Introduction to Control IQ – Tandem Tslim

Introduction to Control IQ – Tandem Tslim


Hey everyone today we will talk about
control IQ technology. What is it, what’s new about it, and everything you
need to know before starting your control IQ training. I’m Levi, this is
between two lines. If you use a tandem insulin pump and you use a Dexcom
continuous glucose monitor, you’re probably aware that the control IQ
update has come out. Similar to the update that came out on the basal, it
will work with you to help keep your blood sugar between the lines,
increase the amount of time you spend in range. If you’re considering doing the
control IQ training and update or maybe you haven’t or maybe just not
coming on your radar, this is an excellent video to watch as a crash
course to provide you with expectations on what will happen during the training
and avoid some of the time-consuming bits I went through. Part of what I
noticed during the training is that it’s a lot of what followed by how and they
include it in each break and I found myself rewatching the same clip because
it took me the entire clip to figure out what they were telling me was gonna
happen and then I rewatched it again to figure out how it worked. So in this
video I’m going to focus in on a lot of the what. What are the features of
control IQ? That way when you watch the training, you can focus more in on
the details on the how and I think it’ll make it a much more beneficial piece of
training and a lot less scratch your head. On a side note- if you’re like me I
was super interested in a control IQ technology and I was very excited to do the
update. Even with all that said, I am ten seconds in- I was a zombie. It
just puts me to sleep, I zoned out. So hopefully this will help give you some
guidelines on what’s gonna happen during the video so that you can pace yourself
mentally and get the most out of it. In a nutshell, control IQ technology will work
with you to keep your blood sugar within range by administering insulin or
withholding insulin as needed. It’s not gonna manage your diabetes for you and
it’s gonna require a lot of fine-tuning on your part to perform at its highest
capacity but I’m very excited about the potential that it has for you guys and
for me as well. So here’s the skeleton of of what control IQ will do. If your
blood sugar and you’ve got to have both the Dexcom CGM and you’ve also got to
use a Tandem pump. When those two things are linked
together, when it sees your reading show that you’re on your way down and you are
gonna hit 112 point five milligrams per deciliter in the next thirty minutes, it
will start to scale back your basal level. If you continue to drop and it
sees that you’re gonna get below 70 in the next thirty minutes, it will
discontinue your basal level altogether. Once you’ve already gone low and treated,
your blood sugar starts to rise back up. Previously, with the basal IQ technology,
the moment your blood sugar started to rise it resumed basal rate. This one’s
gonna work a little bit different. It’s a little bit more fine-tuned. Your blood
sugar can start coming back up, still no basal rate. When it sees your blood
sugar’s gonna hit 70 in the next thirty minutes it will then start
reincorporating your basal rate at a reduced capacity. Not until you hit 70 on
your way back up, will it introduce full basal rate. Now let’s look at the other
end of the spectrum. If you’re on your way up, you’re gonna have a high blood
sugar. If your continuous glucose monitor provides the readings and your pump
interprets that you’re gonna be above 160 in the next 30 minutes, it will
increase your basal rate. It’s gonna increase your basal rate and if you
continue let’s say you’re skyrocketing and the increased basal rate is not
gonna cut it there’s a limitation of how high it will go and that’s covered in
the training but let’s say it says it’s not gonna cover it it can then introduce
a correction bolus on top of the basal rate. So if you’re going up fast enough,
it will give you a lump of insulin to try to get you back under control. I can
tell you what it’s not gonna do, is allow you to skip bolus on your meals and
it’s just gonna put it put you back together and manage it for you. You’ve
got to have your own control first. It is just a tool in your bag. So now is the
point I want to stop and give you feedback that I picked up during the
training episodes. There’s a lot going on here. Your pump’s gonna start giving you
extra insulin. It’s going to do correction boluses. It’s gonna withhold
insulin when you’re on your way down. It’s gonna suspend your basal rates on the way down.
All that activity is based off of your profile you have built into your pump.
You have to have an accurate profile on your pump or none of us gonna work right.
It doesn’t sound like that big of a deal- it’s a big deal. If you’re like me and I told you I’d always be straight forward on this series,
my profiles not that great. In fact, it’s better now than it ever has been.
