Author: nmontgomery

MiniMed 780G from Medtronic

MiniMed 780G from Medtronic

December 12, 2023

The MiniMed™ 780G Insulin Pump system is designed for real life. Ever miss a meal dose sometimes or underestimate a carb count? Life with diabetes can be unpredictable. Now there’s an insulin pump system designed with Meal Detection™ technology* that automatically adjusts and corrects† sugar levels every 5 minutes§.

MiniMed 780G from Medtronic

Helping you Manage Sugar Levels with Real-Time Insights!

The MiniMed™ 780G system gives you greater freedom and peace of mind with real-time adjustments and corrections† every five minutes all day and night§. Powered by advanced SmartGuard™ technology, this system:

  • Anticipates insulin needs based on real-time sugar trends
  • Adjusts insulin delivery to help smooth out highs and lows
  • Corrects† highs automatically§ to help cover underestimated carb counts and an occasionally missed meal dose3


What is meal detection* and how does it work?

The system uses current and past sugar trends to detect a missed meal dose.* If the system detects sugar levels rising it can automatically deliver a stronger correction dose for undercounted carbs every five minutes to help prevent highs.§

.

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References
*Taking a bolus 15 – 20 minutes before a meal helps to keep blood sugar levels under control after eating.
§ Refers to SmartGuard™ feature. Individual results may vary.
† Refers to auto correct, which provides bolus assistance. Can deliver all auto correction doses automatically without user interaction, feature can be turned on and off.
3. Matejko B. et al, Diabetes Care. 2022;https://doi.org/10.2337/dc220470.

Important safety information: MiniMed™ 780G system with SmartGuard™ technology with Guardian™ 4 sensor

The MiniMed™ 780G system is intended for continuous delivery of basal insulin at selectable rates, and the administration of insulin boluses at selectable amounts for the management of type 1 diabetes mellitus in persons seven years of age and older requiring insulin as well as for the continuous monitoring and trending of glucose levels in the fluid under the skin. The MiniMed™ 780G system includes SmartGuard™ technology, which can be programmed to automatically adjust insulin delivery based on the continuous glucose monitoring (CGM) sensor glucose values and can suspend delivery of insulin when the sensor glucose (SG) value falls below or is predicted to fall below predefined threshold values.

The Medtronic MiniMed™ 780G system consists of the following devices: MiniMed™ 780G insulin pump, the Guardian™ 4 transmitter, the Guardian™ 4 sensor, One-press serter, the Accu-Chek™ Guide Link blood glucose meter, and the Accu-Chek™ Guide test strips. The system requires a prescription from a healthcare professional.

The Guardian™ 4 sensor is intended for use with the MiniMed™ 780G system and the Guardian 4 transmitter to monitor glucose levels for the management of diabetes. The sensor is intended for single use and requires a prescription. The Guardian™ 4 sensor is indicated for up to seven days of continuous use.

The Guardian™ 4 sensor is not intended to be used directly to make therapy adjustments while the MiniMed™ 780G is operating in manual mode. All therapy adjustments in manual mode should be based on measurements obtained using a blood glucose meter and not on values provided by the Guardian™ 4 sensor. The Guardian™ 4 sensor has been studied and is approved for use in patients ages 7 years and older and in the arm insertion site only. Do not use the Guardian™ 4 sensor in the abdomen or other body sites including the buttocks, due to unknown or different performance that could result in hypoglycemia or hyperglycemia.

WARNING: Do not use the SmartGuard™ feature for people who require less than 8 units or more than 250 units of total daily insulin per day. A total daily dose of at least 8 units, but no more than 250 units, is required to operate in the SmartGuard™ feature.

WARNING: Do not use the MiniMed™ 780G system until appropriate training has been received from a healthcare professional. Training is essential to ensure the safe use of the MiniMed™ 780G system.

WARNING: Do not use SG values to make treatment decisions, including delivering a bolus, while the pump is in Manual Mode. When the SmartGuard™ feature is active and you are no longer in Manual Mode, the pump uses an SG value, when available, to calculate a bolus amount. However, if your symptoms do not match the SG value, use a BG meter to confirm the SG value. Failure to confirm glucose levels when your symptoms do not match the SG value can result in the infusion of too much or too little insulin, which may cause hypoglycemia or hyperglycemia.

