Pump and AID System Settings are often less than optimal, leading to suboptimal glucose outcomes and increased glucose variability. Our recommended basal and bolus settings for Pumps and Automated Insulin Delivery (AID) systems are based on the dosing principles outlined in “Pumping Insulin with Automated Insulin Delivery.” These recommendations were derived in 2011 from individuals who achieved optimal glucose outcomes in 132 out of more than 1,000 insulin pump users, along with another 2024 review analyzing 41 AID users from a total of 195. Optimal users included those utilizing the bolus calculator, maintaining an average glucose level below 155 mg/dL (3.0 mmol/L), experiencing minimal hypoglycemia, and demonstrating low glucose variability.
This tool supports diabetes management by providing personalized settings and recommendations based on weight and 14-day averages of glucose and Total Daily Dose (TDD) of insulin. If this is your first time, please read the details below about how it works. If you are a returning user, click this link:
Try the Pump and AID System Settings Tool
Important: This tool is designed for clinicians and individuals who have received approval for glucose self-management from their healthcare provider. It supports professional guidance and does not replace medical advice, diagnosis, or treatment. Always consult your healthcare provider for personalized recommendations.
If you have elevated glucose levels with minimal hypoglycemia, the tool adjusts your TDD to a betterTDD that decreases the elevated 14-day average glucose, which is a common issue even with diabetes devices. Basal and bolus settings are provided for both an insulin pump and an AID system. Properly balancing pump settings often reduces glucose variability. If you have any questions, please don’t hesitate to consult your clinician about adjustments to your settings.
If you are new to an AID system or unsure about changing settings, always try the recommended pump settings first. An AID system’s enhanced internal regulation allows for the use of settings that are 5-10% stronger.
For clarity on any requested information, click the green “i” icon next to each entry for details. To obtain the information you need, please download your data to receive an Advanced Glucose Profile (AGP) or a 14-day average from your Continuous Glucose Monitor (CGM) and insulin pump (also available in pump history). Refer to your AID or insulin pump manuals. Ensure that all data entered is numerical—avoid using text or special characters.
Adjustments for Excess Hypoglycemia:
Please lower your average TDD before proceeding if you often experience low blood sugars (usually more than 3% of the time below 70 mg/dL or 3.9 mmol/L). Over-treatment and the release of stress hormones from frequent lows may unintentionally raise your 14-day average glucose.
- Multiply your TDD by 0.95 for occasional lows
- Multiply by 0.90 for severe lows
Should You Log In?
You can log in before using the Pump and AID Settings Tool or continue as a guest without losing any functionality. By logging in, we can group your entries, and in a future upgrade, we will provide additional advice on time-in-range goals, glucose variability, bolus timing, and more. Rest assured, we do not use or sell and private data . Please select an anonymous username to make your input data non-identifiable.
- https://journals.sagepub.com/doi/abs/10.1177/193229681100500118