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Comment by lacoolj

18 hours ago

So can someone tell me - a non-insulin-dependent individual - why would an insulin pump need to be (controlled by?) a phone (in this case, the Nuu phone referenced)?

Surely there is a way to cheaply obtain bluetooth and a controller without saying "we'll just use this already existing hardware - that happens to be a whole-ass phone - because it's $5 from China"?

Kinda feels like that just screams data-stealing, regardless of where it was made.

Security… The PDM is walled off completely, it cant install apps, its not on wifi, you cant change any settings. The issue is that a PDM technically could easily kill you, by giving you a lethal dose of insulin.

Funny thing is that the newer Omnipod 5 from the same company works with regular phones now, but only in th US.

Until recently, if you offered a pump that _could_ be controlled by another device (such as a phone) you would have to offer your own "controller" device, even if 99.9% of your customers have a phone already.

So, this companion device is kind of a thing that Insulet had to release. You'll see this with CGM's too -- there's a small companion device sold with the Dexcom G7 (the "controller"), even though everyone just uses their phone.

This is kind of a regulatory quirk; basically from the FDA's point of view you had to have a complete standalone system, that did not include the phone, in order to be able to prescribe it. I think they do not require companion devices any more, it's OK to release something that requires the user to have a phone.

  • So essentially, it's like this?

    "we plan on users having a phone to connect to it and use primarily. FDA requires a primary/backup. well it's already phone-controlled, go find a phone that works with it. needs to be cheap, cuz no one will really use it anyway"

    That makes a little more sense. I was imagining the development process involving both devices, rather than one device first, then determining what the second would be later.

    Thanks for the insight!

One thing is that you need to tell the insulin pump when you eat food so it can deliver insulin to cover the food. I bet that is a lot easier in an app than some separate controller device.

Insulin pumps are paired with glucose monitor. I bet it is handy to check glucose levels to make things are stable and correct if off.