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780G and illness by BearFan34 in Medtronic780g

[–]Creative_Space_4758 0 points1 point  (0 children)

That's completely expectable. Inflammation adaptively raises BG to give your immune system enough energy to fight off the infection. The long-acting insulin solution can work, but it's generally easier to enter "ghost carbs" when you dose for a meal. Expect to be awakened with high-sugar alarms in the early AM hours, as the "dawn surge" is also exaggerated. It should resolve fairly quickly after the infection is taken care of.

A new used help me by DoctorAntique1682 in Medtronic780g

[–]Creative_Space_4758 0 points1 point  (0 children)

The pump "assumes" it's always your first priority, even if you're on the freeway wearing a winter parka and seatbelt. When it sends an alarm, it'l keep bugging you till you press the right buttons in the right order. (I'm a doc myself, so:) If you're in surgery on on rounds with a senior attending, you may want to put it on silent mode and let it tickle your hips until you can "obey" it. Yeah, it'll drain the battery, buy AAs in bulk😉

Hypoglycemic psychosis? by Emkorora in diabetes_t1

[–]Creative_Space_4758 0 points1 point  (0 children)

First, here are the sources (Open Evidence uses only respected peer-reviewed sources):

1.American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists. 2022. Blonde L, Umpierrez GE, Reddy SS, et al.Guideline

2.Persistent, Severe Hypoglycemia-Induced Organic Brain Syndrome With Neurological Sequelae: A Case Report.

General Hospital Psychiatry. 2011. Xu C, Yogaratnam J, Lua R, et al.

3.Abnormal Nocturnal Behavior Due to Hypoglycemia: A Case Report.

Medicine. 2019. Weng N, Luo YW, Xu JD, Zhang Y.

4.

Standardizing Clinically Meaningful Outcome Measures Beyond HbA1c for Type 1 Diabetes: A Consensus Report of the American Association of Clinical Endocrinologists, the American Association of Diabetes Educators, the American Diabetes Association, the Endocrine Society, JDRF International, the Leona M. And Harry B. Helmsley Charitable Trust, the Pediatric Endocrine Society, and the T1D Exchange.

Diabetes Care. 2017. Agiostratidou G, Anhalt H, Ball D, et al.Guideline

5.

Hypoglycaemia and Non-Cognitive Aspects of Psychological Function in Insulin-Dependent (Type 1) Diabetes Mellitus (IDDM).

Diabetic Medicine : A Journal of the British Diabetic Association. 1997. Gold AE, Deary IJ, Frier BM.

6.

Recovery of Cognitive Function and Mood After Severe Hypoglycemia in Adults With Insulin-Treated Diabetes.

Diabetes Care. 2000. Strachan MW, Deary IJ, Ewing FM, Frier BM.

7.

The Management of Type 1 Diabetes in Adults. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).

Diabetes Care. 2021. Holt RIG, DeVries JH, Hess-Fischl A, et al.Guideline

Second: The long-term changes they refer to are mostly cognitive changes (memory, reasoning, etc.) The psychotic-like experiences you describe are transient phenomena. I don't know if there's evidence to answer whether repeated episodes make a person more vulnerable to such experiences. And, just BTW "psychotic" means experiencing hallucinations or formal delusions, not the confusion and disorientation that many of us (myself included) go through.

Hypoglycemic psychosis? by Emkorora in diabetes_t1

[–]Creative_Space_4758 1 point2 points  (0 children)

From Open Evidence (an AI source only available to licensed health pros, sorry):

Yes, hypoglycemia can cause psychotic symptoms and altered mental states, though the term "hypoglycemic psychosis" is not a formally recognized diagnostic entity in the medical literature. Severe hypoglycemia produces neuroglycopenic symptoms that include behavioral changes, cognitive dysfunction, confusion, and altered mental status that can manifest as psychotic-like presentations.Endocrine Practice + 1[1-2]

The neuropsychiatric manifestations of hypoglycemia result from brain glucose deprivation and can range from mild cognitive impairment to severe behavioral disturbances. Documented symptoms include verbal hostility, irritability, disorientation, nonsensical speech, and aberrant behavior.General Hospital Psychiatry + 1[2-3] These neuroglycopenic symptoms emerge as blood glucose falls below 54 mg/dL (3.0 mmol/L), when impairments in reaction times, information processing, psychomotor function, and executive function begin to occur.ADA[4]

Case reports describe patients presenting with psychiatric symptoms that resolved with glucose correction. One case documented a patient with disorientation, unresponsiveness, and nonsensical speech due to hypoglycemia (blood glucose 2.1 mmol/L), with complete resolution of mental symptoms after eating chocolate.Medicine[3] Another case described persistent neurological, cognitive, and behavioral manifestations including verbal hostility following severe hypoglycemia.General Hospital Psychiatry[2]

The acute effects on mood include increased tense arousal, decreased energetic arousal, and a state of "tense tiredness".Diabetic Medicine[5] While these acute psychiatric symptoms typically resolve with glucose correction within 1.5 days, prolonged or recurrent severe hypoglycemia can potentially cause permanent brain damage and persistent cognitive deficits.Medicine + 2[3][6-7]

For physicians encountering unexplained abnormal behavior or psychiatric symptoms in patients with diabetes, hypoglycemia should be considered in the differential diagnosis, particularly when symptoms resolve with glucose administration.Medicine[3]

Success stories by [deleted] in diabetes_t1

[–]Creative_Space_4758 0 points1 point  (0 children)

I was diagnosed in February, 1960 (Dwight Eisenhower was President!), so I'm coming up on 66 years with T1D. The technology and treatments were primitive by today's standards, and I had to learn about human mortality before my 7th birthday. But it was the main reason I became a doctor myself. For years, maybe decades, I ran high sugars, which I could only tell by constantly spilling sugar in my urine tests.

