Welcome to The Glucose Neverlies Podcast
In today’s episode, we are exploring the Tandem t:slim X2 with Control-IQ, a system that offers great power but also requires great responsibility. If you are considering this system or already using it, this episode will guide you through everything you need to know to make the most of Control-IQ.
With its highly customisable algorithm, multiple insulin profiles, and Activity and Sleep modes, Control-IQ provides a high degree of flexibility. However, much like Spider-Man’s abilities, this power requires understanding and maintenance. We will cover how the algorithm works, the key settings you need to get started, and essential tips and tricks to help you maximise your time in range. We will also discuss strategies for preventing and treating hypoglycaemia, managing high-fat meals, and adjusting for exercise to ensure you stay in control.
Control-IQ is built on three main components: the t:slim X2 pump, Dexcom G6/G7 or Libre 2 Plus (depending on where you live), and the onboard Control-IQ algorithm. Understanding how these elements interact is crucial for optimising the system. The algorithm adjusts insulin delivery based on manually set basal rates and correction factors, which provides both automation and control. However, achieving the best results requires effort, particularly in fine-tuning the correction factor, which is key to determining how aggressively the algorithm responds to high glucose levels.
We will also explore common challenges, including how to handle high-fat meals such as pizza, how to adjust for exercise, and how to prevent hypos before they happen. Whether you prefer a quick and simple approach or a more structured plan, we will guide you through how to manage Control-IQ effectively.
If you are ready to take control like Spider-Man, let’s get started.
For more information:
Mastering t:slim with Control IQ - The Spider-Man of AID Systems
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