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Choosing my insulin pump - The Wolfson Diabetes and Endocrine Clinic

Patient information A-Z

This information is to help you consider which insulin pump would be best for you. It is for people new to pumps and for those who are due a pump upgrade. The information is true as of date of publication (July 2024).

Choosing an insulin pump is a big decision

Take your time choosing your pump and fully research what is on offer. You will be offered the chance to come and see the pumps at a pump demo session which we strongly encourage you to attend, especially if this is your first pump. This will give you the opportunity to speak to the company representatives and the pump team who can answer your questions.

We often get asked “what pump do you think I should have?” Nobody else can make that decision for you. All the pumps have their own unique characteristics, and everyone chooses their pump for very different reasons. You are the only person who will be wearing the pump so it’s important that you make that final decision.

Pump choice

We offer a wide range of pumps. If you are unable to attend a pump demo session, it is worth spending the time contacting the pump companies you are interested in for specific questions you might have.

Please take the time to consider what is important to you so that you make the right choice. Once you receive your new insulin pump, you will not be able to change your mind. After a period of four years, should you continue to meet the upgrade requirements, you will be able to choose a new pump.

Insulin pumps we currently offer
MyLife YpsoPump
MyLife YpsoPump
Mock-up of a Tandem T:Slim X2 insulin pump.
Tandem T:Slim X2
Mock-up of the Medtronic 780G insulin pump
Medtronic 780G
Mock-up of the Omnipod DASH* personal diabetes manager and tubeless waterproof pod.
Omnipod DASH*
Mock-up of the Omnipod 5* showing mobile app and pod.
Omnipod 5*

* There may be additional criteria for who can be offered an Omnipod, please speak with your diabetes educator for more information if you are interested in an Omnipod.

Considerations when choosing an insulin pump

  • Insulin reservoir/cartridge size
    • Work out your current total daily dose. Will the insulin cartridge/reservoir hold enough insulin for 3 days? Or you may need to change the cartridge more frequently which may not be convenient.
    • For example, pre-filled 1.6ml Novorapid carts are only used in the Ypsopump. Omnipods take 200 units which have to last three days. If you require more than 60 units of insulin per day, you will not be suitable for the Omnipod.
  • Cannula choice
    • If you are new to pumps, cannulas come in different lengths e.g. 6mm or 9mm, angles e.g. variable/30 or 90 degree and materials such as steel or Teflon.
    • If you are already on a pump; are you currently using steel or angled cannulas? Does the new pump offer the same choice?
  • Insulin
    • If you use Fiasp or Lyumjev insulin, make sure it is suitable for use in the new pump. If it is not, you may need to switch the type of insulin you use.
    • You may wish to use pumpcarts (prefilled insulin reservoirs) – if this is the case, only the Ypsopump is compatible. Pumpcarts are currently only available in Novorapid.
  • Method of charging.
    • The only pumps that use batteries are: Medtronic 780G (AA) and the Ypsopump (AAA)
    • The Tandem T:Slim/Omnipod handsets use rechargeable batteries.
  • Mobile phone compatibility.
    • Do you want to be able to control your pump via a mobile phone? As of 2023, there is only one system where you can control the pump with a phone app (CAMAPS FX – with the YpsoPump)
    • Always double check your smartphone is compatible with the insulin pump.
  • Other considerations:
    • Screen size
    • Touch screen vs physical buttons
    • Hybrid closed loop (HCL)/automated insulin delivery (AID) compatibility
    • Sensor compatibility: at the time of writing, only Dexcom G6, Medtronic Guardian 4 and Libre 3 connect to insulin pumps.

Insulin pump specifications

Below is the list of insulin pumps available in alphabetical order:

Please note, if you wish to choose the Omnipod (DASH or 5): additional criteria needs to be met. Please discuss with your educator if you are eligible.