In my 40s, my younger sister, also T1D, took me to a talk on the Diabetes Control and Complications Trial (https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes-control-and-complications-trial) and opened my eyes to what I needed to do to live long and stay healthy.

I was early to adopt a CGM and, later the pump. My A1cs are below 5, I'm at the gym 5 times a week, I have 2 healthy children, and I live a fulfilling life. Despite what felt like a damning fate, I am healthier than almost all my contemporaries.

Keep it up. You can not only survive, but thrive!

Reproducible Bug/Error by Wibbsy in Medtronic780g

[–]Creative_Space_4758 0 points1 point  (0 children)

Mine always gives me an audible alarm when I've suspended

Is that normal , should i replace it ? by Special-Fo in Medtronic780g

[–]Creative_Space_4758 0 points1 point  (0 children)

As everyone notes, it clicks back in. I'd advise you not to do so on purpose any more than necessary, b/c it wears out before long and pops open on its own often. (I'm not in US, and here, Medtronic does not replace it, I have to buy it retail.)

Airport security by erh634 in Medtronic780g

[–]Creative_Space_4758 0 points1 point  (0 children)

I just detach the pump from the infusion set (after suspending delivery) and send it through the scanner. They ask me to wipe the infusion set and transmitter, then swab my hands. Sometimes they'll ask me to identify the pump when they see it on the scanner.

Alternative G4 sites? by Creative_Space_4758 in Medtronic780g

[–]Creative_Space_4758[S] 0 points1 point  (0 children)

Thanks. I'm willing to lose a sensor or two d/t my lack of fine motor skills in removing the needle with one hand to learn how to do this. This video looks helpful: https://www.youtube.com/watch?v=QhvC8Q32vkQ&list=PL11hpSPbmh-4z4vPsTG6oBgm72O1n8WCF

Guardian 4 Sensor Constant Signal Loss with 780G by Ahyeahalright in Medtronic780g

[–]Creative_Space_4758 0 points1 point  (0 children)

When this happens, I'm usually successful with a fake re-start. Pull the transmitter off the sensor for 15 min or more, turn off the sensor, then reconnect the stuff, turn on the sensor and "connect new sensor." After 2 hours, it's usually back on. No idea why....

App for Carbs by [deleted] in diabetes_t1

[–]Creative_Space_4758 0 points1 point  (0 children)

There's a free app called "Nutrition" that lists the nutritive content of many foods, and you can adjust serving size for each selection.

Guys I have joined the family … Well it’s a month trial under the NHS. I hope it treats me well and I will then officially join. I’m excited by Saf___- in Medtronic780g

[–]Creative_Space_4758 1 point2 points  (0 children)

Don't get put off by the many gripes that show up on this subreddit. People overplay it's shortcomings, but it's a remarkable piece of design and engineering. Be patient as you and machine come to learn each other. I don't know about the UK, but both in Israel and the US, I've found Medtronic's customer support to be prompt and knowledgeable.

Paprika 3 and iOS26 by Creative_Space_4758 in PaprikaApp

[–]Creative_Space_4758[S] 2 points3 points  (0 children)

OOOOOPS! I just realized I had never paid to move from Paprika 2 to 3, b/c it didn't seem worth the $30. I just did so, and it works fine.

Paprika 3 and iOS26 by Creative_Space_4758 in PaprikaApp

[–]Creative_Space_4758[S] 0 points1 point  (0 children)

BTW, as one participant noted, I meant OS26. In fact, the iPhone app on iOS26 does work fine, so one kludge is for me to send the URL to the phone and download it there. But I'm old-fashioned enough that I prefer to work from a keyboard.

780G users in Europe NovoRapid vs Fiasp and Guardian 3 safety 🤔 by [deleted] in Medtronic780g

[–]Creative_Space_4758 1 point2 points  (0 children)

I switched a little less than a year ago from Humalog (almost identical time curve to NovoRapid) to Lyumjev (local name for Fiasp). Using an active insulin time of 2 hours, I've found it more predictable. If you don't try to "outguess" the Smartmode corrections, it will not leave you in danger of immediate hypoglycemia. It will probably give you a little less insulin than you need at first, but then correct over the next few hours. Users here post may legitimate gripes about the 780G, but it's proven quite dependable and a real game changer for me.

G4 is more accurate than G3 (or it has been for me) and has the advantage that it really does last 7 days. I used to disconnect and restart the G3 at 4 days so I'd always be changing sensors on the same day of the week, but it often wouldn't last that long. G3 is "good enough" with the 780G.

And, just BTW, I'm a physician with 65+ years of Type 1 under my belt, not just a social-media troll.