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Message: <blockquote data-quote="oldgreymare" data-source="post: 2673345" data-attributes="member: 20373">Hi [USER=255556]@richyb[/USER], an HBA1c result of 44 suggests an average BG level over 2-3 months of 7.3 mmol - (I think still a diabetic level). Of course you know that you can have periodic higher and lower readings.  Best practice guidance for diabetics using CGM (or flash monitoring) is to focus on time in range (between 3.9 - 10 mmol) with a target of 70% TIR or more. If you can consistently maintain your current HbA1c with hypo incidents of less than 4%, then your diabetes team should be supportive, but many HCPs are still using older (pre CGM) guidelines where higher BG levels for insulin using diabetics were preferred due to the risks of unnoticed hypos. You may find the attached helpful - you can always tactfully ask your team if they have seen this. Re the Omnipod 5, as well as any other hybrid closed loop system, be aware that the AI algorithm the pump uses is very dependent on the data it has been 'trained' on. This will be data from a very large cohort of pump users and will be a broad representation of the typical pump users behaviour. This is used to set the initial HCL pump settings and I believe these are often tweeked by the pump manufacturer to aim for higher BG levels at start in order to avoid the risk of hypos. Then as the HCL user automatically sends data back to the algorithm, it 'retrains' to be more specific to the that individual pump user. This recalibration  appears to take between a few weeks to several months. I am very new to using a pump having just started with an Omnipod DASH which will be very similar to running an Omnipod 5 always in manual mode. So far so good, but I really want to use a manual pump for at least a year to truly understand it before even thinking about a HCL. [URL unfurl="true"]https://pubmed.ncbi.nlm.nih.gov/33073388/[/URL]</blockquote>

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