I just thought I’d share how my first day on the Tandem T:Slim X2 went in case it’s at all helpful to others/if you know something I don’t that may have made it more successful. It was a bit of a rocky start.
I started out by turning CIQ off and setting a 0% temporary basal due to forgetting to not take my AM Lantus dose. Oh well, that’s ok! Still have time to bounce back.
The day went mostly great - I went high a few hours after lunch, but that’s part of the reason I went on the pump and I knew it would take a bit to learn exactly how to use extended boluses. Manually bolusing to correct worked fine.
The trouble started after dinner, around the same time I turned CIQ back on. I bolused too low for my meal, and started chasing that high. I got an alert saying the insulin delivery was stopped due to occlusion. I had read here that people often get false occlusion alerts, so clicked through and tried to bolus again. It worked! Maybe? My blood sugar was still rising.
I bolused again for the new higher blood sugar. That worked with no reported occlusion. Blood sugar still rising. Not sure if an actual occlusion or a pita bread related issue. Going with pita bread as the pump told me the insulin was delivered and I’ve seen pita bread issues in the past.
An hour later, still rising, still oscillating between corrections being delivered and occlusion alerts. I decided to just give it up and go to injections for the night. No glaring issues with the site when I pulled it out in the morning, and I was able to keep the same tubing and cartridge today so no issue there.
I learned/reinforced a few things: don’t test a new site with a tricky meal, think twice before slamming injections when possible, and give yourself some grace.
Today has been a bit better! I went a little high this morning, but know I want to play around with my basal rate to help combat my feet on the floor issues. I’m hoping I get it all figured out soon!