How to review AAPS settings
If glucose often moves in an unexpected direction, food or random factors may not be the only cause: AAPS settings may also contribute. Rather than changing everything, identify where the problem keeps recurring.
What to check first
- Basal — whether glucose stays steady without food or unnecessary corrections.
- ICR — whether the meal bolus is too small or too large.
- ISF — whether corrections lower glucose appropriately.
- Recurring patterns — whether the same problems occur at the same time.
How to identify a possible problem
- If glucose consistently rises or falls without food, review basal settings.
- If similar meals regularly cause a high peak, ICR may be part of the problem.
- If corrections have little effect or cause glucose to fall too sharply, review ISF.
- A one-off problem is not in itself a reason to change settings. Look for recurring patterns.
What to do next
After this review, look separately at Nightscout data, repeated lows and high glucose after meals. Adjust settings gradually, rather than changing everything at once.