Starting over with Omnipod 5

I had a rough start with Omnipod 5 when it first came out, lots of sticky highs and no cooperation between a needed correction bolus and the “Auto mode”. So I spent about the last 9 months plus using the Omnipod 5 mostly in Manual mode, bolussing for meals with syringe/Lyumjev and using Affrezza for corrections and some meals. Recently I had a chance to review “the numbers” and found that my hybrid method of BG management sort of sucked…A1c had crept up by about a half percent to 6.6. First time I had ever been above 6.5 since diagnosis. And over those 9 months I had my first two lows that knocked me over and required assistance. So I decided to go back to Omnipod 5 Auto mode and see if I can dial things in for more effective BG management.

I started cold turkey, did not mess with any settings. I just hit “Auto” and away we go. I am doing a few things different than my first run in Auto mode. One is using some new fleshy sites to make sure I have good absorption. Another is only going 2 days per pod for the same reason. A third is limiting max bolus to 5 units for a meal prebolus, and delaying the rest of the meal bolus for 30 minutes.

On my second pod and feeling pretty comfortable with the results. I’ve had to use some Afrezza for corrections but hoping that will be reduced as the new TDD hits the pod memory/algorithm.

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Sorry it’s been such a rough go. I wish there was an option to add the Afrezza doses to your TDD! It would probably make a huge improvement.

My experience with the algorithm has totally changed in the last few months. My total daily dose has more than doubled because I believe that I’m coming out of my LADA honeymoon. Now I’m totally in love with the OP5 algorithm. As long as I don’t have anything too crazy for dinner I’m sleeping through the night with a great BG. The first couple of years I was waking up at least once to give a bolus. I haven’t had one low either. Just really happy with it.

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