Thanks for clarifing because I was under the impression that the 5 would automatically give me a bolus based on my dexcom. The lady that was supposed to train me really didn't she was going back and forth between 3 others persons and seemed to be rushing me out. Spent 3 hours in the office and came out more perplexed when I first arrived.

Thank you so much for this information! My husband is new to the Omnipod 5 and we weren't quite clear how to address a high.

Thank you for this help! My son is a long time Podder and new to OP5 and we were having the exact challenges you address in this video. I don’t want him high for hours! Thank you!

Thanks for sharing. Your TIR is superb, if that is what O5 gets you I think is super good!

I just got mine a few days ago, on the second pod just now, ive noticed if i lower my range to 80-130 it helps, but not that well, if i made a normal basal program and went to manual mode while it learned my sugars and were i liked to stay, that helps. Also to make sure i put my insulin to carb ratio higer and make sure i bolus before i eat has helped. Cgm on the same side of my body helps my cgm losing connection also which can screw up basals at night. Scary waking up in the 300s

@dougfabrizio2794

Жыл бұрын

So it's been a few months on the OP5 - have you noticed it getting more aggressive and working better to correct a high blood sugar?

Thank you, well explained. I am omnipod user for long time, currently I am using pod5. I go thru same challenges you mentioned. Excellent job.😊

thank you so much for your video. I’m new to the Omnipod 5 and was a little confused about my highs and why it took so long for my levels to come down. You cleared away my confusion. Thanks for this video! Looking forward to viewing more!

Thank you I had the same idea

TY Doug, very useful charting data for me to compare to help me adjust .

Thanks for the video! Gotta say, I would not be happy with those graphs. I know you're just showing some "bad" events, but it also seems to have a few instances where it lets you creep up to 180mgdl/10mmol. I get far better results on MDI. Would be interesting to see a "good" day

@dougfabrizio2794

8 күн бұрын

What do you do for little micro adjustments throughout the day? In other words, are you giving yourself a ton of shots each day? I'm happy overall with my management at this point, but there are definitely times that I'd so much prefer to have nothing attached to me like I could do with MDI.

I’ve heard those highs post workout are due to other hormonal releases during the workout like adrenaline. Some people in forums talk about actually spiking during a workout rather than dropping. I often get a short lived spike after my runs and they can often drop down relatively quickly on their own. Nice job on the video!

@btuhey

Жыл бұрын

In most cases, exercise will cause a fall you BG, even ever so slight or big. Depending on the amount of actual movement and time. Our son 20 minutes of casual playtime during school recess will cause him to crash sometimes, depending on his lunch and his activity during recess.

@dougfabrizio2794

Жыл бұрын

Isn't it interesting how differently our bodies react to the same things? Like for me, no matter what kind of exercise I do, the tendency is to go low. Where as I have friends who lift and need to bolus for it. I've definitely heard that adrenaline is at play in those situations. I experience that moreso when I am stressed about something.

@thomasabbottjr

Жыл бұрын

@@dougfabrizio2794 it is interesting. I go low if I just clean the house much less run. My wife doesn’t experience that though.

@Multiderek2012

5 ай бұрын

Not all exercise is the same. I can run 4-5 miles 5 times a week at a slower or recovery pace with minor effects on my blood sugar. However when I push the pace to nearer the limit for that same distance often times blood sugar will spike afterwards. Pushing anaerobic exercise for extended periods is much different than general aerobic activity

@dvdv7777

3 ай бұрын

It depends on whether you reach the anaerobic threshold or not. If you stay in the aerobic range, this is unlikely to happen. When the body switches to the anaerobic metabolism, it is done so because the aerobic one is insufficient for the energy demands your muscles have, because the dependency on oxygen becomes a problem. Anaerobic metabolism only needs glucose, not oxygen, but is less efficient from what I recall, meaning it needs a lot of glucose. So, the body releases stress hormones to stimulate glucose release from the liver, and this is where the spike comes from.

How long did it take for the algorithm to learn you?? My daughter is on this and after four weeks it’s horrific and she is running high all the timw

@dougfabrizio2794

8 күн бұрын

I think it took about a month for me as well. I know this comment is a little old now - but how have things been going for your daughter? My current understanding is that "total daily insulin" is where it's at in terms of aggressive management. The more insulin it sees her need each day, the better it should be at helping to ensure that.

