22 Comments
If you use an automated insulin delivery system (e.g., Tandem with Control-IQ, Omnipod 5, Medtronic pumps with Auto Mode, etc.), how did your A1c change in the first 3 months of use?
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A1c changed not a whit. But the white-knuckle rides seem to have lessened.
Control IQ Sleep Mode 24/7, A1c down from 6.5 to 5.4, Hypos almost non-existent
My main reason for going automated insulin delivery route was twofold. Preventing my lows and flexibility of basal rates. That said haven’t had any severe reactions in over 7 years……
I checked IDK. I only started the first week in Feb. First 3 weeks were rocky, bit the last few weeks have been better.
Started T:slim and dexcom 6
Not using automated system now. Used Medtronic’s a while ago and had much higher a1c’s than before or after.
Checked “N/A Do not use…” Having been warned by endo that A1C would rise – and that if you try it, you can’t change your mind and go back – stuck with Basel IQ to control lows and did not ‘upgrade’ to Control IQ.
I have not had a recent a1c tan. Will be next month to see the difference, if any.
I answered wrong. I selected didn’t change, but I should have selected NA. I am on the Omnipod 5, but I’m using the manual mode. Too many problems with the automated mode.
I currently do not use an aid system, but wouldn’t a better question be about TIR with them? Granted, people can dictate their high and low limits but isn’t T1D Management moving away from A1c and toward TIR?
My A1c increased, but I it wasn’t a significant increase and I don’t think using the Control-IQ app was the only reason. Over the past five years, on MDI and two years of Animas pump use, my endo consistently stressed that my A1c at 6 or slightly under was too low and my glucose management was too stringent. She set my A1c target at 7 and when I started using the Tandem pump, changed my basal rates. I’m no longer comfortable doing the math and just let Control IQ do it’s thing. My TIR is 90%.
> my endo consistently stressed that my A1c at 6 or slightly under was too low and my glucose management was too stringent. She set my A1c target at 7
Yeah, that’s old-school. I used to get yelled at for it too, but it’s based on pre-CGM concerns. A1C is an ***average*** and they used to figure an A1C in the 6.0 range meant lots of hypos. It was just a surmise because you had no data for what was going on between finger-sticks, particularly overnight, so that was just the protocol. “Time in Range” is only a thing at all because of CGMs, and it’s not only more useful information but also the allows A1C to be ground-tested against realtime, 24/7 data. So your endo should be able to look at your CGM history, see you’re not crashing low all the time, you’re fine at 5.8 or whatever, so keep up the good work. If you don’t actually have a CGM (not everybody does) that’s one thing, but if you do, saying “we don’t like to see you below 7.0” is really just a hangover from the pre-CGM days.
I answered that I do not use automated delivery, which is true now. Here is why: when I tried Control IQ, my A1C increased a lot – – “more than 2%.” I stopped using it because it is also set to keep my blood sugar higher than I want it. Hence, the higher A1C.
Just to be clear, percent and “percentage point” are different measures. When you say 1% you mean 1 percentage point (1% point). I am sure the answers were read as percentage-point.
Ive actually done better w/o one of these systems. We need to come to accept the Achilles heal in theses systems is the liquid hexameric Insulin you have preplan before all meals.
Inhaled insulin (monomeric) and new gen basals are amazing!!! Anyone in this group can do it.
I did well on. My pump and Loved it! Buts that’s only because there were no better options 10yrs ago.
New insulins Are SOOO awesome! I DO NOT miss wearing a pump!
I wasn’t on shots too long before I started on my pump. So I had nothing to compare it to.
My A1c went from 7.3 t o 5.8
I don’t remember that my A1c changed at all, but I was maintaining my A1c in the 6.5 to 5.2% range for the previous decade. I think maintaining my A1c range became slightly easier after switching to Tandem CIQ, but my actual A1c readings didn’t change at all.
My A1C’s went up slightly for about the first six months, then, went back down. For years, I had run A1C’s between 5.5 and 5.9. When I started Control IQ, my A1C’s were 6.1, then 6.0. Finally, after a few more months, I got below 6.0 and have stayed 5.8-5.9. The best result has been far less nighttime lows.
Clicked didn’t change but due to stress of work (beating up fire damaged or flooded houses) would drop seriously low and the CGM charted it. Rather than instructing how to correctly use the “active mode,” (go to that setting 25 minutes early so the effect of the lower basal is already acting rather than reacting) the doc just changed settings (sensitivity). My a1C went up consistently because things I had to do to recover.
The last year “planned” and went into the active mode earlier, my a1C dropped from the doc’s comfortable a1C of 7.2-7.3 to 6.0. Too bad too many docs want to make medical corrections rather than educational.
Sooo… without the physician’s help dropped from the original 6.7 to 6.0 (and the last pumping was 5.9, on pens looking lower by other sensible steps not taught).
After starting Tandem Control -IQ my A1c went down a smidge (0.3-0.5%). Biggest benefit was less time on the hypo range and the blessed sleep mode keeping me in range overnight.
A1C increased from Medtronic to Tandem because of ControliQ. I didn’t have as many lows, so the A1C (which isn’t an accurate measure of control anyway) rose from 6.3 to 6.5. On Medtronic, I was going low, correction eating. I went on a pump so long ago (23 yrs ago), so I don’t recall if going on a pump made a big difference in the A1C. My BGs vary a lot since I’m a brittle diabetic so my A1C lookedc great, but control was not great.