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If you use an insulin pump, is it an “automated insulin delivery” system?
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I use a Tandem pump, but I do not use the automated delivery. Why? Because I like tighter glucose control than it allows. If/when the FDA allows for tighter control I’d be willing to try it again.
I did try it when it first came out, but my A1C went up, not down due to higher blood glucose than I normally ran on MDI. Without the automated delivery, I can get my A1C closer to where I want it. It’s still not perfect, but I’m working on it!
I was using the Tandem x2 with Control IQ. In June I started the OmniPod 5.
Loop is a hybrid closed loop system that still needs carb inputs
First thing you need to learn when using Tandem X2, Control IQ is let it run, don’t preempt it because it’s not correcting as fast as when you (Human) make the corrections. However, the pumps of today are set up for people that have not be persons with T1D for a long time. I almost have to change my Basels because of being a T1D for over 55 years and on a pump for over 39 years, along with using a CGM (Metronic and Dexcom) for over11 years. No Vergin sites left. AND when I do hit a relatively new site all hell breaks loose, dropping like a rock almost all day. Very hard to control, a least for three day make very drastic changes to my Basel settings.
I got a Omnipod 5 and Dexcom G6 a few weeks ago. I am waiting until I return from international trip to set it up and to also get a supply of pods and sensors before switching. I know how unreliable delivery is too often with our medical supplies so I like to have a stock pile when I switch.
I said “yes” but I only turn on Control IQ at night. It works best then when there is no food/activity, while I prefer to take care of things during the day. I like to have a lower target BG than it allows.
I am sorry to hear Tricare doesn’t cover the cost of Omnipod 5 yet. I think of all people who get insurance to cover their insulin costs, former military personnel and their relatives deserve it FIRST. Speak with your congresspeople, particularly those who are constantly boasting about how they support the military. You deserve to have your insurance needs met and the political nitwits who run our government should be called out on this failure. It took old POTUS a little too long to reduce the cost of insulin to $35.00 a month, if you want my opinion…Big Pharma and lobbyists have a little too much power with both of the parties in our country.
Sadly, Tricare (insurance for military families) is not covering Omnipod 5 yet. Hoping to move to the Omnipod 5 as soon as possible—but could never afford paying out of pocket for it.
Today I am using my old Omnipod. I have the new Omnipod 5 next to me, but I haven’t gone through the training yet to start using it. Plus, I only have the 11 pods that came with it, the new prescription for the 5 pods hasn’t been filled yet. Mildly frustrating.
On Medtronic 630G , awaiting training for tslim iq setting and dexcom 6 can hardly wait until I can use them
I am supposed to get an Omnipod 5 on Sept 2 but I am wondering if I want it. I was very interested in this last person’s comment regarding higher A1Cs. Mine right now is usually between 4.9 and 5.2 and I like it to be there since I feel that I can control my lows by eating when I need to and I just FEEL so much better when my blood sugar is around 80-120 like someone without T1 Diabetes feels. I am a former athlete and dancer and I, therefore, take less insulin and depend on exercise to reduce my need for constant carbs. Some days I rarely need to take much Fiasp at all because I don;t eat a diet super high in Carbs. I can often get away with only taking Tresiba and the tiniest bit of Fiasp (1-3 units when I eat something high in carbs. I am really, really worried about starting the Omnipod and don’t know if I am going to like it…
sounds like you are doing fine with what you are doing..!!!
From everything I’ve read about the OmniPod 5, it’s algorithm is much like the one on the Medtronic pump I use (770g). The OmniPod 5 will also do automatic corrections for high BGs which my pump can’t do. But I believe that it aims for a higher target and doesn’t let you correct as aggressively as I’d like. My sister is afraid of lows and her BG runs high all the time. She is finally going to move from the original OmniPod to the 5 and for someone like her, with BGs and an A1c that are too high, the O5 sounds like it will be a huge help. For people like yourself & me, with A1cs in the low 5 range and tight control, it can be a big disappointment.
Bonnie K, Thanks for your info. How many calories/day do you burn nowadays? Or how many minutes/day of exercise? With Covid risk, do you prefer exercise at home or gym or outdoors? Locally I notice one small gym has a HEPA filter system, another small gym just opens the windows and doors, and another very large gym recommends masks and social distancing. This fall I plan to start wearing N-95 mask whenever I’m in an enclosed space of any type for any reason. But for exercise in an even large gym when breathing hard on the elliptical or stationary bike…I’m perplexed.
