MiniMed Paradigm Veo


Technical

Medtronic Paradigm Veo showing infusion set and (optional) CG sensor/transmitter

Colours: blue, smoke, purple, clear and pink. A range of skins are also available so that you can change your pump’s look and feel as often as you like and to whatever colour you feel like.
Size: There are two sizes – the 5series (554) is about the size of a mobile phone and measures just 5.1 x 7.6 x 2 cm. The 754 model is about 1.5 cm longer in length: Exact dimensions are 5.1 x 9.1 x 2 cm.
Weight: 5series insulin pump, 95 grams;  7series, 102 grams.
Reservoir size: 5 series: maximum capacity of 176 units; 7 series up to 300 units of insulin (it can  use either of the 2 MiniMed Paradigm reservoirs — the 1.76 ml (MMT-326A) or the 3.0 ml (MMT-332A) reservoir).
Basal settings: can be programmed in 0.025 units/hr basal increments for basal rates of less than 1 unit/hr and in increments of 0.05 units/hr for basal rates of 1 unit/hr or more.
Bolus: delivers up to 75u in a single bolus
Infusion sets: Paradigm infusion sets are hypoallergenic and skin-friendly and come with different tube lengths: Quick-set (6 and 9mm soft cannula, 90° insertion angle); Silhouette (13mm and 17mm soft cannula, 20-45° insertion angle); Sure-T (6. 8 and 10mm 29G steel needle, 90° insertion angle); Mio (6mm soft cannula, 90° insertion angle).
In water: the insulin pump is IPX-7, which means  it is protected against water immersion for 30 minutes at a depth of 1 meter. So while it is designed to survive only any accidental dunking or splashing, it is not designed to be swum with. You should temporarily disconnect the pump while bathing or swimming.
CGM (continuous glucose monitoring data – from separate monitor): pump can store up to 90 days of CGM system data
Graphic data on pump: 3-hour, 6-hour, 12-hour and 24-hour trend graphs.
Alerts/alarms:
includes reminders for calibration, BG readings and missed meals.If you are using the CGM function of your pump then you can set high/low glucose alerts, predictive high/low glucose alerts, rate of change alerts and snooze alerts for any of these alarms. You can also turn on the Low Glucose Suspend feature.
Travel: The MiniMed Paradigm Veo Insulin Pump and Continuous Glucose Monitoring System is designed to withstand common electromagnetic interference, including airport security systems.
Carelink: downloads data (via USB dongle) automatically from pump to Carelink site which generates a multitude of graphs and data.

Website: http://www.medtronic-diabetes.co.uk/product-information/paradigm-veo/index.html

 

USER REVIEWS

by Helz

Overall impressions (using Apidra insulin)
Not too big, can be hidden well clipped on to the the middle of your bra or can be hidden easily when turned inwards on your trouser band.

Ease of use: Easy to use, time consuming to set up (as most are I suspect).
Easy to select the menu you need. Backlight option if trying to read in a darkened room/during the night. Plenty of cannulas to choose from. Set changes are simple and can be completed in seconds.

Good points:
The size, the weight, the background light, the bolus wizard, the detailed manual, 24/7 phone support for pump issues, decent selection of cannulas and cannula lengths, insulin history menu, insulin on board information, clear alarms when low reservoir or battery needs changed etc. Can disconnect for showers. Linking with carelink site (some clinics use this to review your pump/settings. Suspend insulin feature. Temp basal adjustment is easy and can be set to percentages rather than doing the maths. Can lock the keypad so no accidental button pressing.

Bad points:
Battery compartment awkward. Need to re-program all basal settings if just altering a setting for earlier in the day.

Customer service:
No complaints. They have sent me out new sets to try (albeit ordering a box at a time), sent a replacement pump within 24hrs when battery compartment was faulty,

Conclusions:
Really happy with my pump. Feel much safer with it now than at the beginning, like the flexibility of bolus insulin variance throughout the day, like the bolus wizard option, like being able to upload results on to Carelink site to be able to tweak at the right times.

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by Telz (Terry) – using Novorapid

Starting out: About the same level of technical nous needed as to programme a mobile phone. Good manual and users get a couple of hours training from rep/DSN anyway. Even so, use John Walsh’s book Pumping Insulin for the real fine detail!

Ease of use: very simple with a bit of practice. Easy to forget you’re wearing it. Canula insertion takes a bit of getting used to and I’ve tried numerous infusion sets before settling on preferred tubing length and canula. Very intuitive foolproof  on-screen instructions during infusion set changes. Easy temporary adjustment of basal rates with a couple of button pushes. Same for adjustment of daily basal rates (I have about eight different rates programmed), bolus ratios, correction factor, target bg, and insulin duration. I’ve had no problems with any infusion sets and just a couple of non-delivery alarms due to kinks and easily sorted out.

Good points: I love this device. No more cold dinners while looking for pens and needles. Just press a couple of buttons. Love the bolus wizard where you tell it the amount of carbs and it works out how much insulin you need including adjustments. Bolus-on-board feature is brilliant, avoiding overdoing corrections. It factors this into high readings and you just tell it to sort it out – it does!

