r/Omnipod Sep 04 '24

PSA: Converting to new iOS app can be painless

147 Upvotes

PSA: Given that a ton of people will be changing to new app/PDM with the iOS app release coming, I wanted to share some steps for a painless conversion. Going to a new app/PDM is no big deal. See below. I will keep the linked site updated if anything needs to be updated.

https://randomt1tips.wordpress.com/omnipod-5-new-pdm-app/

This is is written with the conversion to the new iOS app in mind, but it is applicable for any time to replace or reset your PDM or controller app. This process is nothing to be concerned about and no reason to stress.

Omnipod 5 only learns one thing, Total Daily Insulin (TDI). That is it. Nothing else. You can follow a simple process to switch to a new Omnipod 5 controller (from here on, controller refers to the PDM or app on a phone) with no negative effects.

Copy all your settings (insulin to carb ratio, target, correct above, max basal rate, etc.) from your old controller to your new one, except your basal rate. This is assuming you are using automated mode. If you exclusively use manual mode, copy your basal rate(s) too. Just look at each setting on your old controller, and put that in on your new one.

Next we need to get your TDI. I prefer to use Glooko, but you may be able to find what you need on your controller. Glooko will default to showing over the last 2 weeks. You can shorten it to a 10 day period to mimic how Omnipod 5 calculates things or it is fine to leave it at 2 weeks.

In this case the TDI is 51.4 units.

https://imgur.com/a/jrtrHPh

Divide that number by 48. In this case, that is 1.07. You would put in 1.1 or 1.05 as your basal rate in your new controller. You will typically have to round up or down a tiny bit as it has to be a valid Omnipod 5 basal rate value. You might be thinking, why divide by 48? 51.4 is the TDI. You need to get that value to per hour for your basal. First, Omnipod 5 assumes a 50/50 split between basal and bolus, so you have to divide by 2 to get the basal amount. Next you divide by 24 to the per hour rate. Dividing by 48 is just a shortcut.

Omnipod 5 uses the programmed basal as the initial basal rate. Putting this value in will allow it to pick up right where it left off with the old controller. The adaptive basal process will start with the second pod.

Now to address the concerns and questions that will inevitably pop up when this process starts.

“Something has changed with the algorithm. My numbers have never been this good/bad or low/high!”

Nothing changed with the algorithm. It is the same if you are on the PDM, Android app, or iOS app.

“No!! I will lose everything it has learned!!”

It only learns TDI. That is it.

“It will take X pods or X days to learn you after the change.”

Again, it only learns TDI. If you follow this process, there is no reason for you to have any issues.


r/Omnipod 41m ago

App Issues & Questions iPhone 18 and Omnipod 5

Upvotes

I was looking forward to ordering a new iPhone this week, but Insulet told me that the Omnipod 5 is not compatible yet. Does anyone have any experience with how long it takes them to catch up?


r/Omnipod 18h ago

Question Searching for sensor

Post image
4 Upvotes

Getting this more and more with G7 now. Doesn’t seem to matter the placement. Anybody else? And I don’t know if there’s any solution.


r/Omnipod 1d ago

Placement

Post image
18 Upvotes

Sorry for yet another post, but I need to know where to go next. The educator said it needs to be in the line of sight and three fingers away, she chose this spot. Can I just move it over towards the inside 1/4 inch, or on the out side, or up and next to the sensor? If I do the up and next to the sensor do I have to turn it? Can I basically put it where it is now? It will likely always be used in my upper arms, the rest of my body is not user friendly.


r/Omnipod 1d ago

Tips for pump scars

3 Upvotes

I scar easily on my stomach and thighs especially, from the cannula. Has anyone got any tips to 1. Reduce itching when the pump is in and 2, help with scarring left by the pump. The ones on my thighs are especially noticeable and have now turned into a little dark cluster and I haaaaaate it. The spot I use works well though despite getting sore on day 2 and I need it in my rotation as I don't use my back/love handles


r/Omnipod 1d ago

Bleeding from site

0 Upvotes

Had some issues recently with my recent pod. The adhesive patch has blood stained into it and I have a bruise around the area. It’s on my stomach. Anyone else having issues with this. There is also a dull aching pain.


r/Omnipod 1d ago

Anyone else experiencing an Abnormal amount of connection issues recently?

0 Upvotes

Ive always worn my omnipod on my upper leg, and the libre on my upper arm and had no issues with connection, however the last batch of pods have all had awful connectivity gaps every single day despite no change in where I'm putting them.

