How the Medtronic 780g Algorithm Works

The updated 780g system brings a bunch of upgrades to Medtronic's closed loop system, bringing them up to par with the competition. Notable updates are a 100mg/dl target, 7 day infusion set, and an aggressive meal detection algorithm.

I spoke with Lou Lintereur, Chief Engineer of Automated Delivery Systems at Medtronic about the 780g algorithm and the future of their products.

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*DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care.*

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Chapters:
0:00 - Welcome to Diabetech
2:14 - Lou Lintereur Intro
4:51 - History of Medtronic
7:46 - 7 Day Infusion Set
12:13 - Guardian 4
15:01 - 780g Algorithm Updates
17:20 - 100mg Target Range
20:19 - Activity Target Range
22:23 - Meal Detection Tech
26:07 - 2 Hour Active Insulin
28:26 - Auto-Mode Fixed
29:40 - 670g to 780g TIR Improvements
31:07 - Rapid Insulin Support Coming
35:19 - Smartphone & Watch App
39:32 - 780g is Available
42:28 - Future of Diabetes Tech

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#medtronic #diabetes #diabetic

[sharonneat]

I have been a insulin dependent diabetic since I was 13 years old. Having diabetes for 54 years I seen so much technology with treatment of this condition. When diagnosed the way to keep track of your glucose was by testing your urine for glucose. Which was hard to control the condition. I love my pump it helps me maintain by my glucose and A1C.

[cyberauctionsvideos]

When I started using Medtronic years ago, I was 15% TIR and yesterday I was 92% on track and I didn’t even have my settings dialed in yet. Thank you for saving my life with the incredible advancements. You are my hero. ❤

[JMyoutube]

Ive been on my 780g for almost a month and i have to say i love it.

My blood sugar is levels are running so level most of the time.

Plus, I almost never have to test my blood anymore. Virtually no more alarms on my pump and I can finally get a full night's sleep without out my pump yelling at me, bg required, minimum delivery.

[cyberauctionsvideos]

After the upgrade to 780G, I am having a lot of days at 100% time in range now. I can't even believe my eyes.

[Troy-McClure]

Just got My daughter's, very excited about this 780g and seeing what it can do.The other pumps used a separate CGM and that worried me a little bit but thankfully her Endocrinologist recommended this unit.She just got off a year study for Affreza an inhaled insulin and that made a huge difference but still had to do Lantus at night which burns for her.This 780g hopefully will be a game changer.We go to the JDRF functions here in Vegas everytime they have them and after taking to all the different groups there i was sold on Medtronic.Thankfully insurance covers it.Inpen is awesome but still have to make sure you pay attention and make sure it registered as a prime or dose.

[RichardToon-bj]

Very useful information. I was particularly struck by the recommendation to adjust active insulin time to two hours. The reason for this was clearly stated by the guest. I think I learned as much useful information about the 780G, if not more, from this interview as I did from Medtronic's own videos.

[jmwalker]

I have have had excellent glycemic control since making the switch back to the Medtronic 780g system. Many 💯 time in range days. ❤ it!!!!

[dinkster]

One question, Justin: Could you ask this Medtronic Diabetes engineer if having the basal set at .2 or 1.0 makes any difference if you are in Safe Guard. Thank you. I'm glad to hear that Medtronic supports me in setting the AIT at 2 h. even though the bolus insulin is active for at least 3 h. (I use Fiasp. It works fine.) I'm going to try the 7 day infusion set though. We always get a high bg level when we change the set and it can last for hours so a 7 day set would eliminate that high bg period once or twice in 7 days.

[sparko]

You have been diagnosed at a good time (last 2 years) in terms of technology development.

[courtneyrobinson]

Great podcast! Excellent, really thoughtful questions and answers

[abcdme]

I just now starting to use the 780g today. I am hoping to have great results with it.

[jackieholden]

my biggest problem with the guardian 4 transmitter is that it is bulky and can show through clothing and also breaks my skin. The adhesive tapes are not hypoallergenic enough as it can cause blisters which is very painful. this being said I love my 780G and the extended infusion set. Very informative video. Excellent Medtronic support in the UK.

[nancyautumn]

“It aggregates.” I always say my sight pools, especially when I had T-Slim, which I sent back. Glad to hear Medtronic is working on a solution.

[mahirbalayev]

Hi, could you please ask why my son 's minimed 780g insulin Pump is decreasing amount of required insulin for breakfast 70%? And his Bg/SG rises up to 300 and he spends nearly 3 hours out of range above 200. It happens because of negative adjustment by pump/smartguard. Please ask him how to solve this problem?

[craigclark]

I can tell Medtronic what would help
1. Ditch their guardian sensor align with Dexcom
2. Make the pumps smaller and less bulky
3. Make a tubeless pump, people are over tubed pumps

[Chennifer]

Thank you so much for your video. Unfortunately you don‘t get that much Information in the form of YouTube videos about the medtronic 780 g in Germany. So I stared at the screen 😄

[grumpyinbrooklyn]

As far as I'm concerned, I'ld be interested if they allow it to be set to 90 as target too.

[cyberauctionsvideos]

I was part of a trial for rapid insulin, and in my case it only caused rapid weight gain. It was however FDA approved after my trial. Great interview questions and answers…Thanks for going more in depth than the others.

[jamison]

My experience with Medtronic? Well until I got their CGM it was fine but after I am counting the days on my existing pump warranty until I can switch to ANYTHING else.

[SmokeMartini]

Amazing representative; I’m impressed A+