Martin Santise

For a month my Omnipod kept me high and I could not figure out why.

Turns out the automated basal is gentle by design. It is a hybrid system, which means it was never built to do it all for you.

So I stopped waiting and started using both modes with intention.

Manual mode to give myself the floor the algorithm would not, automated mode when it helps, and I stay on top of my own corrections.

That is my last 30 days on the screen. 92% in range, 114 average. Not on automation alone.

If your Omnipod keeps you high, you are not bad at this. You were sold hands off. The truth is hands on.

Comment PUMP for my free guide on what your pump is really doing.

They set your pump. Told you not to touch it. And never explained what any of it actually does.

So it runs you, and you have no idea why.

Here is the part nobody says out loud. Automation is only as good as the settings underneath it. If those are off, the algorithm cannot give you the control you want, and most people have no clue theirs is off.

You were handed a tool and told to trust it blindly. But there is a ceiling on what you can reach that way. The people who break past it are not the ones who trust the pump most. They are the ones who understand it best.

Use the tool. Do not be used by it.

Comment PUMP and I will send you my free guide on what your pump is actually doing, setting by setting.

Martin Santise - T1D Coach

Your insulin has a ceiling. And once you hit it, more does not mean more.

Here is the part nobody explains. Your body can only pull glucose out of your blood so fast. There is a top speed, no matter how much insulin is on board. That top speed is the ceiling.

Once you are near the ceiling, more insulin is not the lever. Time is. You cannot out-dose a ceiling. You can only out-time it.

Comment PATTERNS and I will send you my free Pattern Decoder that breaks down the most common patterns I see in T1D data.

Martin Santise - T1D Coach

I give every high carb meal the same dose. Whatever the carb count.

A chicken roll. A bacon egg and cheese on a scooped bagel. A whole personal pizza. Three different carb loads, same 6 units, all under 160.

I am not ignoring food. I started at a good number, my basal was dialed in, and I read my trend an hour later to handle the tail.

Here is the thing nobody explains. Insulin does not work in a straight line. There is a ceiling, and once you meet the meal, more units just set up a low.

This is my body and my data. By no means a prescription. Just sharing what is working for me.

Maybe the carb count was never the real lever.

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