Pump therapy is not recommended for people whose vision or hearing does not allow for the recognition of pump signals, alerts, or alarms. The safety of the MiniMed™ 780G system has not been studied in pregnant women, persons with type 2 diabetes, or in persons using other anti-hyperglycemic therapies that do not include insulin. For complete details of the system, including product and important safety information such as indications, contraindications, warnings and precautions associated with system and its components, please consult https://www.medtronicdiabetes.com/important-safety-information#minimed-780g and the appropriate user guide at https://www.medtronicdiabetes.com/download-library

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Breast Milk Storage Guidelines

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Breast Milk Storage Guidelines

September 20, 2023

You’ve gone to the trouble of pumping breast milk so don’t waste that liquid gold. Learn more about breast milk storage to ensure you’re serving up safe pumped breast milk.

Breast Milk Storage Guidelines, breast milk bags, breast milk storage bags
https://myehcs.com/wp-content/uploads/BM-Storage-Bags-Lifestyle02-scaled.jpg

Welcome, new moms and seasoned pros alike, to a topic that’s as precious as it is practical: storing pumped breast milk. If you’re a breastfeeding mom, you already know the incredible benefits of breast milk for your baby’s health and development. And if you’re navigating the world of breast pumping, you’re likely finding that your “liquid gold” can sometimes feel more like a science experiment.

Fear not! We’re here to simplify the process and help you make sure that every precious drop of your breast milk is safely stored and ready to nourish your little one whenever they need it. Whether you’re pumping to build a freezer stash, preparing for a return to work, or just looking for some handy storage tips, we’ve got you covered.

Using stored breast milk might seem like a straightforward task, but there are some guidelines that can make the process clearer. Whether you’re planning a night out, heading back to work, or just want to let someone else share in the joy of feeding your little one, we’ve got your back.

Breast Milk Storage Guidelines

Freshly pumped milk
Room temperature: up to 4 hours
Refrigerator: up to 4 days
Freezer: 6-12 months

Thawed, previously frozen
Room temperature: up to 2 hours
Refrigerator: up to 24 hours
Freezer: never refreeze breast milk after it’s been thawed

Left over from a feeding (meaning your baby did not finish bottle)
Room temperature: use within 2 hours after baby has finished eating
Refrigerator: use within 2 hours after baby has finished eating
Freezer: do not freeze

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Ready to use that breast milk? Take note of these general guidelines to ensure that your baby’s milk is served up properly!

Thawing frozen breast milk for immediate use

Warm the milk by running warm water over the bag or bottle and use it within the next 24 hours.

Warming refrigerated breast milk

Warm the milk by running warm water over the bag or bottle until it’s at room temperature.

Note: Never thaw or heat breast milk in the microwave.

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Lansinoh Breast Milk Storage Bags, lansinoh breast milk bags
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The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• Centers for Disease Control and Prevention: Proper Storage and Preparation of Breast Milk

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GEMCORE Recognized Once Again as a Top Workplaces Winner

GEMCORE Recognized Once Again as a Top Workplaces Winner

June 26, 2023

GEMCORE, a family of companies, has been awarded a Top Workplaces 2024 honor by The Plain Dealer and Cleveland.com, the Cleveland metro area newspaper. The list is based solely on employee feedback gathered through a third-party survey administered by employee engagement technology partner Energage LLC. The anonymous survey uniquely measures 15 culture drivers that are critical to the success of any organization including alignment, execution, and connection, to name a few

Top Workplace

We are deeply honored by GEMCORE’s fifth consecutive appearance on The Cleveland Plain Dealer Top Workplaces list. This ongoing achievement reflects the unwavering dedication of our exceptional team, who consistently go above and beyond in serving our organization and our customers living with chronic health conditions. We are thrilled to be recognized with this prestigious honor once again.

