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    • 2 hours, 15 minutes ago
      Jeremy Hanson likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      And sometimes I dream that I’ve run out of insulin and cannot get prescription refilled.
    • 4 hours, 8 minutes ago
      ConnieT1D62 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I providee an answer of low BG. But with that said, it is usually a false alarm (compression low from Dexcom sensor) With the stable bedtime BG and a TSlim X2 pump using CIQ and Sleep Mode, I consistently sleep between about 85 and 110 every night. The key to this is going to bed with a stable BG (85-110) and not having any IOB.
    • 4 hours, 12 minutes ago
      ConnieT1D62 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      While middle-of-the-nght alerts are frustrating and irritating, I'm no longer terrified of dying from an extreme low in the middle of the night, so technology is still a win for me!
    • 5 hours, 48 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 5 hours, 50 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      The same as Carrolyn Barloco. I often get messages in the middle of the night that my blood glucose level was either high or low 2, 3, or 4 hours ago. This is a completely useless piece of information, and absolutely NO REASON to wake me up. This is nothing but an ANNOYING alert. Tandem and Medtronic, if you're listening, please remove this function from your pumps.
    • 5 hours, 50 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 5 hours, 52 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yeah. Totally agree! This is totally unnecessary and extremely annoying.
    • 5 hours, 52 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My most frequent and favorite !!?? alarm at night is the one that tells me I had a high two hours ago! Duh!!!
    • 6 hours, 1 minute ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 6 hours, 2 minutes ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      The same as Carrolyn Barloco. I often get messages in the middle of the night that my blood glucose level was either high or low 2, 3, or 4 hours ago. This is a completely useless piece of information, and absolutely NO REASON to wake me up. This is nothing but an ANNOYING alert. Tandem and Medtronic, if you're listening, please remove this function from your pumps.
    • 6 hours, 3 minutes ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yes, I appreciate device improvements but some are just plain annoying and make a difficult journey Worse, not better. And the main complaint is unnecessary alerts the user cannot adjust.
    • 6 hours, 4 minutes ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My most frequent and favorite !!?? alarm at night is the one that tells me I had a high two hours ago! Duh!!!
    • 6 hours, 4 minutes ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yeah. Totally agree! This is totally unnecessary and extremely annoying.
    • 6 hours, 9 minutes ago
      Wanacure likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Why isn't going to the bathroom not on this list?
    • 6 hours, 13 minutes ago
      Wanacure likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 6 hours, 29 minutes ago
      TEH likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My most frequent and favorite !!?? alarm at night is the one that tells me I had a high two hours ago! Duh!!!
    • 6 hours, 52 minutes ago
      Steven Gill likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My pump, "I need to BG! I need to BG!" Such a cry baby it is!
    • 7 hours, 46 minutes ago
      Robin Melen likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 8 hours, 33 minutes ago
      Mick Martin likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 8 hours, 35 minutes ago
      Mick Martin likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yes, I appreciate device improvements but some are just plain annoying and make a difficult journey Worse, not better. And the main complaint is unnecessary alerts the user cannot adjust.
    • 9 hours ago
      Anneyun likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 9 hours, 41 minutes ago
      Sue Martin likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 10 hours, 13 minutes ago
      T1diabetic likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 10 hours, 14 minutes ago
      T1diabetic likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      The same as Carrolyn Barloco. I often get messages in the middle of the night that my blood glucose level was either high or low 2, 3, or 4 hours ago. This is a completely useless piece of information, and absolutely NO REASON to wake me up. This is nothing but an ANNOYING alert. Tandem and Medtronic, if you're listening, please remove this function from your pumps.
    • 10 hours, 35 minutes ago
      Velika Peterson likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I stopped using those sites and paid more attention to rotation of available ones.
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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?

    Home > LC Polls > 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?
    Previous

    If you use a CGM and share a bed with another person, do your CGM alerts disrupt your partner’s sleep?

    Next

    How important is the time-in-range measurement to you when assessing your T1D management?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    24 Comments

    1. LizB

      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.

      1
      1 year ago Log in to Reply
      1. Larry Martin

        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.

        2
        1 year ago Log in to Reply
      2. Robert Brooks

        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.

        1
        1 year ago Log in to Reply
    2. KCR

      The Dexcom G6 is still not accurate enough for me to consider using a hybrid loop system.

      1 year ago Log in to Reply
      1. mbulzomi@optonline.net

        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.

        1
        1 year ago Log in to Reply
    3. Bob Durstenfeld

      I love Control IQ.

      1
      1 year ago Log in to Reply
    4. Carolann Hunt

      Loop is the most customizable

      1 year ago Log in to Reply
    5. Joan Fray

      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!

      4
      1 year ago Log in to Reply
      1. Germaine Sarda

        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.

        3
        1 year ago Log in to Reply
    6. Lynn Smith

      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.

      3
      1 year ago Log in to Reply
      1. Pamela Newman

        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.

        1 year ago Log in to Reply
      2. Sherolyn Newell

        Me too.

        1 year ago Log in to Reply
    7. mbulzomi@optonline.net

      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.

      1 year ago Log in to Reply
      1. AnitaS

        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.

        1 year ago Log in to Reply
    8. Jane Cerullo

      Switched to MDI. Pump fatigue. Happy so far

      1 year ago Log in to Reply
    9. Sondra Mangan

      Anxiously awaiting the public release of Omnipod 5. Ask this question again after it has been out for six months.

      2
      1 year ago Log in to Reply
    10. Ahh Life

      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⁄ ⁄ ͡☉)

      1 year ago Log in to Reply
    11. rick phillips

      The MedT 770 has been very good for me.

      1 year ago Log in to Reply
    12. Janis Senungetuk

      Tandem’s Control-IQ has greatly improved my QoL (quality of life). 66+ yrs w T1

      3
      1 year ago Log in to Reply
    13. Bonnie kenney

      I use to use the Medtronic auto mode….didn’t like it at all….way too inaccurate.

      1 year ago Log in to Reply
    14. Louise Robinson

      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.

      2
      1 year ago Log in to Reply
    15. Martina Schockemoehle

      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.

      1
      1 year ago Log in to Reply
    16. Patricia Maddix

      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.

      5
      1 year ago Log in to Reply
    17. Mick Martin

      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).

      1 year ago Log in to Reply

    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? Cancel reply

    You must be logged in to post a comment.

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