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      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      My libre stopped falling off once I stopped running into door frames
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      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      Pretty much always do within 3-4 days of starting a new sensor. Also, has anyone else noticed that their online order form for these things has been broken for like a month or more?
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      Well, since nearly everyone here commented about the Dexcom sensors, I'll add a comment about the Medtronic sensors. I do not use the patches sent by Medtronic as they irritate my skin. I use the Smith and Nephew IV3000 catheter dressing. It works well, keeps the sensor dry when I shower, and generally holds for a week.
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      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      I am able to pr bolus for Breakfast and dinner as I am at home. I never know when I am going to eat at work so bolus is at start of meal.
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      So true about the "I prefer to bolus 15 minutes before ... and always forget" . Me too!
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      I usually bolus for breakfast right at the time I start eating. But I prefer to bolus 15 minutes before. Better results. But I always forget.
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      Lawrence S. likes your comment at
      When did you bolus for your most recent meal? If you bolused multiple times for your last meal, please select all that apply.
      Dysphagia (difficulty swallowing) and gastroparesis (delayed stomach emptying) compel four answers: 15 minutes before, 15 after, 30 after, and over the next 2 hours. It is no longer a "Set an equation, measure the carbs, and dose" certainty. All bets are off and out the window. It’s less like rearranging the deck chairs on the Titanic, and more like constructing a new house as it sinks. 😣
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      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      I don't remember the online order system EVER working. I always have to call Dexcom for overpatches, after I go through the wasted time of trying to order on the online site. They should save us all time and just take down the site.
    • 6 hours, 17 minutes ago
      Lawrence S. likes your comment at
      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      Pretty much always do within 3-4 days of starting a new sensor. Also, has anyone else noticed that their online order form for these things has been broken for like a month or more?
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      I use the over patches supplied by Dexcom. They work great.
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      Lawrence S. likes your comment at
      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      Absolutely 100% of the time. Not nearly as physical as I once was, but need to guarantee with ABSOLUTE certainty the @*(#@*# thing STAYS on, if I brush into anything, or get bumped into things....when it comes out early that is a lethal problem IMV
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      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      Dexcom G6. ALWAYS with skin protectant (Cavilon) and Dexcom-supplied overpatches.
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      Megan S likes your comment at
      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      Absolutely 100% of the time. Not nearly as physical as I once was, but need to guarantee with ABSOLUTE certainty the @*(#@*# thing STAYS on, if I brush into anything, or get bumped into things....when it comes out early that is a lethal problem IMV
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      I do use them sometimes though, Especially when I’m traveling
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      If you use a CGM, do you currently have an adhesive overpatch on your sensor to help it stick?
      I use Dexcom stinckers purely for decoration when I do wear one. But right now I don’t with it on my abdomen no one sees but me I don’t waste the extra stickers.
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      I usually bolus for breakfast right at the time I start eating. But I prefer to bolus 15 minutes before. Better results. But I always forget.
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      So true about the "I prefer to bolus 15 minutes before ... and always forget" . Me too!
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      I usually bolus for breakfast right at the time I start eating. But I prefer to bolus 15 minutes before. Better results. But I always forget.
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    If you use an insulin pump with automated insulin delivery, how satisfied or dissatisfied are you with the target glucose level setting options for your system?

    Home > LC Polls > If you use an insulin pump with automated insulin delivery, how satisfied or dissatisfied are you with the target glucose level setting options for your system?
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    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 Manager of Marketing 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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    60 Comments

    1. Carlos Gonzalez Perez

      I use Aaps and its great

      1 year ago Log in to Reply
      1. Wanacure

        Carlos, what are Aaps?

        1 year ago Log in to Reply
    2. karolinamalecki7@gmail.com

      I chose dissatisfied because I assumed the question was referring to commercially available systems. I use diy Loop and am very happy with the target there. Until commercially available systems can have lower targets, I will continue to not choose them.

      1
      1 year ago Log in to Reply
      1. Wanacure

        Right on!

        1 year ago Log in to Reply
    3. Marion Barker

      I use DIY Loop and am very satisfied with my target glucose. I would not be able to use as low a target in a commercial system.

      1 year ago Log in to Reply
    4. Larry Martin

      My pump has that but for now only guards against lows. It does an ok job of that but my time in range with that ON dropped 30 points so it is turned off. The guards for lows are on but I manage the rest myself. My Time is range is in the upper 80s.

      1 year ago Log in to Reply
    5. Joan Fray

      Works a lot better than if I try to do it Constantly fiddling with mini bolusrs, forgetting to check, discovering I’m super high or way low. Heck yeah, give me automation anytime!