– Matt Edwards, CEO

With its four divisions — Edwards Health Care Services, GEMCO Medical, GemCare Wellness, and GEM Edwards Pharmacy — GEMCORE proudly offers a comprehensive suite of value-driven diabetes management solutions designed to lower healthcare costs, enhance efficiencies, and improve patients’ lives. The company employs over 260 dedicated professionals at its local headquarters and was ranked 19 in the Midsize Companies category. For the complete list of 2024 Top Workplace Winners, click here.

The Plain Dealer’s Top Workplaces list continues to reflect companies in the region that cultivate a connection with their workforce. This year’s Workplaces list ranks 433 companies, nonprofits, schools, and other employers. These organizations share a commitment to providing support and an environment that makes employees feel valued and respected.

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Maintaining or Increasing Milk Supply While Working

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Maintaining or Increasing Milk Supply While Working

June 10, 2023

Nursing is more than just providing nourishment for your baby; it is a time for bonding. Transitioning from being home to working again can be a difficult time for both you and your baby. Continuing nursing after going back to work can help with the transition of being apart during the work day.

increasing milk supply, how to get breast milk, how can I pump more milk

Returning to work will mean baby is at breast less, and you will likely have to pump to maintain your milk supply. It is recommended to express milk or pump every three hours while away from your baby. At first you may need to express/pump more frequently if you start to leak or feel uncomfortable. Full breasts and engorgement can slow milk production and are signs you may need to pump more often. Breasts are never truly empty of milk, so pumping and removing even small amounts of milk will increase production.

When you are with your baby, allow him/her to nurse on demand. The “in-between” comfort feeds can help your milk production. Once you are back to work, the first few weeks your baby will likely increase night-time feeds to make up for the lack of nursing during the day. Breastfeeding at night can help increase milk production since prolactin, the hormone that encourages milk production, is higher during night-time feedings. Breastfeeding on demand over the weekends and evening hours can help rebuild your supply, especially if you’ve noticed it decreasing when pumping during the week.

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Increasing Milk Supply

 

  • Adding one more pumping session can help with supply; a 5-minute pumping session is better than not pumping at all. If the pumping session you added is not producing milk, continue to pump at the same time each day, and within a few days you will see your supply gradually increase because pumping stimulates milk production.
  • Ideally, each pumping session should be about 15 minutes on each breast. Continue to pump for 2-5 minutes after the last drops of milk come out. (Worried about how to store and use your pumped milk? Check out this post.)
  • Try cluster pumping instead of pumping or nursing every few hours. Sit down with your pump and baby, and switch between nursing and pumping every half hour for several hours.
  • Breast compressions can help stimulate let-downs when pumping and will help to thoroughly drain all milk from the ducts. While pumping, use one hand to massage breast from the armpit towards the nipple, gradually increasing the pressure and finishing with a few firm squeezes of your breast.

Remember it will take time to increase your supply; it will not happen overnight. Maintaining proper hydration, nutrition, and rest are just as important as frequently pumping and nursing to increase your milk supply.

The information contained here within is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately. Edwards Health Care Services (EHCS) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned here within. Reliance on any information provided by EHCS, EHCS employees, contracted writers, or medical professionals presenting content for publication here within is solely at your own risk.

Sources:
• https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-weight-gain.htm
• https://americanpregnancy.org/pregnancy-health/pregnancy-weight-gain/
• https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

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Upgrade Your Medtronic Pump Before Your Benefits Reset!

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Upgrade Your Medtronic Pump Before Your Benefits Reset!

August 18, 2022

The MiniMed™ 770G insulin pump system automatically adjusts background insulin every 5 minutes.** Using real-time glucose readings, the system is able to calculate a personalized amount of insulin to deliver based on CGM.

upgrade your medtronic pump

This post refers to an older Medtronic insulin pump. Click here to learn about the latest technology in Medtronic insulin delivery with the MiniMed 780G. 

Medtronic MiniMed™ 770G™ Insulin Pump System

The Medtronic MiniMed™ 770G™ insulin pump system is the technology that adapts to you! Approved for ages 2 and up, this new, FDA-approved system connects directly with a compatible smartphone, allowing you to view sugar trends and insulin delivery on the go.

Are you Eligible to Upgrade your Insulin Pump?

UPGRADE TODAY!

Ready to upgrade your Medtronic pump?

