Omnipod 5 and lows

Type 1 and LADA
1

Hello! My teenage daughter is using the Omnipod 5 (have been for about 6 months). Initially it was just so freaking awesome that she wasn’t having ANY lows! A literal miracle.

Now, 6 months later, she’s having quite a few lows at night. I’m not sure what to adjust. These lows occur in the middle of the night and when I check, she doesn’t have IOB (like the pump adjusted down to prevent the low). The lows are between 60-70mg/dL.

Would the first thing to adjust be ISF?? Since there’s no point in adjusting basal rates, and since there isn’t a carb bolus on board when this happens, there’s no sense adjusting that.

One other variable I’m suspicious about is she may be eating a light snack before bed without bolusing, and it may be raising her BG enough for the algroithm to think she’s going up naturally, and giving her a bump in basal rates. But still, she shouldn’t be going down to below 70.

Suggestions?

2

Algorithm is obviously different for my case (Tandem X2) but if I’m snacking, as opposed to treating a low, I enter the carbs. Even if it’s only 5 carbs, that would be an hour of basal and prevents the spike which the algorithm feels it needs to treat.

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3

Not sure how the sensitivity factor is done on the pods, but on my tslim, I can alter the sensitivity per half hour. If you can do that, you can increase her sensitivity factor for the time when she is sleeping

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