I think you misunderstand the principles of Control-IQ and for whom it was designed for. It was designed for doctors treating the “average” type 1 who can barely achieve 50% TIR, let alone the recommended 70%, to bring them into the target zone. It was designed for people who haven’t mastered good bolusing techniques. And it’s really good at doing that. Yet… I dare you to find me a single study that declares 70% TIR is OPTIMAL. That is a minimum target, not the end goal. It’s a balance that was struck because doctors don’t believe the common man can achieve much better without experiencing hypoglycemia. Obviously, gluco-normalcy is optimum, but only if it can be done without increased risk.
The OP is already doing much better than the Control-IQ target audience. Why should they, or any of us, be expected to sacrifice their current level of care to meet a lower standard?
Thankfully, Control-IQ gives me my best chance at gluco-normalcy… Just not in the way the system was intended. I’m one of those people thriving on sleep mode.
Bullcrap. Absolute bullcrap. Sleep mode targets a range of 110-120 mg/dl. Well within the recommended range of 70-180. There’s even a nice cushion built in to avoid hypos. In fact, Tandem themselves put it out there as an option for tighter control. They spoke about it during a Facebook live broadcast while unveiling the new software.
@Baddog40 Back to your original point. Yes, you can achieve great results with a pump. I daresay you might even be able to achieve better control with a pump, because you have delivery options currently unavailable to you, such as: varied basal rates throughout the day including the ability to program extra morning insulin for “dawn phenomenon” and “feet on the floor”, extended boluses for difficult high protein/fat food items, and my personal favorite… Super boluses! Basically, this involves exploiting your pumps ability to prevent hypos by suspending your basal insulin. You can add up to 2 hours worth of basal insulin in to a bolus dose (don’t stack them!). This let’s you take advantage of the early peak insulin action, and instead of waiting out the long tail, that long tail essentially becomes your basal insulin, and your pump suspends everything you don’t need. It’s a miracle. I had lasagna and bread sticks for dinner tonight, and my blood sugar ranged 97-126. Personal victory for me!
But, as much as I love my T:slim X2 w/ Control-IQ, pumping comes at a cost. Literally, because supplies can be expensive… But also mentally, physically, and emotionally. Depending on the pump you choose, you’ll be living your life on a very short leash. A 23-40 inch leash! There’s the burden of more supplies, and traveling with spares and backups. There’s a LOT of new information to learn, and settings to adjust. There’s the emotional burden of alerts and alarms…
I’m only 3.5 years into pumping, so I’m still thrilled to be a cyborg. I’m achieving the best care of my life, while feeling less burdened by my diabetes. Many people feel the need to take a “pump break” and walk away from them for awhile, though, and wind up back on MDI.