      1
      1 year ago Log in to Reply
    6. Keira Thurheimer

      I am currently using the Medtronic 670G and would much prefer a lower target glucose than its 140. I’ll be researching other options soon, as the warranty is up on this pump in August of 2023. Until then, I “micromanage” as my Endo wrote in my chart.

      1
      1 year ago Log in to Reply
      1. Wanacure

        140 or 150 should be your high. But i’m Not your doctor.

        1 year ago Log in to Reply
    7. Kathy Hanavan

      I use Control IQ and would love to be able to have a lower target glucose and for corrections to happen at a lower level and more quickly. I do small corrections on my own long before the pump would. That being said, my TIR is around 90 and I don’t have too many lows.

      1
      1 year ago Log in to Reply
      1. Wanacure

        Congratulations!

        1 year ago Log in to Reply
    8. Grey Gray

      I used automode for several months. Worked great at times and will try again when the algorithm improves. Unfortunately it is to biased to how your sg was yesterday. I have a job where the activity level can be different from day to day and I am lazy as hell on the weekends. So on the weekend my sugar ran high the pump adjusted on Monday I would be hypoglycemic alot. No setting to say I’m not working today or vice a versa

      2
      1 year ago Log in to Reply
      1. Wanacure

        Grey, can’t you input your work schedule into the pump algorithms? What’s the point of artificial intelligence and insulin pumps if they can’t accommodate such a simple variation? Please check with your tech team.

        1 year ago Log in to Reply
    9. A H

      I would prefer 90 or 100 as a target on CIQ. I’m thinking of moving my son to DIY Loop for this reason.

      1 year ago Log in to Reply
      1. Wanacure

        What does CIQ stand for? I’m ignorant. And I admit also to being a fool of the Don Quixote Type. Does DIY stand for Do It Yourself?

        1 year ago Log in to Reply
    10. Jeannie Hickey

      My DIY Loop allows me to set target at 90-110.

      1
      1 year ago Log in to Reply
    11. Ernie Richmann

      I think it is important to trust those medical professionals involved with your care. That being said, it is also important to continue learning about diabetes related information. The more knowledge a person has, the better able to have a conversation with medical providers. I like to share my activities, habits, lifestyle information with my endocrinologist. I am fortunate that he is willing to consider my questions and provide his honest answers. It is my responsibility to listen, learn and to do those things everyone agrees lead to improved control like exercise and good nutrition.

      2
      1 year ago Log in to Reply
    12. Lyn McQuaid

      I wish the commercially available systems (like Control IQ, which I use) would allow for a lower target but I understand why they don’t. As a result, I only turn Control IQ on at night and keep to a lower target on my own during the day.

      2
      1 year ago Log in to Reply
    13. Dave Barden

      Use only the Dex G6 And set Medtronic boluses manually. My experience with G6 false lows and not lasting 10 days tells me So far that I will never be able to use any kind of closed loop or auto delivery system. My last G6 completely failed after just 2 days refusing my attempts to calibrate

      1
      1 year ago Log in to Reply
      1. Wanacure

        Switch to a tandem pump. It seems to be the choice of TIDs on this site.

        1 year ago Log in to Reply
    14. George Lovelace

      G6 and CIQ makes me Extremely Satisfied, Best Numbers since 1963

      2
      1 year ago Log in to Reply
    15. Janice Bohn

      Tandem x2 with Control IQ
      Although very grateful to have “smart” pumps I think the algorithm is not very robust – hoping next generation will be better.

      2
      1 year ago Log in to Reply
    16. persevereT1D52

      I tried 6 months to use the auto mode but I’m insulin sensitive and was never able to avoid lows with auto bolus corrections. I use 24 hr sleep mode which has a lower goal setting and manual corrections. The basal corrections work well for me.

      1 year ago Log in to Reply
    17. Lawrence S.

      I am satisfied with my Tandem X2/Dexcom G6 Control IQ system. But, like many of the respondents here said, I would like to be able to set my system for a lower target than the preset 115 on the Control IQ system. Overall, I’m happy with what I have.

      1
      1 year ago Log in to Reply
      1. Wanacure

        Thanks for that info.

        1 year ago Log in to Reply
    18. john36m

      I answered yes, but it is totally misleading. I use a DIY system, and I can set the target wherever I like.

      1 year ago Log in to Reply
    19. Janis Senungetuk

      Use Tandem t:slim X2 w Control IQ app. My TIR is 85 -100% very often, but I would prefer to have a target glucose level at 100. The AID results are certainly better than when I was managing on my own, but I would like to be able to adjust the standard glucose level and IoB time for me.

