You’ve been
staggering around, lost in the Sahara for four days, ever since your plane ran
out of fuel high above the dunes and ditched in the arid sands. Luckily for you,
the good folks at Hilton have just opened the Moroccan Sands five star resort,
and, stomach growling, you stumble into the all-you-can-eat buffet.
By some
miracle, you’ve kept your insulin cool all this time and it’s still good.
Wanting to maintain that stellar A1C that made your crusty old endo smile, you
take the time to enter a bolus into your pump before you dig into the mountains
of mouthwatering food that await you.
Trivia
question: Just how many steps does this take on a Tandem pump vs. how many steps
does it take on a Snap pump?
Are you
fucking sitting down? Tandem: 14 steps. Snap: 6.
What???? Yep, that pretty, shiny,
high-tech t:Slim makes you go through more than twice as many steps and “are you sure” screens before you take your
first bite.
Maybe the
Snap really is a snap, after all.
Now, because
the flamers are cracking their knuckles and saying, “No frickin’ way,” let me
bore you with the steps to prove my point.
Tandem:
1.) Wake
pump up with silver button on top.
2.) Touch
target 1.
3.) Touch
target 2.
4). Touch
target 3 (the pump is now unlocked).
5). Select
Bolus.
6). Press
Add BG to enter your BGL (or you can do carbs first, it doesn’t matter).
7). Enter
your BGL. Although this probably takes three key strokes, I’ve counted this as
one step.
8). Press
Done.
9). Tell the
little fucker that, yes, of course you want to correct your blood sugar, if you
didn’t why would you embarrass yourself by telling it what your sugar is in the
first place??).
10). Select
Grams to enter your carbs. Now, I again counted this as one step, even though
there is no saying how many key strokes it could take. You can also use the “+”
key to enter multiple carb-counted items that build your meal. If you do, you
must now however press “total” to add them up.
11). Select
Done.
12). Select
Next.
13). Confirm
your request. If you choose to do a combo or extended bolus you’ll add a few
more steps here.
14). Press
Deliver.
Snap:
1). Press
the bolus shortcut button, the one on the far right, to wake up the pump and
take you to the bolus screen.
2). Enter
your BGL. This does require scrolling, which depending on your BGL may or may
not take as long as typing a blood sugar value into the Tandem. The higher your
BGL, the longer this takes. Bear in mind that neither system has a meter that
“talks” to it. Yet.
3). Press
Next.
4) Scroll in
your carbs. Note that you can also add the components of a meal. Just like with
the Tandem, all you need to do is hit the Next key again and the Snap keeps a
running total. Unlike the Tandem, however, you don’t need to press yet another
key to total all the numbers.
5). Hit Next
again. The Snap shows you the total insulin bolus. If you want details, you
call scroll to the side to see them, but it’s not required.
6). Hit Start
to deliver. And that’s it. It’s time to eat.
What? The
Tandem user has fainted from hunger at step ten? OK, let me eat one more
lobster tail, then I’ll go help him.
Now, the
Tandem people have been telling me that all the “are you sure” and “are you sure
you are sure” screens were required by the FDA under the new pump guidelines,
and that, going forward, all new
pumps will be designed for the stupidest diabetic on the planet. But… wait a
sec. The Snap is approved by this same FDA, under these same new guidelines…
Hmmmm…
I suppose
some of the extra steps might be because of the Tandem’s innovative touch
screen (certainly that’s true of the first four steps), but I wonder if Tandem
was being straight with me. Even without
the touch screen unlock, the t:Slim would have four more road blocks
between me and my insulin than the Snap does.
Today I’m
liking Snap a lot. She’s not as pretty, but she loads fast and lets me eat
faster. But the honeymoon has just begun.
Tomorrow: Are there things I DON’T like right out of
the gate? Oh, yes. Yes, there are.
14 Comments:
The new OmniPod had a ton more confirmations that must be given. What's really annoying, given that there is only one person with diabetes in our house and at our school and most places we go, is that we have to confirm it's our daughter. Each. And. Every. Time.
I've seen the Snap a few times in the wild, but haven't tried it out myself yet. Thanks for sharing your thoughts, Wil.
Anything that makes the process easier is a good thing, and I've been thinking a bit more about the Snap lately. But I just did a comparison with my Medtronic pump to see how many steps it takes... and it seems to be the pretty much the same, maybe one more. Subtract one step if the meter beams the BG to the pump, add one step if you have the Square/Dual-Wave options enabled (both are the case as I use it). Then, the one additional step is verifying, and changing if desired, the number of units delivered from the estimate, which is really helpful when doing a Super Bolus. I imagine the Snap allows the actual bolus to deliver to be changed somehow, too.
I wondered about the confirmation screens too, and how Snap avoided them.
Looking forward to your continued posts on this!
Thank you so much for all the testing and sharing you do! #dblogcheck
I am using a Ping as I wait for the Vibe to be approved. All of the extra steps drive me crazy and it sounds as though the Tandem might be worse. I think with the Ping that the extra steps make it more likely that I will make a mistake. I miss my Revel, but couldn't live with the Medtronic CGM.
The Snap seems to understand that we're not stupid and we want a streamlined way to handle our pump.
#dblogcheck
Happy #dblogcheck Day! :)
Checking in! #dblogcheck
As always, thanks for not only sharing your honest opinions but doing it in a way that keeps us captivated and WANTING to read more. I'm currently considering the t:slim and wasn't much thinking about the Snap, but I find myself easily annoyed by these extra steps that aren't really needed. Might have to add the Snap to my list of items of interest to explore... Thanks for this, Wil. Looking forward to hearing how the rest of the honeymoon plays out.
Wil - I love that in your blog & your "Ask D'Mine" columns you tell it as you see it. Diabetes isn't really a beat around the bush, prettied-up kind of disease to self-manage and I think most of us appreciate that you just cut to the chase.
I am AMAZED that the t-slim has 14 steps to the Snap's 6. I use the omnipod and the new pdm (as leighann mentioned) has a bunch of new "extra" steps and they are making me somewhat crazy [even though the smaller pods are making me deliriously happy]. When choosing a pump for my daughter, I really don't want to have her teachers facing any more pump work than is really necessary. Thanks for these posts - they are really helpful.
Very interesting. I enjoy a pump that looks snazzy and high tech as much as the next girl - but in the end it comes down to user-friendliness to me. And it sounds like when you compare the Snap to the T-Slim, the Snap wins the user-friendly contest hands down!
I'd be interested to see a time comparison between the Snap and the Tslim, not just the button presses. Although I do need to press a fair number of buttons to program a bolus, I am able to do it very quickly. In my opinion much faster than I could with my non-touch screen pump. Has this been your experience?
"The Snap shows you the total insulin bolus... Hit Start to deliver. And that’s it."
Has MiniMed sued yet?
Snap sounds interesting but I'm loving my Medtronics pump and CGMS (just got the transmitter two weeks ago).
This is great!
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