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 Manager of Marketing at T1D Exchange.
Doing some heavy lifting and house restoration work. However, I gave up using the Exercise mode (Control IQ) on my Tandem X2 pump. Tandem unlike Medtronic, you cannot set a long duration Temp. Basel percentage.
I’ve been able to set my Tandem Tslimx2 pump with a lower basal rate for 6-8 hours on days where I’m doing lots of physically hard work. I wonder you can’t and maybe you can reach out to Tandem to discuss this in an effort to stay safe and healthy!
I have highs and lows everyday. But, a large majority of the time, I’m between 70 -180. I usually go low during and after exercise, sometimes before meals, sometimes while working around the house and in the yard.
I picked 2 for this week. Last week, it was a lot more. I believe I happened upon a particularly good spot for insulin absorbtion. It took me about a day and a half to figure it out and use a little less insulin. Normally, the opposite happens.
I use a Tandem X2 pump with control IQ. The problem I have is that it will make me hypoglycemic during the day if I’m moving around to any degree. I usually need to turn off CIQ during the day if I’m walking, biking or doing yard work. I usually just start a 50% basal rate starting one hour before I do any type of activity. The CIQ exercise mode seems to make almost no difference to me. Great program but it needs to allow for basal reductions and stopping the auto bolus function. Sleep mode during the day with a reduce basal program running can sometimes help for shorter duration activities.
I had a similar problem with lows during exercise even with control IQ in exercise mode. I fixed it by setting up a special exercise profile that reduced my basal rate by 90% and set a 1:500 correction ratio to avoid those awful stealth boluses. Now I just have to remember to turn it on and off. I understand the next Control IQ version will have a better exercise options.
I completely disconnect myself from my pump an hour before I run, and during my run. Sometimes I reconnect just before the end of my run, other times just after the run. I usually carbo and protein overload one to two hours before I run.
I was pleasantly surprised to see only once. Been working on eliminating lows (not on CGM). But I was on vacation for the last two weeks and away for one, constantly eating out. Don’t ask me how many highs I had 🙁
Our disease is variable to each person – those that claim to have the exact programs or answers should never be trusted. Learn from yourself what works for you.
I selected “7 (every day)” though it has NOT been every day.
I’ve just checked my records and seen that I’ve had blood glucose levels below 3.9 mmol/l [70 mg/dl] on 8 occasions over the last 7 days, but sometimes that’s been twice a day, with other days where no hypoglycaemic events occurred at all.
The past two weeks been doing a lot of heavy lifting for extended periods of time. Just two lows is really amazing and a very positive result of Dexcom and Control IQ.
I have had a low every day for the past week but they weren’t sustained lows or bad. Some of those days I dipped below 70 for only 5-10 minutes according to my CGM.
Only 2 days as measured by One Touch blood measure. Dexcom gave false lows all day on sensor’s last day. I also got false lows when wearing Dexcom left of navel & sleeping on left side. Unless centered over navel, I must sleep on side opposite CGM site.
Upon diagnosis it was preached repeatedly the risk of complications from high glucose levels. Through the years than was told “a little higher” is better than the extreme low level, although at what point is the risk of neuropathy eliminated?
I’m working harder to lower my a1C, learning to use my Continuous Glucose Monitor to it’s fullest. That means in the last 5-6 weeks my CGM shows my average at 110, the level over “150” is a rarity (my last a1C was 7.3, impatient for the doc visit this week), but am alerted almost daily to “60-65” levels. Very small amounts of fast acting carbs, reducing my basal dose, and paying attention to the glycemic scale brings these levels up a little.
Used to panic over lower levels but gaining confidence with this cgm working for more “normal” glucose levels. But likewise I’d never try this without a continuous monitor.
Doing some heavy lifting and house restoration work. However, I gave up using the Exercise mode (Control IQ) on my Tandem X2 pump. Tandem unlike Medtronic, you cannot set a long duration Temp. Basel percentage.
