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Decoding Pump settings

Decoding Pump settings

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Title: Insulin Pump Settings Decoded: Basal, I:C, and ISF

Description: Confused about which pump setting to adjust? You're not alone. In this episode, I'm breaking down basal rates, insulin-to-carb ratios, and insulin sensitivity factors—and teaching you how to know which one actually needs changing.

What you'll learn:

  • What basal rates, I:C ratios, and ISF actually do
  • How to recognize when each setting is wrong
  • Why Omnipod 5 and Medtronic programmed basals don't matter in auto mode
  • The math trick to make sure you're moving your I:C ratio the right direction
  • How to know WHICH setting to adjust (the decision tree you need)
  • When to wait for more data vs. when to adjust immediately
  • Why the same settings don't work on different pumps
  • Real examples from 15 years of clinical practice and managing my son's T1D

Resources mentioned:

  • Insulin Inspired Coaching: Instagram @melissaapa_ or insulininspired.com

Confused about your pump settings? DM me on Instagram @melissaapa_ or send me an email at melissa@insulininspired.com


Disclaimer:This content is for educational and informational purposes only and should not be considered medical advice, diagnosis, or treatment. The information shared does not create a professional or pharmacist–patient relationship between you and Dr. Melissa Apa or the Insulin Inspired Podcast.

Although Dr. Apa is a licensed clinical pharmacist, she is not acting as your personal healthcare provider. Always consult your own qualified healthcare professional who understands your specific circumstances before making any changes to your medication, diet, or health management plan.

Any examples, experiences, or stories shared are illustrative only and should not be interpreted as medical guidance or guarantees of similar results. Individual health outcomes depend on a variety of factors, including your unique health status, medical history, and adherence to professional care.



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