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Issues with highs - 780g

@Oblomov my thoughts exactly. We have an algorithm that doesn’t work for a select few. I’ve looked at coming out of Smartguard as well but after you have had it for so long, the thought of testing bsl before each meal which for me is sporadic, made me go back into Smartguard each time. They’ve planted the seed, and they’ve done it well. For the record my 2 day old sensor failed on Xmas night in which I was away from home for without spare sensors or meter so I just had to “go by feel”. Survived and had a great time with family, probably the least diabetic stress I’ve had for a long time not having to worry about alarms.
 
Justin04 said:
@Oblomov my thoughts exactly. We have an algorithm that doesn’t work for a select few. I’ve looked at coming out of Smartguard as well but after you have had it for so long, the thought of testing bsl before each meal which for me is sporadic, made me go back into Smartguard each time. They’ve planted the seed, and they’ve done it well. For the record my 2 day old sensor failed on Xmas night in which I was away from home for without spare sensors or meter so I just had to “go by feel”. Survived and had a great time with family, probably the least diabetic stress I’ve had for a long time not having to worry about alarms.
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That’s impressive. It’s so disappointing to read that 780g in Smartguard is not serving some very well. While not problem free, I’m so grateful. The last 7 days I’m 76% TIR with an average BG of 112. For me, that’s awesome. I also have periods of 100% TIR, but I don’t focus on that. Without Smartguard I’m really struggling.
 
Well what an awful meeting with pump specialist nurse that was. She says my expectations of the algorithm are too high and suggests I come out of safeguard into manual. Because I don't want to run at average blood sugar of 10. She says it's in range so is good enough. She says there's nothing more the hospital can do for me. I can't believe I'm being treated this way.
 
I'm so sorry you've had this happen to you. Personally, I wouldn't be happy running at 10 all day either. The 780 has 3 target levels, and none of them could be achieved by running at 10 all day long.

I'd suggest you ask for an appointment with the Consultant asap, or consider changing hospital clinics, or contact PALS.

Have you had any discussions with the medtronic rep at all, if so, could you contact them?

Sending hugs.
 
Oblomov said:
Well what an awful meeting with pump specialist nurse that was. She says my expectations of the algorithm are too high and suggests I come out of safeguard into manual. Because I don't want to run at average blood sugar of 10. She says it's in range so is good enough. She says there's nothing more the hospital can do for me. I can't believe I'm being treated this way.
Click to expand...
Upthread you mentioned dawn phenomenon. I used to have that too. I bolused in the morning for my coffee, even if it barely had any carbs. Usually, 7 carbs.

Also, I think there is a setting that limits the max number of units of insulin you can get within a certain amount of time. I can’t remember where it is, but I think it applies in Manual mode and Smart Guard.

If you aren’t pleased with Smart Guard, is there some reason you don’t want to try Manual Mode? It might provide you with information of what your insulin needs are to keep you in the range you want. I believe Medtronic says the 780 is not for anyone who uses more than 100 units per day.

I have run high with 780, but recently have run quite low, with some 50-60 for no apparent reason.

Good luck sorting this out.
 
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