# 임시 목표 ## 임시 목표는 무엇이며, 어떻게 설정할 수 있을까요? A **Temp-Target** (or short **TT**) is an **AAPS** feature that allows the user to alter their [**BG** target range](#profile-glucose-targets) for planned activities. This is achieved by **AAPS** manipulating the user’s insulin usage. A glucose target, particularly if it is only short-term (less than 4 hours in duration), does not need to be the *actual value* you expect or want your glucose level to get to, rather, it is a good way to tell **AAPS** to be more or less aggressive, while still keeping your glucose levels in range. Temporary targets can be defined within those boundaries : | | Temporary target | | ------- | ---------------------- | | Minimum | 4 mmol/l or 72 mg/dL | | Maximum | 15 mmol/l or 225 mg/dL | **AAPS** provides for three **Temp-Target** options suitable for exercise (**Temp-Target- Activity**), meals (**Temp-Target- Eating soon**) and predicted hypoglycemia (**Temp-Target-Hypo**). **Temp-Targets** are located under the **Actions tab**. Users should have realistic expectations on the results that can be achieved when selecting a **Temp-Target** in **AAPS**. The success of attaining a desired **BG** target will vary depending on a multiple factors ranging from: the reliability of the user’s **AAPS** settings, overall **BG** control, **IOB**, insulin sensitivity, insulin resistance, level of exertion undertaken during the exercise and so forth. A **Temp-Target** can take approximately 30 minutes or longer in order to attain a desired **BG** target. It is impossible for **AAPS** to achieve a **BG** target with immediate effect and users should be mindful of this when selecting a **Temp-Target**. The table below summarizes the features of **Temp-Target- Activity**, **Temp-Target- Eating soon**, and **Temp-Target-Hypo**. ### TT - Activity ![TT Activity](../images/TempTarget2.png) **BG Target (depending on users' settings)** AAPS will aim to reach 8mmol/l or 144mg/dl for 40 minutes **Other considerations users may wish to factor in when selecting**: Depending on **BG** level, **AAPS** will "decrease" insulin usage in order to reach **BG** target. If **BG** target is not within range (i.e. above the users **Profile's** selected **BG** target), then **AAPS** may keep the basal on. In closed loop mode, **SMB**: - *may be* deactivated (discussed further below); and/or - basal may be activated if **AAPS** is in negative **IOB** or <0. Users may also wish to consider: - *selecting* this **TT** 1-2 hours before the planned exercise to ensure reduced IOB (the correct timing for this TT will vary peerson to person); and - *selecting* a temporary Profile (decrease) for the duration of the planned activity to ensure reduced **IOB**; - *ensuring* **TT** is timed to be *deactivated* shortly before the exercise as reduced **IOB** as some users experience a rapid rise in **BG **post exercise. ### TT - Eating soon ![TT Activity](../images/TempTarget1.png) **BG Target (depending on users' settings)** AAPS will aim to reach 5mmol/l or 90mg/dl for 30 minutes **Other considerations users may wish to factor in when selecting**: In closed loop mode, **SMB**: - will remain activated; and/or - basal may be also activated depending on the user's **Profile's** settings. Depending on **BG** level, **AAPS** will "increase" insulin usage within the user's **AAPS** setting parameters in order to achieve the desired **BG** target. ### TT - Hypo ![TT Activity](../images/TempTarget3.png) **BG Target (depending on users' settings)** AAPS will aim to reach 7mmol/l or 126mg/dl for 30 minutes **Other considerations users may wish to factor in when selecting**: In closed loop mode, **SMB**: - *may be* deactivated (discussed further below); and/or - basal may be activated if **AAPS** is in negative **IOB** or <0. (TempTargets-where-can-i-select-a-temp-target)= ## Where can I select a Temp-Target? In the **Actions** tab in **AAPS**. 1. select **Temporary Target** button; and then 2. select desired **Temp-Target** ![Carbs TT](../images/TempTarget4a.png) Or clicking on the "**BG Target**" located in the top right corner of **AAPS**. ![Carbs TT](../images/TempTarget6.png) - Press long on your target in the top right corner on the home screen or use the shortcuts in the orange “Carbs” button at the bottom. ![Preferences > Use default temp targets](../images/Pref2020_OV_DefaultTT2.png) ## Where can I change the default Temp-Target and override with my own preferences? To reconfigure the ‘BG target range’ and ‘duration’ allocated to the user’s default **Temp-Target** settings, go to the menu in **AAPS** on the top right hand corner and 1. select **Preferences** 2. scroll down to 'Overview’ 3. select ‘Default Temp-Targets’ 4. step 4 indicates (below) where to change **TT- Eating soon** time period 5. step 5 indicates (below) where to change **TT - Eating soon** **BG** target range (and the same steps can be repeated for **TT -Activity** and **TT - Hypo**. ![Custom TT](../images/TempTarget7.png) ## How do I cancel a Temp-Target? To cancel a **Temp-Target** running: Select the “Cancel” button in **Temporary Target** under the **Actions** tab as shown below. ![Custom TT](../images/TempTarget8.png) Or short-click on the ‘BG Target’ in the yellow/green box located in the top right corner of **AAPS**, and select ‘cancel’ as shown below: ![Actions TT](../images/TempTarget9.png) ## How do I select a “Default-Temp-Targets” In the **Actions** tab in **AAPS**. 