Medtronics 780G SmartGuard and Mod/Low Carbs

My Endo called me in response to the Diabetes Clinic being an exception to trusting the VA Med Center I use for medical care. He claimed that because I eat low carb (90-120 gm/d, really moderate carb), the 780G SmartGuard automode could keep my glucose in Tight Range vs 57% in a Medtronics info sheet.

Anyone on a moderate carb diet have experience with 780G Automode? Makes sense that lower carb results would be better. I usually run greater than 90% TITR and doubt 780G could come close. Just back checking endo’s claim, won’t be giving up Dexcom.

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You didn’t say but I’m assuming you are on MDI and happy with it. An AID, any AID, will normally help TIR for a T1 but I don’t know about T2; it seems unlikely that it would be able to improve on 90%.

You can use the Dexcom with other AID systems; Omnipod, Twiist I think. It’s a matter of whether the overhead of dealing with the pump itself is worth it. It is a lot easier to do MDI than deal with a pump, it works a lot less well for us T1s and I find I prefer the pump a lot over MDI, but that’s who I am.

If you are thinking about changing do something that is temporary; don’t pay for a Rolls Royce pump then find it has a 2-stroke Yamaha engine. Go for a prescription pump to see if it works for you.

I use my 780G insulin pump, always in manual mode. I’m T1/LADA last 8 years, after 20 years misdiagnosed as T2.