Gary and I break down why insulin doesn’t always work the way we expect—whether it’s absorption issues, site problems, heat exposure, stress, hormones, illness, or exercise. We talk about how automated insulin delivery systems are only as good as the insulin actually getting into your body, and why fixing efficacy often matters more than changing your settings. Gary shares practical strategies for improving absorption, rotating sites effectively, and troubleshooting those “stubborn” highs that won’t come down. We also cover how things like scar tissue, steroid medications, and daily stress can quietly impact insulin sensitivity. If you’ve ever wondered why your numbers feel unpredictable, this episode will help you identify what to adjust before blaming your pump or algorithm.

DISCLAIMER: This podcast is not medical advice and is for educational purposes only. Always consult with your doctor before making changes to your health care.

*10-day trial eligibility may vary. Full terms and conditions apply. Visit omnipod.com/diabetech for clinical disclaimers, terms and important safety information. The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.

How to Optimize Your Insulin for Better Time in Range - ODT