Roche combo + Aaps
DIY system
Yes. Game changer for nights….
No. I dont have an automate pump. I am happy with the medtronic pump I have. My last A1c was 5.8 and very few hypos. Nothing less than 62.
Using the MEDTRONIC770G set-up it has the controlled loop capability but my days are so chaotic. I keep It in the “manual” except with my ranges for the CGM set for 65-130. Meaning I get warnings at 70 and 125 and react as needed. While the basal isn’t generally adjusted it suspends the basal at 60, I’ll be “alerted” if the systems senses I’ll reach 65 in 30 minutes (like yesterday morning woke me up with an alarm at 80 with 2 arrows down.
My chaos at work? I’ll drive an hour to a job, than literally even setting the system into the “active” mode (allowing levels to rise to 150) 20 minutes early will go severely hypo~. Often I’ll need 1/3 a unit for that drive but 20 minutes before arriving to a job will reduce the basal to 50%, and often completely suspend it it there’s any drop.
(Historically doctors seemed comfortable with a1C’s in lower 7’s because of my glucose drops, but since I’ve learned to pre-bolus and to decrease my bolus prior, by the equations “mg/dL” to a1C looking at 5.5 with a lot fewer hypo~ reactions. Up to the lab work next month.
Not sure what that is, but put “Yes”. My pump does bolus automatically if I’m too high and lower the insulin if too low.
Nope. Tried the 670G Guardian 3 system for 6 months and gave up, went back to my old pager-style Paradigm, and Dexcom. One of the odd things about these systems is that, in the name of doing everything for you they lock away the kinds of controls you need to individualize them. To me it felt very much like a “Doctor knows best!” system that slapped my hands away whenever I tried to make adjustments that would conform to my own body and how I experience and deal with T1.
I like your sentence !!!!
Last sentencee,I ment..
I’m not sure what you mean by “automated insulin delivery” system. I wish you’d have defined it. But, I said “yes” anyway. I use the Tandem X2 Control IQ, with a Dexcom G6. (oooh, sounds very esoteric) (Allow me a little humor 😉
By the way, Yesterday, I updated my Tandem Control IQ system to the 7.6 software. What an exciting jump forward! Now, I can see my glucose levels on my phone, which I could not do with the old app. The details are amazing! And, Tandem finally put the boluses onto the timeline, which is very helpful. I used to get the boluses on the timeline years ago with my Medtronic pump, but Tandem never did it until now. Kudos Tandem! Great job. Oh, by the way, it now allows you to give boluses through your phone. However, I do not have that feature on my phone.
I answered “Yes”, but that REALLY depends on what YOU mean by “automated insulin delivery” system.
I still have to ‘tell’ the pump the amount of carbohydrates that I’ve imbibed. It will then work out, based on the information that I’ve already input, such as my insulin sensitivity factor, how many units of insulin are required to bring down my glucose level by a given amount, and the range at which I’m aiming to keep my blood glucose level. i.e. Time in Range.
Coupled with my CGM, the pump makes micro-adjustments to ensure that Time in Range is adhered to. If my blood glucose level falls outside of that ‘Time in Range’ (TIR), the pump alerts me to check my blood glucose level, recalibrate the reading(s) it gets from my CGM, and to take remedial action.
My pump has the ability to automate the delivery but I can’t afford the suppies to use it.
So sorry to hear that. Insurance should have to cover most, if not all of the cost, to use the pump to its full ability. I know that I am assuming you have insurance for your pump
I said Yes because I have the Medtronic 770g which will automate the basal rates. I don’t use that feature because it keeps my BG in a much higher range than I like.
Using Loop-Dev with Dash and an AID.
Isn’t “automated insulin delivery” system the same thing as “insulin pump?” I answered Yes, but the question is oddly written (as others have pointed out).
FreeAPS X (Oref1) w G6 and Eros
Yes I use Tandem X2 with Control IQ.
I use Loop – a DIY system with auto-basal and auto-bolus dosing strategies.