r/twiist

So I’ve been on a glp-1 (wegovy) and have lost just over 50 pounds.

I’ve also been going to the gym 6 days a week

6 days lifting, 4 of those days also doing cardio.

I’m currently in afrezza and tresiba. My tresiba does has gone from 27 units to 12.

I’m now so sensitive to the afrezza I’m having lows even when taking the smallest dose and a 4 unit which used to lower me 20 is lowering me 60+

Anyway, I had an endo appt yesterday and I was on a pump 8+ years ago. His suggestion was to maybe go back on one bc of the algorithm. I also start a new job Monday. (Eversense will be covered, and I’ve been on it before and loved it) and it connects with the twiist.

I’m just frustrated and concerned about giving up control to an algorithm. And nervous.

My last A1C was 6.1 but now the lows post exercise are longer and take more glucose to treat.

I’m just over it all, but I guess I can try a pump again. But I really like the afrezza.

I’m gonna try it in manual mode and work up to letting it do all the work.

Anyone else dealt with anything similar?

I’ve been on twiist for 3 weeks now, but have yet to achieve a good TIR like most people I’ve seen on here or what my trainer described.

Some background, diagnosed 5 years ago, still getting the hang of managing things. I had a horrific low a while back and still getting over the fear of pre-bolusing. It’s something I have gotten a lot better at on this system, but still not waiting 15min to eat most times. I switched from Novolog to Fiasp last year and the onset is noticeable.

With Twiist, I’m finding the algorithm is far too aggressive at the wrong times resulting in a rapid BG fall. I’m talking like 100+ mg/dL fall in <30min. For example, tonight I had a bowl of pasta, told the pump I was eating 45g carbs and use the longer absorption. I was already sitting at a BG of 200 from a small snack I didn’t bolus for accurately.

Pump gives me 3.5U. Sounds good. Now sitting on the couch, I suddenly feel my BG is dropping fast. Went from 200 to 120 in 25 min. All while I now have 5U of active insulin? (Pump gave me an extra 1.5U). Libre still showing down arrow and predicted to hit a BG of 50 in next 30 minutes.

Had no choice but to eat a large bowl of cereal after eating dinner to stop the fall. I did confirm it with finger sticks, only slightly off from Libre.

I’m not sure what to do. I have these dramatic spikes (in part from not prebolus) then huge crashes where I am symptomatic. My trainer has LOWERED my ISF to 1:30mg/dL and carb ratio. The logic is preventing a spike prevents a drop that can’t be predicted.

I plan on trying novolog again to see if the slower onset would work? But I’m truly at a loss of what I can do. I feel like I’m fighting against this pump everyday not to drop me low.

I’m considering switching from Dexcom G7 & Tandem T-slim to Libre & Twiist. I’ve used Libre. What should I know about Twiist that you won’t find in their marketing materials?

https://preview.redd.it/qd68vuu0rlyg1.jpg?width=1168&format=pjpg&auto=webp&s=5d268415a24fae2b19028a5129de3f6e13682f9d

New Twiist supplies organizer coming soon to our Etsy Shop. gibsonstudiosdesigns.etsy.com

Hi, I’m new to Twiist—I started last week. Is it normal to notice a faint insulin smell when I run my fingers over the infusion site while the pump is connected, especially when I bolus or have insulin on board?

I previously used Omnipod and experienced frequent leaks, so I used the smell as an indicator. I’ve tried placing a tissue over the site and don’t see any visible insulin, but I can still smell it—and my boyfriend and mom can too.

Thank you!!

My site is still red after a week :(((((

Any tips? Suggestions?