From 33a7e1cebf25b237774fae9c4f19e9acf8093cb6 Mon Sep 17 00:00:00 2001 From: emmatovar27 Date: Sat, 28 Jan 2023 00:11:33 -0800 Subject: [PATCH 1/3] --Changes from the Community to some of the questions on objectives 3. --- .../constraints/src/main/res/values/exam.xml | 61 ++++++++++--------- 1 file changed, 31 insertions(+), 30 deletions(-) diff --git a/plugins/constraints/src/main/res/values/exam.xml b/plugins/constraints/src/main/res/values/exam.xml index 188fc33402..654aa8ee60 100644 --- a/plugins/constraints/src/main/res/values/exam.xml +++ b/plugins/constraints/src/main/res/values/exam.xml @@ -5,12 +5,12 @@ You should set the value for DIA in your profile. The minimum allowed value is 5 hours. https://wiki.aaps.app/en/latest/Configuration/Config-Builder.html#insulin - If you are satisfied that the value for DIA that you used in your pump prior to AAPS worked well, there is no need to change this when you start looping. + If you are satisfied that the value for DIA that you used in your pump before AAPS worked well, there is no need to change this when you start looping. You should determine for yourself the appropriate value for DIA. Hypo Temp-Target - What is primary reason to set a hypo temp target? + What is the primary reason to set a hypo temp target? To correct for hypos caused by incorrect basal rate settings. - To prevent AAPS from overcorrecting for a blood glucose rise caused by the fast acting carbs used to treat a hypo. + To prevent AAPS from overcorrecting for a blood glucose rise caused by the fast-acting carbs used to treat a hypo. To correct for a hypo induced as a result of exercise. To prevent blood glucose from going low if there is already a 0% temporary basal rate running. https://wiki.aaps.app/en/latest/Usage/temptarget.html @@ -19,10 +19,10 @@ NS Profile can be used, but not configured. https://wiki.aaps.app/en/latest/Configuration/Config-Builder.html#profile Reasons for applying "Disconnect pump" in AAPS - What should be done when disconnecting the pump? + What should be done when disconnecting the pump from your body? This is unnecessary as insulin will not be delivered if the pump is physically disconnected. - It prevents AAPS from accounting for insulin that was not delivered whilst the pump is physically disconnected.  - It will not stop insulin delivery if the pump remains connected. + It prevents AAPS from accounting for insulin that was not delivered whilst the pump is physically disconnected. + It will not stop insulin delivery if the pump remains connected to your body. It will send AAPS into open loop mode. https://wiki.aaps.app/en/latest/Getting-Started/FAQ.html#other-settings AAPS Settings @@ -88,7 +88,7 @@ What is essential to set up and use AAPS? Validated information to set up a profile (ISF, I:C ratio, basal rates, DIA etc.). A compatible Android device (e.g. mobile/cell phone, full Android watch, or tablet). - AAPS requires an internet connection in order to run in closed loop. + AAPS requires an internet connection to run in the closed loop. A supported CGM and appropriate app to receive blood glucose values on the phone/device. https://wiki.aaps.app/en/latest/Module/module.html Updating AAPS @@ -110,7 +110,7 @@ https://discord.gg/4fQUWHZ4Mw Insulin Plugins Which insulin should you use with the Ultra-Rapid Oref plugin? - Fiasp® + Fiasp®/Lyumijev®/ NovoRapid®/Novolog® Humalog® Actrapid®/Humalin R®/"regular" human insulin. @@ -118,9 +118,9 @@ Sensitivity Plugins Check all correct answers. Sensitivity plugins allow AAPS to adjust for temporary or short-lived changes in insulin sensitivity (for example hormonal changes or issues with absorption at the infusion site). - Sensitivity plugins provide the user with suggested changes to basal rates, I:C ratios and ISF that can be used to edit profile. - Logging a cannula change will reset Autosens ratio back to 100%. - Some of the plugin options have configurable time ranges that can be set by the user. + Sensitivity plugins provide the user with suggested changes to basal rates, I:C ratios, and ISF that can be used to edit profile. + Logging a cannula change will reset the Autosens