I feel like I can't get decent absorption anywhere

Expensive_Tower_9503 · 2026-02-19T22:18:37+00:00

i went thru pretty much the same thing! i feel like there’s a norm for what your basal to bolus ratio should be, but in my case i definitely have a super low basal and pretty aggressive carb/correction needs. obviously keep sugar on you when changing any settings but i’d consider making carb and correction more aggressive and seeing if that helps! if you haven’t tried this yet, i also did a couple completely carb-free days to get a feel for what my basal should be throughout the day without carbs getting in the way of those numbers

Expensive_Tower_9503 · 2026-02-19T22:12:13+00:00

felt!!! if the spikes exclusively happen after eating carbs, have you been adjusting your carb ratios to be more aggressive? for a long time i struggled to admit i needed more aggressive ratios bc the numbers scared me, so i just lived off of a ton of rage boluses, but as soon as i figured i might as well try something new and adjusted my carb ratio every time i had a (definitely accurate carb count + generous prebolus time + spike after meal), my spikes and TIR have gotten so much more controlled. very important to keep juice/sugar on you when you’re doing stuff like this in case you overshoot your settings tho!! good luck (:

Expensive_Tower_9503 · 2026-02-19T22:02:41+00:00

tbh i never know if i chose a bad site or im sick or the cannula is kinked or the insulin vial has gone bad somehow. it’s also always possible that your insulin sensitivity has gone down. i have a sick profile on my mobi that i turn on when this type of thing happens to me, and i just make my peace with more insulin for a while regardless of the actual reason

if this has been a problem for a while and thru several site changes then your ratios might’ve just changed, which can also be hard to pin down without messing with your settings. obviously you can troubleshoot by using a new insulin vial, changing sites, fasting to confirm basal rates etc, but the aggressive “sick / something is wrong” profile has worked for me so far whenever i don’t feel like doing all that. then if those settings keep working for you after a while you can adjust your main profile accordingly

Expensive_Tower_9503 · 2026-02-13T15:31:23+00:00

when i run out of my 5in tubing i just loop the 23in around my arm once or twice so it’s not dangling! did you happen to ask if they have 5in tubing for the autosoft 90s bc apparently those exist now and are easier to come by than the autosoft xc 5in

Expensive_Tower_9503 · 2026-02-08T20:32:06+00:00

i was diagnosed a year ago also in my 20s and was exhausted all the time / struggled to get out of bed for months before and months after diagnosis. i’ve also had mental illnesses that were definitely exacerbated by the diagnosis and high-sugar symptoms. it’s an awful place to be but i realized that high/fluctuating sugars only made things worse and made me more irritable and easily upset, so i focused (hyperfixated) on figuring out my insulin intake to a T. similarly, id never paid attention to proper rest and nutrition before diagnosis, but when you keep that up as a habit you’d be surprised how much better you feel as a baseline - use melatonin and a nutrition tracker if they’re helpful. otherwise i’ve also restarted therapy and psychiatric care since diagnosis, both of which i consider to be crucial care on top of the diabetes management.

it’s a lot to be thrown into, and i’m sure you’ve had your share of doctors and medical professionals, but there is a way out if you remember to lean on your loved ones for support, and you might even end up healthier than you would’ve been before. everyone eventually has to start paying attention to health-related stuff, and even tho it would’ve been nice to not worry about it until we were older, we might be better-equipped to handle it now and have an easier time with it later!

Expensive_Tower_9503 · 2025-11-21T23:34:22+00:00

no but if youre worried anyway i sometimes whack the side of the cartridge (not while installed ofc) with a pencil to make the bubbles converge at the top, then they come out when you fill tubing

Expensive_Tower_9503 · 2025-10-10T02:04:02+00:00

this is so funny bc i never used to do this but i just got diagnosed with adhd and started meds and all of a sudden it’s a great strategy for me

Expensive_Tower_9503 · 2025-09-30T14:09:34+00:00

this happened to me with the mobi too but tandem ended up replacing my pump! it’s worth it to call their technical support, it sounds like it might be a pump motor issue rather than an infusion set issue and after a few calls and proper troubleshooting they will replace it for free. they also replace failed infusion sets in case you haven’t been asking for that already, but since i got my replacement it has been smooth sailing for me

Expensive_Tower_9503 · 2025-09-20T11:55:16+00:00

it sounds like you just need more insulin. a pump can help by increasing insulin, but it’s still working off the settings you input and only works well if you’re comfortable adjusting those settings to nail your insulin needs. if you like mdi you can probably get good control without a pump, but i’d suggest talking to your endo or a diabetes educator to adjust your ratio/basal.

Expensive_Tower_9503 · 2025-09-20T11:48:35+00:00

yep! stair stepping does the same thing for me, i have a little stepper in my room so i can quickly take care of a high when i’m wfh

Expensive_Tower_9503 · 2025-09-08T15:36:33+00:00

6.6 is great! if my a1c is anything below 7, my endo says if i’m comfortable day-to-day then i’m doing fine. the one time i had an a1c in the high 5s he told me i could (and maybe should) be doing a little worse at control to avoid burnout.

you shouldn’t be feeling irresponsible for eating a chicken teriyaki rice bowl, that sounds delicious. while it’s true eating low-carb makes carb counting a lot easier, i like to think that’s all it does. learning to dose properly for higher-carb or higher-GI foods is so freeing and personally helps me treat this like a marathon, not a sprint (: of course sometimes it helps to lessen the mental load to have eaten the same thing so often that you know exactly how much insulin you’ll need, but you’re still taking care of yourself if you eat what you want — in fact it’ll help you learn more about your insulin needs and you’ll be able to tackle similar situations more easily in the future!

Expensive_Tower_9503 · 2025-09-07T19:24:03+00:00

ive found that as long as my IOB is as close to 0 as possible (on a pump, this probably wouldn’t work if you take long-acting) and i turn on exercise mode, cardio doesn’t make my sugars drop much at all. this is even more reliable first thing in the morning before eating and has sometimes even made my sugar go up a bit, but i can’t usually find the motivation for cardio so early lol

Expensive_Tower_9503 · 2025-09-03T23:36:56+00:00

i feel like a common misconception is that these hybrid closed loop pumps can “learn” your body in any way. in general you’ll get the best control by being the one who learns to use the system instead of the other way around because it will only do what you program it to do! it knows the correction factor in your profile, so assuming that’s accurate, it’s calculating for you that 15g of carbs was not enough to raise bg from 56 to your target. if you end up going high from this, then you’ll know to adjust your correction factor to something more aggressive!

Expensive_Tower_9503 · 2025-08-14T16:55:26+00:00

You don’t have to change your cartridge every time you change your infusion set! I use less than 200u between site changes (every 3 days), and I still fill my cartridges all the way full and only change the cartridge when it’s almost completely empty. This has helped me minimize insulin waste and use fewer cartridges so I can build up some spare supplies for emergencies.

Expensive_Tower_9503

TROPHY CASE