Both are closed and both give you quick access to others’ experience. However, it's still not as aggressive as an openaps route. But it's not perfect. 670G (Hybrid Closed Loop) Control-IQ (Hybrid Closed Loop) What does Control IQ do? Sleep ModeWhoever thought of this deserves a nice nap. Also, I'm not a fan of the exercise activity mode because it is even less aggressive than the normal setting. Exercise Mode I admit to being skeptical about exercise mode when I went through the Control IQ training. Thanks for any insight. It seems to work well for many people! – Are the root causes of the glucose control modifiable on the pump? Sleep and Exercise Activities for the t:slim X2 Insulin Pump with Control-IQ Technology QUICK REFERENCE UNITS OF MEASURE MG/DL The instructions below are provided as a reference tool for caregivers who are already familiar with the use of an insulin pump and with insulin therapy in general. Thrilled with no, or reduced number of, finger sticks. Control-IQ will stop basal insulin delivery if it predicts a glucose value less than or equal to 80 mg/dL. Information about the specific phone, pump, and CGM was also included in the user profile. and New Years Eve. It’s a little like Medtronic‘s MM670G or MM780G in that it os a ‘hybrid closed loop‘ insulin pump that uses CGM values for predictive low glucose suspension of basal insulin, alongside increased basal and/or mini boluses if sensor glucose is predicted to go high. You can schedule sleep based on days of week so that the system automatically switches to the sleep targets at those times/days. 96 All HCL systems reduce nocturnal hypoglycemia. Information regarding sleep time, duration, and percentage of … Interestingly I have forgotten to bolus a couple of times & Control IQ kept me in single figures....just. What have you noticed? working on my computer. As long as I compensate for long insulin suspensions, that strategy is starting to show some success. We have been working with a lot of PWD using Control IQ in sleep mode all the time. For those nights, I need the hourly correction that the pump gives outside of sleep mode. Control-IQ™ technology’s Exercise Activity is a feature created to help guard against low blood sugar during periods of physical activity. Control-IQ’s innovative glucose control. Via NurtureShock:. TCOYD Bellevue 02.08.20; TCOYD Honolulu 02.29.20; TCOYD VIRTUAL Omaha 08.01.20; TCOYD VIRTUAL: Across the … I continue to use Sleep Mode 24/7 with a target range of 110-120. I like the tighter control. It also allows me to occasionally forget about diabetes when I hike and play golf. If you use Facebook, consider joining the “Control IQ while keeping a tighter range” group and the “Tandem T-slim X2 users” groups. Exercise mode is doing way better than I could ever manage with reducing my basal rate while working out. So, waking time 70 to 180. • Automatically increases or decreases PROGRAMMED BASAL RATES to maintain glucose levels of 112.5-160 mg/fl • Automatically delivers a 60% CORRECTION BOLUS up to 1/hour if glucose is predicted to be >180 mg/dl When will it REVERT to regular pump mode? You are correct in saying that CI does NOT DELIVER correction bolus when in Sleep Mode. If there is too much hyperglycemia or hypoglycemia, assess the following: – Is the hyper- or hypoglycemia meal-related or basal-related? It works well for me. I think the high/low range is tighter. Some people are running in Sleep mode 24 hours. You may need to adjust insulin settings. This lowers the Control IQ target from 112.5-160 mg/dl to 112.5-120 mg/dl. CoverageUnlike Medtronic’s 670G and the DIY systems, Tandem’s Control IQ is covered by Medicare and most private health insurance plans. But increasingly I am having longer periods of time when I don’t glance at my pump and just trust the algorithm to do the work. There’s sleep and there’s exercise. Instead of reacting to sensor readings, the Control-IQ software tries to predict highs or lows in patients’ glucose and adjust the pump’s insulin output. (Please note that I use Sleep Mode 24/7 so I don’t get automatic boluses by Control IQ.) You will have to manually turn on sleep mode after that since the window for the “automatic” start of sleep mode was missed. – Tandem X2 with Control:IQ: Exercise or Sleep mode with modified target range. Hi all! Control-IQ technology: Control-IQ technology is intended for use with a compatible integrated continuous glucose monitor (iCGM, sold separately) and ACE pump to automatically increase, decrease, and suspend delivery of basal insulin based on iCGM readings and predicted glucose values. The software also contains Exercise Mode and Sleep Mode. M issing an hour of sleep turns a sixth grader’s brain into that of a fourth grader.. My breakfast is usually one a slice of toast. The pump seems to stay in Control IQ mode most, if not all, of the time, which allows more time to be spent working on “time in range” which is waaaaay more important. For example, even in sleep mode I was staying steady all night but waking up around 130 for a bit, so I increased my basal. Control-IQ doesn’t appear to do this in the same league, and the description in the article suggests that on a daily basis, it will calculate the