It's crazy to me that op5 does not base it's automatic mode off of your original basal rate, I just got on the op5 4 days ago and I'm getting so flippin frustrated with my sugar being high sometimes and taking SO long to come back down. Honestly i wish it would let you put your specific basal rate in, and then adjust its algorithm feom there. If I let the pod do it itself it would take all day, I had a sugar of 230 an hour ago and it's gone down a few points and right back to 230 again, I adjusted my ITC ratio to 1/10 from 1/15 which hopefully will help (I had no idea this would impact it) and I adjusted my CF to 1/40 from 1/50 and we will see how that helps too, ( no idea this impacted it as well) . I'm to the point where I'm wondering if the cannula went in correctly or if the back of my arm maybe isn't a good spot for it. I'll give it a bit and wee how it works out, I don't eat a lot at all until late afternoon so maybe my liver is throwing out some glucose or something because of that, I can go for a walk and that would help but I'm lazy 😂 I'll figure this out eventually and I'm sure it'll be a great fit because first day I was blown away by the perfect sugars but I probably had some residual LANTUS in my body still so that would make more sense. I also have figured out a trick to making my dexcom last longer than ten days in emergency situations as well you just have to shove a ketone strip or something thin between between the transmitter and the sensor site to interrupt the connection and trick the dexcom tinto thinking you have changed the site and popped the new transmitter in. I kinda jumped into the omp5 since I've had diabetes since 1998 and been through various pumps and therapies. I don't recommend that lol it's def been a bit of a learning experience and learned the hard way a few times but all In all my sugar has not been above 300 more than twice and that just amazing for me cuz I like to forget taking Insulin with my coffee in the morning 😮 and I load it with cream and sugar 😅 and my sugar would be 600 by the time I remember. I know not good. My bolus insulin is 35% idk any tips? 😊 Much appreciated

@dougfabrizio2794

Жыл бұрын

I totally understand all of this, and it sounds like you're doing all the right things to "teach" the system as fast as possible. The other thing is to just keep doing manual corrections when the automated boluses are taking to long or are insufficient. You can go into the bolus calculator any time and give yourself a bolus of however much you need - that will eventually teach the system of your daily needs, because the algorithm ultimately bases everything off total daily insulin, so the more insulin you wind up getting on a daily basis, the bolder it will become.

@SocialDeviant_

Жыл бұрын

@@dougfabrizio2794 thank you 😊

Hi Doug, If your basal rates are not set accurately will Omnipod 5 automatically setup correct basal ?

@dougfabrizio2794

8 ай бұрын

Hi - it may take a few pods, and the basal rate is handled differently than it is via injections, but in my experience it will fairly quickly learn what your needs for basal insulin are.

Thank you for sharing your experiences and knowledge, it is our first day on 5 and my son has been around 300 for atleat 3.5 hours. The pod was giving zero insulin for correction, so I ended up just giving 6 7 units more but still he stayed at 280 for hours. Can you pls let me know when u said manual correction what did u exactly mean? Did you switch to manual mode used bolus and correction and then switched back to automatic mode! Any suggestions or help would be greatly appreciated. Thank u

@dougfabrizio2794

Жыл бұрын

Hi - good luck and I know it's very frustrating to see those numbers at first, but with each pod change it will likely get better and better. To answer your question - I don't ever use manual mode. While in automated mode, click on the bolus calculator button, press "use cgm" and if it recommends a particular bolus, you can go ahead and confirm. If you don't think that bolus is large enough, you can write in whatever amount you want. In time, the algorithm will begin to learn how much insulin your son needs, and this should get stronger. But if it's still to weak, you can also go to your settings and increase your insulin to carb ratio, your correction factor, and you can make the "target glucose & correct above" setting stronger as well

@BrettClimb

Жыл бұрын

It's important to keep in mind that you will still need to do meal time and correction boluses with the Omnipod 5, as it doesn't perform an automatic bolus. It only makes small adjustments to the basal rates. The Tandem insulin pump is another option that does perform correction boluses when glucose gets over 180. 300 certainly necessitates a correction bolus, which you can do manually using the Omnipod app. The accuracy of correction will depend on how well tuned the settings are, like the "correction factor". I'm not a doctor, but It sounds concerning to me that 6 units only brought him down by 20. I'm not sure if something was wrong with the injection or if there was some cause of high insulin resistance, but you should definitely tell the doctor about that. Even going to the ER when sugars are that high for that long sounds reasonable to me. Sorry about the scary experience, I hope you and your son are having better luck now. It's a tough road, but you'll get there!

