Anyone on Lyumjev with site issues?

[Proud to be erratic]

My high is set at 15 on my G7, mainly because when it says 15, its usually only about 12-13 and during the day I pick up on it quicker anyway. Its really there for an alarm in the night. My HB1ac are around 6 overall, but like everyone, highs and lows are just part of life unfortunately.

Hi @Popglobe2022, I just noticed your comment about the disparity between G7 and actual BG. In general, once my G7 has settled after starting it, the disparity for me is very small from low 3s up high teens. Do you get realistic comparabilitybwhen un normal range - ie is that diffeeential only obvious when hugh? Do you use the G7 calibration capability?

 

[Popglobe2022]

@Lucyr thanks for that. I am just going to look at all options so will ask about it. Not really heard about it. Novorapid is fine, but frustrating and I feel very dated now.
Much appreciated.

 

[Popglobe2022]

@Proud to be erratic
I used to use the libre but the differences where too wild. The G7 was much closer. i find in the lower range and up to around 12 its pretty accurate, after that it can be way out - but if it says 15, its pretty much a given that I am high, but not as high as it says. I do callibrate, but not as much as I should. I find that the first 12 hours can be a bit erratic so what I do now is when I hit the 12 hour "extra" period at the end of the G7 I am using, I put the new one on, let it bed in over night and then connect my phone, watch and monitor in the morning. It is nearly always very close to the reading on the one that is about to stop.
Much better than libre. Still think G6 was a tad more accurate, but a bit antiquated. Wouldnt be without it now.

 

[Proud to be erratic]

I had a very poor relationship with Libre 2. After initially feeling Abbotts quality control was poor, I came round to the view that it was MY incompatibility with Libre that was the problem. So, after a brief period of the original Dexcom One, I self-funded G7 and demonstrated to myself that G7 was terrific for me. By sharing that with my Hospital, they agreed and took over my G7 funding. Big relief.

Like you I try to get my G7 on my abdomen for a decent period, before pairing and thus formally activating it. Often I don't need to calibrate it at all, but sometimes do and usually only need one calibration . For me I think the key is to only calibrate when I have no insulin on board and am well away from activity/exercise that can disrupt any BG stability. Given my lifestyle, such stable moments are infrequent! So I don't feel inclined to recalibrate often, partly because the moments of opportunity are few and far between; partly because I suspect recalibrating too frequently would actually be counterproductive and just confuse the algorithm. A representative from Dexcom HQ in UK stressed that their view was that their sensors really didn't need calibrating, such was their confidence in their product.

I'm afraid I know nothing about Lyumjev. Like many others I found NovoRapid slow in relation to the published profile - particularly in the mornings from the small hours until early midday; unless my BG is already below 6, then it becomes genuinely rapid. By 7pm AND if my BG is 7 or below then I barely need to prebolus. I am, of course, acutely aware that with no pancreas and thus no pancreatic hormones or enzymes, not only is my form of D very brittle, I seem to have a quite small degree of natural insulin resistance (based on my quite small amounts of Total Daily Insulin in relation to many others).

I find Tresiba works really well for me and can get very flat, long lasting, night graphs; so I use those as my regular basal tests. Then I need to lean heavily on my bolus to manage myself from 1st bite until bed. Much of my daytime has quite a lot of Glycaemic Variability. Often I have my guess as to why, but forget/begrudge the time and effort to do more BG management through the afternoons when I seem to be very volatile.