David Ahn, MD

In this episode, we talk about the most popular CGM and insulin delivery systems that have changed the diabetes world. Our special guest David Ahn, MD, Endocrinologist and chief of Diabetes Services, Hoag shares his insights on diabetes technology and it's future.
In this episode:
Who is David Ahn?
Importance of CGM technology in the modern world
CGMs covered in this episode: Dexcom G7, Libre 2, Libre 2 PLUS and Libre 3, Eversense
Hybrid closed-loop systems overview & insulin delivery systems (AID):
* Tandem & Mobi from Control IQ
* Omnipod 5
* Medtronic 780G
* iLet Bionic Pancreas
How CGMs influence a basal insulin rate
An “algorithm” as a brain of CGM
Steve’s experience with Medtronic 780G
Follow our guest David Ahn on Instagram:
/ ahncall ( / ahncall )
CONNECT WITH OUR SUPPORTING DIABETES COMPANIES:
Dexcom: shorturl.at/wzARX ( shorturl.at/wzARX )
Medtronic: shorturl.at/orwB8 ( shorturl.at/orwB8 )
Taking Control Of Your Diabetes® - The Podcast!
Episode 47
March 13, 2024
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[@flipperswife1992]

Could y’all do a podcast on the challenges of a tubed pump vs a patch pump? Ex: where do you put your CGM in location to the Omnipod, how do you sleep with tubing? Can you sleep on infusion sets and or the Omnipod? Does this make any sense?? I hope so! I am considering going to a pump and these are my burning questions. 😂 Type 1 for just two years.

[@TCOYDtv]

Yes it totally makes sense and thanks for the idea. To answer your questions...there's a big difference between the tubeless and the tubed pumps. The CGM can go as close as two inches from the pod or infusion site. You can put the pod and infusion sites in body locations where you do not normally sleep on. I personally use the Omnipod as I do not like to deal with tubing, but others prefer the opposite. You can put on a fake pod to see how it feels. Ask your doctor to contact the local Insulet rep to get one.

[@JazzTheMovement]

I’ll say for me (t1 for 15 years) the thing that annoys me is seeing people with orthorexia (unhealthy obsession with being healthy) using cgms to feed into an eating disorder. Type 2 diabetics, people using the cgm for health benefits outside of diabetes, im in full support of, but those who use it to enable a mental health issue is something that i cannot support. Its less about “don’t take my one cool thing” and more so about “I refuse to allow you to turn technology made for me & my people into an unhealthy trend”. I just found your podcast bc someone on the type1diabetes subreddit recommended yall, great information and wonderful to hear from doctors with personal life experience.

[@TCOYDtv]

Appreciate you listening...thanks!

[@HeyYall398]

I'm T2D on 15mg Mounjaro with good A1C (5.7) and CGM metrics are on target. Despite this, I experience blood sugar spikes of 300 after lunch or dinner (TAR on target though). Thank you for educating me about CGMs. My awareness is sky high and I'm truly grateful. Is this something I should be concerned about? Could adding Fiasp during meals be a helpful solution or an overkill?

[@TCOYDtv]

If your blood sugar stays high for a short period of time it is really not a big deal, if your other metrics are good. If it bothers you and they stay high longer than a few hours, then you could use fast acting insulin. Lastly, try to reduce the simple carbs in your diet, which may help with the spikes.

[@HeyYall398]

​@@TCOYDtvI'm truly grateful for your answer, Doctor. God bless you.

[@sheenamoore3938]

Enjoyed this although i am newly diagnosed type 2 on insulin.

[@TCOYDtv]

There's lots of great technology that can be a benefit for people with type 1 and type 2. If you haven't yet seen the video vault on our website, you can find more videos specifically for type 2 diabetes here: tcoyd.org/vv-t2d/