I’m not sold on the omnipod yet. Being diabetic for ~20 years I’ve tried a few options.. With the pod, I stay at 150 consistently and all day long - I’m constantly having to do extra insulin to Try and bring down to 80-90. My settings have it set to the 110 lowest range but it doesn’t go near this. It’s very random.

@dougfabrizio2794

Жыл бұрын

How many pods into it are you? It gets stronger with time. I also recommend strengthening your carb ratios and correction factors. The more you keep correcting as you mentioned you're doing, the better it should get in subsequent pods. Being around 150 all day would definitely be annoying I agree.

@tylermatthews5205

Жыл бұрын

@@dougfabrizio2794 pods for ~4 months now... so if i continue to correct and 'show' the pod that i like to be ~90... it picks up on this and should result in it looking to try and be at this as well? because even when I've increased the background basal... it seems to not impact it at all. thx for the comments

@dougfabrizio2794

Жыл бұрын

@@tylermatthews5205 How are you increasing background basal in automatic mode? All you can really do is lower your correction factor, lower your insulin to carb ratio, and then keep correcting when you're higher than you would like to be outside of those scenarios. The increasing correction factor and insulin to carb ratio made a HUGE difference for me

@tylermatthews5205

Жыл бұрын

Wow. I’ve never been told this. So you’re saying the background “basal” isn’t apart of the “automatic mode”?

@dougfabrizio2794

Жыл бұрын

@@tylermatthews5205 You can set basal rates in manual mode, and if you're in manual mode those basal rates will apply. In auto mode, that rate may be used as a baseline when you first get on the pump, but over time it doesn't have much bearing on the actual basal insulin you'll get on a given day. The only way for the basal rates to change in auto mode is to, outside of bolus insulin, keep correcting so that the system knows you need more insulin to maintain a stable blood sugar. Check out your "history detail" in the app to see the distribution between basal insulin and bolus insulin that you're currently using

My son just switched to the 5 & his blood sugar has been in the 300’s all day after a meal. We constantly give corrections & it doesn’t work 😢

@valeriehegwood5514

Жыл бұрын

I rarely have blood sugars in the 300s and had the same problem for a few meals. One was I didn't wait long enough for the prebolus the other made no sense. Personally, I have particular insulin onboard number that I am comfortable with and eventually in the 4 hour duration it did finally come back in range. Frustrating as I was hoping the switch to the 5 would solve the rare blood sugars that are above 180.

@dougfabrizio2794

Жыл бұрын

How many pods into using the 5 are you? It definitely takes a while for the 5 to 'learn' the body and accomodate the insulin needs - seeing high blood sugars at first is exactly what I experienced as well. How are his blood sugars outside of meal times? I know that for me, I had to dramatically increase my insulin to carb ratios for meals, and this may be something you want to explore as well.

@nola504boy1

Жыл бұрын

@@dougfabrizio2794 He’s on his 3rd pod now. I noticed he needs to wear the pod close to his CGM because when he doesn’t it keep saying can’t find cgm.

@FLeXN

Жыл бұрын

Honestly it have to be a simpler way

@suzannemorin8510

Жыл бұрын

Would having the target line at 160 rather then 180 let the Dexcom and pump work together better ?

Thank you for this! The omnipod has being pissing me off. My toddler, she’s 2, she was diagnosed at 20 months. She is rapidly changing along with her needs. I ended up taking the pod off and we are taking a break. She’s been on the pod for about 4/5 months and have constant high blood sugar and I’m always having to correct. It was not good. I think her settings are all wrong and I’m doing a lot of research so I can help her and adjust settings. She has maybe 1 percent lows. She is very sensitive and requires a lot of insulin. It’s kind of crazy.

