i feel like while the automated system is adjusting and learning, it’s like a new coworker learning the ropes on the job lol. and then for us it’s hard to resist the urge to be like “here just let me do it”

Thank you for an informative description of your initiation to Omnipod. Tubeless has so many advantages. As my Medtronic warranty approached its end date, I considered Omnipod but having experienced pod-administered medication before, I did not care for the amount of real estate it took up, and I would definitely misplace the PDM. I lost the little Dexcom receiver once in a theater but was lucky some Good Samaritan turned it in. After that, I stuck on an adhesive ring used for cell phones, and tethered it to my belt loop as needed. Switched to Tandem t:slim with Control IQ and looking forward to my next A1C. I didn’t know it could be so good! And the phone app is so convenient. I’m interested in your progress with Omnipod so see you with next month’s post. Wishing you continued success staying between the lines.

How exciting! The one huge difference for me after starting to use the Omnipod 5 (just over 3 months ago) was truly understanding my IOB (insulin onboard) and how that affects me in the long run. NEVER, in my 16+ years of being T1D did I ever think about IOB and calculate that into my bolus. Because of that I also had to learn to trust the system. Sometimes I don't think it's giving me enough insulin, but actually it's spot on. And then understanding the timing of when to consume after injecting has also helped. I had to stay in automated mode and adjust the glucose range (tightened it up a bit for a lower ceiling) and increased the max bolus per hour. The numbers my educator set up were waaaay too low and I kept getting highs just like you in those first couple weeks (better than too low, though, amirite). Once I found the right numbers in automated mode it just... works. Never have I been so level and actually feel good because I'm balanced all the time! I'm looking forward to having the Omnipod 5 function with other CGMs, cuz the Dexcom 6 is horrible, which is what I had to switch to from the Libre (so much smaller, easier to work with, and lasts longer) in order to utilize the automated mode features. Some day. As an American, I simply wish I didn't have to buy half a pharmacy to make it all function. lol. I haven't used a pump since the original Omnipod back in 2007. So this was a nice return. Hopefully I can afford it for a long time to come. I look forward to seeing more updates of your experience with the new pump!

I love omnipod 5 automated mode ! One thing I’ve noticed is adjusting “correction factor” makes a HUGE difference (in terms of basal. On automated mode I have noticed I need more insulin compared to manual mode or MDI. But that’s okay, after I made some adjustments such as setting my target to 110,(during the day I set my target to 130) and lowering my correction factor AND carb ratio (for a stronger basal) my glucose cruises between 80-110☺️ (also I agree, trusting the system is SO HARD. This was one of my biggest struggles, but I learned to trust it after a few months and it hasent failed me yet🤪)

I just got on the omnipod 5 2 weeks ago and had a very similar experience. Thanks for sharing this. It helped me out a lot

thank you for this great video ! I was kind of thinking about it ! for the past year and 1/2 I have been on the inpen and before that a Medtronic insulin pump and am sooooo thankful to be not connected as well ! its soooo freeing ! I also do not use a CGM as they have always aggravated me with how much they beeped all the time and i had to check my sugar anyway and they are always up to 30 difference either way wither higher or lower than my actual glucose monitor. its something for you to think about as well maybe !

Great video on the new Omnipod. I would love to see a video in the future on the Tslim vs Omnipod, or at least your perspective since you have used both. Good luck with getting the system tuned in.

Thanks for the video Andrea. I’m on the waiting list for the dexcom but having seen this I might be tempted to go for the omnipod. I do agree the tubing can be a real pain!! Looking forward to seeing how you get on. Best of luck.

Andrea, I have been on the Omnipod 5 now for 6 months. The Algorithm is not perfect. I’ve had to help it along with small corrections, but do be careful because tunneling (a new term I learned) can occur if you rage bolus. I am also careful not to make corrections close to bedtime because I will run into lows. My carb ratio now is 1:8 vs. 1:15 when I started, and my basal algorithm has increased slightly. With that said, I sleep so much better at night and rarely run into lows at night, and my A1C’s have been the best they have ever been on this system. As you mentioned, pre-bolusing is an absolute must. I also found when I change PODS my sugars do tend to go high for a while. Discuss this with your doctor if it happens. Overall I love the system!

