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If you use a CGM, at what glucose level is your “high” alert set? If you use multiple alert schedules, select the number that is your “high” alert at midnight in your local time zone.
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My high alarm is set at 120. any time spent above that level is damaging!
Mine is set for 140-180. I saw some posts from dedoc in 2022 that suggested a better range to more closely mimic the sugar-normals out there is 70-140. I’m trying to stay in that range for at least 70% of the day.
I start my CGM next month. This is helpful because my salesperson masquerading as an educator has my test CGM set at 250. I will need to change that for real next month. I have to research how high a non-diabetic’s goes after they eat. I chose a Dexcom G7 and will be getting a TSlim pump next month as well after using Medtronic for 14 years. I read that most Medtronic users are older users and that new pumpers are choosing other pumps. Thank you to everyone on this list for invaluable information. We can read and make our own best decisions. Stay strong!
I marked the 180, not b/c that’s where I want to correct, but b/c my wife is a light sleeper and I can’t handle the warning noise or vibrations if I hit 140 at some point between 11:30pm and 6:30am. While awake, I use carbs, exercise and insulin via my pump and occasional syringe doses to try to stay in 100-130 range.
160. I used to have it set at 180, but found that once I hit 180 I usually will just continue to rise. At 160 I can get in front of a hyper. Of course timing is everything, if it is 160 right after a meal dose then I wait to correct, usually two hours as to not stack doses. MDI.
Glad to see there’s a measurable number of us who set our high alert below 140. Mine is set at 120, which is as low as the FDA allows. Too bad the FDA doesn’t want us to achieve tighter control than that.
I set it at 140 – 150 during the day. Used to have it at 200 but the TCOYD endos suggested 150 so you can “head trouble off at the pass” with the lower number for the high alarm.
It switches from 160 during the day to 210 after midnight. I got so tired (literally) of being woken up by an alarm at 4 in the morning due to dawn phenom. Omni 5 seems to have corrected that issue, but a solid night’s sleep is just as important to my health as lowering blood sugar.
I usually keep my high alert turned off. (With libre you are allowed to do that.) However, when I want to track things closely after a meal, it is set for 130, in order to stay ahead of a rise.
Set to 180 but have Alarm Off as I’m on Tandem X2 and run 24/7 Sleep Mode even though I get 8hrs a Night, the vibration is usually enough to make me aware. A1c consistent Low 6’s and Zero Hypos- No Rebounds
My high alarm is set at 250. My endo set it there after I mentioned how many times I was awakened by high alerts between 2 and 4 AM. Her comment, at the time was that after 66 years living with T1, I wasn’t going to benefit by loosing sleep because of high glucose levels from dinner.
I have my low alert set at 6.7 – as low as it can go. When it goes above that, I take 2 units, so long as I don’t have any insulin on board about to take effect. Works very well for me.
My alarm is silent overnight though, sleep is more important
During the night 180, but I just started wearing a Freestyle libre yesterday
and it is not as good as DEXCOM. The readings are much, much
lower than my reality. And, I’m thinking that is why they got a MARD of 7.9% –
it just reads lower.
Given this, I’m gonna have to lower my nightime alert.
If you set a higher goal you’ll definitely reach it. My high alarm is 130, my last a1C was 5.7 (my average glucose is now 115: possibly 5.6?). I get waken a few times a week but with a pump will correct and roll over (been on insulin 23 years, kind of know how it works).
I’ve asked but no response: is this new “time-in-range” (70-180) set by manufacturing companies or by the medical communities? is this attempting to replace the a1C as a standard for diabetic care after all the studies and trials?
Supposedly by the AACE or some other org. To me a target range of 60-180 (!) is settling.
Time in range is just the new way to present terrible glucose control as something good. Most doctors have no idea how to teach you to maintain actually normal blood glucose: that is around 83 with few excursions above 125. Read Richard K. Bernstein’s “The Diabetes Solution.”
120 daytime and 14 nighttime. And I get mad when it goes over that either time.
140 nighttime, NOT 14!
I use a Tandem TSlim X2 insulin pump with my Dexcom CGM. I run Sleep Mode 24/7 which means the pump does not do auto-correction boluses when I’ve hit a high (typically over 180). I have my High Alert set at 150 so I can manually correct a rising BG.
I use sleep mode 24/7 also
Truck answer. My phone is set for 150, my pump is set at 180. This helps avoid alarm fatigue and also gives me more data.
200 High
55 Low
I set my high at 135. If I hit that high, I can then decide if I want to bolus or not. If I’m ready to start exercising for example, I won’t correct with a bolus as the exercise will be the correction.