Skip to content
Haley Maddox
All type 1 guides
Year one · Type 1

One year of insulin gear

The gear, how each setup went, and the patterns in my numbers, Oct 2025 to Oct 2026.

Target range

Coll. Haley Maddox · Oct 2026All type 1 guides →

Year one

Overview

239pen shots
46CeQur patches
~19Omnipod 5 pods
694pod boluses
38Afrezza puffs
32Dexcom sensors

Where my readings fell

Share of all CGM readings by range

Whole year
In range 70–180: 96.6%
Below 70: 1.7%140–180: 10.4%Above 180: 1.7%
Below 70Tight range 70–140140–180Above 180
Dexcom G7 via Clarity exports · whole year Oct 21, 2025 – Oct 18, 2026
112average glucose, mg/dL
23%variability (CV)
10.5 ulong-acting (Lantus) a day
12.2 urapid-acting a day
22.8 utotal daily dose

Insulin averages cover Oct 30, 2025 – Oct 18, 2026. Rapid-acting is Humalog plus Afrezza at 4 units a puff. The Omnipod's automated delivery isn't included.

Part 1

The numbers

MeasureWhole yearTargetQ1Oct 21 – Jan 20Q2Jan 21 – Apr 20Q3Apr 21 – Jul 20Q4Jul 21 – Oct 18
In range, 70–180 mg/dL96.6%over 70%93.8%98.5%97.5%96.5%
Tight range, 70–140 mg/dL86.2%over 50%74.7%90.3%90.9%89.2%
Below 70 mg/dL1.7%under 4%0.9%1.3%2.0%2.5%
Below 54 mg/dL0.1%under 1%0.0%0.0%0.1%0.2%
Above 180 mg/dL1.7%under 25%5.3%0.2%0.4%0.9%
Average glucose, mg/dL112–123111107108
Variability (CV)23%36% or less27%19%21%22%

Tight range rose from 24% to about 90% by January and held there

Weekly share of time in range (green) and tight range (pink); weekly lows below. Shaded: pen and Omnipod 5.

PenCeQur patchOmnipod 50%20%40%60%80%100%In range 96%Tight 91%24%Weekly time below 70 mg/dLWeek of 2025-10-20: 0.7% below 70Week of 2025-10-27: 2.1% below 70Week of 2025-11-03: 0.7% below 70Week of 2025-11-10: 0.6% below 70Week of 2025-11-17: 1.3% below 70Week of 2025-11-24: 0.3% below 70Week of 2025-12-01: 0.5% below 70Week of 2025-12-08: 1.5% below 70Week of 2025-12-15: 0.2% below 70Week of 2025-12-22: 0.6% below 70Week of 2025-12-29: 1.0% below 70Week of 2026-01-05: 0.9% below 70Week of 2026-01-12: 0.6% below 70Week of 2026-01-19: 0.9% below 70Week of 2026-01-26: 1.8% below 70Week of 2026-02-02: 0.4% below 70Week of 2026-02-09: 0.4% below 70Week of 2026-02-16: 1.1% below 70Week of 2026-02-23: 1.7% below 70Week of 2026-03-02: 2.1% below 70Week of 2026-03-09: 0.6% below 70Week of 2026-03-16: 1.1% below 70Week of 2026-03-23: 1.2% below 70Week of 2026-03-30: 1.1% below 70Week of 2026-04-06: 2.0% below 70Week of 2026-04-13: 1.2% below 70Week of 2026-04-20: 2.5% below 70Week of 2026-04-27: 3.3% below 70Week of 2026-05-04: 3.7% below 70Week of 2026-05-11: 1.0% below 70Week of 2026-05-18: 1.3% below 70Week of 2026-05-25: 1.3% below 70Week of 2026-06-01: 1.5% below 70Week of 2026-06-08: 3.0% below 70Week of 2026-06-15: 2.0% below 70Week of 2026-06-22: 1.0% below 70Week of 2026-06-29: 2.6% below 70Week of 2026-07-06: 2.3% below 70Week of 2026-07-13: 1.8% below 70Week of 2026-07-20: 1.2% below 70Week of 2026-07-27: 1.7% below 70Week of 2026-08-03: 2.7% below 70Week of 2026-08-10: 4.8% below 70Week of 2026-08-17: 1.7% below 70Week of 2026-08-24: 1.6% below 70Week of 2026-08-31: 4.5% below 70Week of 2026-09-07: 1.9% below 70Week of 2026-09-14: 1.0% below 70Week of 2026-09-21: 2.6% below 70Week of 2026-09-28: 2.1% below 70Week of 2026-10-05: 3.0% below 70Week of 2026-10-12: 3.7% below 704% limitNovDecJanFebMarAprMayJunJulAugSepOct
Dexcom G7 via Clarity exports · 52 full weeks, Oct 20, 2025 – Oct 12, 2026 · orange bars: weeks at or over the 4% limit

Time in range by the insulin I used that day

Sorting every day by what actually delivered my rapid insulin separates the pen breaks from the patch. The patch had the fewest lows and the tightest nights; pen days had the most lows for their range. Night is 9:30 pm to 6 am.