This sounds really hard! I applaud your decisions & hope things do settle in & you will feel better!

Thanks for this video. I'm in the uk. I have the closed loop system on the 780g system. It is so difficult to let it just do it's thing I know! The dexcom sounds so much better as the warm up time for cgs for Medtronic is 3 hours😮. Sometimes though you can't wait for the maybe lows when real life gets in the way. Mine will be coming up for renewal in 12 months so this is so helpful. Wishing you the best from the UK!

I’m in the same boat with you. I just started my omnipod journey. I have to constantly correct highs. I made my settings a bit more aggressive by lowering my target glucose number and lowering my insulin to carb ratio and also increasing my correction factor.

Hi! my advice to all Omnipod 5 beginners: use the first 2 or 3 pods in manual mode, not automatic. The algorithm will learn your individual behaviors and insulin doses faster. Each person has different tolerances and you can't expect that if you're high, the system will know how to safely lower your BG, it will be 1U for some people and 10U for others... If you start with manual mode, you will ultimately save time because you will teach the system yourself, and the system will improve your results even more.

Thank you so much for videoing the trial run on the Omnipod. The tubing on other insulin pumps was something that I really didn’t like. I really appreciate your comment and assessments! Now if only we could use our iPhones!!!!

Yesss!!! WELCOME TO THE CLUB!!!!!!!!!

I have my intro kit for Omni 5 but haven’t had the training. So ready to start! Thanks for sharing…this was very helpful!😁

Great video, thx! People have to push Sernova, Vertex and Viacyte a bit more so we have our functional cure aka cell therapy sooner!

I’m about to start this pump and my big thing was the tubbing as well!!

I’m so behind on investing in pumps. 3yrs in, I’m still using flex pens! I’m assuming that you can’t calibrate the Omnipod to prime the device to your system. Also, do you use your glucometer to see where the Omnipod differs from your actual blood sugars?

I was in OmniPod 5 for a year, then switched to Tslim. They’re both very good. I personally like the Tslim more. No tubes is nice, but not a deal breaker for me. One thing the Tslim does that the OmniPod 5 doesn’t is to deliver basal corrections. I have fewer highs, but more frequent lows at night now.

Loop and Learn on KZfaq did a couple of great videos on Omnipod 5 vs Loop and a panel discussion video on OP5. These gave me some insights on the algorithm and tips that I’d never thought of l. Might be worth checking out for folks interested. Turns out that a lot of the tips I was reading in Diabetes Forums from users would have no effect on the algorithm.

What a surprise ❤

I eat a high carb, low fat diet, and I eat carbs ALL day long (250+ g/day). This might be challenging from the standpoint of 'letting it do it's job'. Any tips? I'm thinking of starting the omni pod coming from medtronic. Is there any way to manual bolus, correct, or just you just put in a larger basil than normal to compensate for it being slow to correct? Will the omni pod be friendly for people who eat a lot of carbs, and ppl who are super active, or do you have to suffer for a while? I'm really good at avoiding lows, but avoiding highs is my problem. Does the omni pod work for the latter? Can you even bolus?

love the AirTag idea!

T1D for 26years & been using old school syringe & vial. Some basic questions before I explore this option. 1) On a scale 1-10, how uncomfortable is it? From being totally free to now having something attached to your body? 2) I read about the automate feature, does it auto calculate insulin for you and pumps insulin after meal or you still have to calculate calories and manually enter? 3) How often you have to refill? Depends on how much insulin is being used? Much thanks for your help.

I’m not a Omnipod 5 user yet (“Classic” and Libre 3) but probably you can use the auto mode while you sleep to avoid lows, and switch back to manual during the day.

This was my issue getting used to my pump and I went to my Endo and legit almost cried because I felt like I was doing all the things I needed to do to have my BG in range. I have now been on the Omnipod 5 for about 6 months now and it is now doing what I need it do on a more regular basis. I definitely would love it to be iOS compatible and have a smaller pod though haha

Hi and thanks for this. My schedule sucks! I workout some days, I don’t eat sometimes and I don’t eat on a schedule exactly. Would this work for me? Plus the system looks really big…. I mean like people will notice it when I’m wearing it. I play basketball and I feel like if someone pushes me hard this will come off. Please give me your insights. I really appreciate it!