ratio back to 100%. + Some of the plugin options have configurable time ranges and the user can set them. https://wiki.aaps.app/en/latest/Configuration/Sensitivity-detection-and-COB.html https://wiki.aaps.app/en/latest/Usage/Open-APS-features.html#autosens Carb Entry Errors @@ -130,23 +130,23 @@ Do nothing – AAPS will make the appropriate adjustments. Bolus with insulin using the Insulin (bolus) button in Overview. Insulin delivery/entry errors - What should you do if you received less insulin than the pump history suggests e.g. due to an occlusion, a failed cannula or forgetting to reattach the pump after a shower?  + What should you do if you received less insulin than the pump history suggests e.g. due to an occlusion, a failed cannula or forgetting to reattach the pump after a shower? Delete insulin data from Nightscout Careportal to remove it from the pump history. Compare values in AAPS and pump history (if pump supports this). Bolus a proportion of your calculated ‘missed’ insulin by either syringe/pen or using a prime. Do nothing and allow AAPS to correct any resulting high blood glucose level. Carbs on Board (COB) - How changing ISF value affects COB calculation? - Increasing ISF will take absorbing carbs a longer time - Increasing ISF will take absorbing carbs a shorter time + How changing ISF value affects COB calculation by AAPS? + Increasing ISF will make the calculated carb absorption time longer + Increasing ISF will make the calculated carb absorption time shorter Increasing ISF will not affect calculated carbs absorption How changing IC value affects COB calculation? - Increasing IC will take absorbing carbs a longer time - Increasing IC will take absorbing carbs a shorter time + Increasing IC will make the calculated carb absorption time longer + Increasing IC will make the calculated carb absorption time shorter Increasing IC will not affect calculated carbs absorption How changing profile percentage affects COB calculation? - Setting profile to 150% will take absorbing carbs a longer time - Setting profile to 150% will take absorbing carbs a shorter time + Setting profile to 150% will make the calculated carb absorption time longer + Setting profile to 150% will make the calculated carb absorption time shorter Setting profile to 150% will not affect calculated carbs absorption IOB value is affected by issued temporary basals. High temp basal will not be given when your blood sugar is below target. @@ -155,7 +155,7 @@ Carb entry and boluses Only grams should be used for estimating and recording carbohydrates consumed. Carbohydrates consumed can be recorded using an appropriate exchange system (e.g. DAFNE "CHO" exchanges or European "Bread Units"). - AAPS uses a dynamic model to estimate carb “decay” and calculate COB. + AAPS uses a dynamic model to estimate carb absorption and calculate COB. If blood glucose levels are outside acceptable values (too low or too high) the bolus calculator can be used to provide suggestions for carb or insulin corrections. https://wiki.aaps.app/en/latest/Getting-Started/FAQ.html#insulin-to-carb-ratio-ic-g-u e-carbs @@ -163,7 +163,7 @@ To schedule carbs in the future, possibly distributed over an interval (similar to an extended bolus distributing insulin over an interval). For logging \'free\' exercise carbs you want to hide from AAPS. e-carbs (distributed in the future) can assist AAPS in dealing with high fat/protein meals. - For logging rescue carbs you use to treat low blood glucose.  + For logging rescue carbs you use to treat low blood glucose. https://wiki.aaps.app/en/latest/Usage/Extended-Carbs.html Remote Monitoring How can you monitor AAPS (for example for your child) remotely? @@ -174,8 +174,8 @@ https://wiki.aaps.app/en/latest/Children/Children.html Insulin Sensitivity Factor (ISF) Raising ISF values will lead to more insulin delivery to cover a specific amount of carbs. - Reducing ISF values lead to more insulin delivery to correct for an above target blood glucose. - Raising or lowering ISF has no effect on insulin delivery when blood glucose levels are below target. + Reducing ISF values will lead