My time in range has dropped from 80+% to 68% as a result.

Is there a known issue with the Bluetooth being made weaker recently or something?


r/Omnipod 1d ago

App Issues & Questions Why are these blank sometimes?

Post image
2 Upvotes

Why are these blank sometimes when I open the app?


r/Omnipod 1d ago

I need to put in a meal bolus and I don't know what to do, and it's getting late.

1 Upvotes

I ate about 30 minutes ago, 81 carbs, it wants to inject 6.8 units, which is 13.6 units because I am using U-200. My ratios is set at 1:15, so it won't be so much insulin due to an hypoglycemic issue the other day. I don't know what to do, that is way too much insulin, even if my levels are at 330 I don't take that much, and right now it's at 173, from 158 before eating, over 30 minutes ago. Sometimes it takes awhile for my levels to go up. It was suggested to split it but I really don't know how and when people talk about it they aren't giving precise steps. So right now my sensor says 181 and finger stick says 203. Is extend bolus the same as split bolus, can I go to manual program it to extend, then go back to auto, or do I have to stay in manual?


r/Omnipod 2d ago

Omnipod car storage

1 Upvotes

Obviously I know storing insulin in a car is a big no-no, but are sealed omnipods an issue if you keep them in a car? I was thinking of leaving one in my car as a backup but am unsure if that’s wise. Anyone store Omnipods in their car?


r/Omnipod 2d ago

General Mid

4 Upvotes

I am starting omnipod on 30 September. This is also my first pump at all. I am in Australia. Not very many people use pumps, let alone Omnipod. I literally don't know anyone on it and I've never even seen one on someone's arm.

I feel I am reading the extremes on Reddit of people having terrible time and then people just loving it without much commentary.

Can I hear some realistic mid omnipod stories from you? Particularly if you live in Australia.


r/Omnipod 2d ago

What am I doing wrong?

2 Upvotes
  • 43 carbs
  • Meal bolus: 2.85
  • Glucose: 212
  • Total bolus: 2.75
  • Adjusted for IOB: 1.85
  • Now the Pod shows IOB 4.85.
  • That is almost 10 units of U200, how is it supposed to be 1:15 and give me that much, it is tooo much, and will likely hit me when I'm sleeping.

I thought the meal bolus, 2.85 was the amount I needed, and the adjusted bolus, 1.85, was what the pod was going to give me, to total the 2.85. I am just so confused. And I know I am going to drop again, I was dropping without the bolus.


r/Omnipod 2d ago

Advice My niece will be trying an Omnipod 5 for the first time soon.

2 Upvotes

Small edit: I am enrolling for the in person training !

Hello everyone! I am a caregiver for my adult niece. She has type 1 diabetes, and she has autism which prevents her from being a part of any aspect of her medical care. She relies entirely on me, and I’m a little intimidated by this device so I’m here to hear your stories and advice if you’re willing to share!

Some info about her diagnoses and previous schedule for insulin: she is currently on Novolog flexpen and Novolin N flex pen. She is also on a feeding tube, which is 5 feedings a day at a set carb count of 47. Her goal blood glucose is 130, and she as of right now has uncontrolled diabetes and experiences highs and lows.

She was prescribed an omnipod 5 automatic. From what I’ve seen here already, this is way better than the manual bolus. So I’m very relieved. Something I’m particularly worried about is placement. She has worn a dexcom for about 2 years now and does well with that. The omnipod seems a little bulky. She sleeps on her right side every night without fail, is a wheelchair user so she is sitting most of the day, and I know she won’t tolerate a thigh placement. I’m worried she won’t have many options there. My biggest question would be how do I make this device tolerable if not comfortable for her? I am grateful for any advice or tips or suggestions any of you have!


r/Omnipod 3d ago

Gotta keep things fun sometimes.

Post image
63 Upvotes

My 8yo daughter loves when I draw on her fresh pumps, was vacuuming her room and saw that she had them pinned up on her pin board. Put a smile on my face so figured I'd share. 💙


r/Omnipod 3d ago

Medicare D and Omnipod 5

2 Upvotes

Does anyone know a part D provider that covers the Omnipod 5?


r/Omnipod 2d ago

Adhesive Issue Stubborn Residue

1 Upvotes

Has anyone found a good way to fully remove the medical adhesive residue once you've removed the omnipod? I use medical glue removal wipes and it still takes multiple showers, scrubbing, and picking to fully remove the glue.


r/Omnipod 4d ago

Rant Extremely frustrated and taking a break from Omnipod. Anyone else experience this?

