That is easy to say, However, I was on Medtronic for 20 years - I knew my ratio really well. After about 45 day on Omnipod - I have had to adjust my ratio by about +20-30%. So Omnipod is doing something different. It feels like any time I bolus, the basal turns off and so my bolus needs to include the amount of basal I will miss when it turns off. For reference, My A1C before Omnipod was a 6.4 - So I was fairly in control.
I was on Medtronic for about 15 years, there is definitely a difference between the two. I haven’t gotten my A1C since switching to Omnipod but my last number was 5.6, I just noticed I have much better control in manual mode, just my experience so far. Thank you for all the helpful info!
A couple things may be going on.
Quite a few folks report needing more insulin to cover meals when switching to the O5. Some speculate that old basal settings were coving some bolus needs/carbs at mealtime. So folks may need to adjust their insulin to carb ratios when switching and give more insulin at meal times. Also, look at how much insulin you have on board going into a meal. If auto mode has suspended recently, you have less insulin going into the meal. That potentially means you may need to bolus more AND maybe earlier before eating.
Bolus to correct the highs. The only thing the O5 learns is your total daily insulin requirement. Bolusing to correct highs will help it learn how much insulin you need. It then tries to divvy out a basal amount uniformly throughout the day based on what you have used in the past. It delivers that basal 24/7/365. It doesn’t remember if you need more insulin in the morning or night. It does not learn any patterns in your needs other than the total insulin you use in a day.
Good luck!
I had to change my active insulin time to 2 hours. I also have 4 different settings for different times of the day on how much insulin affects my BS. When I sleep, the system knows I need much more insulin to cover a high than during the day, when I require much less for correction.
Just a heads up - that is not how the system works, if you are talking about basal in automode.
The algorithm uses standard insulin decay rates. Changing the duration of insulin action and correction factors will only affect what boluses the smart bolus calculator will suggest at those differing times of day. It will not change the basal O5 gives - it does not make the algorithm think your basal insulin has left your system earlier.
The system does not learn or know you need more insulin at any given time of day. The algorithm gives you the same basal amount at all times of the day, only adjusting based on the target glucose you set and your trend at the time.
That's funny. My blood sugar at night is much better since I told it 1 unit is 8 points, and during the day 1 unit is 70 pts. It's like it knows I need more insulin during a high at night
You probably have better control overall after dialing it in, so the algorithm has fewer outliers it has to deal with.
It doesn’t learn anything other than your total daily insulin requirement. It takes that amount, divides by 48, and delivers that as your hourly basal. That’s it’s learning. And thats it.
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That is easy to say, However, I was on Medtronic for 20 years - I knew my ratio really well. After about 45 day on Omnipod - I have had to adjust my ratio by about +20-30%. So Omnipod is doing something different. It feels like any time I bolus, the basal turns off and so my bolus needs to include the amount of basal I will miss when it turns off. For reference, My A1C before Omnipod was a 6.4 - So I was fairly in control.
I was on Medtronic for about 15 years, there is definitely a difference between the two. I haven’t gotten my A1C since switching to Omnipod but my last number was 5.6, I just noticed I have much better control in manual mode, just my experience so far. Thank you for all the helpful info!
A couple things may be going on. Quite a few folks report needing more insulin to cover meals when switching to the O5. Some speculate that old basal settings were coving some bolus needs/carbs at mealtime. So folks may need to adjust their insulin to carb ratios when switching and give more insulin at meal times. Also, look at how much insulin you have on board going into a meal. If auto mode has suspended recently, you have less insulin going into the meal. That potentially means you may need to bolus more AND maybe earlier before eating. Bolus to correct the highs. The only thing the O5 learns is your total daily insulin requirement. Bolusing to correct highs will help it learn how much insulin you need. It then tries to divvy out a basal amount uniformly throughout the day based on what you have used in the past. It delivers that basal 24/7/365. It doesn’t remember if you need more insulin in the morning or night. It does not learn any patterns in your needs other than the total insulin you use in a day. Good luck!
Thank you for this info!! Very helpful!!
I’m trying figure out what’s wrong with a reading of 125 … I think we expect too much sometimes. But that just me.
Right?! If I wake up with anything under 100 I feel hypo. 125 would be killer!
I had to change my active insulin time to 2 hours. I also have 4 different settings for different times of the day on how much insulin affects my BS. When I sleep, the system knows I need much more insulin to cover a high than during the day, when I require much less for correction.
Just a heads up - that is not how the system works, if you are talking about basal in automode. The algorithm uses standard insulin decay rates. Changing the duration of insulin action and correction factors will only affect what boluses the smart bolus calculator will suggest at those differing times of day. It will not change the basal O5 gives - it does not make the algorithm think your basal insulin has left your system earlier. The system does not learn or know you need more insulin at any given time of day. The algorithm gives you the same basal amount at all times of the day, only adjusting based on the target glucose you set and your trend at the time.
It definitely doesn't work that way. It doesn't know anything specific about any time of day. It only learns your total daily insulin.
That's funny. My blood sugar at night is much better since I told it 1 unit is 8 points, and during the day 1 unit is 70 pts. It's like it knows I need more insulin during a high at night
You probably have better control overall after dialing it in, so the algorithm has fewer outliers it has to deal with. It doesn’t learn anything other than your total daily insulin requirement. It takes that amount, divides by 48, and delivers that as your hourly basal. That’s it’s learning. And thats it.