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Interesting read. My wife is T1D, moved to a closed loop last year. It has been life changing for her - this is not an understatement. Her mental health has ma

Interesting read. My wife is T1D, moved to a closed loop last year. It has been life changing for her - this is not an understatement. Her mental health has massively improved because she isn't having up to 3-4 hypos a day. One thing not mentioned in the intro, hormones hugely affect T1D. She's started perimenopause and everything went out of the window. Closed loop has made this much more manageable.

mjaniczek 2y ago
Out of curiosity, is your wife's closed loop solution official, or homebrew? (If official, which country do you live in, if I may ask?)
- stranded22 2y ago
  It's official - UK (England).
  - jevogel 2y ago
    In the US, the official Omnipod 5 with Dexcom G6 closed loop solution is also available, starting early this year I think. My wife prefers her DIY AndroidAPS setup with Omnipod Dash and Dexcom G7, though, because the G7 allows you to warm up a new sensor when the old one is still active, so she doesn't have any gaps in her data.
croemer 2y ago
Indeed, insulin sensitivity varies so based on amount of movement during day, stress, hormones, allergies, slight cold, etc that the rigid algorithmic approach they teach patients doesn't work in practice. I.e. you can follow what you're taught by diabetic nurse and you'll have bad control nonetheless. What's the model she uses? My guess would be tslim+Dexcom? It does reduce stress a lot.
- stranded22 2y ago
  She's using omnipod + dexcom g6. The omnipod was a good change for her as there was one fewer places to fail (being airbubbles in the piping). And now with the closed loop, it's stepped up again. One thing she has found though - her hypo awareness has dropped. They 'feel different'.
interludead 2y ago
The mental and physical benefits of improved glucose management cannot be overstated
- stranded22 2y ago
  Definitely - but it is also that she doesn't need to keep such a management on it, freeing her mentally. That and not yoyoing in sugars (and feeling like a failure). Her description: what else can you do for 30 years and still feel like a failure as it isn't working like it should?

mjaniczek 2y ago

Out of curiosity, is your wife's closed loop solution official, or homebrew? (If official, which country do you live in, if I may ask?)

stranded22 2y ago
It's official - UK (England).
- jevogel 2y ago
  In the US, the official Omnipod 5 with Dexcom G6 closed loop solution is also available, starting early this year I think. My wife prefers her DIY AndroidAPS setup with Omnipod Dash and Dexcom G7, though, because the G7 allows you to warm up a new sensor when the old one is still active, so she doesn't have any gaps in her data.

croemer 2y ago

Indeed, insulin sensitivity varies so based on amount of movement during day, stress, hormones, allergies, slight cold, etc that the rigid algorithmic approach they teach patients doesn't work in practice. I.e. you can follow what you're taught by diabetic nurse and you'll have bad control nonetheless. What's the model she uses? My guess would be tslim+Dexcom? It does reduce stress a lot.

stranded22 2y ago
She's using omnipod + dexcom g6. The omnipod was a good change for her as there was one fewer places to fail (being airbubbles in the piping). And now with the closed loop, it's stepped up again. One thing she has found though - her hypo awareness has dropped. They 'feel different'.

interludead 2y ago

The mental and physical benefits of improved glucose management cannot be overstated

stranded22 2y ago
Definitely - but it is also that she doesn't need to keep such a management on it, freeing her mentally. That and not yoyoing in sugars (and feeling like a failure). Her description: what else can you do for 30 years and still feel like a failure as it isn't working like it should?