      2
      1 year ago Log in to Reply
    20. Cheryl Seibert

      I answered “Somewhat satisfied”. I like Tandem’s bolus settings where you can set the target BG for insulin dosing. However, the ControliQ feature has a fixed target of 140 with autocorrections. I prefer a 90-110 target so auto-basal adjustments would happen sooner. Sleep Mode targets 110 BG but does NOT do autocorrects. Basal settings are flexible for Sensitivity and Carb Ratios, etc but the activity insulin of 5 hours counteracts the nice basal adjustments in ControliQ.

      2
      1 year ago Log in to Reply
    21. Carol Meares

      For almost 30 years my goal for managing my diabetes is to aim toward 100. I have been able to maintain my A1c in the 5s consistently with a fair amount of micromanaging. The pump has not changed that because I have to work against it to point my numbers toward 100. The micromanaging is the same or possibly even more. I think I preferred basal iQ but can’t go back. But I am making do. And I am thankful for the efforts of these companies to keep improving the technology and make T1D easier to manage. The FDA perhaps needs to get on board especially since there are so many people that are choosing unapproved algorithms so that they can have more license to set their own parameters. I would love to go on the “do it yourself” setups but don’t have the tech confidence.

      1 year ago Log in to Reply
    22. Nevin Bowman

      As long as the algorithms have a target beyond what is normal, I will be dissatisfied.

      3
      1 year ago Log in to Reply
    23. kristina blake

      A target that is too high for me is why I stayed with BIQ and did not change to CIQ. I set my target at 80. I also make use of temp basals (both increase and decrease) and prefer to do my own corrections – taking into account the direction of the trend arrows, my knowing what I will be doing for the next few hours and whether or not I still had FOB (food on board).

      1 year ago Log in to Reply
    24. Amanda Barras

      Satisfied however I wish there was a way to set my pump more aggressive for insulin resistance.

      1 year ago Log in to Reply
      1. Wanacure

        Good point. Thanks.

        1 year ago Log in to Reply
    25. Sherrie Johnson

      Thanks to all of you I have many questions before I go on the new omnipod or tandem. I am concerned about set targets being too high I strive to keep no higher than 110 so these will not be a good fit for me.

      1
      1 year ago Log in to Reply
      1. Drina Nicole Jewell

        Tandem in sleep mode’s target is 110. It doesn’t do auto bolus but adjusts basal to keep it around 110. I’m able to stay under 110 for the most part, but have gotten as high as 130- still learning how to dose for protein/fat. I don’t know about O5 yet as my son isn’t able to upgrade yet. But I’ve heard with DIY looping you can set a lower target. My son and I plan on setting this up for him in the next few weeks.

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

        The Tandem system is great, even with the 120mg/dl target. I usually start my days closer to 100.

        1
        1 year ago Log in to Reply
    26. sdimond

      I keep my A1C at 4.8 using multiple daily injections. Are there any people on a pump at that level? I find the ADA standard of care woefully inadequate and have fired every doctor who has told me my A1C should be higher!

      4
      1 year ago Log in to Reply
      1. Karen Brady

        Many on pumps are at that level, yes.

        1 year ago Log in to Reply
      2. Wanacure

        Thanks for your response. Yeah, I grew up with the ADA exchange high carbo but, my brother turned me on to Bernstein, a diabetic who became a doctor. Available in books and YouTube. I ignore supplements unless prescribed by my doctor or a specialist in regenerative medicine.

        1 year ago Log in to Reply
    27. Stefan Perrin

      I am somewhat satisfied with the Tandem CIQ. I would prefer a threshold higher than 90 for insulin delivery pause in sleep mode because I’ve experienced too many night time lows. The insulin duration needs to go higher than 5 hours or include an algorithm that takes into account how much insulin was bolused. My experience has been that the higher the bonus the longer the insulin remains active and pausing insulin delivery will not necessarily prevent hypoglycemia.

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

      I wish the Control IQ system would let me set it a bit lower. However, my A1c is better than ever with the system and my mental management load has been reduced.

      1 year ago Log in to Reply
    29. Melinda Lipe

      I’m very satisfied for the pioneering AID system, only updatable pump until recently. Of course it’s not perfect, and I long for the past when I didn’t have to be my own pancreas. People will complain about anything new to them, but I’m grateful to have it! (And pumps are covered by insurance or they’d be impossible for most of us.

      1 year ago Log in to Reply
    30. Jeff Perzan

      Would like my Minimed 670G/GL3, which is set at 120, to be able to be lowered to 90-110, which is the ‘normal’ BG range.

