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Published May 26, 2023

#920 Best of Juicebox: Control IQ Ninja

Join Scott Benner in a compelling episode where Tandem Control IQ expert Jeremy shares advanced diabetes management strategies, emphasizing personalization, mental health, and effective utilization of Control IQ for optimized insulin settings and stable blood sugar levels.
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Episode Highlights

  • Algorithm Modes

    , a Tandem Control IQ expert, shares his insights on the algorithm's functionality. He explains that Control IQ operates in three modes: normal, exercise, and sleep, each with specific glucose targets and insulin adjustments. In normal mode, the system targets a glucose level of 112.5 mg/dL and adjusts basal insulin based on predicted glucose levels 30 minutes ahead. Jeremy emphasizes the importance of understanding these modes to optimize diabetes management.

    Control IQ will stop all basal insulin delivery if the sensor glucose level is predicted to be below 70 in the next 30 minutes.

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    He also highlights the need for personalized settings to achieve optimal results 1 2.

       

    Practical Use

    Jeremy provides practical applications of Control IQ, demonstrating how it can improve diabetes management. He discusses the benefits of using sleep mode, which targets a tight glucose range and adjusts insulin delivery more aggressively. Jeremy shares his experience with his son, Damon, who maintains stable glucose levels overnight thanks to these settings. He stresses the importance of understanding Dexcom reports to make informed decisions.

    From one week after starting Control IQ, I slept every single night.

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    Jeremy's approach involves using data to tailor insulin delivery and achieve consistent results 3 4.

       

    Adjustments

    Managing Control IQ involves overcoming challenges and making precise adjustments. Jeremy explains the necessity of understanding the pump's algorithm and making frequent adjustments to basal rates and carb ratios. He highlights the flexibility of the Tandem pump, which allows for fine-tuning insulin delivery to meet individual needs. Jeremy advises consistency in settings to ensure effective diabetes management.

    Control IQ is not a miracle machine like a lot of people think. Adjustments still have to be close and made, and sometimes made often.

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    His insights underscore the importance of personalized care and continuous learning 5 6.

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