Control IQ does not do this, the bolus continues and basal is simply reduced a bit. (I didn’t end up in the hospital , but I had a multi -day headache from sustained high blood sugars that I couldn’t beat down using the system) This is a CHANGE in how we manage our diabetes, so it is to be expected that just tapping the system on and trying to manage your diabetes as usual is not going to work. If she knew that she was going to get exercise in the near future, she wouldn’t do either of those things. One adjustment that Bisi has struggled with is remembering to turn off her insulin when she takes off her pump to shower or play sports. I can tell you right now this system is not an artificial pancreas  (which Tandem never claimed it to be) and it is not a simple fix for all diabetes management problems. Before Control-IQ, pump site failure was only one of several reasons – including the dawn phenomenon and the meal she’d eaten the night before – that her blood sugar might have gone high. My first 5 days on CIQ were ROUGH!! To see what the system would do I got my blood sugar to 80 and carried about my day. no new tech to buy. I was back to target in a few hours and then watched blood sugars snuggle in nice and low for the rest of the night. I find that with Control IQ i rarely get a complete suspension of delivery, and more often get a reduction in delivery of basal so when blood sugars rise it is slower and smaller and basal can resume without the spike. Learn more about the Time in Range Coalition, Medtronic Integrates Guardian Connect CGM with InPen Smart Insulin Pen, Navigating a Colonoscopy with Diabetes: Advice and Guidance. We’ve found that her blood sugar does not rise as steeply, according to her CGM, and also that it often tops out at a lower number than it used to. We have found that being consistent about pre-meal bolusing is even more important with Control-IQ than it was before. But I am having to do a bit of work on analysis of my foods and retool my approach. Alicia’s diverse nursing career has given her experience with a broad range of clients and a variety of health conditions in addition to diabetes. Anna has finished one month (36 days technically) on Control-IQ. I would think that the Control IQ sleep mode function would provide a better low BG suspend performance then BASIL IQ. But the down side is that it stops auto-bolusing . ** For anyone counting that means that I am using 3 profiles to operate CIQ effectively: my manual settings tested and proven(Alicia) , my CIQ settings with more aggressive correction ratios (Alicia IQ) and a set with control IQ correction factors but higher basal settings for sick days, hormone shifts etc (Alicia HIGH IQ… No pun intended, and actually, probably not accurate anyway). The diaTribe Foundation, in concert with the Time in Range Coalition, is committed to helping people with diabetes and their caregivers understand time in range to maximize patients' health. Do you think Control IQ sleep mode operation would be better upgrade option then the older BASIL IQ system? However, with settings that are not dialed in, unknowing providers and incomplete support users will likely be in for a bumpy ride if not a disappointing mess. Importantly, the system cannot adjust your insulin dosing if the pump is not receiving CGM readings. I’ve been diabetic for a long time, and this idea of a loop is a long time coming. Learn more about the Time in Range Coalition here. However, the charge beep remains (Come on Tandem at least let us set it to vibrate!! Inkl. Lost about 22 lbs since cutting carbs down. But it also did not actively push blood sugars back up to the 110 target. I have found that manually splitting my bolus to take about 70% of my bolus ahead of the meal, increasing the front end of the extended bolus and only extending for 1 hour, then manually bolsuing the remainder of the carbs over a 2 hour period has worked in place of my previous 50/50 over 3 hours bolus. This was very problematic and compounded by being sick! Katie Bacon is a writer and editor based in Boston. Since CIQ is easing back on basal as blood sugars drop and is much more conservative about stopping delivery entirely, we no longer get the headache of setting an extended bolus for dinner and going to bed at 110 only to wake up three hours later at 240 because the system stopped the last third of our bolus! once you want to resume insulin, cancel the temp rate and turn Control IQ back on. Since there are situations and emergencies that the system may not be capable of identifying or addressing, patients should always pay attention to their … The diaTribe Foundation, in concert with the Time in Range Coalition, is committed to helping people with diabetes and their caregivers understand time in range to maximize patients' health. Hi pam, we would need an appointment setup for more specific guidance as I would need a great deal more data than the comments section provides. I appreciate your article and I just lowered my Correction factors. I have seen blood sugars come down to 95 and park there for the night! About 3 weeks ago we got news of the FDA approval of Tandem Diabetes’ Control IQ (CIQ) hybrid closed loop system. CIQ eased back on basal deliver enough to let me sit nicely and safely for hours (Even on a night that got busy with patient needs and I skipped dinner) This would not have been the case if I were just running my own sick day temp basal increases! In fact, it’s like going form driving a horse and buggy, to driving a stick. As she said recently when looking at her CGM graph after 24 hours of Control-IQ: “This is pure gold.”. day. As the practice’s resident X2 pump user I was more than happy to take a break from looping to give the system a try. CIQ is quite good at dealing with hectic changes in activity level and metabolics as long as they are not too big. That was exciting! Self-Control, IQ, and SES, as predictors of Life Outcomes . This realization has helped us reduce that middle of the night detective work, when your brain is at its foggiest. Hauchen Sie einem alten System mit RGB neues Leben ein. Good feedback on the Tandam x2 pump and CIQ. So much so, that I went and bought needles to take bolus’ from now on. View our complete kits here. Keep diaTribe FREE - please consider making a gift of $25 today! Why can’t that be the goal? Honestly, that is going to depend entirely on the individual. Just a simple piece of tech that will make my life better. My secret is sticking close to 30 carbs daily but augmenting that on more physical days. This is a small step back since I’ve had years of knowing my “Go to” bolus splits and timing for lots of foods. With CORSAIR iCUE software, take complete control of your entire lighting setup. (USA) 877-735-3648. Control-IQ helps keep blood sugars down during the day. And if the math of these IOB calculations predicts that blood sugar will return to target it will not increase basal. I consider these both upgrades. We’ve found that Control-IQ works particularly well at night, when Bisi isn’t eating anything or bolusing. If you are disconnecting for more than 20 minutes you’ll want to turn off Control IQ and disconnect as usual to prevent messing up your IOB. Questions about our services? Hier weiterlesen Jetzt weiterlesen. 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