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For this question, we're re-asking a recent question. Even if you answered before, please answer again. If you use both an insulin pump and CGM, do you currently use any of the following automated insulin delivery (also known as “predictive low glucose suspend” or “hybrid closed loop”) algorithms?
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I have the Medtronic 770g & Guardian 3 sensors but I prefer manual mode. I have been thinking of turning on the suspend on low feature but that has caused me to go really high in the past.
I use it and you are right if it suspends around a meal, you have to catch it fast and resume or you will go too high. That is my main grip with suspend. Auto mode does not work for me at all because I go way high after a meal. I am so waiting for the software update to correct for highs.
You might look into Lyumjev insulin in the pump. I find it is more rapidly acting and reduces post-prandial high glucose peak and duration as compared to Humolog.
The Dexcom G6 is still not accurate enough for me to consider using a hybrid loop system.
I gauss you always test for every reading but remember the G6 sensor measures your interstitial glucose level, which is the glucose found in the fluid between the cells. Fingerstick measures the glucose in your blood. Glucose moves from your blood vessels and capillaries first and then goes into your interstitial fluid. This explains why there can sometimes be a lag between fingerstick results and sensor results. I have been on a CGM for a long time and always within Dexcom stated percentage limits. AND it’s not a Closed loop system. it’s a Hybrid Closed loop. system, a real closed loop system raises and lowers your glucose numbers.
I love Control IQ.
Loop is the most customizable
The Control IQ is just a life saver. It’s programmable, makes for way fewer alarms, lets me live life pretty normally. I have hypo unawareness and now rarely go low, never at night. Zzzzzzz!
Same. 48 years T1D and now I never worry about nighttime lows. It’s wonderful waking up at a normal level every day. It’s also great during the day, but the ability to rest easy at night has changed my life for the better.
I don’t have an algorithm currently. I am waiting for Omnipod 5 to come out. I am on the list for Insulet to call when it is out.
I am waiting for the Omnipod 5 and am on the list too. I’m so ready to see how the algorithms will help me steady my blood sugars.
Me too.
However, I give Tandems Control IQ a “B” grade. It is very slow during the day for corrections. Relatively good when Sleep/Exercise modes are in used. I’m not sure but I was told the Tandem pump does not correct for Stacking.
It is supposed to correct for stacking. So if you have insulin on board, it should give you less insulin if you decide to give another correction (it may tell you that no correction is even necessary), or it may reduce the amount of insulin it gives you if you decide to bolus for more carbs.
Switched to MDI. Pump fatigue. Happy so far
Anxiously awaiting the public release of Omnipod 5. Ask this question again after it has been out for six months.
Hypoglycemia is about as welcome as a skunk in the heating duct. Its precarity is palpable. I didn’t want diabetes, but it wanted me.
So . . . I married technology (don’t tell my wife). The objective was dominance over one’s own limitations, rather than over a morally inferior antagonist. So those of you who communicate about diabetes well (hint, hint – CDE’s, MD’s, etal), please so note. ( ͡☉⁄ ⁄ ͜⁄ ͜ʖ̫⁄ ⁄ ͡☉)
The MedT 770 has been very good for me.
Tandem’s Control-IQ has greatly improved my QoL (quality of life). 66+ yrs w T1
I use to use the Medtronic auto mode….didn’t like it at all….way too inaccurate.
Type 1 since 1976. I upgraded my old Medtronic Minimed Paradigm pump w/Libre 14 CGM to the Tandem T:slim X2 with Control IQ and the Dexcom G6 in October 2020. I am over-the-moon with Control IQ. For the first time, I am waking up with “normal” glucose levels. I’m in my 70’s and would encourage anyone to try this. My control has always been tight because, when I was on my Medtronic pump, I would frequently manually engage temp basals to better stabilize my BG’s. Now Control IQ does that for me! I have also been able to create a special exercise profile which better manages my levels when I’m engaged in high-moderate aerobic activity.
AndroidAPS is great – it is extremely well customizable! I wouldn’t like to miss it or change to the approved systems, as the developers of this algorithm are diabetics, know what they need and talk about, and are always one step quicker than official systems.
I just switched from Medtronic paradigm pump to tandem T slim X2 with control IQ on February 7. It is particularly great and preventing hypoglycemia. I have noticed that the fast acting glucose items that generally keep on hand are almost entirely unused and I am not nibbling all the time to keep my blood sugar from dropping. It is really fascinating to watch and see all the many adjustments that control IQ makes without me even noticing. Sleep is now excellent for the first time in many many years.
Although I selected “Medtronic SmartGuard Auto Mode” I sometimes need to ‘step out’ of Auto Mode as it does not allow Dual Wave Bolusing (Due to gastroparesis, the ‘sudden’ influx of insulin makes my blood glucose levels ‘crash’ causing hypoglycaemic [hypoglycemic] reactions … sometimes severe ones where I lose consciousness).