This Man is amazingly knowledgeable... I am new to Tandem TSlim pump and with the the 2 ND week with it I went to to a DKA... Very painful sad and scary. I had 5 visits with my Diabetes educator and still had issues understanding. I can commit to going into your website and educate myself so that I can continue living a happy and healthy life with this new transition. Thanks FTF, Blessings!
That was a thorough explanation of what I’m currently involved with. I hit the gym 3hrs after breakfast with a 9.8 BG (175) for my daily workout which included weight lifting, came back home finding my BG on a constant 13 (234). Contacted Omnipod support and had a conversation about IOB and figuring out if my newly installed Pod is having an issue. They suggested changing the Pod again which I find kind of irrelevant! Thanks for the support and happy to find your channel. Now it all make more sense!
Your information is very helpful even for a 35 year T1 Diabetic. One other thing to consider with IOB ....Never take a HOT shower after a Bolus as in my situation I dropped from 220-73 within 20 minutes...Lesson learned.😁
Thank you for breaking this down for me. My daughter has t1d and her team has been on and off useless especially Dr. We just switched to the omnipod and we did get training but it was over zoom and her dad tends to take over and say yea understand regardless of anyone else. This has helped me to understand her insulin so much more. We had it down cold and now we're relearning again with the omnipod. This has helped me to relax more with her higher numbers as we adjust to it. Thank you so much!
@@sarahlynch2324 At the end of the free training at diabetesinaction.com there is an option to apply to join, and from there we'll hop on a phone call and see if it's a good fit! Let me know if you have any questions, I'd be happy to help
I recently joined the program and Matt and I had a really nice in depth conversation about this topic and using the tools and concepts in the program to get your blood sugars into range and stay in range. Very helpful information.
I'm so glad that you're finding such value in these videos! If you enjoy these, Diabetes In Action is going to be mind-blowingly perfect. Let me know what you think after you check it out!
Ok great info my . Insulin was high from my coffee this morn. I gave 6 units of insulin after my workout came home had a piece of toast, walked dogs ,vacuumed ate oatmeal with raisons a lot of carbs I know, although it was still at 300 with 6 units on board. after 3 hrs! of not eating! I am a week old on the pump so its been different
When you talk about insulin stacking, does that mean that the insulin continues effective longer, or does it double up the effectiveness along with the length of time in the body? For example, if I take 3 units at 1 pm and then at 2 pm I take another 2 units. At 3 pm is the effectiveness of the insulin 5 units, or does the insulin that is being absorbed last an additional hour but at the 3 unit level? Thanks for the information. I learn a lot from you.
Glad you're learning a lot from my videos! And while I can't give medical information or recommendations to "non-clients", we're essentially looking at multiple "lowering" agents with each additional dose. So if it's too much, the blood sugars could come crashing down at a pretty rapid speed if there are multiple doses at play. Happy to chat more, or even point you towards a more advanced training I did here: diabetesinaction.com
Math-wise, if you take into account 4hrs for the insulin to stay in your body it means that if you take 3u at 1pm you will be left with 1.5u IOB at 3pm (2hrs later, which means 50% of your initial bolus is still in your body). Now to that you have to add the 2u bolus you took at 2pm, which by 3pm (1 hour later) it will have only dropped by 25% leaving still 75% of the initial bolus in your body, therefore 2u x 0.75= 1.5u IOB This means that at 3PM you’ll have 3u IOB (1.5u from your initial 1pm bolus and 1.5u for your second 2PM bolus). You have effectively stacked your insulin ;)
Thanks for educating people, but for those of us who know what IOB means, what does it mean on the TSlim X2? Like, is it just the bolus on board or is it the bolus and the control IQ basal increase, or is it the basal and bolus? I have asked my doctor and tandem and haven't gotten an answer back. With Medtronic the IOB is ONLY the bolus. Thanks!
