Loop and Learn: Loop vs. O5 Chat Questions Answered
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- เผยแพร่เมื่อ 6 ก.ย. 2024
- Loop vs. Omnipod 5: Q&A Discussion
Jon Fawcett, Matthew Kitchin, Tina Hammer and Britni Schipper discuss the PROs and CONs and MYTHS of the Omnipod 5 system vs their knowledge from running DIY Loop. GREAT discussion!!!
Feel free to post any further questions in Comments.
Thank you everyone.
One more question my son doesn’t do any calculations. He stopped that six months after diagnosis. He micro boluses. No matter what we insulin in large doses hurts him. So, his endo allows him to micro bolus and he will just give himself a bit before eating then continues to bolus small amounts after he eats. He also has his back ground basal set.
Also I’m on the west coast. Our lows are 4.0 and lower and highs are 10.0 and higher. How does the loop handle the conversion? Or do we need to learn what the hundreds numbers mean? Or will the systems, dexcom and loop, be confused with each other?
It sounds like Lilly doesn’t bolus all the time. Maybe this is the same?
Loop can read in mmol/L or mg/dL, depending on what your cgm and Apple Health use: loopkit.github.io/loopdocs/faqs/apple-health-faqs/#how-do-i-change-glucose-units
I am thinking of starting my son on loop. Will this keep him from lows? Will the insulin stop if he is having a low? He uses a dash and dexcom G6 right now.
It will not "automatically" keep him from going low. Settings need to be good, carbs need to not be overrepresented, caution needs to be taken around activity, sickness, hormonal changes and other causes of dropping blood sugars, and care and attention need to be given to the system. That still doesn't guarantee he won't go low... and let's be honest... everyone goes low, at least now and then. 🤷♀️
Would you recommend using R insulin for protein and fat while using Omnipod 5
I generally use R for the same type of eating. Tried the but the 05 algorithm doesn't seem to understand a very low carb high protein/good fat diet. No one seems to be able to answer my particular questions. I wish there was someone who could educate us on this. :(
I have thought about doing that. We haven't used R before, but I've been thinking of asking our endo for a script to try it.
@@tinahammer7870 If you would like to try using R, (especially if you eat low carb), you should read Dr. Bernstein's Diabetes Solution. Also you don't need a script, you can buy it at your local Walmart for around 25.00 a vial. People without insurance and people who have diabetic animals use it. I would caution everyone to do their due diligence before starting.
Hello I want to ask a question how to handle the lows with oP5? My son goes low quite a bit and at school e specially he has to be given 15g carbs but the pump sometimes will give too much on the rise so he goes low again or not enough so he goes to high … we’ve been playing around with different snack carb counts and timing just curious how you all treat a low?
From Britni: To answer the first question, treat with less carbs when low. 15g is way too much for most. But also, it sounds like settings need to change if lows are happening often.
You can raise the target for the time during which you usually see lows. You have the opportunity to set 8 different targets and "bolus above" numbers on O5, based on time of day, so for the time when he goes low, and maybe an hour on either side (depending on how quickly you usually see insulin impact), try raising the target. There are lots of options, from minimum target of 110 / bolus above 110 to maximum target of 150/ bolus above 200, and everything in between. Even leaving target at 110 and raising "bolus above"" to 120 can make a notable difference.
@@LoopAndLearn my daughter too experience significant lows with OP5 I changed her target to 150 all day and increased sensitivity by 30%, insulin duration to 4hrs yet we need way more than 15g to get her to be at just 80. I also tried to put her in activity mode to prevent the rebound low from treating with more than 15g but she just won’t pass 80. Since we started op5 I’ve had nothing but sleepless nights due to crazy lows.
@@shericasergeant5382 food for thought: I often can trace back the low to something specific that happened earlier which isn’t always just a setting change. So it may be worthwhile to consider prior boluses for meals/corrections, what it has been automatically dosing vs what you’ve dosed manually, if there was a high preceding the lows, etc. because there are so many things that could cause this. For instance, I’ve noticed for my daughter that a spike after a meal from too short a prebolus, forgetting to bolus, bolusing well after eating, incorrect carb count, incorrect carb ratio are all capable of causing a lot 4+ hours after that meal depending on the specifics of how the algorithm handles things on its own.
Hi- interesting! Are there any adult T1d
who are on this Omnipod 5?
Yes but we don't know who they are.