Medtronic's New CGM Powered by Libre - Explained

Abbott and Medtronic have agreed to a global partnership to bring Libre CGM tech to Medtronic's 780g, InPen and beyond. I get into what this deal could mean for the future of Medtronic tech, a future Medtronic tubeless pump, combined infusion set-CGM, and air-in-one tubeless pump and CGM. What do you think of the deal? How far off is this tech? Comment below! ⬇️

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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:
Intro - 00:00
Medtronic & Abbot Team Up: 00:32
Libre CGMs on Medtronic: 01:46
Libre CGMs Right Now: 03:33
Simplera FDA Clearance: 06:56
Medtronic’s Patch Pump: 08:47

-- Product Link Disclosure -- In order to create free content, I use affiliate links. This means if you make purchases through certain links, I may earn a small commission (at no extra cost to you).

[motto]

I am a current user of the Guardian 4 / 780G system. I think the pump is great, I think the algorithm they created is second to none, but the guardian 4 cgm is total crap. Not good at all.

I was also a part of the Dexcom G7 / Omnipod 5 integration trial and that was fun but the timerframes to change everything over didnt match up since you only get 3 days out of a pod but the G7 lasts 10 so if you want to change everything at once, you either have to lose a day on a pod or a cgm and insurance isnt going to send you the.extras to cover that loss every month so i went back to the 780g. Once i can get my hands on the simplera, i think everything will be fine.

[samathafreedom]

Hi Justin thank you so much for all your hard work in keeping us T1 diabetics informed. I am going to order my 5th pump and going with Metro nic MiniMed 780G pump. I will never give up my Libre 2 cgm. I'm so happy that the 780G pump will be able to recognize Libre2 and Libre 3.
T1 diabetic for 66 years now and still healthy!!! 😀

[ShellBellz]

I was using the Libre 3 with multiple injections and just got the Medtronic pump and thus switched to the Guardian 4 sensor. When I first switched, I still had life in my Libre and so kept it on to compare. When I did finger sticks, the Libre 3 was about right on with my finger sticks, while Guardian was at times 15-35 off. I will say that the Guardian got better with time, but they only last 7 days vs. Libre’s 14 days. The Guardian is also so complicated to put on. I need a cheat sheet to make sure I don’t miss a step. Being new to pumps in general, I can’t compare the size and tubing for the Medtronic pump, but I will say that I am amazed at how it is learning me and my overnight numbers are stable and helping me sleep so much better. But more than anything, the Medtronic nurses and reps are AWESOME! They are so kind and patient and there for me even if I am stressing out. Knowing I have someone I can text anytime I have a question is so reassuring and has made all of this switch worth it. Even if the Guardian sensor requires me to have someone help me get it on since I can’t seem to get it on my arm one handed. If I could have a Libre sensor with the Medtronic pump and staff, it would be perfect! (I had a great experience with the Abbott customer service too, so win, win!)

[abidjan]

I am a user of a 780G / Guardian 4 close loop system, it works quite well. But there is a BUT... The installation of the CGM is quite tricky... I wait for a more easy to use CGM, Simplera or Libre 3/4.

[vinniemezzina]

I use Medtronic 780 with the Guardian 4 and as all have said the issues with the CGM are the size, all the tape needed to hold it and the 2 hours to start up after changing. The algorithm is great and gets better.
You asked about sharing and Medtronic allows you to share the pump info from their website. I use this to share with my Dr. so that they have my data as soon as I am there.
You either have to upload it from a computer with a dongle that they give to connect it or what I use is the android app which uploads my data every night.
From the site you can have others be notified if lows or highs happen but I never used that function so not sure how well that works.
Love the info and keep up the great work!

[jimf]

Good move. I've been using Libre 3 for over a year, pretty happy with the sensor but Android app kinda sucks.
Medtronic needs a smaller discreet pump.

[mikemcd]

Hi Justin thanks for all the hard work in keeping us informed!!! I am on the 780G pump with the guardian 4 sensor! hate it 7 day wear and YOU STILL HAVE TO DO ONE BLOOD SUGAR FINGER When the sensor finishes its 2 hour warm up. go with all that I still do love the 780 g pump and algorithm, it keeps me with in range but starting to hate the tube and the charging of the transmitter and the 2 hour warm up and all the over lay tape on the sensor...the libre system and 780g pump sounds like a wonderful partnership. I hope it works, but in the mean time I am on the works to get on the LOOP system with omnipod dash and dexcom start up next month!!!! and then when omnipod 5 comes out (Canada) I want to switch over to that. Now if Medtronic came out with patch pump with 780G algorithm and libre system in the future and depending on how omnipod 5 works with me I would have a hard time choosing, BUT not right now. been with medtronic for many years and scared of change my A1c from 12 to now 7 had 6 once or twice. So there is history there but i need a more comfortable, affordable, stress free future.
mike.