@dougfabrizio2794

Жыл бұрын

Thanks for sharing. When you say rapidly changing - do you mean she continues to require more and more insulin? I could definitely see that being hard with the omnipod 5, because it takes a little bit of time to adjust to insulin needs and to then become aggressive enough. The only thing I could really suggest if you go back to it, is to adjust the insulin to carb ratios and correction factors each time they seem to change (testing this would be great as well), and doing very regular corrections.

@brittangeline

Жыл бұрын

@@dougfabrizio2794 yes, so omnipod is a actually sending us a replacement pdm tomorrow and I plan on being more aggressive with insulin to carb ratio against her endos advisement. Her endo said for “safety” reasons they want to decrease by 20 percent etc but that’s not beneficial. I did test a few days with pens and her carb ratio is nearly triple in the morning by 1 unit to 17 carbs. I think I will start with 1 to 25 so I don’t tank her altho she frequently does need a good 2 units before she even eats… which I hear is normal for many t1ds. They are more insulin resistant in the morning time. I disagree strongly with how her endo wants to do it and I really don’t want to wait 4 months for the algorithm to learn.

So basically Omnipod 5 just balances your basal. And you have to manually do the other half of the battle and bolus for meals and highs? Might as well just stay on pens if that’s the case.

@dougfabrizio2794

8 күн бұрын

I suppose that's not too far off, however I can't overstate the ease of giving myself corrections with a little controller versus having to take individual shots while on MDI to correct. Then again, I almost always use exercise to adjust things too, but how do you handle those types of situations on MDI? One specific one that I think would drive me crazy is while driving. My blood sugar usually creeps up, and to be able to pull my PDM out and give a correction in two seconds seems like something I simply couldn't do on MDI.

I noticed you don’t say anything about Activity mode. Do you not find it useful?

@dougfabrizio2794

Жыл бұрын

I do! I use it every day when I workout. How about you?

@danahensarling6244

Жыл бұрын

@@dougfabrizio2794 For the first few months of having a OmniPod, I used the Activity mode and it seemed to help. But I had to get the timing of when I started it perfect. But for the past few weeks (I've be on the pump since August), sometimes my blood sugar just stays where it is while I have Activity on and other times I start to drop into the danger zone so I turn it off. When I wake up and my feet hit the floor, my blood sugar starts to rise so that I'm usually between 140-160 by the time I do my morning walk. So I give a SmartBolus. And last week I had a day where I forgot to use Activity and for some strange reason my blood sugar was in range to begin with and my blood sugar stayed level. So I don't think I've gotten the hang of it yet or there are just too many variables going on for it to be able to predict what I need. Anyway, you didn't mention it. I think it would have been nice to see how you use it.

@dougfabrizio2794

Жыл бұрын

@@danahensarling6244 Thanks for sharing all of that, I can relate to a lot of it and maybe I will do a video on that, it's a really good idea. As far as your morning walk - if you're at 140-160 before your walk, then I am curious - how come you do a bolus? I would think that 140-160 is actually an ideal range to start your walk, because walking typically tends to lower it pretty quickly for me, does it for you?

@danahensarling6244

Жыл бұрын

@@dougfabrizio2794 , because if I don't give a bolus, it keeps rising. If it's below 140, I try not to do anything (although I really want to). But like I said, lately, my blood sugar just hovers without the bolus. I think my pump is trying to figure my exercising schedule out. But in the few months I've been using it, I can never rely on the Activity mode doing what I want it to do in the time I want it to do it. Sometimes, my blood sugar goes up, sometimes, stays level, and other times drops so that I have to stop walking and sit.

@dougfabrizio2794

Жыл бұрын

@@danahensarling6244 I can relate to all of that. The one thing I would say about it sometimes going low - is try to pay special attention to the intensity of your walk / cardio, the distance, if you've had any snacks before hand at all, if you have any insulin on board from the night time, if you slept well, if it's warm or cold outside, if you're stressed. There are so many variables! Personally, even with activity mode I will go low unless I eat carbs before any form of exercise. The activity mode just prevents it from happening faster than it already would. If I'm going for a 20 min walk, even if my blood sugar is at 140 or so before I begin, I'm going to have 2-3 glucose tabs just to counteract the insanely fast drop that occasionally happens. But yeah this definitely warrants a video, and good luck with trying new methods