For those who want to keep their blood sugar in a tighter/narrower range, sleep mode works quite nicely. 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). Recently I started using Sleep mode, not just overnight, but also when I'm fairly inactive e.g. Wow. TCOYD CONFERENCE & HEALTH FAIR. I currently use the Sleep Activity from 8:00pm to 8:00am but am considering leaving it on all the time. The start and end times of the participant’s usual sleep period were used to set the sleep mode timing. and New Years Eve. Ie because it didn’t think I was going to go above 200 it won’t do anything? I have loved using sleep mode except when I eat higher fat dinners on the weekends and in those cases, I leave it off. Control-IQ’s innovative glucose control. 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. working on my computer. Both are closed and both give you quick access to others’ experience. Lack of sleep affects intelligence. Exercise Mode I admit to being skeptical about exercise mode when I went through the Control IQ training. I bolus early for main meals - 30 minutes or more, & I don't low carb by any means. There’s three activities in Control IQ and they are Control IQ or what I call wake time. Via NurtureShock:. The standard range is 112.5-160 mg/dL. – The 670G tuning parameters in HCL are limited to Insulin-Carb Ratio and Bolus Speed. End - Puts the remote Proc in sleep mode RunHours - Collects Runhours for Synergy Header - Returns just the header data (alarm updates) AH PMS Entries are separated by commas (,) No part of the RDAQ request is case sensitive. Control IQ gives me better and more consistent morning wake-up numbers. However, it's still not as aggressive as an openaps route. For those nights, I need the hourly correction that the pump gives outside of sleep mode. Information about the specific phone, pump, and CGM was also included in the user profile. Information regarding sleep time, duration, and percentage of … Of all the features, I expected exercise mode to be lacking and didn't have high (read: any) expectations of it being effective. 96 All HCL systems reduce nocturnal hypoglycemia. I continue to use Sleep Mode 24/7 with a target range of 110-120. Taking Control Of Your Diabetes. However, the trade-off is that correction boluses are not automatically administered. Also, I'm not a fan of the exercise activity mode because it is even less aggressive than the normal setting. 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. 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. 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. If you use Facebook, consider joining the “Control IQ while keeping a tighter range” group and the “Tandem T-slim X2 users” groups. In short, sleep mode is 100% worth the cost of admission and it may be worth switching to Control IQ for sleep mode alone. Another system, the Tandem t:slim X2 with Control-IQ technology, which has completed its pivotal trial ... were also entered. (Please note that I use Sleep Mode 24/7 so I don’t get automatic boluses by Control IQ.) If there is too much hyperglycemia or hypoglycemia, assess the following: – Is the hyper- or hypoglycemia meal-related or basal-related? Moreover, some HCL systems have a sleep function mode (Control IQ) wherein the algorithm is designed to improve nocturnal TIR without increasing hypoglycemia. 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. My breakfast is usually one a slice of toast. Take a look at Christmas Eve, Christmas Day (yes, I’m Jewish but my boyfriend’s family celebrates!) 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. So this is the end of my first week on ‘Control IQ’ with my new Tandem tSlim pump and Dexcom G6. – Tandem X2 with Control:IQ: Exercise or Sleep mode with modified target range. There are couple work-arounds with Control IQ to allow for tighter control such as setting sleep mode all day. And those three things have three different targets. Control-IQ has three different sets of target ranges. Sleep-related information: The duration and quality of sleep are known to affect glucose control and vice versa. 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. • 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? It works well for me. 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. 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. Or, I noticed I was spiking after dinner, so I tightened my carb ratio. It seems to work well for many people! Exercise mode is doing way better than I could ever manage with reducing my basal rate while working out. 670G (Hybrid Closed Loop) Control-IQ (Hybrid Closed Loop) What does Control IQ do? Learned that using the Sleep & Exercise Modes work well for me. – Are the root causes of the glucose control modifiable on the pump? But it's not perfect. There’s sleep and there’s exercise. 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. Same with the sleep schedule - it's keeping what was already a pretty good overnight even better. Control-IQ will stop basal insulin delivery if it predicts a glucose value less than or equal to 80 mg/dL. (I had sleep mode active). 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. Thanks for any insight. With this method, there is never too much or too little glucose in the blood. I like the tighter control. As long as I compensate for long insulin suspensions, that strategy is starting to show some success. So, waking time 70 to 180. M issing an hour of sleep turns a sixth grader’s brain into that of a fourth grader.. I was at 190 for 6 hours overnight. It also allows me to occasionally forget about diabetes when I hike and play golf. You are correct in saying that CI does NOT DELIVER correction bolus when in Sleep Mode. Search for: LIVING WITH DIABETES. I think the high/low range is tighter. Is it indifferent to blood sugars between 200 and 80? You have a good understanding of Control IQ, Abigail @AbigailL. What have you noticed? We have been working with a lot of PWD using Control IQ in sleep mode all the time. 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. The software also contains Exercise Mode and Sleep Mode. There are three activity settings in this new algorithm; Control IQ, exercise activity, and sleep activity. 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. CoverageUnlike Medtronic’s 670G and the DIY systems, Tandem’s Control IQ is covered by Medicare and most private health insurance plans. 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. 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. 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. You will have to manually turn on sleep mode after that since the window for the “automatic” start of sleep mode was missed. You can schedule sleep based on days of week so that the system automatically switches to the sleep targets at those times/days. No studies have been done to show safety or efficacy of this practice. TCOYD Bellevue 02.08.20; TCOYD Honolulu 02.29.20; TCOYD VIRTUAL Omaha 08.01.20; TCOYD VIRTUAL: Across the … Less effort has not completely materialized and I am still micromanaging. Control-IQ™ technology’s Exercise Activity is a feature created to help guard against low blood sugar during periods of physical activity. This lowers the Control IQ target from 112.5-160 mg/dl to 112.5-120 mg/dl. Sent from my iPhone using Tapatalk Some users even choose to apply sleep mode around the clock. You may need to adjust insulin settings. The system will help tackle blood glucose variability, but pattern management is still key for optimizing success. Control-IQ also offers an “exercise mode” that changes the target to 140 to 160 mg/dl in order to reduce hypoglycemia. 2021 EVENT SCHEDULE; PAST 2020 EVENTS. Because if you think about it, those three activities have very different applications for your blood glucose. Sleep ModeWhoever thought of this deserves a nice nap. Other great news- I SURVIVED THE HOLIDAYS! Hi all! Edelman and Dr. Pettus gave Tandem's new Control-IQ a trial run to compare the pros and cons of both systems. 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