DIY Loop & Omnipod 5 - The Algorithms Compared
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- čas přidán 27. 07. 2024
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Learn more about Omnipod 5: bit.ly/OmnipodDiabetech
Jon and I discuss the similarities and differences between Omnipod 5 and DIY Loop and who may be interested in the systems. DIY Loop is not cleared by the FDA and this is not medical advice. If you build Loop, you do so at your own risk. Follow this podcast for new episodes every Monday.
This episode is sponsored by Omnipod. To learn more about Omnipod 5 and see if you’re eligible for a trial, visit Omnipod.com/diabetech. You can also find full safety information, and free trial terms and conditions at Omnipod.com/Diabetech. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Controller is not waterproof.
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DISCLAIMER: This podcast is not medical advice. Always consult with your doctor before making changes to your health care. DIY Loop is experimental and not approved by the FDA or regulatory authorities at the time of this video. You take full responsibility for building and using DIY Loop and you do so at your own risk. Results will vary.
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#t1d #diabetes #omnipod
This video is amazing! You really did your research to find the correct person for this system. Many of the people giving online advice are totally wrong about Omnipod 5 and it’s algorithm. It’s not their fault they just have some majorly incorrect assumptions about this newer algorithm. Im glad you featured someone who really knows the facts. I will share this video with anyone I know starting OP5!
Omnipod's lack of app development progress is concerning. While they cite FDA regulations as the reason, it is difficult to believe that this is the sole factor. Samsung, for example, provides developers with ample time to develop and test their updates, demonstrating that large pharmaceutical companies can prioritize patient experience by taking advantage of this.
Hi Justin! I’m newly diagnosed (2.5 months; 29F) and I just wanna say thank you so much for your content. It’s been so so helpful for my education and sense of empowerment. Keep up the amazing work, we appreciate you!
P.S. I just put on the omnipod 5 today 😁
Yassss congrats and thanks for watching! :)
Originally listened to this on your podcast. Rewatching here on YT and will watch again at least a couple more times. Such amazing insightful information. Clear. Concise. Easy to understand even for newbies (I’m 3 months diagnosed T1 and on my first pump). I’d like to try omnipod 5 when it works with G7 and iPhone and this video with no doubt make that transition much more successful. I wish there was a chart somewhere that showed how each pump (including iLet) calculates basal and IOB. Thank you so much for putting out such invaluable content!!!
I was looping with the old Omnipod Eros. I had built my app and it worked with my iPhone and Apple Watch. My sugars were perfect and A1C was 7 or below with little effort. 5 months now I’m using the Omnipod 5 and A1c has gone way up to 7.8!! Compare your own a1cs and decide I suppose which system works better. Even if I leave my device pdm in the other room let’s say, and I just let it communicate by itself from dexcom g6 to omnipod5, it hardly brings down my sugars at all. Literally, my sugars are perfect only if I do not eat for 6 hours or more. Even when I wake up in the mornings, sugars are way high and nowhere near my target of 110.
No dexcom G7 integration or family follow app with the omnipod 5 is a deal breaker for us. We're sticking with diy loop until those two issues are resolved. Loop is amazing and literally changed our life for the better!
I’ve been using DIY Loop since 2019 with Omnipod and I absolutely love it. It’s not for everyone but the flexibility it has and the fact that I can use both Dexcom g7 and my iPhone to control it are HUGE advantages for me. I could get the O5 but definitely still prefer DIY Loop.
Im going to check out iAPS - have you heard of that? Even stronger than DIY Loop I hear...
If you patch Loop with the experimental algorithm I was told by a very knowledge person that is the best right now. I just started using it today, both Loop and the algorithm,@@diabe_tech
One of the most useful videos I've seen on this topic, thankyou
Yay glad it could help!!
One of the biggest benefits I discovered when going from MDI to CGM and pump after being a diabetic for over 40 years was no longer needing to wake up at night to either eat carbs or go to the bathroom. A solid 6 to 8 hours of sleep every night with no stress cannot be understated. Mental burden is the number one thing people overlook when talking about diabetes. You are a diabetic 24/7 for the rest of your life. Any way to step back from thinking about that is worth its weight in gold.
