What province are you in @halvdan? The reason I didn’t start pumping earlier is there was no Provincial Pump program in AB until 2012-13, and $7K plus a year wasn’t worth it to me.
The pump program means all I pay for is insulin, and a self-funded CGM has made my life infinitely easier with non-diabetic BG levels. AB unfortunately currently only funds Omnipods and Medtronic pumps. Hopefully the Tandem pump(s) will be approved for funding her soon.
I am happy with MDI but I’d like an easier life I am not convinced a pump would provide that but almost everybody that Loops claim like @Terry4, that it has lightened the work load. I honestly think that if I was magically cured today I would not change my diet. I love my low carb way. I’d love not to have to deal with protein highs, however.
I am in Quebec where there is a pump program for under 18’s. Quebec and Ontario have just implemented a CGM program so the Freestyle Libre is available under government insurance. I am not sure why only one brand but I am guessing there is money involved I am happy with the Freestyle Libre at the moment. Abbot has teamed up with Glooko and NovoNordisk, and I imagine that it is just a matter of time before a bluetooth enabled Libre will come to market. I am just guessing, of course.
My choice would be to go with Omnipod. Are you not happy with OP? The idea of a tubed pump makes me queasy
@halvdan, I am on OmniPod DIY Loop. I can tell you that with a 30g per day carb diet you never have to do anything. No need to look at the CGM, no need to bolus. For you it would be equivalent to a cure. You just have to accept the doohickies attached to your body.
Yes to less effort. I have been T1 for close to 4 decades and going low carb improved my control dramatically and lifted a burden off my shoulders, but it didn’t reduce the work load. I do a lot of high intensity sport which probably poses more of a problem in terms of bgl control than food does. It certainly complicates matters a great deal. I’d love to test out loop to see if it could handle the inevitable variability that comes after 2 hrs of Squash (the sport). I frequently have to consume a lot of glucose to replenish glycogen. I will remain hyper insulin sensitive and carb insensitive for hours until suddenly I am no longer, This can frequently lead to highs in the middle of the night. It is so unpredictable I have never really found a great way to deal with it. On days of no play my control is great
@Terry4 just reminded me that we are all different. I have to qualify my previous statement: If I stayed with 30g of carbs per day, I would never need to look at my CGM and I would never need to bolus. For me it would be equivalent to a cure.
I upgraded to the new model. I don’t think it will make any difference for me. My control is too good. My assumption is that the outcome of a meal bolus is determined by size and timing. The decision happens before the meal. Loop can only help if it comes up with a better size. It does not make any timing recommendation. I eat the same meals at the same time. I know what the best bolus is. I had to configure Loop so that it did not fight me (= I know better, let’s cut off your basal). There is a lot of positive feedback about this change. The algo went from linear to front-loaded. It only matters for people that don’t bolus the right amount.
I’ve never had an OP, nor would I want one. The PDA-like controller strikes me as a major inconvenience not to mention a royal PITA. I can see myself brushing hard against door frames and knocking it off. Also, I’m adverse to using the type of Canula the OP has, which means it’s a no go.
Any number of pro athletes use tubed pumps with no issues
@Jimi63, agreed, PDM is offending. With OmniPod DIY Loop I use my iPhone to control the pump. Does not get any better than that. Canula is one size fits all. If you don’t like it, I understand. I don’t like it either. For me the positives outweigh the negatives. Some of us are fortunate to have a choice.
This is such a promising concept. I eat the same breakfast every day. I could tell the doohickey: “Watch me eat my breakfast.”. After a while it could say: “Tell me 7 minutes before the first bite and I will do the rest.”
@Terry4
Yes, you are correct that one of the branches is DEV (or development). There is generally a “master” (refined, tested, etc) branch that most people would use. Then there is a “dev” branch where all the fixes, enhancements and other development is merged into, tested and promoted to “master”. More details here: https://loopkit.github.io/loopdocs/faqs/branch-faqs/#what-are-all-these-branches
The way I explain it is the original model use a linear calculation of carbs/minute impacting your BGs. The vast majority of food doesn’t do that. It impacts your BGs a lot at first and more steady over time. The new model reflects this more accurately.
The main difference is the new model is less likely to suspect you will go low while pre-bolusing or during the initial portion of the meal. The result used to be bolus recommendations less than the full amount according to the carb ratio and basal would suspend as the drop in BGs occurred during the prebolus and into the initial spike. You’d end up with a spike that loop would try and catch up with rather than a “hill” from a proper pre-bolus.
There are some other benefits, but that’s the big one. Its still a little softer in its assumptions than I’d like, but I know what code to tweak to ramp it up.
Thank-you for your detailed, yet easy to understand explanation, @Nightfox. I learned something. It reminds me that I should spend some more time reading the docs!