315 is the most insane number I've ever seen someone calm at..... so high damage I sit at 35 to no higher than 100 before I get high symptoms and those are horrible. Type 1 as well. I hope to see if the 6 is coming out soon. Heard it was approved by health Canada.

Great video Andrea! It looks like this Omnipod might need some more work. If you're constantly micromanaging it it might be better not to use it. 😬

Rage bolus!!! My new favourite term!

I just started the omnipod on Monday. My nighttime sugars are perfect. But my daytime sugars are all over the place. 😩😩 But my mentor said we are collecting data the first few days to figure out my exact settings. 🤞🏻🤞🏻

Cool! I started on Omnipod 5 a little over a year ago. I wanted to switch before that, but I was still under warranty with Tandem, and my endocrinologist wanted me to wait until the 5 was available because he feels I do better with a closed loop system. I did have to adjust my correction factor and insulin to carb ratio to make them a little more aggressive. The 5 will sometimes reduce boluses even if you are over target, and I need the full insulin dose, so 1: 17 typically gets me closer to what I had using 1: 20 on TSlimX2. I also programmed the system to allow more basal (2 units max instead of the 1.5 I had set up with the trainer) to be given when I am high.

I am on T-slimx2 and my warranty expires next month. I would like not to have tubes but to tell you the truth, the tubing doesn't bother me. What I don't like about the omnipod is that it looks bulky and would stick out too far from my arm. I like that with the Tandem T-slim, I can change the infusion site if it is in an uncomfortable position. With the omnipod, I would be stuck with an uncomfortable position for three days. I decided not to reapply for a new T-slim and just keep my current one without a warranty. I am hoping it will last until the Tandem T-slim-3x comes out. It should then have a better algorithm. If my current pump fails before the T-slim3x comes out, then I will have my endocrinologist order me a new T-slimx2. Not trying to convince anyone to do a Tandem pump over the omni-pod but just letting everyone know that these are both good pumps and everyone has their own opinion on what works best for them. Hope the pump continues to work well for you.

I am going to start an omnipod next week. I have been very upset and not handling this well. Like you, my numbers are in the 300s. I am so upset with this development.

When I started the pod I had a similar experience. Blood glucose was high, frequently. For me, pod placement does make a difference. On my arms my time in range was 50%. Pod placement on my abdomen is much better, time in range is more then 80%.

I swim - how's the adhesive on it?

I’d love to hear how others are managing the discrepancy between Dexcom use of 10 days and Omnipod use of 3days. Since a pod is supposed to be on the same side of your body as the Dexcom how do you manage that last day of Dexcom knowing that you’ll change it tomorrow, most likely to the other side of your body. Tips?

Thanks for sharing your findings!

Hey Andrea, just wanted to say I love your videos. I was diagnosed at 29 (10 years ago) with type 1 and JUST NOW getting insurance. I haven’t even had my A1c checked since they diagnosed me 😬. I’ve had to be creative getting insulin during that time and am SO excited at the possibility of now getting the medicine I need and hopefully a pump (or pod). My blood sugar has been inconsistent at best sense diagnosis, but really want to focus on getting it under control. I have kids now and want to be around as long as possible with them. One of my biggest issues is I am always exhausted. How do you manage to stay so energetic and positive? I’m so sorry to reach out this way, but google isnt giving me any answers (just says “yeah, you’re gonna be tired”). Thank you so much for the work you’re doing. You’ve been an inspiration.

Doesn’t protein hold sugar in and release it later…so even though meat doesn’t have carbs wouldn’t it keep you high because of the fat constant…like keep you steady.

On Tandem T-slim for a long time! I hate the low/high warning system that wakes me every night (my bad)! Can't turn it off! Can this feature be controlled and/or turned off Omnipod? I would convert over I could turn it off! Thx

I know exactly what you mean about knowing you were dropping with the t slim. I always knew when it was happening when it started trending low and eating something and barelyy scratching low low

