34 Comments
For people who use an automated insulin delivery system (e.g., Tandem Control-IQ, Medtronic SmartGuard Auto Mode, Omnipod 5 SmartAdjust, etc.), when you first started using the system, did you notice changes in your blood glucose patterns while adapting to the new system?
You must be logged in to post a comment.
When I.went on the 770G, my over night BG went flat.
Unsure – I was doing okay with basal IQ, now BG is much tighter and streamlined with CIQ.
I said other since I just received the Omnipod 5 and Dexcom G6. I’m about to go out of the country so I didn’t want to start something new and have problems while traveling so I will start the new system upon my return in a few weeks. Also I needed to get a supply of pods and sensors before switching since I know medical suppliers are not too reliable in getting these supplies to me on time.
Yes. I noticed the biggest change at night. My lows were not as frequent and not as low. I also noticed my blood sugars settling into a higher range. My A1C’s went from 5.8 to 6.1. My latest A1C was 5.9. I noticed Time In Range was immediately more frequent.
Levels were never 100% accurate at the beginning and always needed tweaking.
Basal rates were impacted greatly, lower at night and higher during the day. Also I:C ratios vary more at different times of the day. I now do basal testing monthly or whenever I see a trend.
I’ve never been able to use the Dexcom Control-IQ because my readings are frequently off by 40% or more. I’m hoping that the Dexcom 7 might help whenever this comes out, I’ve read it might have a shorter sensor length. Then I’ll have to wait until Medicare will let me update to the 7. Replies for others who know how many years Medicare makes you wait between upgrades would be appreciated.
I’m very thin which I’ve heard can result in incorrect readings.
My morning bg was significantly better.
With constant tweaking, I used to have 3 basal rates overnight with an older pump, with moderate success at keeping my BG in range. After control IQ I ran a single low basal rate and allowed the pump to figure it out. It has worked out very well!
I switched to the OmniPod 5 closed loop system and lowered my average glucose from 187 to 133 within 30 days!
Significant improvement in post meal spikes and nighttime lows.
I have only had it for 3 days and in three days I have not had a low blood sugar which was unheard of before starting this system. I usually had at least one low if not several a day prior to starting the system. Now if I could figure out how not to have high sugars with the Omnipod 5 that would be great!
I’ve been on Basal IQ and then Control IQ. When starting both, I saw immediate improvements to time in range, but then it did also get even better over time.
I answered “other” because I am staying with BIQ. The CIQ target is too high for me. But I wanted to answer so I could see others replies and get updates.
I immediately saw an improvement. I was having one or two lows per week. Now, I rarely have a low that incapacitates me. It has been a miracle to always know where my bg is.
Before Tandem t:slim x2 I had for fifteen yrs previously been on 3 different pumps. I had used the Dexcom G4 & G5 for a total of 6 yrs so using G6 was easy.. I received excellent patient education prior to using the t:slim. The transition was smooth.
I’m a newbie to the system, and it is bringing out some of the extremes that were going on, making it easier to correct them.
After I began using the T:slin with Control IQ in October 2020, I was waking up with “normal” glucose levels. I’d always had difficulty combatting Dawn Phenomenon. I LOVE Control IQ. Even before using it, I was able to keep my A1c in the low 6’s but Control IQ makes it easier to do so. My last A1c was 6.0 in July and my July Tandem stats show 93% in range.
For the first time in 60 years I consistently wake up with BG at 110 +/- 10mg/dl
I’d move to Omnipod 5 in a minute—-but sadly Tricare (military insurance) isn’t covering it yet.
670g… but BG patterns did not change for the better. I returned this system 6 months after starting it.. sensor was horrible! Still is!
Same here. Six months and then back in the box it went (and remains). I went back to my old reliable Paradigm + Dexcom—hated the Guardian 3 sensors too. Hated all the calibration. Hated running high because you can’t set your own target. I’m now way overdue for a new pump if I want one, but much as i look into other AID offerings–and I’ve done a LOT of it—the evidence to my eye says they really aren’t there yet. Some improvements over the 670, sure, but still lots of people who had ~6.0 or better A1Cs struggling to find work-arounds to make the AID pump perform as well. I get that there ARE good use-case candidates for these things but at present state of development I’m not one of them.
Omnipod 5 has done a great job on Auto mode overnight and when BG is fairly stable I.e. not spiking. For meals and correcting BG spikes I use Manual mode on Omnipod 5.
My nights are considerably more even which is good. However I think the tandem is gives way too many tiny doses which do nothing. I over ride it often duting the day.
I… had a hard time letting go, so it’s hard to tell if there was a difference because of the Control-IQ or because I couldn’t stop fiddling with it. Ultimately, I now have better control with less intervention on my part, but I don’t know that the pattern is different.
I looked at all the comments…. WOW!!!
My favorite was basal iq which I couldn’t get back once I switched to Control iQ. I got many more days of 100% in range with Basal iQ. I wish we could choose our way since we are the ones who have to deal with this disease on a daily basis.
I had to look at my Dexcom clarity reports to make sure, but in the first three months of use there were a bit more lows, by about 30%, but they didn’t last as long as before Control-IQ. The lows before could last quite some time.
The information from above helped determine my very high insulin sensitivity.
Time in Range improved immediately along with my HA1C.
My morning blood sugars stabilized.
I use tandem and Dexcom with Control-IQ.
I immediately saw a reduction in basal units/day. With Medtronic pump, my basal pattern was covering for the high BGs. With Tandem and Control iQ, control boluses covered my brittle T1D rapid rises. I also noticed a more stable night-time BG with Sleep Mode. There were some shifts in rises in BG to different parts of the day. However, I also retired from a high stress career at the same time.
Yes. Hard to answer. I don’t think I adapted. My low A1c went up on Medtronic’s SmartGuard Auto Mode. My insurance switched me to Dexcom, killing that anyway. Will start Omipod 5 SmartAdjust next week!
I have only been on the OmniPod 5 for 1 day. It is too soon for me to really know.
I tried using two different AID systems and had trouble with both. My blood glucose generally ran too high, making me feel tired and thirsty. So, I stopped using them. My A1C actually went up on automated delivery and is now coming back down.