While this may sound odd, to me this is an exciting time to be a T1D. We have some great tools right now that are only going to be getting better in the coming years.
I know that many wish that the initial Control-IQ was more aggressive in bringing down high glucose levels. In fact, I suspect that you’ve read a number of the “tricks” folks have found to make that happen.
I personally believe that Tandem tried hard to NOT make their first closed-loop offering overly aggressive.
After all, if a bunch of us began showing up in the ER flopping like fish or worse, FDA approval would be pulled and then where would we be?
We all know that a bolus of insulin can cause glucose levels to plummet … and the only “knob” that can be turned to slow (but not really reverse) than trend is to slow or stop basal insulin. Well, we can eat something appropriate, but the pump can’t control that …
I DO expect that we will see rapid and significant improvements in control algorithms and I also expect that we will see dual channel insulin/glucagon pumps that WILL allow tight, but safe, regulation of glucose levels.
Welcome aboard and stay safe!