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Lyumjev vs. Humalog

Diabetes & Endocrine System | Last Active: Feb 6 12:07pm | Replies (18)

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@cehunt57

@celia16 I have a Dexcom G6 continual glucose monitor (CGM) as of February 2022. I have experienced some inaccuracies with that, particularly in the 24 - 72 hours after a sensor change. For example a greater than 100 point difference between CGM reading and glucometer reading. I know all about that CGM tests interstitial fluid and glucometer tests blood sugar. But still it was frustrating (especially in regards to low alerts) when CGM warned me that I was less than 40 and glucometer showed 139! Before checking the glucometer I panicked, overtreated and spiked to 300+. Lesson learned. In the 24 - 72 hours after a sensor change I check the glucometer often.

For the insulin pump I use Omnipod 5 since February 2023. This was recommended for me by one of the Mayo Clinic (Rochester, MN) endocrinologists. My local endocrinologist was leaning towards a Tandem pump. Because of a Medicare eligibility requirement I found out that I was not eligible for coverage for the Tandem but I was for the Omnipod 5 under part D. So we went with Omnipod 5.
There turned out to be 2 benefits to that. At the time it was the only one that was tubeless (a small benefit). The more important benefit is that it communicates with Dexcom G6 in a closed loop to recommend mealtime and correction boluses using an algorithm based on calculated “insulin on board”. This has started to be way over my head mathematically speaking but I can’t argue with the results. My A1C is “good” according to my providers and the CGM graph is increasingly approaching a greater percentage of steady flat line time in range. Before it looked like a mountain range with terrible peaks and valleys.

Another thing I might add is that I had a Medtronic insulin pump prior to 2000. It helped me achieve an A1C less than double digits but it was “ver primitive” according to my husband. I felt it was not user friendly at all. That was a long time ago. I hope your experience with Medtronics pump is better.

Could you keep me posted on how it’s going?

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Replies to "@celia16 I have a Dexcom G6 continual glucose monitor (CGM) as of February 2022. I have..."

@cehunt57 ,
I appreciate that perspective. I actually used Dexcom before I got my pump. I found that it gave me wildly off numbers at that time. I eventually discovered that it was much more accurate if I wore the sensor on my upper arm and not my belly. (I don’t know what the current recommendation is. )After I got my Medtronic, I wore the Dexcom and Medtronic at the same time, different arms for a couple of weeks, since I had some extra sensors. I found them to be very close. Basically the same.

I look forward to using my 780. Some of my online buddies report 90% and up time in range! The micro boluses are supposed to bring you down, even if you forget to bolus. Plus, I look forward to not calibrating.

It sounds like you have done very well. If you find something that works, that’s what counts. It feels so nice to have well managed blood sugar. I’m considered good control, but want great. I’ll probably start a thread after I know more.