Close Loop

When you feel like you have learned what you need from open loop, you should be ready to switch to close loop. There are several ways you can help make that transition as smooth as possible.


Many people choose to transition to close loop in a step-wise fashion. Starting close loop on weekends is an easier starting point so that you can minimize distractions (let's face'll probably be staring at the Loop a lot for those first few days). Typically, people have an easier time transitioning to close loop for parts of their day that don't involve nighttimes tend to be easier than daytimes to start.

Maximum Basal Rate

When you are first beginning to close loop, it is important to be conservative (low) in setting your maximum basal rate. If your settings are incorrect in other areas (basal rates, carb absorption time, carb ratio, etc), Loop may enact incorrectly aggressive high temp basals. Gradually increase your maximum basal rate as your comfort and confidence in Loop increase. Typically, experienced closed loop users set their max basal rate no more than 3-4 times their average basal rate.

BG targets

If your basals, ISF, or carb ratios aren't set correctly, Loop may overshoot and leave you lower than expected (or with more IOB than you are comfortable with). Setting your low BG target slightly higher can help prevent unexpected lows or high IOB as you adjust your settings.

Watch the IOB

Watch whether Loop accumulates positive or negative IOB while holding your BG steady when no food is present. If you find that you are "carrying" positive or negative IOB consistently, you should review your settings to see if perhaps your basal or ISF needs adjusting.


Meals will likely be the hardest part of transitioning to close loop. Starting with foods that you have a high comfort level with is a great idea. If you have favorite meals that you know well (how high BGs usually go, how much to bolus, how to prebolus, etc), these would be a good starting point. Watching when the Loop high temps or suspends basals (early vs late in meal) will really help you adjust to find your typical carb absorption times. As a general idea, assuming other settings are accurate:

This is definitely an area where YDMV (your diabetes may vary), so don't expect or accept that what works for others will work for you. Test, observe, and adjust as needed.