TDD delivered versus the TDD required and adjust what it believes the background basal rates, and use a formula for Insulin Sensitvity Factor and Carb Ratio off the back of this. Of all the features, I expected exercise mode to be lacking and didn't have high (read: any) expectations of it being effective. I have loved using sleep mode except when I eat higher fat dinners on the weekends and in those cases, I leave it off. Because our infused insulin is slow, slow, slow, these adjustments don’t work as quickly as my inpatient self would hope, but they do help. Control IQ gives me better and more consistent morning wake-up numbers. Take a look at Christmas Eve, Christmas Day (yes, I’m Jewish but my boyfriend’s family celebrates!) The system will help tackle blood glucose variability, but pattern management is still key for optimizing success. With this method, there is never too much or too little glucose in the blood. There are three activity settings in this new algorithm; Control IQ, exercise activity, and sleep activity. However, the trade-off is that correction boluses are not automatically administered. No studies have been done to show safety or efficacy of this practice. Another system, the Tandem t:slim X2 with Control-IQ technology, which has completed its pivotal trial ... were also entered. End - Puts the remote Proc in sleep mode RunHours - Collects Runhours for Synergy Entries are separated by commas (,) No part of the RDAQ request is case sensitive. Ie because it didn’t think I was going to go above 200 it won’t do anything? Wow. Search for: LIVING WITH DIABETES. The standard range is 112.5-160 mg/dL. There’s three activities in Control IQ and they are Control IQ or what I call wake time. TCOYD CONFERENCE & HEALTH FAIR. Some users even choose to apply sleep mode around the clock. Is it indifferent to blood sugars between 200 and 80? Recently I started using Sleep mode, not just overnight, but also when I'm fairly inactive e.g. And those three things have three different targets. I bolus early for main meals - 30 minutes or more, & I don't low carb by any means. There are two “activity” modes that will change the target range…sleep mode is 112.5-120 mg/dL and exercise mode 140-160 mg/dL. Learned that using the Sleep & Exercise Modes work well for me. Control-IQ Research Results Tandem’s Control-IQ HCL pivotal trial evenly divided 168 participants ages 14-71 into those on the Control-IQ HCL compared to those on the same pump and CGM without the Control-IQ algorithm. Control-IQ has three different sets of target ranges. (I had sleep mode active). Control-IQ also offers an “exercise mode” that changes the target to 140 to 160 mg/dl in order to reduce hypoglycemia. There are couple work-arounds with Control IQ to allow for tighter control such as setting sleep mode all day. Other great news- I SURVIVED THE HOLIDAYS! 2021 EVENT SCHEDULE; PAST 2020 EVENTS. Sleep-related information: The duration and quality of sleep are known to affect glucose control and vice versa. Less effort has not completely materialized and I am still micromanaging. Very constant and stable but why did the Control IQ not try to bring that down? – The 670G tuning parameters in HCL are limited to Insulin-Carb Ratio and Bolus Speed. Control-IQ technology includes an integrated feature whereby iCGM values are automatically populated into the glucose field of the integrated bolus calculator when the Control-IQ technology is active (i.e., the device is operating in closed-loop mode). Sent from my iPhone using Tapatalk With Control-IQ, you also have the ability to save six user profiles with different basals, carb ratios, and correction factors to help quickly change between different overall insulin needs. Edelman and Dr. Pettus gave Tandem's new Control-IQ a trial run to compare the pros and cons of both systems. Control-IQ is now in pivotal clinical trials, with 168 people enrolled at seven sites across the country, including at UVA, the Mayo Clinic in Minnesota, and the Joslin Diabetes Center in Boston. Or, I noticed I was spiking after dinner, so I tightened my carb ratio. For those who want to keep their blood sugar in a tighter/narrower range, sleep mode works quite nicely. During sleep mode, this range is changed to 112.5-120 mg/dL, and it is changed to 140-160 mg/dL during exercise mode. Because if you think about it, those three activities have very different applications for your blood glucose. I was at 190 for 6 hours overnight. So this is the end of my first week on ‘Control IQ’ with my new Tandem tSlim pump and Dexcom G6. Moreover, some HCL systems have a sleep function mode (Control IQ) wherein the algorithm is designed to improve nocturnal TIR without increasing hypoglycemia. Control-IQ technology will still increase basal insulin delivery when it predicts glucose values will be greater than 160 mg/dL and will deliver Automatic Correction Boluses when it predicts that glucose will be over 180 mg/dL 30 minutes in the future. The start and end times of the participant’s usual sleep period were used to set the sleep mode timing. Same with the sleep schedule - it's keeping what was already a pretty good overnight even better. 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