Lyumjev vs. Humalog

@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.

@celia16 that was interesting that you had better results using your arms for sensor placement with your CGM. I have tried that a few times and didn’t notice any difference good or bad.
When you upgrade to a new pump where will you place that? I have fallen into a pattern of placing the CGM sensor on my upper abdomen, above my waistline.It is the smaller of the 2 devices and is changed less often (every 10 days). I place the pump pod on my lower abdomen below the waistline (on the same side as the CGM). It is larger and is changed every 3 days. I have more body real estate in the lower abdomen so there’s room to rotate &/or move it a few inches every 3 days. The 2 devices need to be at least 3 inches apart and within “line of sight”.
I am curious about what you mean by micro boluses. I have a preset basal bolus that delivers a small predetermined bolus 24/7. My provider and I review and adjust this as needed (usually quarters). I add mealtime and correction boluses as needed. For example I have a preprogrammed insulin : carbohydrate ratio for meals. I calculate the carbs to be consumed and enter it into the pump controller. It does its algorithm thing based on insulin on board and communications with the CGM then suggests a bolus. I then accept, confirm and start the bolus. So far so good.

i used to use Lyumjev for a while. but for myself, i could never keep my BG regulated properly. so i went back to Humalog Kwikpen. i've been also using Toujeo. it was doing good for a while. but my Endo added Ozempic every week. finally got my A1C down to 7. before that it was up to 12. i'm very happy with the results. so i'm heading in the right direction.

@danny5 ,
That is a huge improvement. I’m working hard to reduce mine too. My BG is all over the place without a pump and cgm.

I have a friend who is type II, that did very well on Ozempic. She said it was like a miracle. Please post your thoughts on it. I can’t take it since I’m type I, though I know some Type I’s who take Wegovy.

i used to use Lyumjev for a while. but for myself, i could never keep my BG regulated properly. so i went back to Humalog Kwikpen. i've been also using Toujeo. it was doing good for a while. but my Endo added Ozempic every week. finally got my A1C down to 7. before that it was up to 12. i'm very happy with the results. so i'm heading in the right direction.

Thanks so much for sharing your experience, Danny, and congratulations on the big improvement in your A1c!
Maybe I should start the Lyumjev before I run out of the Humalog, so I can have the Humalog as a backup…..
I will go ahead and request a Lyumjev prescription from my doctor, so I can ”try” it. My A1c is currently at 7.5, but I would like to get it a little lower, And I think I could do that if the timing of my Humalog mealtime insulin (around 12 units) were not so “off”. Pretty sure I start it too late, and it works for too long — and beyond the point where it’s really needed. I take around 30 units of Lantus (Glargine) morning and night, too. How do you use the Toujeo?

@cehunt57 ,
It’s my understanding that most pumps deliver a constant basal insulin. Most use fast acting like Novolog. The amount of the basal in Manual mode on my Medtronic 670 is preset by the user and their doctor, based on their particular needs. In Auto mode, which I prefer, there is no preset amount of basal. The pump, calculates how much basal I should be getting to keep me in a good range…70-120. It’ll back off the basal, if I start going low. I manually insert my carbs in order to bolus before meals and snacks.

The difference with 780 in auto or Smart Guard mode is that not only does it provide the basal you need without using a pre-programmed amount, but it gives you micro boluses in order to cover your carbs, say if you forget to bolus or you underestimate the carbs. I’ve read awesome results from users. I hope I can do nearly as well.

I didn’t realize Dexcom had independent micro boluses. If it’s working for you that’s great. Everyone responds to treatments in different ways.

I’ll wear my cgm on my arms, because my cgm works better there and I’ll need my torso for my infusions. My infusions don’t work well on my lower stomach. I think I gave too many injections there when I was MDI. I get poor absorption there now. ☹️ I regret not varying my injection locations more for all those years. I now have used my back and sides for infusion locations. I rotate pretty well now I think.