@Marilyn6 I think most of us Loopers have good success with Dexcom. It is required for Closed Loop (or as an alternative, Libre but it is not officially supported by Loop). If you have a bad sensor, Dexcom replaces it. Service is very good. I don’t think it depends on your insurance AFAIK. You just have to call their customer support for help.
@Helmut 60-120 is my target range, too, and I also target SD < 20%. I’ve been looping for 2 months and my SD has gone down dramatically, and is consistently < 20% now. Pre-Loop I could rarely reach < 20%. TiR is also consistently now 90%+, and that, too, was a rarity pre-Loop.
@Trying, thanks for sharing your excellent results. I know that I could get there if I cheated (= reduced carb intake). Right now I am eating between 100g and 150g a day. I think SD and carb intake are highly correlated. Did you reduce your carb intake?
@Helmut You CAN get there! I think you had a great SD already pre-Loop, much better than me for sure. Yes, I eat about the same carbs as you, usually around 100g or so, but really varies a lot on the day. No, I did not reduce my carb intake. I actually increased it because I am trying to take in carbs now during runs to refuel. Pre-Loop, I only took enough not to go low during a run. Do you use Tidepool which is integrated with Loop/Apple Health? It is a nice tool to have to review total bolus/basal and carbs.
I have my range set to 90-200. I spend most of my time between 90-160 though.
@Trying, thanks for recommending Tidepool. I now see the data in the Health app.
@Helmut after you install the Tidepool app, and allow Apple Health permissions, you will need to create a new Note in the Tidepool app before the app will begin syncing data to the Tidepool website. You need to login to the Tidepool website to view more detailed graphs.
@Trying, thanks. Will do.
With a cgm… which I don’t use all the time and really doesn’t work that well for me, I set the alerts at 65-140 and like to see a SD below 25 ideally below 20. I usually manage 98ish % time in range. Over the past few weeks I’ve moved everything I own halfway across the hemisphere to the taco capital of the USA and have been living in chaos so my numbers haven’t been near as good as they have been historically
Good morning Terry,
This is my first post. I have often read your contributions with interest more so than most.
My daughter is 9 years old and we live in England. She is totally asymptomatic which may or may not change at a later date.
My question to you is about range.
In England we are advised to stay within 4.0-10.0 day time and 4.0-8.0 evening (I know that’s not entirely accurate as a number), but can you tell me what is your motivation for 3,6-7.8?
Finally 3.6 would be considered a failure in England as anything under 4.0 is a hypo (I believe it to be 3.9) but 3.6 would be considered a substantially lower than safe number.
Enlighten me…please!
Eddie
Sam - remind me again where the Taco capital of the USA is? Austin perhaps?
What I like about SD versus A1C is that it changes the incentives. When I was focused on A1C I didn’t mind a BG of 65 (banking a low). Now I mind because low BG values increase SD. It is hard for me to ignore A1C completely because it has played such a big role in my life for so many years. But I no longer target A1C. I actually trade a lower SD for a higher A1C when I avoid lows.
Pasco, WA
I had my first minimed pump in 1998. Then stopped and took it up again later on. I just found the changing absorbtion rates terrible. Long term I find the idea of the pump is never the reality of it. So like you I put my pump in the draw and went back to shots. Could never get my a1c into low 5s on the pump when it’s not only easier with shots its less work.
Range 4 5 to 6 mmol
SD < 1 mmol
A1c 5.6%
70 to 115 mg/dl is my ideal range
I am very new to looping. It used to be that I had a target range and I would act whenever my BG was about to move out of it. Very different with looping. I now have a target BG level. The loop adjusts immediately when my BG is moving away from this target. I have disabled my alarms. I now sleep through the night without ever checking my BG. My BG is always between 80 and 100 when I wake up. Target range has no meaning for me anymore. Loop brings me back to my target BG automatically.
i aim for 4 to 8
(72 to 144)
4 to 6 fasting and 8 after meals
@Jimi63 I am type 2 for years. My HbA1c was 5.8% for several years. Over the past year is increased to 6.9%. I convinced my doctor to begin MDI. I have a feeling from what I’m seeing on the CGM that my A1c will be even lower than 5.8%.
I have always lived by testing. Having a CGM has really ramped that up. I could see both Dawn Phenomenon and Feet on the Floor in near real time. DP is nearly gone because I started taking my morning Lantus at rising. FOTF is a bit more troublesome as I take thryroid meds that needs to be fasting for a while. I can see BG rising, but not as high a couple of weeks ago when I first got the CGM.
Early in my T2DM journey my meter taught me about foods and which ones caused the worse spikes. Now the CGM is teaching me how Humalog affects BG and carbs eaten.