Dr. Jaiwant Rangi demonstrates V-Go, a patch-worn insulin device that delivers basal insulin continuously and bolus doses via button press. Each button press delivers 2 units, and the device can be programmed for 20, 30, or 40 units of basal insulin daily. It's particularly useful for type-2 diabetics who fear injections or need multiple daily doses.
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Hello, I'm Dr. Rangi. Wanted to talk about a device that I've been using in my practice lately. It is available since 2012 but somehow we were not using it until recently and now it is easily available in California. So I've been using it with my patients. What is a device? It's called V Go. That's how it looks like. It is a small cartridge like structure which appears which you can apply on the side of your arm or on your belly, wherever you like to put it. What does it do? It gives you basal insulin throughout the day. So if you're taking Lantus or any long acting insulin, then we can program the short acting insulin that we put in here to be given to you every few minutes. So that way you get the same amount of long acting insulin fine tuned for you throughout the day. So that helps you prevent hypoglycemia and also helps you get consistent amount of insulin. Now the kind of insulin that you put in here is short acting, not a long acting. So it could be Humalog, Novolog, Admilog, Apidra or any of those insulins. The other thing you need to know is you can have just basil with this or you can have basal and bolus. How does it, how does it work? It works when you put the device on, you get a basal that is coming to you throughout the day at a certain rate based on which Device we use 20 units, 30 units or 40 units. And then once you need the bolus, all you do is press a button on the side and that each press gives you two units. So you can take increments of two units with each press. So for example, if you take eight units with meals, you can take four clicks and that will give you eight units for your meal. Now that is about what is it and who is it right for now how is it used? Let's talk about that. It comes in a small packets like this that you get from your pharmacy. And you take one of these cartridges out and once you take them out, you fill that in first. So there's a filling device that comes along, it looks like this. And the filling device is pretty simple plastic. And you put insulin on the top, you get a vial from your, from your doctor. And once you put that in on the top, then you put insulin in the cubicle right here, here and all the cartridge, and all you're doing is putting this cartridge right here. And once it is done, now it is all inserted, you push it and then all you do is pull the plunger and it's going to get the insulin filled in this pod like device. And once the insulin is filled, you will find out it's all done. You take it out and you can either take it out, peel it off and put it on the skin, or you can have a caregiver prepare six or seven for you for the whole week and you put in the refrigerator and take one out every day. For example, I have this that I just took out and I took the peel away and now it's sticky and I just did it for demo's sake. That once you putting it on your skin, then you press the button right here and that leads to this tiny, tiny needle that goes under your skin and that does not hurt. It just hurts the first time when you put in. But throughout the day it's not going to make you feel any different. And that stays in place right here. And then on top of it, if you want to give a bolus, then all you have to do is is press this gray button on the top and each press is going to give you two units. So if you're on single dose of insulin or multiple doses of insulin, Vigo could be used, especially if you have type 2 diabetes and if you're afraid of insulin. Now, who did I use most recently in my practice? Yesterday we had a patient who was elderly and he was on inhaled insulin. And when I noticed on his continuous glucose monitor was that he was not able to inhale the inhaled insulin well, and that means he was not getting adequate insulin, so his sugars were running higher, so we stopped that. But at the same time he was very afraid of shots. So he does not want more than one shot. But his body is acting in such a way where he does need four shots a day. So he did not want any more than one shot. And that was not the answer for him. So we gave him bigo. So with V go, all he has to do is once in the morning his wife is going to help him put this on. And then throughout the day, instead of her telling him to breathe better, to take the inhaled insulin better, all she has to do is press the number of buttons that she's advised to take. So this makes your life so much easier. Hope it's helpful for you. Good luck. If you need any help, we'll be happy to help you. Thank you, Sam.
