That was something like what happened to me reedo!
My consultant remembered what I'd told him you see. I had to agree that it did (of course, obviously
😉 ) colour the numbers I aimed for day to day
The Roche Spirit Combo remote/meter/bolus wizard Bluetooths the pump to see if you've entered any boluses it doesn't know about already, then calculates, and beams it's results to the pump, then asks if you want to deliver the bolus and if you do, you press the button on the remote and it tells the pump to do it.
I didn't know either of the others had that capability. My understanding was that the others you use whatever meter you want to, then manually input that into the pump; the pump has the bolus wizard so you tell the pump (instead of the remote/meter) your carbs and it calculates the bolus, and you tell it to deliver.
It's not much different really; except I will say it's annoying if the remote goes tits up because until they get a new one to you (usually the next day) - you have no bolus wizard. You also have to get your spare meter out and work your boluses out yourself, then press the buttons on the pump to deliver. Still, it's just 24 hours on MDI again, really! If the pump itself (of any make) goes wrong and they have to send a new pump - then you are back on MDI anyway in the interim.
NB you do need to have an alternative method of insulin delivery at your disposal whilst you have a pump. Because we use 10ml vials of insulin rather than pen cartridges, most people opt for syringes. You don't even need to carry spare insulin - because you'll have insulin in the reservoir, if the pump fails you can draw up what you need from the reservoir into a syringe.
Incidentally the Roche uses 'big' reservoirs but unless it's 40 in the shade I just fill em and only change them when they are virtually empty which is not very often at the same time as a set change. So a res lasts me 12 days plus. If it's red hot I'll half fill em - a week-ish.