I haven’t used the remote control.

Carelink data is comprehensive and useful when you get used to wading through the masses of charts to find what you need.

Bad points: nothing immediately springs to mind about the pump. The company website is an absolute nightmare on an older, slower computer with those damned videos starting automatically and hogging the RAM. Have a bit of wit Medtronic and let ME start the video if/when I want! Oh, and Carelink for use on a Mac wouldn’t go amiss.

Netural point: had to add the pump as a named item to household insurance for a value I’ve forgotten (about £3,000 I think).

Customer service: fair. First ordering by phone was unsuccessful. Instructed by rep during pump introduction to call to get a box of a particular infusion set but instead got a lot of unsympathetic jobsworth stuff – and they didn’t send, apparently needing to talk to various people and make checks. Not good for a first call. Used the online ordering instead and it was much less pedantic and just got on with it. Once got details of when delivery would arrive; once didn’t. Guess that’s down to the delivery company, which, nonetheless, is very good about leaving packages in a safe place if I’m out and just leave a signed note.

Conclusions: It’s my first and only pump. Seems very up-to-date, easy to use and does everything I need. Basal adjustment (in 0.25u increments) is wonderful. The vast majority of my hypos (which has been about 1-3 a day) have gone. Takes quite a bit of work (guided by John Walsh book) to get it set up really nicely but well worth that effort. Unobtrusive to wear. Even in bed I now have a system whereby I can more or less forget it (in camera bag on neck strap so can’t stray and pull tubing). Top tip: use microporous tape to tape down a loop of tubing a few inches from the canula – when pump has bungeed earthward once or twice that’s meant there were absolutely no problems or pull-outs.

by Winni

Ease of use:

Took me about 5 mins to suss the basics. My husband (slightly longer) was able to use it during labour when I was a little bit preoccupied. I never had a hypo or high the whole way through.
I had this pump at 30+ weeks pregnant and was on huge amounts of insulin daily. I needed the larger version to allow 300 units of insulin to last three days. I changed my site every two days then (I would start to go high). Now I get away with four days on average.

Good points:
Too many to list them all. Most have been said. The bolus wizard is amazing. It’s why I chose this pump as at the time the alternatives didn’t have it integrated into the pump. I would love to be able to afford the CGM to connect up to it, but instead use the Contour Link. This sends blood glucose readings wirelessly to the pump.
Can set different alarms, eg to remind you when to test after meals. Surprisingly useful.
Daily accurate records of readings and doses.
Multiple basal rates.  This in itself will be the biggest shock from changing from MDI. I have about 10 set for a 24 hour period. How on earth can one or two injections of Lantus or Levemir do that?

Bad points:
The remote is a bit useless!  No screen so you can’t use bolus wizard. Have to listen for beeps as you manually bolus. One beep for each 0.1u. So takes ages and is annoying!  Much easier to just fish around for pump in underwear – less embarrassing than the 50+ beeps.
I do have some issues with bubbles: I seem to be in a minority (user trouble).
Tubing can get caught. Door handles are particularly a pain. As are 1-year-old’s hands. Only happens rarely.
I now prefer Quickset sets. I started having problems with infections with Silhouette (I used Silhouette when pregnant as they were easier on the bump!). The inserter is awkward. You need to press three buttons to insert the set. Might be a problem for a child’s hand. The sticky tape gets caught on the inserter and slows it down leading to messed up sites. Having said that, when tried to insert manually, I found it painful. Needle is thicker than the pens used for MDI. Inserter is pretty much painless. Like using a lancet device.

Netural point:
PCT required all pumps to be on personal home insurance. This didn’t really make much difference to the cost.

Customer service: I would much rather call these than any of the utilities companies!  Never on hold, always very pleasant and helpful. Even suggested I ordered more supplies over Christmas holidays. Deliveries are from Germany so expect a three day wait (or slightly longer). Delivered by courier. Can order online, but couldn’t order batteries!  Also I never had a confirmation and an expected delivery date that way. Had to ring them.  Can have it delivered to alternative address – work for example. Or leave a signed note and they’ll leave parcel.

Conclusions: I love it. I wouldn’t go back!  Just simply for the more precise insulin doses. On my older version, 0.05 u /hr for basals, 0.1u for bolus.
Takes less than a week to get used to wearing it. I normally have it clipped to underwear even in bed. I keep finding new features. Took me 6 months to use bolus wizard. It WILL change your life!  No more calculations. Took another 6 months to use the enclosed blood testing kit. The Contour Link sends blood glucose readings to the pump. So even when not bolusing, every reading is recorded to give an accurate outlook of your control. I love using the daily averages feature to spot problems much more quickly than ever before without any effort.
Finally, this will only work for you if you work at it. It won’t sort your control out without effort. It just makes the whole process easier. Much easier.

Other pump reviews:
DANA Diabecare R insulin pump (DanaR)
, Mylife OmniPod