Mylife YpsoPump

Pump type and capacity

  • Tethered (tubing)
  • 160 units per reservoir / pumpcart

Uploading of data

  • Glooko and MyLife Cloud if using CAMAPS FX (via phone app)
  • Glooko & MyLife Cloud if using MyLife app (not using HCL)

Battery

  • AAA
  • Up to 4 weeks

Infusion set type

  • Teflon 6/9mm
  • Steel 5.5/8.5mm

Non HCL phone requirements

  • Apple or Android (MyLife) always check your phone is compatible

Dimensions and weight

  • 7.8 × 4.6 × 1.6 cm
  • 83g
  • Inc insulin and battery

Bolus increment

  • 0.1 U, 0.5 U, 1.0 U and 2.0 U

Bolus Max

  • 30 units

Basal rates

  • 2 profiles
  • Up to 40u/hr

Water proofing

  • IPX8 according to EN 60529 (immersion to a depth of 1 m for up to 60 minutes).

Customer service

  • Free phone
  • 24/7

CGM**

  • Libre 3 and Dexcom G6 via the CAMAPS FX app
  • 40 units/hr
Medtronic Minimed 780G

Pump type and capacity

  • Tethered (tubing)
  • 300 units

Uploading of data

  • Carelink
  • Connect via mobile: Minimed Mobile app
  • Connect via blue Bluetooth dongle to PC/Mac

Battery

  • AAA
  • 1-3 weeks life

Infusion set type

  • Teflon 6/9mm or angled 30 degree 13mm
  • Steel 6/8/10mm

Non HCL phone requirements

  • Apple or Android for uploading only. Check your phone is compatible

Dimensions and weight

  • 5.4cm W x 9.7cm L x 2.5cm D
  • 106g
  • Exc insulin

Bolus increment

  • 0.025 U, 0.05 U, 0.1 U

Bolus Max

  • 25 units

Basal rates

  • 8 profiles
  • 0.025u/hr – 35 u/hr

Water proofing

  • 3.6m for 24hrs IPX8

Customer service

  • Free phone
  • 24/7

CGM**

  • Medtronic Guardian 4
Tandem T:Slim X2

Pump type and capacity

  • Tethered (tubing)
  • 300 units
    Minimum 110 units

Uploading of data

  • Glooko via a cable
  • An app is in development “T:Connect”

Battery

  • Rechargeable
  • Up to 5 days per full charge

Infusion set type

  • Teflon 6/9mm or angled 30 degree 13mm or variable angled 13/17mm
  • Steel 6/8mm

Non HCL phone requirements

  • Phone not required

Dimensions and weight

  • 9cm W x 6cm L x 1.5cm D
  • 112g Inc insulin

Bolus increment

  • 0.01 U at volumes greater than 0.05 units

Bolus Max

  • 25 units

Basal rates

  • 6 profiles
  • 0.1u/hr - 15u/hr (needs min of 2.4units TDD for pump to deliver)

Water proofing

  • Water tight

Customer service

  • Free phone
  • 24/7

CGM**

  • Dexcom G6
Insulet Omnipod (DASH or 5)

Pump type and capacity

  • Patch
  • 200 units

Uploading of data

  • Omnipod 5: Glooko (via handset – which comes with a sim card)
  • DASH: Glooko via a cable

Battery

  • Rechargeable Handset – lasts up to 2-3 days
  • Pods have built in batteries

Infusion set type

  • Patch pump – Teflon cannula

Non HCL phone requirements

  • DASH: Phone not required

Dimensions and weight

  • Pod: 3.9cm x 5.2cm x 1.45cm (26g)
  • Handset = 6.3cm W x 13cm L x 1cm, 106g

Bolus increment

  • 0.05 U

Bolus Max

  • 30 units

Basal rates

  • 7 profiles
  • 0.05u/hr – 30 u/hr

Water proofing

  • Pods = waterproof
  • DASH handset is watertight

Customer service

  • Free phone
  • 24/7

CGM**

  • DASH: no compatible CGM
  • Dexcom G6 or Libre 2 Plus for the Omnipod 5 only

Hybrid Closed Loop / Automated Insulin Delivery pumps

Hybrid closed loop pumps can deliver variable (automated) basal insulin by using an algorithm and real-time CGM sensor glucose trends. Some systems are also able to give automatic corrections.

