Discover and read the best of Twitter Threads about #DynamicISF

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14-day comparisons! Photo 1 (2/27-3/12) is the baseline. #2 (3/13-3/26) is full #closedloop with Humalog and #DynamicISF. #3 (4/20-5/03) is full closed loop w/a 50/50 Humalog/Lyumjev mix. Best results with faster insulin. TIR gains are minimal (starting from a high baseline). 1/?
What jumps out at me are the reductions in variability. Also, the Lyumjev/Humalog results probably would have been even higher TIR and less variable had the restaurant not messed up last night, delivering basically a whole chicken rather than the 2 chicken burritos I ordered. 2/?
Common conditions in full #closedloop- basically no manual boluses. Even if a meal sent me close to 300 (16.7). Manual boluses were only applied when the loop was not running (comms failures, #CGM warmup, etc) maybe 2/week. No carb counting at all. Ate when hungry. 3/?
Read 9 tweets
Final stats (N=1) of two weeks in (almost) full closed-loop on #AAPS #DynamicISF with Humalog. Two manual boluses were administered during the 14 days- one during a CGM warmup, and another when the loop disconnected due to a dying pump battery.
Further, one (mild, exercise/alcohol-induced) low was treated with a pack of Swedish Fish. Comparison from #Dexcom #Clarity shows no significant change from baseline (prior 14 days) other than a reduction in SD of 19%. (Baseline on left, Full closed-loop on the right)
The 7% highs were almost completely due to high-calorie, high-carb, complex meals. (Bacon King and fries (chips) from Burger King, Pizza, Chicken McNuggets and fries from McDonalds). Notably, none of those resulted in a "rebound low".
Read 6 tweets

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