      1
      1 year ago Log in to Reply
    31. TomH

      I started using Loop_dev with Omnipod Dash about a month ago along with my iPhone. Not having to carry a third device around is very freeing. While it’s involved to set up because its a DIY build and install of the software, the AID capabilities are extensive, allowing not only very wide target glucose levels, but every parameter desired. It’s not for the faint of heart, and the learning curve is steep, but doable by many, if not most that are willing to learn.

      1
      1 year ago Log in to Reply
    32. Russell Buckbee

      I need to set the target higher than the 120 max allowed.

      1 year ago Log in to Reply
    33. TEH

      I am satisfied with my BG control but not able to adjust much. I am using a Minimed 770G for a year abd a half and have had the best A1c levels since my Dx. Waiting for the 790G to have more control loop gain (more basil insulin delivery) for the next step. Come on Minimed & FDA! Lets get on with it.

      2
      1 year ago Log in to Reply
    34. KSannie

      Many people wish they could set a lower target on CIQ. But I actually wish I could set two different targets for daytime and nighttime. I cannot sleep when my blood sugar is below 110, so a target of 110 is too low for nighttime. But I, like others, would like to set a lower daytime target, closer to what a non-diabetic experiences during the day, maybe 90-100.

      1 year ago Log in to Reply
    35. Juha Kankaanpaa

      One reason why I haven’t considered any of the automated delivery systems is the target range. I have my high alarm at 115 and try never to be higher than 125.

      1
      1 year ago Log in to Reply
    36. Daniel Bestvater

      I use the Tandem X2 with CIQ. The targeted BG is stated to be 6.1(110). I find it works amazingly well over night looking at my history over the last 14 days my am BG has been between 4.9 (88) – 5.7(103). My problem is I am frequently hypoglycemic with CIQ during the day even with the active setting on. Unless I’m sitting at a desk or computer all day I must be on manual and reduce my basal by 30 – 50%.

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

      Being on a pump for a very long time (39 years), mostly Medtronic, where I made all the changes without having to call my Doctor/CDE, I find that the Tandem pump Control IQ is slow in response and designed for “New Bees” and I am not sure that the “T” Slim, (Tandem X2 pump) controls “Stacking”. However, it does a good job in sleep mode. Exercise mode, not so good.

      1 year ago Log in to Reply
      1. Wanacure

        Thanks for this info.

        1 year ago Log in to Reply
    38. Becky Hertz

      I’m on the tslim but have yet to go to CIQ

      1 year ago Log in to Reply
    39. Vince Shockney

      Started Omnipod 5 last week. I do wish that I could set my target closer to 95, 110 is the lowest. It’s still in its learning phase, so it’s hard to judge at this time. My TIR was 85% instead of my normal 90% for the week. I will consider Tidepool’s Loop when/if it gets FDA approval.

      1 year ago Log in to Reply
    40. Sasha Wooldridge

      I said somewhat dissatisfied. On Tandem CIQ and I wish my target could be lower. I also wish the threshold they use for autocorrections was lower. I’d rather it kick in if I’m going to be above 160. Although, I think it would have to be using shorter acting insulin with a shorter active time for those controls to be any more precise. 🤷‍♀️

      1 year ago Log in to Reply
      1. Nicholas Argento

        There is always a tradeoff between lower targets and thresholds, and potential for more hypoglycemia. That is the safety feature systems have to consider to get thru FDA, but also, to not cause harm from increased lows.

        1 year ago Log in to Reply
    41. Karen Brady

      I’d love to switch to one of the FDA approved systems, but while pregnant I need my target ranges to be lower than they allow. I don’t love the DIY nature of my current system.
      I understand why they have to do this, but I hope in the future those systems will change!

      1 year ago Log in to Reply
    42. PamK

      My insulin pump does have the option for automated insulin delivery. I have tried two versions of it (original for when I got my pump, plus one updated version on the same pump), but I was very dissatisfied with the target glucose of both. 120 mg/dl is too high!! As a result, I stopped using this feature.

      1 year ago Log in to Reply
    43. Alan Thompson

      I use Tandem/CIQ and it would be nice to be able to adjust the target (so I can drift a little high when I know I will be exercising).

      1 year ago Log in to Reply
    44. Nicholas Argento

      I am satisfied but would like to have the flexibility to reset to 100 at night, now is 110 all the time, CIQ.

      1 year ago Log in to Reply
    45. Randell Cole

      I don’t use that type of pump

      1 year ago Log in to Reply

    If you use an insulin pump with automated insulin delivery, how satisfied or dissatisfied are you with the target glucose level setting options for your system? Cancel reply

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