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Technology & Management

Leveraging tech for better T1D control

CGM and Insulin Pump Optimization

Getting the Most from Your CGM

  • Learn to read trends and arrows - they're more important than single numbers
  • Set custom alert ranges based on your activities (tighter during school, wider during sports)
  • Use predictive alerts to prevent highs and lows before they happen
  • Calibrate properly and on time for accurate readings
  • Understand sensor warm-up periods and accuracy windows

Pump Management Skills

  • Master temporary basal rates for exercise, illness, and special situations
  • Learn advanced bolus features: extended, combo, and correction boluses
  • Optimize your insulin-to-carb ratios and correction factors with your team
  • Understand insulin on board (IOB) and how it affects dosing
  • Practice disconnecting and reconnecting safely for sports and activities

Diabetes Management Apps and Tools

Essential Apps for Teens

  • CGM companion apps: Dexcom, FreeStyle LibreLink, Guardian Connect
  • Pump control apps: t:connect, CareLink, Omnipod, Medtronic
  • Carb counting apps: CalorieKing, MyFitnessPal, Carb Manager
  • Logging apps: mySugr, Glucose Buddy, One Drop
  • Community apps: Connect with other teens with T1D

Using Apps Effectively

  • Log consistently - even just a week of data can reveal patterns
  • Use photo features to track meals and learn carb estimates
  • Set reminders for site changes, refills, and appointments
  • Track exercise, stress, and sleep to see how they affect your numbers
  • Review reports before endo appointments to discuss trends

Data Sharing with Parents and Healthcare Team

Finding the Right Balance

  • Discuss boundaries with parents - what level of monitoring feels supportive vs. intrusive
  • Use Follow apps to give parents peace of mind without constant texting
  • Agree on alert thresholds that trigger parent notifications
  • Schedule regular check-ins instead of constant surveillance
  • Prove your responsibility to earn more independence over time

Sharing with Your Healthcare Team

  • Upload data before appointments so you can focus on discussion
  • Be honest about your management - they're there to help, not judge
  • Point out patterns you've noticed and ask for interpretation
  • Use remote monitoring features for virtual check-ins between appointments
  • Ask for access to your own data portal to track your progress

Troubleshooting Technology Issues

Common CGM Problems

  • "No readings": Check transmitter connection, sensor position, phone Bluetooth
  • Inaccurate readings: Calibrate, check sensor site, ensure proper hydration
  • Sensor falls off: Use skin prep, barrier wipes, and overtape for protection
  • Compression lows: Change sleeping position or sensor location
  • Keep backup finger-stick supplies for when technology fails

Pump Troubleshooting

  • High blood sugar with pump: Check for occlusions, air bubbles, site issues
  • No delivery alarms: Change site immediately, take correction with pen/syringe
  • Repeated site failures: Try different areas, depth settings, or infusion sets
  • Always have backup insulin pens and injection supplies
  • Know your pump company's 24/7 tech support number

Building Tech-Savvy Management Skills

Data Analysis for Better Control

  • Review AGP (Ambulatory Glucose Profile) reports to see overall patterns
  • Look for time-of-day trends: morning highs, afternoon lows, overnight patterns
  • Track time in range (TIR) - aim for 70% or higher
  • Identify high variability days and look for causes
  • Use standard deviation to measure consistency

Becoming Your Own Expert

  • Learn to make small adjustments to basals and ratios with your team's guidance
  • Experiment with pre-bolusing timing for different foods
  • Document what works for you - create your own playbook
  • Stay updated on new technology and features
  • Join online communities to learn tips from other tech users