Hi Mark
I started using the Tandem pump mid December and lucky enough to also get the dexcom 6 funded, so new to the system after 16 yrs on Roche pumps. I was on libre with my last pump. I have no regrets whatsoever moving onto this combination, I absolutely love it. Filling the cartridge is annoying but that's all and what I get out of the system by far outweighs this. If you choose to go for this combination my biggest advice would be to expect teething problems, you will get some! Thankfully I started with this attitude and it really helped, it takes a while to get used to it and whilst going through that the alarms drive you mad. It took some tweaking and I knew I would struggle as I was a control freak on my last pump so trusting the pump was always going to take some getting used too! The things I had to learn to cope with were...
It thinks insulin active time is 5hrs, for me its just 1hr, If I need a correction and it thinks I dont need more insulin then I lie and say im eating carbs and need a bolus.
It only gives 60% of calculated correction so Ive told it my correction ratio is lower than it is.
I have also set a basals for 50% my usual basal for exercise.
There are a few other tricks I've learnt but probably send you to sleep. In 5 weeks on this set hba1c went from 7.1 to 6.5. Time in range from around 70% to mid 80s.
Dexcom is far more accurate than libre for me, I have calibrated 3 times with 2 transmitters.
Like juicy said night-time is the best thing ever, I used to scan and correct 3-4 times a night now I sleep like a log and trust Tandem to keep my around 6 all night, it is 100% amazing!!
It isn't a ' magic pill' but finally a system for people who are prepared to put the work in to get results.