Dit is het eerste scherm dat je ziet wanneer je AndroidAPS opent en je vindt er de meeste dingen die je dagelijks nodig hebt.
Section A - Tabs¶
- Navigate between the various AndroidAPS modules.
- Alternatively you can change screens by swiping left or right.
- Displayed tabs can be selected in config builder.
Section B - Profile & target¶
- Current profile is displayed in the left bar.
- Long press profile bar to view profile details or to switch between different profiles.
- If profile switch was made with duration remaining time in minutes is shown in brackets.
- Current target blood glucose level is displayed in the right bar.
- Long press target bar to set a temporary target.
- If temp target is set bar turns yellow and remaining time in minutes is shown in brackets.
Visualization of Dynamic target adjustment¶
- AAPS can dynamically adjust your target based on sensitivity if you are using SMB algorithm.
- Enable either one or both of the following options
- “sensitivity raises target” and/or
- “resistance lowers target”
- If AAPS detects resistance or sensitivity the target will change from what is set from profile.
- When it alters the target glucose background will change to green.
Section C - BG & loop status¶
Current blood glucose¶
- Latest blood glucose reading from your CGM is shown on the left side.
- Color of the BG value reflects the status to the defined range.
- green = in range
- red = below range
- yellow = above range
- The greyish block in the middle shows minutes since last reading and changes since last reading, in the last 15 and 40 minutes.
A new icon shows loop status:
- green circle = loop running
- green circle with dotted line = low glucose suspend (LGS)
- red circled = loop disabled (not working permanently)
- yellow circle = loop suspended (temporarily paused but basal insulin will be given) - remaining time is shown below icon
- grey circle = pump disconnected (temporarily no insulin dosage at all) - remaining time is shown below icon
- Orange circle = super bolus running - remaining time is shown below icon
- blue circle with dotted line = open loop
Long press the icon to open the menu to disable, suspend, re enable loop or disconnect / reconnect pump.
Section D - IOB, COB, BR and AS¶
- Syringe: insulin on board (IOB) - amount of active insulin inside your body
- The insulin on board figure would be zero if just your standard basal was running and there was no insulin remaining from previous boluses.
- IOB may be negative if there have recently been periods of reduced basal.
- Press the icon to see the split of bolus and basal insulin
- Grain: carbs on board (COB) - yet unabsorbed carbs you have eaten before -> icon pulses if carbs are required
- Purple line: basal rate - icon changes reflecting temporary changes in basal rate (flat at 100%)
- Press the icon to see the base basal rate and details of any temp basal (including remaining duration)
- Arrows up & down: indicating actual autosens status (enabled or disabled) and value is shown below icon
- Carbs suggestions are given when the reference design detects that it requires carbs.
- This is when the oref algorithm thinks I can’t rescue you by 0 (zero) temping and you will need carbs to fix.
- The carb notifications are much more sophisticated than the bolus calculator ones. You might see carbs suggestion whilst bolus calculator does not show missing carbs.
- Carb required notifications can be pushed to Nightscout if wished, in which case an announcement will be shown and broadcast.
Section E - Status lights¶
- Status lights give a visual warning for
- Cannula age
- Insulin age (days reservoir is used)
- Reservoir level (units)
- Sensor age
- Battery age and level (%)
- If threshold warning is exceeded, values will be shown in yellow.
- If threshold critical is exceeded, values will be shown in red.
- Settings can be made in preferences.
Section F - Main graph¶
- Graph shows your blood glucose (BG) as read from your glucose monitor (CGM).
- Notes entered in action tab such as fingerstick calibrations and carbs entries as well as profile switches are shown here.
- Long press on the graph to change the time scale. You can choose 6, 12, 18 or 24 hours.
- The green area reflects your target range. It can be configured in preferences.
- Blue triangles show SMB - if enabled in preferences.
- Optional information:
- Activity - insulin activity curve
Activate optional information¶
Click the triangle on the right side of the main graph to select which information will be displayed in the main graph.
For the main graph just the three options above the line “-–-— Graph 1 -–-—” are available.
Orange line: COB (colour is used generally to represent COB and carbs)
Prediction line shows where your BG (not where COB itself!) will go based on the current pump settings and assuming that the deviations due carb absorption remain constant. This line only appears if there are known COB.
