Please do not tell me how to manage it or feel etc.- my bg can crash badly and I go into dka easily so it is a very bad situation not knowing what iob is due to a faulty pump system which has apparently been built in by tandem. If you read my entire post you would see that I went through several hours of extreme stress due to this.
As I mentioned above I’m using a tandem (X2) and I dexcom g6, that’s not relevant to what happened though.
My blood sugar started crashing and it was a stressful few hours having no clue what was actually on board, That was after eating most of what I had bolused for when bg was dropping.
So the tandem response when I finally got a hold of someone that only a minimal amount was bolused if the pump doesn’t record it, which automatically happens apparently on the second occlusion, is false. These situations have to be assessed individually as they happen, there is no one way to look at it or to deal with it. If you have easy-going BG I guess you can just keep an eye it, or let yourself spike etc. Knowing why the occlusion happened probably would not be of any use here for the immediate situation because the crucial immediate point is how much insulin has actually been delivered.
My advice to anyone using tandem is to be aware of this malfunction in their design. If you get a first occlusion alert with a partial bolus, especially if you are eating a meal with a large amount of insulin for you, my advice is not to try and bolus again with your pump, not to try and change your inset immediately, and certainly not to get on the phone with tandem to troubleshoot it as they tried to tell me to do if it happens again, LOL. I suggest you just to bolus the rest of it by injection so you actually know what iob is most likely. Or so that you have some clue anyway.