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Understanding the Omnipod 5, insulin to carb ratio's and high blood sugars
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<blockquote data-quote="Idle Sean" data-source="post: 2762079" data-attributes="member: 594682"><p>Hi Fitzzz </p><p>I can't comment on "what you're doing wrong" but tell you what IAction. I'm on NovoRapid don't eat between 22:00 - 06:00 so my ICRatio is academic [and with the OP5 split 22:00-00 & 00:00-0600] then I have a breakfast ratio 06:00-11:00; Lunck/snack 11:00-17:00; dinner/eve 17:00-22:00. I have a different ICRatio for each. At the end of each time-zone, I record [I have a Google Sheet] the highest and lowest sensor blood glucose (SBG) in the zone. {{{I colour code according to [I'm on Dexcom] 4.4-8.3 (the Dexcom tight range at night) as green; outside that range but inside the daytime/DAFNE 3.9-10 range as grey, above 10 as orange, and below 3.9 as red}}} I've just realized all that is irrelevant! If I am above target (highest) I decrease my ICRatio by 0.2g/u every day until both are green/grey? If I'm below target (lowest) I increase ICRatio by 0.2g/u every day [DAFNE says wait 2 days to establish a pattern but inc/dec by 1-2g/u which would [kill me / go on a Chocolate binge]</p><p></p><p>There are other settings like Duration Of Insulin Action. I'm on NovoRapid but set it to 2h [the min] to make it more responsive.</p><p></p><p>I find the Bolus Calculation infuriating. The basic calculation is right, then it takes of if you're below, fair enough; if you're above it adds, fair enough, and then.. [I'm assuming you're in automated] being high, and adding, IT TAKES IT OFF AND MORE BECAUSE OF IOB THAT IT PUT THERE BECAUSE YOU'RE HIGH ... rant over for now.</p><p>For that reason I find the correction factor largely superfluous, I can't workout if it uses it when I'm low and it ignores it when I'm high or vice versa. </p><p>Apart from the ICRatio, I find the "Target Glucose & Correct Above" has the most effect. </p><p>Mine is set to 6.1(both) 24h a day (all time zones) I've tried varying it but it seems to allow the pump to slack off. </p><p>My 90d TIR is 87% and I'm trying to get to 100% so my answers may not work for you but I hope they help!</p></blockquote><p></p>
[QUOTE="Idle Sean, post: 2762079, member: 594682"] Hi Fitzzz I can't comment on "what you're doing wrong" but tell you what IAction. I'm on NovoRapid don't eat between 22:00 - 06:00 so my ICRatio is academic [and with the OP5 split 22:00-00 & 00:00-0600] then I have a breakfast ratio 06:00-11:00; Lunck/snack 11:00-17:00; dinner/eve 17:00-22:00. I have a different ICRatio for each. At the end of each time-zone, I record [I have a Google Sheet] the highest and lowest sensor blood glucose (SBG) in the zone. {{{I colour code according to [I'm on Dexcom] 4.4-8.3 (the Dexcom tight range at night) as green; outside that range but inside the daytime/DAFNE 3.9-10 range as grey, above 10 as orange, and below 3.9 as red}}} I've just realized all that is irrelevant! If I am above target (highest) I decrease my ICRatio by 0.2g/u every day until both are green/grey? If I'm below target (lowest) I increase ICRatio by 0.2g/u every day [DAFNE says wait 2 days to establish a pattern but inc/dec by 1-2g/u which would [kill me / go on a Chocolate binge] There are other settings like Duration Of Insulin Action. I'm on NovoRapid but set it to 2h [the min] to make it more responsive. I find the Bolus Calculation infuriating. The basic calculation is right, then it takes of if you're below, fair enough; if you're above it adds, fair enough, and then.. [I'm assuming you're in automated] being high, and adding, IT TAKES IT OFF AND MORE BECAUSE OF IOB THAT IT PUT THERE BECAUSE YOU'RE HIGH ... rant over for now. For that reason I find the correction factor largely superfluous, I can't workout if it uses it when I'm low and it ignores it when I'm high or vice versa. Apart from the ICRatio, I find the "Target Glucose & Correct Above" has the most effect. Mine is set to 6.1(both) 24h a day (all time zones) I've tried varying it but it seems to allow the pump to slack off. My 90d TIR is 87% and I'm trying to get to 100% so my answers may not work for you but I hope they help! [/QUOTE]
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