Dark blue line: IOB (colour is used generally to represent IOB and insulin)
Prediction line shows what would happen under the influence of insulin only. For example if you dialled in some insulin and then didn’t eat any carbs.
Light blue line: zero-temp (predicted BG if temporary basal rate at 0% would be set)
Prediction line shows how the IOB trajectory line would change if the pump stopped all insulin delivery (0% TBR).
Dark yellow line: UAM (un-announced meals)
Unannounced meals means that a significant increase in glucose levels due to meals, adrenaline or other influences is detected. Prediction line is similar to the ORANGE COB line but it assumes that the deviations will taper down at a constant rate (by extending the current rate of reduction).
Usually your real glucose curve ends up in the middle of these lines, or close to the one which makes assumptions that closest resemble your situation.
- A solid blue line shows the basal delivery of your pump and reflects the actual delivery over time.
- The dotted blue line is what the basal rate would be if there were no temporary basal adjustments (TBRs).
- In times standard basal rate is given the area under the curve is shown in dark blue.
- When the basal rate is temporarily adjusted (increased or decreased) the area under the curve is shown in light blue.
- The thin yellow line shows the activity of Insulin.
- It is based on the expected drop in BG of the insulin in your system if no other factors (like carbs) were present.
Section G - additional graphs¶
- You can activate up to four additional graphs below the main graph.
- To open settings for additional graphs click the triangle on the right side of the main graph and scroll down.
- To add an additional graph check the box on the left side of its name (i.e. -–-— Graph 1 -–-—).
- Active insulin including boluses and basal.
Insulin on board¶
- Shows the insulin you have on board (= active insulin in your body). It includes insulin from bolus and temporary basal (but excludes basal rates set in your profile).
- If there were no SMBs, no boluses and no TBR during DIA time this would be zero.
- IOB can be negative if you have no remaining bolus and zero/low temp for a longer time.
- Decaying depends on your DIA and insulin profile settings.
Carbs On Board¶
- Shows the carbs you have on board (= active, not yet decayed carbs in your body).
- Decaying depends on the deviations the algorithm detects.
- If it detects a higher carb absorption than expected, insulin would be given and this will increase IOB (more or less, depending on your safety settings).
- GREY bars show a deviation due to carbs.
- GREEN bars show that BG is higher than the algorithm expected it to be. Green bars are used to increase resistance in Autosens.
- RED bars show that BG is lower than the algorithm expected. Red bars are used to increase sensitivity in Autosens.
- YELLOW bars show a deviation due to UAM.
- Shows the sensitivity that Autosens has detected.
- Sensitivity is a calculation of sensitivity to insulin as a result of exercise, hormones etc.
- Shows the activity of insulin, calculated by your insulin profile (it’s not derivative of IOB).
- The value is higher for insulin closer to peak time.
- It would mean to be negative when IOB is decreasing.
- Internal value used in algorithm.
When you want to make a meal bolus this is where you will normally make it from.
- BG field is normally already populated with the latest reading from your CGM. If you don’t have a working CGM then it will be blank.
- In the CARBS field you add your estimate of the amount of carbs - or equivalent - that you want to bolus for.
- The CORR field is if you want to modify the end dosage for some reason.
- The CARB TIME field is for pre-bolusing so you can tell the system that there will be a delay before the carbs are to be expected. You can put a negative number in this field if you are bolusing for past carbs.
- SUPER BOLUS is where the basal insulin for the next two hours is added to the immediate bolus and a zero TBR is issued for the following two hours to take back the extra insulin.
- The idea is to deliver the insulin sooner and hopefully reduce spikes.
- For details visit diabetesnet.com.
- Shows the calculated bolus.
- If the amount of insulin on board already exceeds the calculated bolus then it will just display the amount of carbs still required.
- Notes will be uploaded to Nightscout - depending on your settings for NS client.
- Details of wizard’s bolus calculation.
- You can deselect any that you do not want to include but you normally wouldn’t want to.
- For safety reasons the TT box must be ticked manually if you want the bolus wizard to calculate based on an existing temporary target.
Combinations of COB and IOB and what they mean¶
- For safety reasons IOB boxed cannot be unticked when COB box is ticked as you might run the risk of too much insulin as AAPS is not accounting for what’s already given.