to more insulin delivery to correct for an above target blood glucose. + Raising or lowering ISF does not affect insulin delivery when blood glucose levels are below target. ISF should be entered in your AAPS Preferences. Changing the ISF value in your profile is enough to apply the change. https://wiki.aaps.app/en/latest/Getting-Started/FAQ.html#insulin-sensitivity-factor-isf-mmol-l-u-or-mg-dl-u @@ -187,7 +187,7 @@ Lower I:C ratios lead to less insulin delivered for a given amount of carbs. If you have 0 COB, changing the IC ratio will lead to a different amount of insulin to correct a given BG value. IC will be different if you count bread (exchange) unit as 10g or 12g. - IC meaning is: How many bread (exchange) units are covered by 1U of insulin. + IC meaning is: How many bread (exchange) units are covered by 1U of insulin? https://wiki.aaps.app/en/latest/Getting-Started/FAQ.html#insulin-to-carb-ratio-ic-g-u Profile Switching When specifying a 90% profile switch, which answers are true? @@ -206,23 +206,24 @@ If you get up 2 hours earlier than usual, how should you notify AAPS of the change in your schedule? Initiate a profile switch with a timeshift of 2 Initiate a profile switch with a timeshift of -2 - Set an eating soon temporary target. - Do a profile switch to more than 100%.  + Set eating soon temporary target. + Do a profile switch to more than 100%. https://wiki.aaps.app/en/latest/Usage/Profiles.html#timeshift Changes to profiles Basal rates, ISF, I:C ratios, etc., should be set in profiles. Activating changes to your Nightscout Profile requires your AAPS phone to have an internet connection. Editing profiles to change values is sufficient to enact any changes made. - Multiple profiles can be set up and selected to accommodate changing circumstances (e.g. hormonal changes, shift working, weekdays/weekend lifestyle). + Multiple profiles can be set up and selected to accommodate changing circumstances (e.g., hormonal changes, shift working, weekdays/weekend lifestyle). https://wiki.aaps.app/en/latest/Module/module.html#good-individual-dosage-algorithm-for-your-diabetes-therapy Help with basal rates - Where to go for help with basalrate etc. + Where to go for help with setting up your basal rate and other settings. Your diabetes team Google Facebook - Other Medication. Please read the statement below and then check the box to accept the declaration. - AAPS reduces basal rates or suspends insulin delivery to raise blood sugar. Drugs in the class SGLT2 inhibitors (gliflozins) can prevent increases in blood glucose and therefore can produce a dangerous insulin deficiency leading to DKA. + Other Medication. Please read the statement below and check the box to accept the declaration. + AAPS reduces basal rates or suspends insulin delivery to raise blood sugar. Drugs in the class SGLT2 inhibitors (gliflozins) can prevent increases in blood glucose and, thus, can produce a dangerous insulin deficiency leading to DKA. \nCommon brand names are: Invokana®, Forxiga®, Jardiance®, Steglatro®, Suglat®, Apleway®, Deberza®, Synjardy®, Vokanamet®, Xigduo®.\n\nI hereby promise that I will not take such drugs when using AAPS or will deactivate the loop before using such drugs. + From a6d645b7c9d92f7175592d1f9f1753f84387f3ab Mon Sep 17 00:00:00 2001 From: emmatovar27 Date: Sat, 28 Jan 2023 00:26:28 -0800 Subject: [PATCH 2/3] --Changes from the Community to some of the questions on objectives 3. --- plugins/constraints/src/main/res/values/exam.xml | 14 +++++++------- 1 file changed, 7 insertions(+), 7 deletions(-) diff --git a/plugins/constraints/src/main/res/values/exam.xml b/plugins/constraints/src/main/res/values/exam.xml index 654aa8ee60..028b945fc5 100644 --- a/plugins/constraints/src/main/res/values/exam.xml +++ b/plugins/constraints/src/main/res/values/exam.xml @@ -21,7 +21,7 @@ Reasons for applying "Disconnect pump" in AAPS What should be done when disconnecting the pump from your body? This is unnecessary as insulin will not be delivered if the pump is physically disconnected. - It prevents AAPS from accounting for insulin that was not delivered whilst the pump is