[MissDebbye]

I currently use Guardian 4 and it the worst CGM I have ever used. I am ready to stop using the 780g because of it.

[ElinneaG]

Thank you for including the information for different countries. It can be confusing to get details about what's happening in different places, so I appreciate the effort. I've never yet used either Medtronic or Libre but I'm interested to see where this goes for them.

[carolsharp]

I hate the Guardian 4 sensor with a passion!!! If I could use a Libre sensor with my Medtronic pump, it would be fabulous!!!!

[archangel]

I'm using the 780g/Guardian 4 closed loop system. It's fantastic. Unlike many other systems, you can actually set the target to 100mg/dL which I believe is the lowest in the industry. Other systems like Tandem's only down to 110mg/dL. In my case, the system has proven to be extremely accurate but this is very subjective. One thing that certainly needs improvement is the installation system since always putting tapes to keep it in place leaves marks on the skin and seems antiquated compared to Libre's CGM. Another thing that needs improvement is the 2hr warm up period which is way too long. But probably the best reason to stick with Medtronic is their customer service. I tried calling Tandem a few times and just ended up frustrated with their unresponsiveness and big line Qs. They come nowhere close to Medtronic's team.

[keeszelluf]

I am a very happy user of the 780g with Guardian 4. Mine TIR over the last 30 days is 93%. For all who have problems with inaccuracy the first day do the following. Insert the sensor about 12 hours before you connect the transmitter to the new sensor. Since I do this I have almost zero accuracy/update problems.

[missyoverberg]

I have only ever used Medtronic pumps. I have used both G3 and G4. G4 is much more accurate and does not require calibration which is a huge plus. My only dislike is it is big and clunky.

[Huznv-td]

Other than what people have said already about the guardian 4 sensor, the frequency is every 5 min and the new libre cgms are every minute which would be a big upgrade with going into sports/active mode.
Another thing we get with guardian 4 that isnt available with libre sensors right now is blood prick calibrations. But this is good news.

[CollinReinking]

I’m 780g/guardian close loop. Last Hba1c 5.7, and the close loop system certainly erases smaller mistakes and rounds some edges.

I hate the guardian sensor though. Long charge times, bulky awakened shape. High fail rate. Etc.

But it all works well. So… there’s that.

[maiks]

Thanks for this great video. Been using Libre 2 for many years, has been very comfortable, specially for cardio exercise and being able to set it on my garmin. Now, being in 70% time on correct range, I'm about to try 780g with guardian 4 to help night cgm but... Libre 2 its been sooo good that I dont know if its worth it seeing several users comments

[chrisoronadev]

Medtronic Guardian has sucked forever and wasn't made to be for everyone. I worked at Medtronic Minimed and it was interesting to be on the inside and understanding why things worked the way they did. I couldn't stand the guardian system, because if you missed a calibration or you fell out of range it would fail the sensor and you'd skyrocket. Knew a few people who had the same issues. I've had great luck with Libre 2 & 3. My son has used the Dexcom G6 & G7. Dexcom is the absolute worse for him (constant failures). Freestyle has worked for him as he is on the tandem pump.

I love Medtronic pumps and probably will never switch. This news was on my radar for a while and i'm super excited to see how it'll help me.

[teunluijbregts]

I’ve used both Freestyle and the 4 Medtronic, will be transferring to Simplera Q1 of 2025.
- Abbott works fine. Only issue is that the adhesive can come loose or you loose a patch when you hit a doorpost for example. Accuracy is fine.
- The Medtronic Guardian sensors are just okay. Seven day wear-time is acceptable but not great. The accuracy is less than Freestyle libre and usability/ ease of use is simply bad. On the other hand it couples to the 780G system which is simply great, so for that reason I put up with it.

[Agentenaranja]

G4 is a real P.I.T.A.!!😤 From size, insertion, secure it to skin, pairing, charging, duration, and loss of communication.
Had Libre, Libre 2, and Libre 3. This last one has been the Holy Grail. While the first two Libres had a few issues, Libre 3 works flawlessly. Since moving to Medtronic's 780 pump, I've been missing the Libre 3 every minute.

[truckerzachbell]

I'm a type 2 that just started insulin this year due to my autism and issues with my pancreas having issues producing enough insulin. I'm using daily injections now, but I'm also considering a pump. The Libre CGM system has been a game changer for me.

Libre 3 is a fantastic sensor. The only issue I've ever had is that it falls off on a hot day or if I'm moving a 4, 000 pound dolly at work, just because of the way my muscles and skin are.

I've also used the Libre 2, it's just a bit larger and it works. Not bad at all.