1. select **Temporary Target** button; and then 2. select desired **Temp-Target** ![Actions TT](../images/TempTarget4.png) Or clicking on the "**BG Target**" located in the top right corner of **AAPS**. ![BG TT](../images/TempTarget6.png) Or in the **Carbs** button 1. selecting the desired **Temp-Target** in the shortcuts ![Carbs TT](../images/TempTarget5.png) (TempTargets-hypo-temp-target)= ## 저혈당 임시 목표 **Temp-Target Hypo** enables **AAPS** to prevent the user from experiencing low blood sugar by reducing insulin intake. If the user predicts their **BG** will go low: usually, **AAPS** should handle it, but much will depend on the stability of the user’s **AAPS'** settings. A **Temp-Target Hypo** enables the user to get ahead of the predicted low and update **AAPS** to reduce insulin. Sometimes when hypo-treated carbs are eaten, the user's **BG** can rapidly rise, and **AAPS** will correct against the fast rising **BG** by enabling **SMBs**. Some users wish to avoid **SMBs** being given during **Temp-Target Hypo**. This is achieved by deactivating *'Enable SMB with high Temp-Target'* in **Preferences** (see further below): - In (Advanced, objective 9): the user can enable *“High Temp-Targets raises sensitivity”* for **Temp-Targets** of 100mg/dl or 5.5mmol/l or higher in OpenAPS SMB, **AAPS** will be more sensitive. - In (Advanced, objective 9): the user can deactivate *“SMB with high temp target”*, so that even if **AAPS** has COB > 0, “SMB with Temp-Target” or “SMB always” enabled and OpenAPS SMB active, **AAPS** will not give SMBs while high temp targets are active. Note: if the user enters carbs with the carb button and your blood glucose is less than 72mg/dl or 4mmol/l, **Temp-Target Hypo** is automatically enabled by **AAPS**. (TempTargets-activity-temp-target)= ## 활동 임시 목표 Before and during exercise, the user may require a higher target to prevent hypoglycemia during the activity. To simplify **Temp-Target Activity**, the user can configure a default **Temp-Target - Activity** to raise **BG** levels by reducing insulin usage in order to slow down **BG** fall and avoid hypoglycemia. New users to **AAPS** may need to experiment and personalise their **Temp-Target Activity** default settings in order to optimise this feature to work best for them. Everyone is different when it comes to attaining stable BG control during exercise. See also the [sports section in FAQ](#FAQ-sports). in FAQ. Some users also prefer to activate a **Profile switch** (being a Profile decrease < 100% to reduced insulin delivery by **AAPS**) before and while **Temp-Target Activity** is on. Advanced, objective 9: users can enable *'High Temp-Targets raises sensitivity'* for **Temp-Targets** higher or equal 100mg/dl or 5.5mmol/L in OpenAPS **SMB**. Then **AAPS** is more sensitive. Additionally, if *'SMB with high Temp-Target'* is deactivated, **AAPS** will not deliver **SMBs**, even with COB > 0, *'SMB with Temp-Target-* or *'SMB always'* enabled and OpenAPS **SMB** active. (TempTargets-eating-soon-temp-target)= ## 식사 직전 임시 목표 **Temp-Target -Eating soon** can help accomplish a gentle drive down of **BG** and ensure there is ample **IOB** before eating. This can be an important tool for those users who do not pre bolus, however the efficacy of **Temp-Target -Eating soon** will depend on a number of factors including: the user’s settings, if they eat a low carb diet and whether they are using a fast acting insulin (like Fiasp or Lyjumjev) in order to eliminate the need to pre bolus. Ordinarily, until users are experienced in **AAPS** they should expect to pre bolus when using **Temp-Target -Eating soon** and this is particularly so, if eating a high carb diet. You can read more about the “Eating soon mode” in the article ['How to do “eating soon” mode'](https://diyps.org/2015/03/26/how-to-do-eating-soon-mode-diyps-lessons-learned/) or [here](https://diyps.org/tag/eating-soon-mode/). Advanced, [objective 9](#objectives-objective9): If you use OpenAPS SMB and have *'Low temp target lowers sensitivity'*, **AAPS** works a little bit more aggressively. For this option there is a requirement for **Temp-Target** to be less than 100mg/dl or 5.5mmol/l. ## How do I turn off SMB during Temp-Targets? To action this select in **Preferences** > and deactivate *'Enable SMB with high Temp-Target'*. ![Carbs TT](../images/TempTargetSMB.png) This will ensure **AAPS** will not give **SMBs**, even with COB > 0, *'SMB with Temp-Target'* or *'SMB always'* enabled and OpenAPS SMB active.