The first day was yesterday and seemed great, but while sleeping, my blood sugar dropped below 55. Little helped, so I ate too much sugar, and then corrected the defaults for my bolus and correction. That worked, and I woke up with good numbers that lasted until breakfast, and now I’m running a little high. I’m wondering whether I should fix my bolus or my correction. Any suggestions for this and the future?
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It’s still going great, with >90% in range, but again, and overnight low, although not as severe. I have adjusted my bolus calculation, and that seemed to help with the daytime numbers, but the overnight problems might be lingering Tresiba or a facet of my pre-bed snack. The carbs in those might have as strong an effect.
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I think the transition from Tresiba to pump is tough for the first few days.
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I would think so as well. Tresiba has a much longer half life. For that reason I keep a box of Lantus pens as pump backup. 20 hours and it is mostly gone.
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If you keep going low overnight, and it’s in the same time frame, you could try raising your target for that period, so the algorithm backs off a bit.
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If I Understand Correctly the O5 does not do anything other than do what it’s told for the first pod. I.e. I don’t think it is doing anything other than what you/your endo told it to do.
The Treshiba point is valid, the same point can be made for Lantus or any other long acting insulin. While it may be pure turtleneck marketing they claim (as if a chemical could claim) that they last for 24 hours, or so, or more.
My approach to the MDI swap is to halve my basal in and out; even if my basal is accurate overlapping with a pump basal is a poker hand that ends at 6. I think I’m just the choirboy.
@James.J.Igoe You’ve gotten some good advice/opinion from a few folks here, first if its your first pod, unless the need is drastic, let it go and let the algorithm do what it needs to do, see if it corrects itself. If it doesn’t or the need is great, then AFTER the next pod make a slight adjustment, i.e. if the algorithm allows, make an adjustment in target or whatever setting affects the need. The key is let the algorithm try to resolve itself, when/if it doesn’t, make a change, just one, and test it for a day or two. We tend to make too large of a change, or too many changes at once, and then either swing too much in one direction or don’t know what worked and what didn’t work. It’s not an easy process. And remember the folks giving the advice (including me) are not experts in O5 or your situation. Give it some time, unless the need is great!
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That first day on a new setup can definitely be a bit all over the place I’d be careful about changing too many settings after just one night since things can still be settling in. It might help to review both basal and correction with your endo or pump team so you don’t overcorrect. Hope it smooths out soon!
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My first pod went wonderfully, but my next two likely suffered from poor placement. I did everything correctly, but once I switched to the back of my arm for the pod, things went much better. I have tweaked the bolus and correction settings, and that seems to have worked adequately, although I will likely need to tweak further. I see my endo’s PA today as a follow-up.
Up until I lost weight - I changed my diet and lost about 30 pounds over 6 months - my control was good, but with weight loss, I’ve been struggling getting my numbers under control (see left). The numbers are better now (see the right), but since I had 2 days when the pods weren’t working, the results are subpar. Like most, with experience, I imagine the numbers and graphs will head downward and flatten over time.
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Sounds like you handled a lot of ups and downs on day one. It can take some time to learn how your settings work in real life. Hopefully others who use the same system can share what helped them during those first few days. Keep us posted on how it goes!
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So far, I am almost hitting the short-term target (6.5 A1c, >80% TIR) but hampered by occasional device issues. Although inserted correctly, two pods had to be tossed because I put them where I had too little fat. A third issue was that when I placed a pod of the back of my arm, my sleeping position prevented communication between pod and sensor. With a delayed peak from dinner, my sugars rocketed over 200, and then took a while to bring down.
Long term, I expect to do better, likely keeping it under 6 A1C and (maybe) > 90% in range.
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