Doc response

OK. I’ll just keep at it. They told me there was a 3 sensor limit, but maybe they meant a 3 sensor limit per phone call. Thats important to clarify because I’ve been running dry.

That hasn’t been my experience.

The best sensors I’ve had are good from the very beginning, but I have had sensors that were wildly off on day one where I have calibrated and it’s been spot on from that point forward.

Do you find error to be random or predictable?

My cynical take is they might feel you’re trying to game the system by calling in multiples.

I’m sure they do.

Random!

Damn it! I dont like that. Thats what I see, too.

Again, for me one of the biggest changes I made was to rotate my sites.

I previously had this silly view that since I wasn’t running exogenous through the sensor wire, my body was going to be just fine with using the same general area. How wrong I was!

After 4+ years on the G4 where the only rotation was from the left lower abdomen, to the right lower abdomen, I found those sites to be pretty exhausted. By adding my arms into the rotation, I’ve now been able to re-use the abdomen.

I did have a failure two nights ago during warm-up on an arm location, but I think that was because I hit the big orange “INSERT” button while still in the midst of positioning the sensor on my arm.

Note: I was able to give my abdomen a full month off!

I forced myself not to calibrate on day one even when the sensor was off by a lot. To my surprise the sensors were all good by the next morning without calibration. I am doing this for 5 months now. Maybe I am just lucky. We will see.

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Oh boy. You both have me on both counts. Guilty as charged on both counts.
I don’t like the idea of putting this thing in my arm. I don’t like the idea of holding off calibrations on goofy readings. I don’t like change. But, I will do as you advise. maybe all this stuff put together fixes sensor accuracy.

I’ll be rockin’ if I can get even a bit of improvement.

About 2 years ago I switched from abdomen to arm and I am getting much better results. I remove the safety lock only after the sensor is glued to my arm.

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where do you put the pump? I put pump in arm, typically, but lately ive been goofy activity there. So, moved to abdomen. Now, both are there.

OmniPod for me is abdomen only.

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Do you find that you have sensors for which where sensor error < 30%? I don’t. But, I do like the 30%, as opposed to 20%. That gives a little bit more opportunity for success. It does seem to be more accurate w/o calibration, in general. Maybe if I calibrate according to 20/20, it gets better.

In reply to your first question where they say a1c doesn’t take precedence over how well your control is. My doctor told me what makes more difference is the standard of deviation. They don’t want you yoyoing. The lower your standard of deviation the better.

Yea, I’d agree with that. Unfortunately, I’m getting unreliable stdev calculations from Dex because it tends to say everything is good data - it doesn’t read the highs or the lows. Overall, Dex is ‘smoothing out’ all the peaks and valleys, making the data look perfect. If I turn on closed loop, I think I can hit the formal 2019 clinical recommendations according to the Dex reports. The real data, though, looks nothing like that. Its completely falsified data. That is apparent when you look at a1c values.

So how do you dose the first day? Only based on fingerstick readings?

Not to beat a dead horse, but the takeaway for me was to get the sensors inserted into a place where I haven’t been placing any D-related stick-in-the-body kinda stuff. Oh, and also where I’m not going to have a bunch of compression lows.

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Not all sensors are off on day one. If a sensor is off, I bolus based on fingerstick.

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This might explain why I got better results on my arms. My arms have never seen an OmniPod.

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