I have been using the Animas Vibe for two months. I believe that the decision to upgrade from my two-year old Ping was a good one and I am content that this will be my pump until the warranty expires in November 2016. The basis of this satisfaction surprises me because the reasons I like the pump have little to do with why I thought I wanted it.
I am writing a 3-part series about my experience. Today will be an overall report card for the Vibe, primarily discussing whether it makes the grade as a pump/CGM system. Part 2 will be an evaluation of how the Vibe performs as a CGM receiver. Part 3 will be an evaluation of the Vibe as a stand-alone pump.
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In November 2012 I made the decision to purchase the Animas Ping because it was in line to be the first pump integrated with a Dexcom CGM. Despite poor results with the Medtronic SofSensors, I had really liked the integration of CGM data into my Revel pump. After using a Medtronic pump along with a Dexcom CGM for several years, I strongly believed that I wanted a single device merging my insulin pump and CGM.
When the Vibe was finally released in January 2015, I began to question the wisdom of following through with the upgrade. I was concerned that the CGM software was already out-of-date, that future Dexcom transmitters would lack compatibility with the Vibe, and that I might have insurance problems getting a new CGM system because the Vibe functions as a CGM receiver. After meeting with an Animas Rep in early February, I made the decision to follow through with the upgrade. You can read about that decision and my early impressions of the pump here.
After two months, I am happy with the Vibe as a pump, but I am back to using the Dexcom receiver full-time. In my opinion, the Vibe gets a poor grade as a SYSTEM in real time and earns a good grade in reviewal made. To clarify, the integration of the CGM into what is essentially an Animas Ping pump is clumsy and occasionally nonsensical when it comes to the decisions/actions that I make with my pump and CGM on a daily basis. It is difficult to move from the CGM functions of the device to the insulin pump functions. Unlike the Medtronic “system”, there is no meter that sends BG numbers automatically to the pump. At the same time because I can download the Vibe to Diasend along with my BG meters, Dexcom receiver, and now even my Fitbit (!), I have a great platform for merging and reviewing my diabetes and health data.
In a January review of the Vibe, Mike Hoskins of Diabetes Mine mentioned that his Animas trainer talked about the Vibe “in terms of a dwelling — the two components used to be separate housing units, but now they co-exist under the same roof and are more like different rooms within one big home.” That is a great image, but I take it even further to say that the Vibe is a duplex with the pump in one unit and the CGM in the other. They are adjacent to each other, but they have separate entrances and there are no adjoining doors. To get from one device to the other, you must go outside and walk down the sidewalk to the other side of the building. Rather than adding value to each other, I find that the CGM part of the Vibe makes the pump functions more cumbersome than they are when the CGM is disabled.
The only time that the Vibe works well as a system is when all of my devices have been downloaded to Diasend. In reviewal mode, it is a success because I can see reports merging pump and meter data with my CGM. Unfortunately it is time-consuming to download everything (especially the Vibe) to Diasend, so it is unlikely that I will do this frequently. I am starting to get a little cyborg excitement envisioning an Apple watch showing real-time Dex tracings, Fitbit steps, and insulin pump data. A brave new world for sure and definitely not what the Vibe delivers.
In the next post in this series, I will write about how the Vibe functions as a CGM device and talk about what I consider some of the shortcomings of the Dexcom integration. Part 3 of the series will highlight my views on the Vibe as a stand-alone pump.
As a hint of what is to come, I like the Vibe as a pump. At the same time, I have become comfortable with the idea that longterm my CGM data is going to end up on my phone, Apple/Pebble watch, or some other device. Unless the CGM integration improves the function of the pump and does more than be a poor replacement for a Dex receiver in my pocket, a pump/CGM combo doesn’t seem to add much value to my diabetes life.
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The condo image is very helpful in understanding why it’s so cumbersome!
I think I read on SurfaceFine that when you’re looking at the CGM graph, you can see your IOB on the same screen. That sounds very nice to me to have at a glance.
You can see the IOB on the Data Screen which also sas the BG number and the arrow. You don’t see it on the graph screens.
Just curious, Laddie, but since I know you are a super-techie, are the main reasons you don’t use the Medtronic integrated CGM-pump system mostly because the sensors with their CGM are so uncomfortable and have to be changed so often?
I was a very happy Medtronic pumper who hated the Sofsensors. I used them for over two years, but had lots of pain, bruising, and inaccurate BG readings. I think Medtronic has done a fabulous job of developing a “system” with its pump, CGM, and companion meter. However, at this point I am a dedicated Dexcom user who is very wary of changing back to Medtronic sensors. I know the Enlite is a big improvement, but when it comes to accuracy, comfort, and lifespan, IMO Dexcom still comes out ahead.
Thanks for your comment. Do you have any opinions on the Medtronic system?
Hi again, I’m your TC Luddite friend with a Dexcom and stil happily on MDI, but my (big tall muscular) son is very happy with his Medtronic integrated system and seems not to mind their sensors. Carol L
I think that there are many people who are very happy with the Medtronic system and I am glad that it works for your son. There is no doubt that the appeal of a single device is very strong for many people. The only way that I would switch back to Medtronic would be after at least a one-month trial of the Enlite. It might work well for me, but it would be hard to leave Dexcom knowing that it does work well.
Thanks for reading and commenting:-)
I’m glad to hear that you are happy that you went with the upgrade. 🙂 I think sharing is so important for others who are doing research before making decisions themselves, so thanks for sharing!
Thanks so much for this! The thoughts I’ve read, particularly from you and Mike (as well as a brief opportunity to hold and operate, but not wear) the Animas systems have been very helpful to me, and make me even more comfortable saying the systems are not for me … though I still have Part 2 to read!
I wonder, though (and maybe you’ll get to this in the next post) – if you could freely change devices without worry of commitments or warranties or cost, would you go back to the unpaired Medtronic/Dexcom combo?
Scott, I remember when you were making up your mind that I commented to you that Medtronic is the king when it comes to developing a “system.” So I really understand why you have chosen to use the 530G.
I still have my 523 Revel pump on the shelf so wouldn’t have to order a new pump to go back to the Medtronic/Dexcom combo. The problem is that since Medtronic uses proprietary infusion sets, I would have to order different infusion sets to go back to it and that might be a bigger commitment than I want to make. I think that if I could use my luer lock sets with that pump, I might give it a try again.
By insisting that the CGM purchase be part of the 530G, there is not much of a reason to try to get that pump. At the UnConference I got to see the next generation Medtronic pump and it was super cool. That pump might tempt me to go back to Medtronic.
My big problem is that I will be on Medicare in two years and will probably be facing fewer options than I have now. Fortunately I have had reliable pumps from both Medtronic and Animas and will be fine even if I can’t get the newest and greatest D-tech.
Great picture – I think you’re right it sounds more like a condo (not that I know what I’m talking about). Kudos also on making a video (part 2 review). 🙂
Everyone I talked to and everything I’ve read – Dexcom is the king for lifespan when comparing CGM devices. More than one person has said that their Dexcom sensors are actually more accurate the longer they wear them. Medtronic’s sensors just don’t last and the accuracy doesn’t seem to be as good.
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