Amen to that :) Just started myself after 40 years of shots now loop and omnipod!
Hi Justin,
I follow your videos, I find them very interesting and well done.
I currently use G6+DASH+iAPS and following a normal diet there is no need for any correction, everything happens automatically.
However my big mental problem is not being dependent on the iPhone!
Another essential thing is to get rid of the G6 which actually lasts 9 days, for Eversense.
As for me today I would opt for Omnipod 5 + Eversense CGM if they were compatible.
This was the most nerdy diabetes video I’ve ever watched on CZcams😅
Well done guys! I’m sure this will help tons of people as well as medical professional to better understand these super complex topics.
Side question: Is this video created by AI 😅Just kidding. Again thanks for putting this together!
Hahaha you got it, Tom!
this was helpful, thank you
Love this video. I feel like having diabetes take up less time in my brain would be an incredible experience. Definitely considering the options.
Thanks a lot, you did a great job.
Greetings from Germany, from a Mom, whose son has diabetes typ I for 25 years.
Aww thank you!
I think a HUGE positive for OP5 that doesn’t get mentioned enough is no basal testing! My basal changes from week to week. Sure I can basal test and figure it out but a month later it’ll be 25 to 30 percent higher or lower. I was always in a crappy mood with all that fasting before. Plus it felt like a lot of wasted brain energy that I now can spend on something else.
thanks for watching!
Do you need to do basal testing for Omnipod 5?
I think using the Dexcom 6 or 7 will eliminate the need for basal testing. Are you using a CGM?
Great video. My issue with Omnipod 5 is that I eat a very low carb diet. The Omnipod algorithm assumes a set percentage of your total daily insulin is basal. That assumption dramatically underestimates basal needs if one eats less than 30 carbs a day. My history would show a continuous string of maximum microboluses as the program unsuccessfully attempted to reign in my BSs. Because of the baked in algorithm which can not be adjusted it cannot learn its way into the correct bolus range. I have worked on this both with my diabetes educator and Omnipod reps playing with various variables to try to fool the pump to the correct bolus rate. I eventually abandoned Automatic mode and just run it in manual. A disappointment to be certain, but I have despised tubed pumps since the first Medtronic I got. We all make choices. :-)
I’ve been Looping since ~2017 and initially needed to use a Riley Link and Eros Omnipod. Now, I use a Dash Pod and my iPhone (along with Dexcom G7). I briefly tried Omnipod 5 and found the switching between menus time-consuming, the need to confirm every choice irritating, switching between automated mode and manual when changing pods or therapeutic settings, etc. The software just seemed cumbersome. I also found that the algorithm seemed to be built around the concept of keeping you from getting too low of a glucose. It wouldn’t aggressively attack high readings. I couldn’t wake up below 115 in the mornings. For me, I need to manage high readings rather than low reading most of the time. My A1C also went up from 6.2 to 6.9. The last two straws were that it didn’t work with my iPhone and it didn’t work with the new G7. Insulet was falling behind the times and I would’ve had to wait for App development (still waiting, right?) and device integration. Also, if carb ratios for the Omnipod 5 need to be lowered by 25%, did the total daily insulin amounts go up? Is that leading to weight gain? I personally don’t find that I need to manage or play with the dosing of the Loop app either. Just my 2 cents.
Thanks for this comment. Super interesting to hear and understand your frustrations. So you’re back on Loop? Have you watched my videos on iAPS??
@@diabe_tech Yes, I’m back on Loop. I may give Omnipod 5 another try once they have an iOS app, but for now it’s been relegated to my backup system😉 I just watched your first video on iAPS. I hadn’t heard of this DIY app before. It has me intrigued and I want to learn more. I am a T1D (42 years and counting) but started taking Mounjaro 2 months ago, which delays digestion so I’m trying to figure out this new variable. 😉 iAPS may be a good match with that aspect. Keep up the good work! I enjoy your videos- they are presented clearly, have good topic matter and teach me about new tech and what’s around the corner. 👍🏻👏🏻
A mother of a diabetic child, follow-up from Saudi Arabia🇸🇦🇸🇦
His
Do you need to do basal testing for Omnipod 5?