But I used to just wear the watch, always see what my blood sugar was, and just
give little bits here and there. I wasn’t even putting in the blood sugar levels for
the correction factor, I was just saying I ate 15 grams of carbs or 20. I was
just giving little boluses to get my blood sugar under control and I could
put some pretty good numbers up that way. That was when I first got the pump. That
will not cut it with this technology. You’ve got to use the pump the way it
was designed and work with your health care provider to dial in your basal rate,
dial in your correction factor, because this control IQ technology is gonna use
all of that to automatically start making adjustments and if your profile
is out of whack like mine was, this is gonna Jack you all
up. I say this as an encouragement. These things are becoming available to us, these
hybrid looping processes and it’s exciting but you’re not just gonna walk
in the door and reap all the benefits from it. You’re gonna have to put in the
legwork first to get your profile dialed in. Ok so right back to it. There’s
additional two settings you can have with control IQ. One of them is sleep and
one of them is exercise mode. Sleep mode, well they’re both interesting, they’re both
pretty interesting. The sleep mode I thought was really cool. The chapter on
sleep mode will provide you a lot of information on how to set it up, how to
fine-tune it, the different ways to initiate but here’s the gist of it. If
your profiles accurate the one’s you put in with your doctor. The sleep portion of
the control IQ technology can keep your blood sugar between 100 and 120
throughout the night. If you were me, that’s the most exciting part about this
entire thing. If I can keep my blood sugar between 100 and 120 all night, oh
my goodness, that would worth it weight in gold right there because
I’ve got all these kind of phantom blood sugar rise in at 3 o’clock in the
morning when it was level for the previous 6 hours. I got Dawn phenomenon
horribly the moment I wake up its skyrocketing. All these things in during
sleep mode it’s gonna be a little tighter parameters to keep it within that
range. It’s gonna withhold insulin or administer insulin earlier to keep you
within 100 120. That should be extremely valuable for a lot of people out there.
The second mode is exercise mode. Which was equally as cool. So exercise is
obvious Fitness working out running. It’s gonna be any kind of high level of
activity. It could be any kind of sport. For me, I’m gonna put it in exercise mode
when I’m mowing the lawn. The purpose of exercise mode is to be a
little more sensitive to the fact that you’re using a lot of energy and could
go low. If you’re exercising, working out, mowing the lawn,
whatever and you’re on your way down, when the continuous glucose monitor
shows that you’re gonna be at 140 in the next 30 minutes it’s gonna
slow down your basal rate. It’s going to decrease basal rate. If you continue to
fall and it shows you’re gonna hit 80 in the next 30 minutes, it’s gonna suspend
basal rate. So a little more aggressive with cutting back on the basal rate to
avoid going low during working out or the football game or any heavy activity
you may be doing on a day-to-day basis. So all in all it’s an exciting time to
be using the tandem pump and the Dexcom CGM control IQ technology is a really
really neat thing that I’m excited about this process of introducing the
loops and the hybrid loops to type one diabetics is huge. The quality of life
could go dramatically higher with tools like this but I want to reiterate as you
start the control IQ part of your journey, you’ve got to be in control of
your profile you can’t be Levi. I spent a lot of time being a bad diabetic. I spent
a lot of time being a horrible diabetic and even when I started doing things
better and had a continuous glucose monitor or insulin pump having a crap
profile where you’re constantly just winging it like I was this will not work.
So first step, get dialed in with your health care professionals,
put the time in to figure out what your correction factor is, put the time in and
figure out what their correct basal rates gonna be, etc, and then this control
IQ will do wonders for you. I really hope that you enjoyed this video.
I hope that you got something out of it. If you watched it to this point you are
very aware that I’m not an expert on the matter but I didn’t try to provide some
of my input and my experience with the control IQ I’ve had thus far.
Please leave in the comments what yours has been, any advice you have, please
don’t make the mistake of thinking these videos are just for me making
it for others, I get so much out of the feedback that is not only motivating but
educating. So please leave in the comments something that you’ve
experienced with control IQ because it’s gonna help me dial mine in
as well as others who will see it. My name’s Levi, this is
Between The Lines.