Can start exercise.mode earlier and leave on a lot longer
I’ve been able to set my Tandem Tslimx2 pump with a lower basal rate for 6-8 hours on days where I’m doing lots of physically hard work. I wonder you can’t and maybe you can reach out to Tandem to discuss this in an effort to stay safe and healthy!
I have highs and lows everyday. But, a large majority of the time, I’m between 70 -180. I usually go low during and after exercise, sometimes before meals, sometimes while working around the house and in the yard.
It has been the same for me with the CGM readings and probably before going back 70 years..
I picked 2 for this week. Last week, it was a lot more. I believe I happened upon a particularly good spot for insulin absorbtion. It took me about a day and a half to figure it out and use a little less insulin. Normally, the opposite happens.
According to FSL but it is always wrong. Just started my Dexcom G6 today. Hope better accuracy. Of course my range is on low side
I use a Tandem X2 pump with control IQ. The problem I have is that it will make me hypoglycemic during the day if I’m moving around to any degree. I usually need to turn off CIQ during the day if I’m walking, biking or doing yard work. I usually just start a 50% basal rate starting one hour before I do any type of activity. The CIQ exercise mode seems to make almost no difference to me. Great program but it needs to allow for basal reductions and stopping the auto bolus function. Sleep mode during the day with a reduce basal program running can sometimes help for shorter duration activities.
I had a similar problem with lows during exercise even with control IQ in exercise mode. I fixed it by setting up a special exercise profile that reduced my basal rate by 90% and set a 1:500 correction ratio to avoid those awful stealth boluses. Now I just have to remember to turn it on and off. I understand the next Control IQ version will have a better exercise options.
I completely disconnect myself from my pump an hour before I run, and during my run. Sometimes I reconnect just before the end of my run, other times just after the run. I usually carbo and protein overload one to two hours before I run.
I was pleasantly surprised to see only once. Been working on eliminating lows (not on CGM). But I was on vacation for the last two weeks and away for one, constantly eating out. Don’t ask me how many highs I had 🙁
Our disease is variable to each person – those that claim to have the exact programs or answers should never be trusted. Learn from yourself what works for you.
I agree with that !!!!
After having been plagued with lows, I am now the new, proud owner of a CGM system. No BG’s below 70 in 3 weeks!!!!!
I answered 1. I currently am positive for Covid, so chose to self quarantine. Lack of activity has contributed to my answer. 😉
I selected “7 (every day)” though it has NOT been every day.
I’ve just checked my records and seen that I’ve had blood glucose levels below 3.9 mmol/l [70 mg/dl] on 8 occasions over the last 7 days, but sometimes that’s been twice a day, with other days where no hypoglycaemic events occurred at all.
The past two weeks been doing a lot of heavy lifting for extended periods of time. Just two lows is really amazing and a very positive result of Dexcom and Control IQ.
I have had a low every day for the past week but they weren’t sustained lows or bad. Some of those days I dipped below 70 for only 5-10 minutes according to my CGM.
Only 2 days as measured by One Touch blood measure. Dexcom gave false lows all day on sensor’s last day. I also got false lows when wearing Dexcom left of navel & sleeping on left side. Unless centered over navel, I must sleep on side opposite CGM site.
I said 5, but my Dexcom 6 isn’t always accurate. I’m looking forward to the Dexcom CGM 7 hoping it will improve the accuracy of my readings.
I would’ve answered 1 or 2, but I’m currently pregnant so maintaining much tighter control than usual
Upon diagnosis it was preached repeatedly the risk of complications from high glucose levels. Through the years than was told “a little higher” is better than the extreme low level, although at what point is the risk of neuropathy eliminated?
I’m working harder to lower my a1C, learning to use my Continuous Glucose Monitor to it’s fullest. That means in the last 5-6 weeks my CGM shows my average at 110, the level over “150” is a rarity (my last a1C was 7.3, impatient for the doc visit this week), but am alerted almost daily to “60-65” levels. Very small amounts of fast acting carbs, reducing my basal dose, and paying attention to the glycemic scale brings these levels up a little.
Used to panic over lower levels but gaining confidence with this cgm working for more “normal” glucose levels. But likewise I’d never try this without a continuous monitor.