Insulin Pump Users + Freestyle Libre Users - AGP

I would like to start a thread for people who are on an insulin pump and who are using the new freestyle Libre.

Have you used the AGP software with the traffic light system to fine tune your pump?
How are you using this to adjust your basal rate?
Have you noticed anything you did not know before using the Libre?

I fasted from 8pm - overnight to 6pm the next day. I seemed to stay between 8 and 9mmol. From this, I think that my Basal is ok...perhaps just a slight increase (say .05 increase per hour)
What surprised me was from about 4pm, my levels started rising to about 16. I see this pattern over several days. I know there is the dawn phenomenon which raises glucose levels in the morning. Does anyone know why levels would rise suddenly between 4 and 6pm?

I dont see the traffic light system yet on my AGP profile. Has anyone been using the Libre longer than a week? Do they only appear after a while when there is a definite pattern?

From spikes after eating, it seems I spike drastically then drop fast - To avoid this, do any users split the bolus or how soon would you take a bolus before eating?

PS: This thread is for advice from pump and freestyle libre users only. Its not for complaints regarding reading variations or faulty sensors neither - theres other threads for those postings.

It would be nice to see images of AGP profiles and positive replies as to how you have used this new meter and software to fine tune your pump and any experiences that you learned from the Libre that you werent aware of.

I stayed between 8 & 9 from 8pm all through the night. I fasted all of the next day till 6pm. My blood glucose remained between 8-9 and then at about 4pm, it started rising (even tho I was fasting.) It rose until 6pm then started dropping. I broke my fast at 6pm by taking a correction dose then had my dinner. Apologies for the confusion.

I have posted my AGP.... any thoughts?
I also included a typical day

donnellysdogs said:

@Omnipod

You may well find that increasing every hour basal by 0.05 is going to be too much. However, this depends on the qty of insulin you are pumping thru each hour. Eg for me I will only change by 0.01 extra each hour at a time if needed because I am on less than a unit per hour. However, another pumper I know uses at least 2 units per hour and will do increase of either 0.05 because this is all the pump will allow.
The increase starting at 4pm when basal testing just is because you haven't got your basal rates right for 1pm or 2pm.
Once these are corrected and basal tested again then the rises after eating can be adjusted.

Personally though, I would not go a full day till 6pm without eating. If testing afternoon rates you would be best to have your breakfast. If testing morning rates, then finish around lunch time. It is not really advised to go without both breakfast/lunch to do a basal test day.

Click to expand...

Thank you. I had no idea that I should be adjusting as far back as 2pm for my basal rate at 4pm. I have included my basal rates below. From 12 mid day to 5:30pm, Im on .85 per hour. I could increase it by .5?
Last night was weird. I went to bed as per usual. Bloods around 9. They then steadily dropped and at 5am I went hypo. Most other nights, they just stay stable. I usually have a few spoons of Yoghurt before bed but last night, I never.
my basal rates are
12am to 3 am .60 p/hr
3am to 10am .85 p/hr
10am to 12pm .65 p/hr
12pm to 5:30pm .85 p/hr
5.30pm to 8pm .65 p/hr
8pm to 12am .60 p/hr
total daily 17.75 Basal