Insulin that dayDaysIn range 70–180Tight 70–140Below 70Below 54Night tightNight below 70Daytime below 70
MDI pen 20252383.3%55.3%1.1%0.0%58.9%1.9%0.6%
MDI pen between patches2296.4%87.9%2.9%0.4%86.8%3.1%2.9%
CeQur patch only23397.8%88.5%1.4%0.0%93.8%1.8%1.2%
Patch + pen2997.5%84.2%1.8%0.2%90.3%2.3%1.3%
Omnipod 55696.5%89.6%2.5%0.2%92.0%2.6%2.5%
Part 2

Patterns

A typical day

Every reading of the year, stacked by the hour of day it was taken.

The day stays between 99 and 119 mg/dL at the middle

Glucose by hour of day, mg/dL

607010014018012 am: median 99, middle half 85–117, 90% within 71–1461 am: median 99, middle half 87–116, 90% within 73–1402 am: median 102, middle half 90–116, 90% within 76–1403 am: median 106, middle half 92–120, 90% within 78–1414 am: median 108, middle half 97–122, 90% within 80–1435 am: median 109, middle half 97–120, 90% within 81–1426 am: median 113, middle half 101–126, 90% within 84–1487 am: median 117, middle half 104–132, 90% within 85–1618 am: median 118, middle half 106–136, 90% within 85–1619 am: median 119, middle half 102–136, 90% within 82–16910 am: median 115, middle half 100–133, 90% within 83–17111 am: median 112, middle half 97–131, 90% within 79–16712 pm: median 111, middle half 97–127, 90% within 80–1571 pm: median 111, middle half 96–128, 90% within 79–1562 pm: median 114, middle half 97–132, 90% within 78–1603 pm: median 113, middle half 96–132, 90% within 78–1594 pm: median 111, middle half 95–128, 90% within 77–1605 pm: median 107, middle half 92–126, 90% within 75–1566 pm: median 104, middle half 89–122, 90% within 74–1587 pm: median 106, middle half 91–124, 90% within 73–1598 pm: median 107, middle half 92–127, 90% within 75–1649 pm: median 106, middle half 91–124, 90% within 75–17010 pm: median 104, middle half 90–122, 90% within 75–16811 pm: median 101, middle half 86–121, 90% within 72–16212 am3 am6 am9 am12 pm3 pm6 pm9 pmtight range 70–14011999line = median · dark band = middle half of readings · light band = 90% of readings · Oct 21, 2025 – Oct 18, 2026
Dexcom via Clarity exports · the green band is tight range, 70–140

When insulin goes in

Every rapid-acting dose of the year by the hour it went in: pen, patch, Afrezza and Omnipod 5 boluses together.

Most doses go in at 6 pm, then noon, 5 pm and 7 am

Rapid-acting doses by hour of day

Night06012018024012 am: 14 doses (1%)12 am1 am: 21 doses (1%)2 am: 30 doses (1%)3 am: 37 doses (2%)3 am4 am: 75 doses (3%)5 am: 58 doses (2%)6 am: 113 doses (5%)6 am7 am: 165 doses (7%)1658 am: 150 doses (6%)9 am: 113 doses (5%)9 am10 am: 104 doses (4%)11 am: 129 doses (5%)12 pm: 181 doses (7%)18112 pm1 pm: 151 doses (6%)2 pm: 128 doses (5%)3 pm: 83 doses (3%)3 pm4 pm: 139 doses (6%)5 pm: 179 doses (7%)1796 pm: 217 doses (9%)2176 pm7 pm: 147 doses (6%)8 pm: 101 doses (4%)9 pm: 72 doses (3%)9 pm10 pm: 15 doses (1%)11 pm: 23 doses (1%)2,445 doses · pen, patch and Afrezza Oct 2025 – Oct 2026, pod boluses Aug 24 – Oct 18, 2026 · dark bars: the four busiest hours
Dexcom app logs (pen, patch, Afrezza) and Glooko (pod boluses) · Lantus and the pod's automated basal not included · shaded: night, 9:30 pm – 6 am

Most lows follow rapid insulin. Night lows mostly don't, which points at Lantus and long days of walking instead.

When the low startedLowsNo rapid insulin in the 4 h before
Midnight – 6 am8868 (77%)
6 am – noon7118 (25%)
Noon – 6 pm13245 (34%)
6 pm – midnight19557 (29%)
All year486188 (39%)

Lantus

With real doses in, Lantus turns out to be lowest in winter and highest in summer, the opposite of the plan to take more in the cold and less with heavy training.