Concurrently, I'm on Week 1 of my Omnipod 5 Journey (after using the older "Eros"/3rd gen system for nearly a decade, the one with the big, bulky PDM) and it hasn't been 100% smooth. Surprisingly, the first day, it served me like I was God. "O Aaron, I shall please thee with stable trends." But then, Saturday, highs (got up to 271mg/dl), corrected for them, corrected more, more, more, and more. Didn't matter. Going home from eating out and I notice my pod was leaking insulin. The pod after that also leaked, and the pod after that leaked (although I still got insulin delivery with that one). Concerning pod #4, I tried switching to automated mode and the controller couldn't pick it up. This was 4 hours after I put the darn thing on. Had to discard it. Now I'm on pod #5, and because it's on the right side of my abdomen and my CGM'S on my left arm, it's like my chances of getting the pod to pick the CGM up are slim, so I'm stuck in manual mode. I'm aware that Insulet recommends the pod and the transmitter being slightly closer to each other. Still, I'd think they'd be able to talk to each other even if they're on different sides of my body. Not necessarily the experience I'd anticipated... EDIT: Just found out, "Verify that your Pod and Transmitter are in direct line of sight. They should be worn on the same side of the body in a way that they can 'see' one another without your body blocking communication." WELL, I'm either cruising in manual mode for 2-3 days or I'm gonna have a high carb marathon so that my pod will run out of insulin faster.

I’ve been wearing my Omnipod 5 for 4 months now. Yes it takes it a while for the system to get to know your body. But now it’s not a big deal. I do hate the the fact I have to basically carry both the phone and controller with me everywhere I go. But hopefully things will be changed soon so that I only need 1 device to run both the dexcom and Omni pod.

You can bring food in with you anywhere you go no matter how much they want to say otherwise. It's part of the Americans with Disabilities Act. It's a medical necessity that you be able to have any food you feel appropriate anywhere you go, including to a 7 hour UFC event.

Just FYI when/if the iPhone app comes out… you have to start all over with the system learning you. Same is true if you lose your pdm. Pretty dumb, you should be able to store the algorithm and settings in the cloud, but you can’t.

whats the deal if you have an iphone? Do I have to carry that other phone looking thing with me everywhere? I am currently on Tslim and was going to try omnipod

I have been on O5 . Finally it works with my phone S23 ultra

Very surprised you switched over to the Omnipod when you gave so many glowing reviews of the T:slim. What you describe about the Omnipod is exactly what the Medtronic 670G did. Keeping you high all the time. Cutting out basal too early and not giving you any basal if you gave a bolus awhile earlier. And not being aggressive enough with basal to keep you at a good level. Best of luck. But I fear you are trading a much higher A1c for the "benefit" of being tubeless.

Hello, Once you start the Omnipod 5 system. How long does it take to learn your correct basal rates and how many pods and how long does this take?

What insulin is used in the pump? And What if Im on both rapid and long acting insulin?

Great omnipod add think someone is on insulets payroll!

If your basal rates are not set accurately (i.e. less basal) will Omnipod 5 automatically setup correct basal ?

When/why did u decide to switch, I thought u loved your Tandem?

You’re switching to the Omnipod, or as a content creator are the makers of Omnipod, Insulet letting you trial their Omnipod 5?

I’m actually getting a test trial in the mail! Everyone has gave it high remarks, my wife, family, friends & doctor think this is a great move. Me I I hate machines and think this is the worst and idea and would rather break it!

Why the change?

The Omnipod is like a child, you have to be patient and explain the same thing over and over, and it takes a long time to learn. Think of teaching your child to walk - lots of teaching, lots of falling down…. Before they learned 😄

One pretty lady

My dad has Omnipod 5 and a1c went from 9 to 6 in 4 months. I also have Omnipod 5. Dropped from 11 to 9 in 2 months for a1c. Also make sure the Dexcom is correct because sometimes it seemed off which made Omnipod dose incorrectly. This is my first pump. Came from manual injections. My cannula came out once and made sugar sky high so I always make sure of that. I like Omnipod. My main issue not panicking after I eat and try not to correct until after 2 hours. Usually by 2 hours mine comes down. As the pump does cut off insulin if it seems 1 hour out you will go low according to IOB

In Canada we get a 90 money back guarantee on all pumps. Scream for that!!

The USA is a capitalist country, and therefore, in order to live well there, you need to open your own business. For example, a store of goods for people with diabetes and a tire business or a store of goods for cars. Well, in general, something like that.

Keep correcting frequently…

Sorry. It will not learn. I have no idea how it can understand 110 is my goal.

Wait.....ham? Thought you where a Vegan?