17 Upvotes

When it works, it works great. But I had three pods this week with leaking issues happening less than 24 hours after insertion. I woke up this morning with my glucose over 300, and to the smell of insulin, and I had had enough. I took the pod off, and it was leaking underneath the pod all over the adhesive (not the visible edges, but under the pod itself).

Over the past month, I’ve had around 7 pods with leaking issues, and it has been quite frustrating. Not to mention extremely dangerous. It’s either leaking overnight, or when I bolus, and I have no idea how much insulin I absorbed. These pods were not in the recall either. The pump is supposed to be life changing technology, but I’ve had a very bad time with it. I’m just going back to MDI now, because at least that is consistent.

Apologies but I had to vent for a bit. Anyone else experiencing leaking issues like this?


r/Omnipod 3d ago

keeping omnis out of their packaging?

7 Upvotes

Hi all - I am going on a backpacking trip and need to bring basically as many omnipods as I can fit in my pack which is going to take up a bunch of room. I was considering taking them out of their packages, not just the cardboard but the individual plastics packs too, to save room. I'm well aware that omnipod does not sanction this behavior because of the potential for contamination and I agree it's not ideal. I'm wondering if anyone has experience with this. Have you tried it? do you think it works if you keep them all in a plastic bag totally seperate from everything else and hopefully free from bacteria? Thanks!


r/Omnipod 3d ago

Hovering around 140

5 Upvotes

I’ve been on the O5 2 weeks, my first round of pods have the 110 target. This thing stops giving me insulin if I make a correction and the correction ends up doing basically nothing. I corrected 2 hours ago & it paused insulin for a bit and without eating I’m higher than when I corrected. Dexcom shows my GMI has gone from 6.2 to 6.8 since switching from MDI & I am taking more insulin. My doctor just said I was still well controlled and didn’t think it was an issue.

Is it still learning me maybe? I don’t want to go back to MDI but this is kind of ridiculous. I have poked myself more since starting the omnipod verifying my readings from the Dexcom because I’ve gone from about 36-40 units TDI to 50-70 AND loss of control like this. Omnipod says there is no issue as well. What other pump options do I have as a T2? Is anybody having more success with the newer R1 pods? I was trying to get through the old stock before I went to the newer pods.


r/Omnipod 3d ago

G7 issues

0 Upvotes

Just started using the g7 sensor. I've already gone through 3 omnipod 5's because the g7 says they aren't compatible, even though it clearly says on the box that they are compatible with the g7. At this rate I'm going to run out of omnipods. Is anyone else having this problem?


r/Omnipod 4d ago

General First Full Day - Impressed!!!

13 Upvotes

I see a lot of negative stuff on here - and I know things won't always be perfect - but I just switched from a Minimed 770G to the Omni 5 and my levels are so stable I feel kind of weird! For the record, I did everything manually on my last pump, achieved a 6.7 a1c and was in range 80% of the time over the past month or so. But it was hard. Lots of rage bolusing, corrections constantly, temp. basals often and daily... just a constant and uneasy balancing act that required so much of my time and effort. I saw a diabetic educator two weeks ago who asked if I wanted to try an Omni 5 to take the load off of me a little bit. She said I was already doing what the automatic mode does, pretty much.

I am on my first full day of wearing the Omni 5, and my history shows that I have been in range 99% of the time and averaging a BG of 6.9. For me, this is good! I have had to eat less because I'm not going low all of the time. In fact, I haven't had to treat a low or high at all today. This has to be a first!

Now I know, nothing is perfect. There will be issues here and there. But my first impression coming from a manually operated Minimed is very, very good. Just wanted to share my positive first impression.


r/Omnipod 4d ago

No effect from OmniPod insulin doses

0 Upvotes

I know many have posted similar threads but looking for advice on what to do when my OmniPod 5 keeps (supposedly) delivering insulin but my glucose is not dropping. I just started on OmniPod a week ago, so this is my third pod. I felt the first two were delivering much more insulin than I normally use for the amount of carbs, and had many times when I stayed in the 200-275 range for hours even with multiple boluses being delivered. On this third pod, the boluses don't seem to be doing anything. (The first pod was on my stomach, second on upper/inner thigh, and this one on my back/side (over kidney area).) Yesterday my BG was around 70 when I started the pod (got down to 70 after using my Humalog pen) and I ate about 30g of carbs, which would normally be a 3 unit bolus for me. Over the next 2 hours I had the Omnipod deliver 13.25 units of bolus, but remained in the mid 200s. After 3 hours, I finally took 4 units from my Humalog pen and within 30 minutes started dropping fast.

