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MEDTRONIC 670g
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<blockquote data-quote="aphex2k" data-source="post: 2147908" data-attributes="member: 912"><p>New convert here so happy to answer any questions, either within this thread, or the one linked above.</p><p></p><p>It's not an easy transition, I'll tell you that. I'd "learnt" the 640g quite well and got down to a a1c of 7.7. I seem to having good and bad days with the 670g but you have to rethink a few things, just gotta be patient. You'll hear this a lot.</p><p></p><p>Whethere you'll be able to keep your a1c sub 6 i'm not entirely sure. You have to focus on time in range more than being reliant on a1c as an indicator of good self management. I've had days when I've been 75% + time in range, but I've also had days when I've not been so good. I'm not even sure if it's really worth the extra effort even aiming for sub 6?</p><p></p><p>The new method appears to not favour snacking / grazing, which is how I have always managed my meals and bolus's. I've had a few "ping pong" days when I've gone high, over corrected, dropped down, then over corrected again and gone high.</p><p></p><p>Going 640-670 you lose temp basal rates for low/med/high activity. Same for "sick" basal level too. You don't get a few other options like suspend before low/high.</p><p></p><p>The new sensors are hit and miss. I've had three that have lasted 5 days. The last one lasted the full 7 + 2 more days extended. They seem to last if you're not bombing them with re calibrations all the time. I've found for me the best calibration regime is 20 mins after I've got up - before I eat. Then again before lunch. Again before dinner, and once again before bed. 4x calibrations per day. Plus the extra "input BG" messages you get through the day. Don't calibrate if you're more than 30% above or below "range". Don't calibrate with either the up or down arrows!</p><p></p><p>Um.. what else.... Er.....</p><p></p><p>I have found that trying to recover from a high BG is harder (slower) with auto mode. I can generally do things faster with a bolus and manual mode / sick 130%. Is this the right way to do it? I'm not sure. I just like being closer to my good range and getting there as quickly and as safely as I can.</p><p></p><p>Nights are extremely pleasant. My BG usually stays the same until I wake - I don't get DP or liver dumps etc - not requiring insulin anyway.</p><p></p><p>So far I'm favouring auto through the week, and manual mode at weekends. But as everything diabetes related, your experience will be different.</p><p></p><p>Breathe, relax, ask questions here. You'll be fine.</p></blockquote><p></p>
[QUOTE="aphex2k, post: 2147908, member: 912"] New convert here so happy to answer any questions, either within this thread, or the one linked above. It's not an easy transition, I'll tell you that. I'd "learnt" the 640g quite well and got down to a a1c of 7.7. I seem to having good and bad days with the 670g but you have to rethink a few things, just gotta be patient. You'll hear this a lot. Whethere you'll be able to keep your a1c sub 6 i'm not entirely sure. You have to focus on time in range more than being reliant on a1c as an indicator of good self management. I've had days when I've been 75% + time in range, but I've also had days when I've not been so good. I'm not even sure if it's really worth the extra effort even aiming for sub 6? The new method appears to not favour snacking / grazing, which is how I have always managed my meals and bolus's. I've had a few "ping pong" days when I've gone high, over corrected, dropped down, then over corrected again and gone high. Going 640-670 you lose temp basal rates for low/med/high activity. Same for "sick" basal level too. You don't get a few other options like suspend before low/high. The new sensors are hit and miss. I've had three that have lasted 5 days. The last one lasted the full 7 + 2 more days extended. They seem to last if you're not bombing them with re calibrations all the time. I've found for me the best calibration regime is 20 mins after I've got up - before I eat. Then again before lunch. Again before dinner, and once again before bed. 4x calibrations per day. Plus the extra "input BG" messages you get through the day. Don't calibrate if you're more than 30% above or below "range". Don't calibrate with either the up or down arrows! Um.. what else.... Er..... I have found that trying to recover from a high BG is harder (slower) with auto mode. I can generally do things faster with a bolus and manual mode / sick 130%. Is this the right way to do it? I'm not sure. I just like being closer to my good range and getting there as quickly and as safely as I can. Nights are extremely pleasant. My BG usually stays the same until I wake - I don't get DP or liver dumps etc - not requiring insulin anyway. So far I'm favouring auto through the week, and manual mode at weekends. But as everything diabetes related, your experience will be different. Breathe, relax, ask questions here. You'll be fine. [/QUOTE]
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