The MiniMed™ 770G™ system gives you the flexibility to continue living your life while managing your diabetes! Sometimes referred to as a hybrid closed loop system, it automatically adjusts delivery of basal (background) insulin based on CGM sensor glucose values. This means that the pump gets glucose readings from the CGM automatically, and then delivers a variable rate of insulin 24 hours a day based on your personal needs.** This integrated system – meaning having a pump and a CGM that speak to one another – may help reduce both high and low glucose levels.**

You can even stay up-to-date on your glucose trends and insulin delivery 24/7 using the MiniMed™ Mobile app for iOS and Android. This system adapts to your unique needs, so you can focus on living your life and worrying less about managing your diabetes!

Multiple Features Make Managing Your Diabetes Easier:

  • Data-sharing capability makes virtual and in-person doctor’s appointments easier

  • Smartguard™ Auto Mode helps prevent glucose highs and lows

  • MiniMed™ Mobile App allows you to discreetly check your numbers

  • Carelink™ Connect App brings more peace of mind for care partners

  • Exercise setting may reduce lows during activities

Now may be the best time to upgrade to the 770G system, and get access to Medtronic’s MiniMed™ 780G* software upgrade at no cost, when available. Software upgrades provide the latest pump features without having to switch your physical pump!

*Investigational. Not approved by the FDA for any use and not commercially available in the US. We will let you know as soon as the software upgrade is available with the option to add our future CGM!

**Refers to SmartGuard™ Auto Mode. Some user interaction required. Individual results may vary.

IMPORTANT SAFETY INFORMATION: MINIMED™ 770G SYSTEM WITH SMARTGUARD™ TECHNOLOGY

The MiniMed™ 770G system is intended for continuous delivery of basal insulin (at user selectable rates) and administration of insulin boluses (in user selectable amounts) for the management of type 1 diabetes mellitus in persons two years of age and older requiring insulin as well as for the continuous monitoring and trending of glucose levels in the fluid under the skin. The MiniMed™ 770G System includes SmartGuard™ technology, which can be programmed to automatically adjust delivery of basal insulin based on continuous glucose monitoring (CGM) sensor glucose values (SG) and can suspend delivery of insulin when the SG value falls below or is predicted to fall below predefined threshold values.

The Medtronic MiniMed™ 770G System consists of the following devices: MiniMed™ 770G Insulin Pump, the Guardian™ Link (3) Transmitter, the Guardian™ Sensor (3), one-press serter, the Accu-Chek® Guide Link blood glucose meter, and the Accu- Chek®Guide Test Strips. The system requires a prescription.

The Guardian™ Sensor (3) has not been evaluated and is not intended to be used directly for making therapy adjustments, but rather to provide an indication of when a fingerstick may be required. All therapy adjustments should be based on measurements obtained using a blood glucose meter and not on values provided by the Guardian™ Sensor (3).

All therapy adjustments should be based on measurements obtained using the Accu-Chek® Guide Link blood glucose meter and not on values provided by the Guardian™ Sensor (3). Always check the pump display to ensure the glucose result shown agrees with the glucose results shown on the Accu-Chek® Guide Link blood glucose meter. Do not calibrate your CGM device or calculate a bolus using a blood glucose meter result taken from an alternative site. It is not recommended to calibrate your CGM device when sensor or blood glucose values are changing rapidly, e.g., following a meal or physical exercise.

WARNING: Do not use the MiniMed™ 770G system until appropriate training has been received from a healthcare professional. Training is essential to ensure the safe use of the MiniMed™ 770G system.

Pump therapy is not recommended for people whose vision or hearing does not allow recognition of pump signals and alarms. Pump therapy is not recommended for people who are unwilling or unable to maintain contact with their healthcare professional. The safety of the MiniMed™ 770G system has not been studied in pregnant women. For complete details of the system, including product and important safety information such as indications, contraindications, warnings and precautions associated with system and its components, please consult http://www.medtronicdiabetes.com/important-safety- information#minimed-770g and the appropriate user guide at http://www.medtronicdiabetes.com/download-library. 

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Podcast: Latching & Positioning Issues

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Podcast: Pregnancy, 2nd Trimester

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