It takes it into consideration with any doses, it's pretty smart, but we need to know how to make adjustments for our unique situations as well. Are you familiar with how to do that yourself?
I am a new T-Slim user and when exercising I have to do this without IOB. I didn't notice this until today and have had the T-Slim for a week and 3 days. No way am I going to carb load before exercising due to potential lows while exercising, but I would like a true no IOB. With control IQ on and data showing no IOB, then with it off and showing me that I do, I'm not sure I can truly trust the control IQ data. What are your thoughts?
So currently I am on a Medtronic 670g with the guardian 3 sensor. My on board time is set for 2.5 hrs. I am switching to the T:Slim and understand the insulin on board is 5 hrs on the T:Slim with no adjustments. Will that be an issue?
While I'm NOT a doctor and can't give medical advice, yes. That is incredibly high for fasting blood sugars according to a medical standard. Do you have anyone on your medical team helping you with that?
This Man is amazingly knowledgeable... I am new to Tandem TSlim pump and with the the 2 ND week with it I went to to a DKA... Very painful sad and scary. I had 5 visits with my Diabetes educator and still had issues understanding. I can commit to going into your website and educate myself so that I can continue living a happy and healthy life with this new transition. Thanks FTF, Blessings!
Wow, thank you so much! It's such a bummer to hear that. But I'm glad you found this video helpful!
That was a thorough explanation of what I’m currently involved with. I hit the gym 3hrs after breakfast with a 9.8 BG (175) for my daily workout which included weight lifting, came back home finding my BG on a constant 13 (234). Contacted Omnipod support and had a conversation about IOB and figuring out if my newly installed Pod is having an issue. They suggested changing the Pod again which I find kind of irrelevant!
Thanks for the support and happy to find your channel. Now it all make more sense!
I am a 49 year old Type 1 Triathlete and just found your page. Definitely subscribed. Great video.
Stoked to have you here, Chris!
Your information is very helpful even for a 35 year T1 Diabetic. One other thing to consider with IOB ....Never take a HOT shower after a Bolus as in my situation I dropped from 220-73 within 20 minutes...Lesson learned.😁
Great info. This has happened to me many times in the last 40 years. I've insulin Stacked a few times during my time. Great explanation.
So glad that you've found value in it! Stacking definitely feels necessary sometimes, but caution is our best friend when doing so haha.
Thank you for breaking this down for me. My daughter has t1d and her team has been on and off useless especially Dr. We just switched to the omnipod and we did get training but it was over zoom and her dad tends to take over and say yea understand regardless of anyone else.
This has helped me to understand her insulin so much more. We had it down cold and now we're relearning again with the omnipod. This has helped me to relax more with her higher numbers as we adjust to it. Thank you so much!
This was me today, and it sucked. I definitely wasn't patient enough. Thanks for sharing!
ahh bummer to hear that, but I"m so glad that you found this video valuable!
@@FTFWARRIOR how do you join your programs??
@@sarahlynch2324 At the end of the free training at diabetesinaction.com there is an option to apply to join, and from there we'll hop on a phone call and see if it's a good fit! Let me know if you have any questions, I'd be happy to help
I recently joined the program and Matt and I had a really nice in depth conversation about this topic and using the tools and concepts in the program to get your blood sugars into range and stay in range. Very helpful information.
YES! Jeff it's so incredible watching your success in the Diabetes In Action program! You've been crushing it, keep up the great work!
Love your videos. Have had type 1 for 37 years but always learn from you! Thanks😁
Happy to help and I'm glad that you find my videos valuable!
Excellent important information - been there / done that ! Thanks.......
I love these videos! They’re so informative and a great source of information. Thank you! I need to check out your Diabetes In Action site too 😊.
I'm so glad that you're finding such value in these videos! If you enjoy these, Diabetes In Action is going to be mind-blowingly perfect. Let me know what you think after you check it out!
Man! This is so helpful!! Thank you!!
Glad it helped!
