Know your settings¶
Do not enter settings that you are unsure of. For example, if you haven't any idea what your carb ratio is, please don't enter a wild guess. Instead, test your settings and talk to your health care provider about what your appropriate settings should be.
Understand the App Displays¶
If you do not understand the components displayed in the graphic below, please spend time reviewing the information at Displays.
Carb Entry and Insulin Delivery¶
If you configured the app with closed-loop enabled:
- Once carbohydrates are entered into Loop, the algorithm will begin to dose insulin to anticipate those carbs
If you entered carbs and then changed your mind on the amount or the time at which they were eaten, use these instructions to delete or edit them. This will make Loop better able to predict blood glucose and adjust insulin delivery appropriately.
How to Cancel a Bolus¶
Once a bolus starts, the progress of that bolus appears in the HUD Status Row. Note that the phone must be held in portrait mode to see this. Simply tap on the row that shows the delivery to halt the bolus.
Understand Delivery Limits¶
With each cycle, Loop generates a glucose prediction and a recommended dose (positive or negative) to bring you to your correction range.
- The automated response to a positive recommended dose depends on your Dosing Strategy and is adjusted by your Delivery Limits
For more information, please read How do Delivery Limits Affect Automatic Dosing?.
Health app permissions¶
For older versions of Loop, or if you customized Loop 3 to read carbohydrates from third-party apps, be aware that you cannot edit those entries inside the Loop app.
If you let other apps, such as MyFitnessPal, write carbohydrates to the Health app, Loop could read those carbohydrates and you could be dosed for those carbohydrates.
Glucose Prediction is Scary¶
Users often reach out if the glucose prediction shown on the Loop app screen is very low - negative even.
- The negative glucose prediction will not happen (that's just the way the model works) but the user must figure out what is going on
Scenario 1: Extreme Override¶
It is pretty common for new users to think a 10% override setting should behave similar to a 10% temporary basal rate setting on a manual pump. This is not true.
Read this section on the override page for information: Avoid Extreme Insulin Needs Setting
Scenario 2: Entry Error into Apple Health¶
With version 3 of the Loop app, it is no longer necessary to enter glucose or insulin manually into the Apple Health app for the Loop app to read. There are methods within the Loop app for entering a fingerstick value or non-pump insulin.
However, some people are used to entering information into Apple Health directly - and it still works. The Loop app will read entries from Apple Health. But if you do this:
- Be very careful that you enter glucose into glucose
- Be very careful that you enter insulin into insulin
A recent user entered a fingerstick value into the insulin record in Apple Health. They use mmol/L glucose units, so it wasn't as obvious as it would have been for someone using mg/dL. At any rate, they could not figure out why their child had such a high IOB and were afraid the pump had delivered 10 U of insulin! Once they deleted the incorrect entry from Apple Health, the Loop app was able to make the appropriate prediction.
Beware the Medtronic Easy Bolus button¶
Medtronic's easy bolus button has been the cause of several accidental boluses when the pump has been carried in a pocket. Best practice would be to disable the Easy Bolus button since you will be doing boluses from the phone anyways.
Finish your Medtronic priming¶
After a site change and reservoir rewind, Medtronic's pump will have a menu on the pump screen related to finishing your prime. Make sure you complete that screen and always return to the main menu. Medtronic's pump won't resume basal insulin delivery until that priming screen is completed.