About 8 u in winter, 13 u in summer

Logged Lantus by month

Omnipod 56 u8 u10 u12 u14 u16 u11 u, the old assumed doseNov: median 10 u, range 10-11 uNovDec: median 9 u, range 9-10 uDecJan: median 8 u, range 7-9 uJanFeb: median 8 u, range 7-9 uFebMar: median 9 u, range 9-9 uMarApr: median 11 u, range 9-13 uAprMay: median 12 u, range 11-13 uMayJun: median 13 u, range 12-14 uJunJul: median 13 u, range 12-14 uJulAug: median 13 u, range 9-15 uAugSep: median 10 u, range 8-11 uSepOct: median 9 u, range 8-10 uOct8 u13 uNov 2025 – Oct 2026 · dot = median dose, bar = lowest to highest · Oct is 4 logged days
312 doses logged in the Dexcom app

Bigger Lantus doses were followed by more lows

Average minutes below 70 in the 24 hours after a dose, all 312 logged doses

0 min10 min20 min30 min40 min7–9 u: 17.1 minutes below 70 on average, 126 doses17 min7–9 u126 doses10–11 u: 19.2 minutes below 70 on average, 73 doses19 min10–11 u73 doses12–13 u: 26.6 minutes below 70 on average, 91 doses27 min12–13 u91 doses14–15 u: 38.3 minutes below 70 on average, 21 doses38 min14–15 u21 doses
Doses grouped by size · doses with a full 24 hours of CGM after them
For my care team: my summer Lantus ran 12–15 u while I was training the most. Should Lantus come down on heavy training days, and how should it split the job with the pod's automated basal?

Exercise

Strava holds 399 Apple Watch workouts from Jan 6 to Oct 18, 2026, and every one is a walk, apart from 3 bike rides and an elliptical session. No runs are recorded, so this section tests walking. From 4 miles a day up, lows rise that night, not the following days.

From 4 miles up, nights run lower; the next day is back to normal, with no extra lows

Average minutes below 70 mg/dL after a day's logged walking, Jan 6 – Jun 21, 2026

0 min5 min10 min15 min20 min25 minUnder 4 mi, Rest of that day: 7.9 min7.9Under 4 mi, That night: 6.2 min6.2Under 4 mi, Next day: 10.0 min10Under 4 mi77 days4–8 mi, Rest of that day: 7.0 min74–8 mi, That night: 11.2 min11.24–8 mi, Next day: 12.2 min12.24–8 mi50 days8+ mi, Rest of that day: 12.5 min12.58+ mi, That night: 14.6 min14.68+ mi, Next day: 13.8 min13.88+ mi12 daysRest of that dayThat nightNext day
Strava walks + Dexcom G7 via Clarity · rest of that day = after the last walk until 9:30 pm · that night = 9:30 pm–6 am · next day = 6 am–9:30 pm · Jan 6 – Jun 21, while the Watch logged walks nearly every day
Next step: if my runs live in another app or aren't recorded as runs on the Watch, getting them in is the missing piece. Wearing the Watch on summer and fall training days would let the weekly report test the run-day pattern directly.
Part 3

The gear

Timeline

Three weeks on the pen, nine months on the patch, eight weeks on the pod

PEN CeQur patch · 46 patches Omnipod 5 pen breaks, Aug NovDecJanFebMarAprMayJunJulAugSepOct 20252026

By the numbers

What each setup took

MDI pen

Pen

Oct 21 – Nov 12, 2025, then between patches

239shots
527units of Humalog
Before the patch
49 shots logged Oct 30 – Nov 12, about 3.5 a day, mostly 3–5 u; no doses were captured Oct 21–29
Between patches
189 shots, most in August (96) as the patch wound down
After the pod
1 shot

CeQur patch

Patch

Nov 13, 2025 – Aug 22, 2026

46patches
1,6062-unit clicks
Counted by
The 1.7 u priming click that starts each new patch
Insulin
3,212 u over 1,474 logged doses, about 6 a day
Wear
Median 5.5 days between priming clicks; 4–5 days through December

Omnipod 5

Pump

Aug 24, 2026 – today

~19pods at 72 h each
694boluses, 443 u
Recorded
14 pod changes in Glooko; 5 more counted at 72 hours each where a gap ran longer
Per pod
About 37 boluses and 23 u of bolus insulin
Not counted
The pod's automated basal, which Glooko sends as notes, not units

Afrezza

Inhaled

Feb – Sep 2026, alongside the patch and pod

38puffs
26days used
Dose
4 units per puff. I log it as 2.6 or 2.7 u so it can be found apart from Humalog
When
23 in February, then a few a month in August and September
Time of day
Mostly afternoon and evening: 12 of 38 between 6 and 9 pm

Month by month

Gear used each month

MonthPen shotsPatches startedPatch clicks (2 u)PodsAfrezza puffs
Oct 2025
8
0
0
0
0
Nov 2025
47
5
99
0
0
Dec 2025
2
6
190
0
0
Jan 2026
2
4
156
0
0
Feb 2026
9
5
153
0
23
Mar 2026
21
5
185
0
2
Apr 2026
17
7
260
0
0
May 2026
5
4
200
0
0
Jun 2026
5
4
177
0
1
Jul 2026
26
4
136
0
0
Aug 2026
96
2
50
3
5
Sep 2026
1
0
0
10
7
Oct 2026
0
0
0
6
0

Patch clicks = logged patch units ÷ 2. Pods: 14 changes recorded in Glooko, plus 5 counted at 72 hours each where a recorded pod ran longer (3 in September, 2 in October). October 2026 runs to Oct 18.

How this was counted

Sources and rules