Ok great info my . Insulin was high from my coffee this morn. I gave 6 units of insulin after my workout came home had a piece of toast, walked dogs ,vacuumed ate oatmeal with raisons a lot of carbs I know, although it was still at 300 with 6 units on board. after 3 hrs! of not eating! I am a week old on the pump so its been different
Thanks! Very helpful info!!
Glad you enjoyed it!
👍🏻👍🏻👍🏻Great explanation
I'm so glad that you enjoyed it!
Thank you, very helpful!!!
Glad you found it valuable!
Very very helpful!!!
I'm so glad that you found value in it!
Thanks for the exercise and IOB warnings! I will watch it more closely.
When you talk about insulin stacking, does that mean that the insulin continues effective longer, or does it double up the effectiveness along with the length of time in the body? For example, if I take 3 units at 1 pm and then at 2 pm I take another 2 units. At 3 pm is the effectiveness of the insulin 5 units, or does the insulin that is being absorbed last an additional hour but at the 3 unit level? Thanks for the information. I learn a lot from you.
Glad you're learning a lot from my videos! And while I can't give medical information or recommendations to "non-clients", we're essentially looking at multiple "lowering" agents with each additional dose. So if it's too much, the blood sugars could come crashing down at a pretty rapid speed if there are multiple doses at play. Happy to chat more, or even point you towards a more advanced training I did here: diabetesinaction.com
Math-wise, if you take into account 4hrs for the insulin to stay in your body it means that if you take 3u at 1pm you will be left with 1.5u IOB at 3pm (2hrs later, which means 50% of your initial bolus is still in your body). Now to that you have to add the 2u bolus you took at 2pm, which by 3pm (1 hour later) it will have only dropped by 25% leaving still 75% of the initial bolus in your body, therefore 2u x 0.75= 1.5u IOB
This means that at 3PM you’ll have 3u IOB (1.5u from your initial 1pm bolus and 1.5u for your second 2PM bolus). You have effectively stacked your insulin ;)
@@Gwkz743 Thank you for your explanation.
Thank you so much!
Absolutely! Glad that you found it valuable
Thanks for educating people, but for those of us who know what IOB means, what does it mean on the TSlim X2? Like, is it just the bolus on board or is it the bolus and the control IQ basal increase, or is it the basal and bolus? I have asked my doctor and tandem and haven't gotten an answer back. With Medtronic the IOB is ONLY the bolus. Thanks!
From what I've seen, it looks to be bolus and correction and and additional insulin that control IQ has given. Hopefully this helps!
How does control I q work with insulin on board😬
It takes it into consideration with any doses, it's pretty smart, but we need to know how to make adjustments for our unique situations as well. Are you familiar with how to do that yourself?
I would like to know why when I have the control IQ on it shows I have no IOB, but when I turn the control IQ off it have IOB. Hmmm
I am a new T-Slim user and when exercising I have to do this without IOB. I didn't notice this until today and have had the T-Slim for a week and 3 days. No way am I going to carb load before exercising due to potential lows while exercising, but I would like a true no IOB. With control IQ on and data showing no IOB, then with it off and showing me that I do, I'm not sure I can truly trust the control IQ data. What are your thoughts?
While I can't give medical advice in the comments, have you already seen the training at diabetesinaction.com yet?
So currently I am on a Medtronic 670g with the guardian 3 sensor. My on board time is set for 2.5 hrs. I am switching to the T:Slim and understand the insulin on board is 5 hrs on the T:Slim with no adjustments. Will that be an issue?
AND ALWAYS CARRY GLUCOSE TABS ................. !
hahaha ALWAYS!
That’s high? I wake up with 15 mmol bg level quit often , that is about the same as 270 right?
While I'm NOT a doctor and can't give medical advice, yes. That is incredibly high for fasting blood sugars according to a medical standard. Do you have anyone on your medical team helping you with that?
Is it okay to eat while insulin on board?
👀👀👀
Does novalog last hours as well?