Sounds like Omnipod would be a good choice for parents with 5yr old…just have to ditch Dexcom 7 for the 6 until they connect, great podcast as usu!!! Thanks
I hope the G7 comes soon to AIDs - thanks! :)
Omg is the firts time I hear someone just like our daughter, she does sports and she also goes very high with sports up to 300
Loop work with OM5?
I’ve been using OP5 since 6/2023 & since then no night time lows, but still waiting on the G7 approval ! Also w/the Activity mode I can go out on a long run/walk & not have to be concerned w/lows, my A1C for has been pretty consistent of 5.6 to 5.9 for yrs. Have been wondering for those like me that got the G7’s in 2023 & finding they don’t work w/OP5, I’m understanding there’s a chip in the updated G7 & if Dexcom is going to switch out the old sensors for the updated version? Best Regards JG
Also wanted to note, TIR has been between 85 - 90% even when I was sick for 2-3 wks & never went above 50 mg/dl
You really should interview your mom. Yes you do those Mom POV clips but you should have her on too.
That’s a good idea. What should I ask her about? What should she ask me!?
@@diabe_tech u should post on the community tab that u plan to interview your mom and that you are open to questions for that interview
P.S. on a differedifferent note of interviews Michelle Lord is a Canadian who uses mmol/l instead mg/dL
ex . 10 mmo/L is 180mg/dL
Great video, I used Loop for a year, really liked / used Johns Patches (Basal Lock), then switched to iAPS. I found iAPS to be less burden than Loop, as no need to edit and add false carbs for fat and protein rise. I'm based in UK and my daughter is 17 and also T1D. My daughter started Ominpod 5, five weeks ago and the initial results have been really good, transitioning from omnipod dash, my daughter didn't loop. I have now been offered Omnipod 5 and still debating on if to give it a try.
I'm checking iAPS out and having iAPS reps come on my podcast!!! :) :) soooo excited to speak with them!
One question I can't seem to see answered anywhere is what the Omnipod 5 is using to forecast 60 minutes into the future? I understand that the TDI for a given day is determined by the weighted rolling average of the previous days, and then TDI/48 is the insulin rate. But I am still a bit unsure what it does on the minute by minute level - ie. at a given time, what does it use to predict glucose in 1 hour? I assumed this had to be some kind of population model - eg. Insulin(t) = Insulin(0)e^{-at} and Glucose(t) is modeled by some ODE which incorporates insulin absorption like dGlucose/dt = - a Insulin(t). Or is Omnipod 5 doing something dumber to forecast glucose at 60 mins?
And then is the decision to deliver at the given rate a binary decision based on "is above target"?
This is all over my head 😅
So this was 6 months ago. Did you switch to O5? Did you create a CZcams video about your experience after switching? If so I appreciate if you share the link. Thank you.
I haven't yet....in fact I got on iAPS which distracted me!
There is a work round u can do on the OM 5 to set a lower BS target
The Omnipod 5 is terrible at correcting. Over had numerous issues with trying to get back into range when I've eaten too early or incorrectly calculated my carbs for a meal.
So what’s better
Is libre3 comparable with Omnipod 5?
no only dexcom g6 for now
No, but they are working to bring Libre 2 - im sure 3 is not toooo far behind.
I feel like the info the guest gave was contradicting a lot of what he said or agreed with previously
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Do you have an email address that I can send you some information and questions thanks Brian
Livongo you get a free scale free blood pressure cuff and a free blood glucose machine any amazing thing is my blood sugar was low and a nurse calls you from Livongo to make sure you’re OK something you may want to check into
Also I believe you’re talking about Omnipod five you should tell people it’s for diabetes type one and the dashes for two is my understanding also in doing the Insulin can you pull up the needle all the way down and push the air in and then draw it out it’s something important you should tell people hoping to hear from
I had just watched Omnipod placement video and those points were things that I should think you should include on future videos