joni mitchell lesson in survival


The hardest thing for me personally, was not having a quick and easy way to look at my CGM value and trend.

Without the option to temp basal or reduce the bolus on the previous meal intake, one is often left with no option but to “feed the insulin” to avoid a low.

For two months I fingered sticked at each meal and morning/bedtime. for more information or assistance with basal testing and assessing your basal needs please give us a call at Integrated diabetes Services – 610-642-6055.

I really just don’t know what to do. So, they sent me a pump without the ability to even get started on it. Strange at first, but I found this to be amazingly liberating once I got my head around it. The basal algorithm targets a glucose value of 120 mg/dl, and there are limits to how long the system can deliver zero basal insulin as well as the magnitude and duration of maximum basal delivery. The system calculates correction doses based on a conservative target of 150 mg/dl and a sensitivity/correction factor that it determines on its own. Had the Enlite sensor but the transmitter died last year, and they couldn’t replace it. At 3:49 in the morning, while traveling, the 670G woke me with the news that I was 80 mg/dL and dropping. I’ve been on this pump for almost 4 months and have seen a marked improvement in BG levels and day to day diabetes management stress. Bottom line:  patient people ultimately reap the benefits of the system. My A1C is generally between 5 and 5.5—last one was 4.8, I don’t think control gets much better than that! Reading your information, I can see what happened last night. Most people we work with are really frustrated with 670 system, but with some support and education are able to use it successfully for their individual needs. After being given the runaround and being told that my insurance does not cover Medtronic supplies, I finally spoke with someone from the Medtronic SOS Department, who apologized and explained that Medtronic hired new staff for the Animas transition and did not provide proper training. Most of the time this happens when I first put in a new sensor, at the first calibration or at the 6 hour calibration, but I’ve also had it happen if I’ve been in manual mode for too long (like if I couldn’t calibrate due to trending hours or active insulin). After the 2 hour warmup, the intial calibration takes like 5 minutes, then most often 3 hours later, another sensor calibration, 3 hours later another calibration. So many practicalities of LIFE with diabetes that companies do not take into account. This was a terribly helpful read and I truly enjoyed all of the ship references. Test-Driving the Medronic 670G, ‘Future of Diabetes Technology’, We Tried It: 4 Leading Skin Wipes to Help Your Diabetes Devices Stick, I Tried It: Tandem’s New Control-IQ Automated Diabetes Technology.

Hopefully you can find a better fit. My A1C has remained in the low 6’s, most recently 6.3% with only 4% in “low” range of 50-70mg/dL and 1% below 50mg/dL. Besides the fact that I have to test twice as much even when not in auto mode. I get my best readings there.

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