Below is information regarding hybrid closed loop insulin pumps. This is only an option for those who have specific glucose sensors. No pumps can communicate with the Libre 2 or the Dexcom One. See above** for compatible CGM devices for the pumps.

Hybrid Closed Loop / Automated Insulin Delivery Pump Specifications

Mylife YpsoPump

Algorithm

  • CAMAPS FX (Android only)
  • App based HCL

What influences the algorithm?

  • Body weight, TDD from past 5 days, CGM data. “Ease off” and “boost”

Other key algorithm info

  • ANDROID ONLY. Can give corrections

Target glucoses

  • Customisable from 4.4 to 11.1 (default 5.8)

Exercise mode target

  • Ease off

Sleep mode targets

  • Customisable glucose target can be adjusted overnight

Auto corrections

  • Incorporated into continuous insulin delivery. Adjusts insulin delivery every 8-12 minutes

Active Insulin Time

  • Adjustable

Min and max insulin

  • 5-350 units

Use in pregnancy

  • Yes
Medtronic Minimed 780G

Algorithm

  • Smartguard (on the pump)
  • Mobile phone is only required for pump uploads

What influences the algorithm?

  • Active insulin time, Smartguard target, temp target, TDD, CGM data

Other key algorithm info

  • No manual corrections

Target glucoses

  • 5.5, 6.1 or 6.7mmol/L (default 5.5)

Exercise mode target

  • 7.8 – 8.9 mmol/L

Sleep mode targets

  • N/A

Auto corrections

  • If predictive glucose > 6.7 mmols/L and if max basal rate is reached

Active Insulin Time

  • Adjustable

Min and max insulin

  • 8-250 units

Use in pregnancy

  • Not licenced
Tandem T:Slim X2

Algorithm

  • Control IQ (on the pump)
  • Pump based HCL

What influences the algorithm?

  • Basal rates, TDD, body weight, correction factor, exercise and sleep activity, CGM data

Other key algorithm info

  • Need basal rates and correction factors to be accurate

Target glucoses

  • 6.25-8.9 mmol/L

Exercise mode target

  • 7.8 – 8.9 mmol/L

Sleep mode targets

  • 6.25-6.7 mmol/L

Auto corrections

  • If predicted glucose in 30 mins >10 mmols/L & increasing/max delivery is reached

Active Insulin Time

  • Fixed at 5 hrs

Min and max insulin

  • 10-100 units

Use in pregnancy

  • Not licenced
Insulet Omnipod 5

Algorithm

  • Smartadjust (Omnipod 5 only) requires a handset
  • DASH is not HCL compatible

What influences the algorithm?

  • Target, TDD, adaptive basal rate updates with each pod change. Activity feature.

Other key algorithm info

  • Must have a compatible smartphone for the Dexcom G6
  • Can give corrections

Target glucoses

  • 6.1, 6.7, 7.2, 7.8, or 8.3 mmol/L

Exercise mode target

  • 8.3 mmol/L & delivery of less insulin

Sleep mode targets

  • Customisable glucose target can be adjusted overnight

Auto corrections

  • Automated micro-boluses every 5 mins. Plus user initiated correction bolus

Active Insulin Time

  • Adjustable

Min and max insulin

  • >5 units

Use in pregnancy

  • Not licenced

Useful links: Demo pump apps and simulators

The Wolfson Diabetes and Endocrine Clinic contacts

Monday to Friday 9am to 4pm

Diabetes specialist nurse

01223 348790

Diabetes specialist dietitian

01223 348769

Pump administrator

01223 349471

Privacy and dignity

Same sex bays and bathrooms are offered in all wards except critical care and theatre recovery areas where the use of high-tech equipment and/or specialist one to one care is required.

We are smoke-free

Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.

Other formats

Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/

Contact us

Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
CB2 0QQ

Telephone +44 (0)1223 245151
https://www.cuh.nhs.uk/contact-us/contact-enquiries/