- If you tick COB and IOB unabsorbed carbs that are not already covered with insulin + all insulin that has been delivered as TBR or SMB will be taken into account.
- If you tick IOB without COB, AAPS takes account of already delivered insulin but won’t cover that off against any carbs still to be absorbed. This leads to a ‘missing carbs’ notice.
- If you bolus for additional food shortly after a meal bolus (i.e. additional desert) it can be helpful to untick all boxes. This way just the new carbs are being added as the main meal won’t necessarily be absorbed so IOB won’t match COB accurately shortly after a meal bolus.
- This shows the activity profile of the insulin you have chosen in config builder.
- The PURPLE line shows how much insulin remains after it has been injected as it decays with time and the BLUE line shows how active it is.
- The important thing to note is that the decay has a long tail.
- If you have been used to manual pumping you have probably been used to assuming that insulin decays over about 3.5 hours.
- However, when you are looping the long tail matters as the calculations are far more precise and these small amounts add up when they are subjected to the recursive calculations in the AndroidAPS algorithm.
For a more detailed discussion of the different types of insulin, their activity profiles and why all this matters you can read an article here on Understanding the New IOB Curves Based on Exponential Activity Curves
And you can read an excellent blog article about it here: Why we are regularly wrong in the duration of insulin action (DIA) times we use, and why it matters…
And even more at: Exponential Insulin Curves + Fiasp
- Different information on pump status. Displayed information depends on your pump model.
- See pumps page for details.
De Careportal had dezelfde functies als wat je in Nightscout ziet wanneer je daar op het “+” symbool klikt. Je kon de Careportal gebruiken om dingen in te noteren.
Review carb calculation¶
- If you have used the Bolus Wizard to calculate insulin dosage you can review this calculation later on treatments tab.
- Just press the green Calc link. (Depending on pump used insulin and carbs can also be shown in one single line in treatments.)
Treatment tab can be used to correct faulty carb entries (i.e. you over- or underestimated carbs).
Bekijk en onthoud de werkelijke COB en IOB op Overzichtscherm.
Depending on pump in treatment tab carbs might be shown together with insulin in one line or as a separate entry (i.e. with Dana RS).
Remove the entry with the faulty carb amount.
Controleer op het Overzicht scherm of de koolhydraten inderdaad zijn verwijderd, het aantal COB zou moeten zijn aangepast.
Doe hetzelfde voor de IOB als er slechts één regel is op het Behandelingen-tabblad voor koolhydraten en insuline.
-> Als koolhydraten per ongeluk niet waren verwijderd maar je voegt vervolgens wel extra koolhydraten toe zoals uitgelegd bij 6., zal COB te hoog zijn en dat kan leiden tot een te hoge dosis insuline. Let dus op wat er gebeurt!
Voer de juiste hoeveelheid koolhydraten in via de koolhydraten knop op het Overzichtscherm, zorg ervoor dat je het tijdstip aanpast naar het moment dat de koolhydraten daadwerkelijk zijn gegeten.
Als er op jouw Behandelingen-tabblad één regel wordt gebruikt voor koolhydraten en insuline, moet je ook de hoeveelheid insuline weer toevoegen. Doe dit via de insuline knop op het Overzichtscherm en zorg er ook hierbij voor dat je het tijdstip aanpast naar het moment dat de insuline was toegediend. Controleer tenslotte op het Overzichtscherm of de IOB is meeveranderd.
Loop, AMA / SMB¶
- These tabs show details about the algorithm’s calculations and why AAPS acts the way it does.
- Calculations are each time the system gets a fresh reading from the CGM.
- For more details see APS section on config builder page.
- Profile contains information on your individual diabetes settings:
- DIA (Duration of Insulin Action)
- IC or I:C: Insulin to Carb ratio
- ISF: Insulin Sensitivity Factor
- Basal rate
- Target: Blood glucose level that you want AAPS to be aiming for
- You can either use a local profile that can be edited on your smartphone or a Nightscout profile which must be edited on your NS page and transferred to your phone afterwards. For details see the corresponding sections on the config builder page.
History of the following treatments:
BG Source - xDrip, Dexcom App (pateched)...¶
- Depending on your BG source settings this tab is named differntly.
- Shows history of CGM readings and offers option to remove reading in case of failure (i.e. compression low).