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Message: <blockquote data-quote="Rianne" data-source="post: 2663238" data-attributes="member: 427618">Hi Jane,Really similar to my situation, what you describe. Indeed very frustrating. Geting recognition from you and others makes it a bit more bearable, thank you for sharing. I also would like to know more about the calculations. Especially because the diabetes nurses do not really have solutions for situations like this. I find it a quite a shortcoming from Medtronic to keep us stuck in experiencing the pump as a black box, especially since the last few years eating low carb becomes a lifestyle for more and more people. It was one of my first questions and the answer was that the algorithm would take care of it. The information that with a low daily dose the algorithm hasn'nt enough 'room' to correct sufficiently made me raise my carb/insulin ratio. The thought is that when the portion bolus of the daily dose gets lower, the portion basal and autocorrection may get more room. So Medtronic said: increase the carb/insulin ratio so you get less bolus per meal. But the diabetes nurse says: you have too high after meal peaks so decrease your carb/insulin ratio. I am slowly increasing, because the low ratios did not help me. But time is running out. And. just like you, in general levels stay too high during the day, far off the target of 5.5. I also do not know if it is possible to only use SG during the night. I guess it will work OK, because the algorithm than only has to work with de bg. There is most of the time no food or exercise involved than. I have in the last few days lowered insulin sensitivity, increase max basal and max bolus. As said earlier/above, I do not know if these have influence, but my bg's seem a bit better since 1,5 day. Do not know either how soon changes in settings take real good effect. And do not know if it increases hypo's. Thanks again for your story. I hope things will improve for you. I will post any further improvements if I do experience them!</blockquote>

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