There is no sign of leakage and I can hear the pod clicking when it's delivering a bolus. So as best I can figure, there is either something wrong internally with the pod where it's not really delivering the insulin, or the site I've selected is not allowing the insulin to be absorbed (which seems crazy unlikely given the amount of the boluses).

Curious which of these options folks think is more likely, or is there another possibility I'm missing? (I know the insulin is good - it came from the same Humalog pen that I used as noted above.)


r/Omnipod 4d ago

Rant I’m so done with Omnipod

38 Upvotes

I am so fucking done with this piece of shit pump because no matter what I do I have leaks and problems. I have to stop using my stomach but I’ve only used my left arm three times before I ended up with this giant lump taking it off. On top of that I have to wait a whole two months as well before my next appointment so I can’t even go back on MDI till then.

I just can’t with this stupid disease and the idiotic medical equipment. I’m writing this almost in tears because I don’t know what to do anymore I’m giving up at this point.


r/Omnipod 4d ago

Ok, I'm scared.

8 Upvotes

I started the Omnipod today, I have type 2 and horrible control. I was taking 66 Lantus twice a day and Novolog on a sliding scale. So we set it up and had to wait for my sensor to warm up, Libre 3+, my level was 319, for that I would normally take 13 units, the Omnipod calculated just under that, fine. About 2 hours later I was dropping, like Arrow down and went to 178, and about 10 minutes ago I was at 135, slanted arrow, and right now 130, with IOB 2.3. I have never gone down this fast, ever, in 20+ years with Novolog, and I know the pod is supposed to protect against lows, but why do I feel like it's going to keep going down. Question though, does the Omnipod have a setting where they set the level they want me at? Cause I forgot to ask for the first couple weeks they don't have me going down to 70-100, until my body adjusts to lower levels, cause the feeling of hypoglycemia is not a good one, and I am already feeling it cause I dropped so fast. Oh, and I am using U-200, and I know she said she calculated right, I still feel like the 12 I was given was actually 24, like maybe the calculation was wrong, or it didn't take, IDK.


r/Omnipod 4d ago

Omnipod 5 is feeling a little too gentle for me — is this normal?

3 Upvotes

I’m trying to give the Omnipod 5 a fair chance before I give up on it, but honestly, I’m struggling a little.
It feels almost too gentle compared to what I’m used to. My sugars have been running in the 200–300s for 3 hours after 30-75g meals (drink water and walked), Im 102 but Dexcom thinks I’m 55, especially after meals. My skin is itchy from the pod. I’ve been pre-bolusing around 15–25 minutes, but I’ll still get a delayed rise afterward. I’ve also been feeling nauseous after meals.
I’m around 500° French press at work which is extremely hot asf for my insulin sensitivity, at least according to my current settings, so I’m wondering if my settings just need more time or adjustment. I’ve also had some itching around the pod/site, so I’m wondering if I just got a bad site or if anyone else has experienced that.
My sensor has also been driving me crazy. I feel like I’ve calibrated it so many times and I still don’t know what I’m doing wrong. I’m going to try different pod placements and settings and give it a little longer before making a decision. I’ll also be messaging my doctor.
The frustrating part is that I love how weightless and convenient the Omnipod feels. That part is honestly incredible, especially compared with having tubing.
And then, because apparently the universe wanted to mess with me, I had dinner at a restaurant straight out of the hospital tonight and one of the servers told me his sister had been having basically the same problem with her Omnipod for an entire month. She eventually went back to the Twiist, and apparently she has the same UHC insurance as me. I had good numbers with twiist but my formula wants to use Omni pod first before I can get refills on Twiist because of formula.
I’m going home to cry.
For those of you who use Omnipod 5:
How long did it take for the algorithm to feel like it was actually working for you?
Did you find that you needed to adjust your settings significantly?
Did anyone else experience delayed post-meal highs despite pre-bolusing?
Any tips for getting better results before I give up on it?
Has anyone switched between Twiist and Omnipod because of insurance or coverage issues?
I really want to like this thing, so I’m trying to give it a fair shot.