physically disconnected. + It prevents AAPS from accounting for insulin that was not delivered whilst the pump is physically disconnected. It will not stop insulin delivery if the pump remains connected to your body. It will send AAPS into open loop mode. https://wiki.aaps.app/en/latest/Getting-Started/FAQ.html#other-settings @@ -130,7 +130,7 @@ Do nothing – AAPS will make the appropriate adjustments. Bolus with insulin using the Insulin (bolus) button in Overview. Insulin delivery/entry errors - What should you do if you received less insulin than the pump history suggests e.g. due to an occlusion, a failed cannula or forgetting to reattach the pump after a shower? + What should you do if you received less insulin than the pump history suggests e.g. due to an occlusion, a failed cannula or forgetting to reattach the pump after a shower? Delete insulin data from Nightscout Careportal to remove it from the pump history. Compare values in AAPS and pump history (if pump supports this). Bolus a proportion of your calculated ‘missed’ insulin by either syringe/pen or using a prime. @@ -138,7 +138,7 @@ Carbs on Board (COB) How changing ISF value affects COB calculation by AAPS? Increasing ISF will make the calculated carb absorption time longer - Increasing ISF will make the calculated carb absorption time shorter + Increasing ISF will make the calculated carb absorption time shorter Increasing ISF will not affect calculated carbs absorption How changing IC value affects COB calculation? Increasing IC will make the calculated carb absorption time longer @@ -163,7 +163,7 @@ To schedule carbs in the future, possibly distributed over an interval (similar to an extended bolus distributing insulin over an interval). For logging \'free\' exercise carbs you want to hide from AAPS. e-carbs (distributed in the future) can assist AAPS in dealing with high fat/protein meals. - For logging rescue carbs you use to treat low blood glucose. + For logging rescue carbs you use to treat low blood glucose. https://wiki.aaps.app/en/latest/Usage/Extended-Carbs.html Remote Monitoring How can you monitor AAPS (for example for your child) remotely? @@ -190,14 +190,14 @@ IC meaning is: How many bread (exchange) units are covered by 1U of insulin? https://wiki.aaps.app/en/latest/Getting-Started/FAQ.html#insulin-to-carb-ratio-ic-g-u Profile Switching - When specifying a 90% profile switch, which answers are true? + When specifying a 90% profile switch, which answers are true? Basal rates will be 10% lower. ISF will be 10% higher. The value of the I:C ratio will be a 10% lower number. ISF and I:C ratios will be unchanged. https://wiki.aaps.app/en/latest/Usage/Profiles.html#profile-switch Profile Switching - When specifying a 120% profile switch, which answers are true? + When specifying a 120% profile switch, which answers are true? Target blood glucose will be 20% higher. Basal rates will be 20% higher. Target blood glucose will be unchanged. @@ -207,7 +207,7 @@ Initiate a profile switch with a timeshift of 2 Initiate a profile switch with a timeshift of -2 Set eating soon temporary target. - Do a profile switch to more than 100%. + Do a profile switch to more than 100%. https://wiki.aaps.app/en/latest/Usage/Profiles.html#timeshift Changes to profiles Basal rates, ISF, I:C ratios, etc., should be set in profiles. From b0a1277616b3c5e3e41f421c666358c736611dc0 Mon Sep 17 00:00:00 2001 From: emmatovar27 Date: Sun, 29 Jan 2023 17:19:29 -0800 Subject: [PATCH 3/3] --Changes from the Community to some of the questions on objectives 3. --- plugins/constraints/src/main/res/values/exam.xml | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/plugins/constraints/src/main/res/values/exam.xml b/plugins/constraints/src/main/res/values/exam.xml index 028b945fc5..562e1415f3 100644 --- a/plugins/constraints/src/main/res/values/exam.xml +++ b/plugins/constraints/src/main/res/values/exam.xml @@ -110,7 +110,7 @@ https://discord.gg/4fQUWHZ4Mw Insulin Plugins Which insulin should you use with the Ultra-Rapid Oref plugin? - Fiasp®/Lyumijev®/ + Fiasp® NovoRapid®/Novolog® Humalog® Actrapid®/Humalin R®/"regular" human insulin.