Skip to content

Commit b52b9a2

Browse files
committed
dia: Use less technical phrasing and add links
1 parent f1dc471 commit b52b9a2

3 files changed

Lines changed: 16 additions & 8 deletions

File tree

‎docs/EN/AdvancedOptions/InsulinConcentration.md‎

Lines changed: 1 addition & 0 deletions
Original file line numberDiff line numberDiff line change
@@ -1,3 +1,4 @@
1+
(Insulin-Concentration)=
12
# Insulin Concentration
23

34
```{warning}

‎docs/EN/DailyLifeWithAaps/AapsScreens.md‎

Lines changed: 1 addition & 0 deletions
Original file line numberDiff line numberDiff line change
@@ -147,6 +147,7 @@ Enable either one or both of the following options in [OpenAPS SMB settings](#Pr
147147

148148
If **AAPS** detects resistance or sensitivity, the target will change from what is set from profile, and the displayed target changes color to indicate the adjustment.
149149

150+
(aaps-screens-iob-cob-basal-sens)=
150151
#### IOB, COB, basal and sensitivity
151152

152153
![IOB, COB, basal and sensitivity](../images/Home2020_TBR.png)

‎docs/EN/SettingUpAaps/ConfigBuilder.md‎

Lines changed: 14 additions & 8 deletions
Original file line numberDiff line numberDiff line change
@@ -129,24 +129,28 @@ More information to understand the Insulin Profile as shown in **AAPS** [here](#
129129
### Duration of insulin action (DIA) and peak
130130

131131
```{warning}
132-
Decreasing DIA or peak will always increase administered insulin. DIA has different logic to it in AAPS compared to commercial AID systems. Uninformed changes to these settings can change insulin dosing in a way which is much larger or smaller than expected.
132+
In looping, decreasing DIA or peak will always increase administered insulin. DIA works differently in AAPS than in commercial AID systems and careless changes to these settings can change insulin dosing in a way which is much larger or smaller than expected.
133133
```
134134

135-
AAPS models insulin action with a mathematical function, configured using **DIA** and the closely related **peak** settings. DIA represents a theoretical duration until IOB reaches zero and peak represents timepoint after insulin activity is strongest. Insulin activity and rate of IOB decay is one and the same.
135+
AAPS models the timeline of insulin action with a mathematical formula, configured using **DIA** and the closely related **peak** settings. DIA is the theoretical duration until IOB reaches zero and peak is the timepoint when the effect of insulin is strongest. This yields an IOB curve and an activity curve, which is simply the **rate** of IOB decay.
136136

137-
![Sample insulin Profile](../images/Screenshot_insulin_profile.png)
137+
Consider that when AAPS is looping, it's normal to have periods of [zero-temping](#Open-APS-features-super-micro-bolus-smb). This missing basal insulin is fully subtracted from the IOB, explaining why IOB will in practice reach zero many hours earlier than the configured DIA. You can inspect [bolus IOB and basal IOB](#aaps-screens-iob-cob-basal-sens) separately from the main screen.
138138

139-
In the above chart, in theory, half the IOB is decayed after ~110 minutes. The blue activity curve shows that at 120 minutes, IOB is decaying at a rate of 0.5 percentage points per minute.
139+
To configure DIA and peak, tap **Manage** in the main screen, and then tap **Insulin**. AAPS displays the active insulin configuration like this:
140140

141-
Recall that as AAPS applies TBR below profile basal rate, IOB is subtracted. Therefore, in the typical hybrid closed-loop AAPS use, positive IOB from meal bolus will in practice reach zero many hours earlier than the configured DIA. For the same reason, positive IOB from a small SMB will decay to zero very quickly after zero-temping.
141+
![Sample insulin configuration](../images/Screenshot_insulin_profile.png)
142142

143-
To configure DIA and peak, tap **Manage** in the main screen, and then tap **Insulin**. Due to the influence of TBR explained above and the mathematical formula used for IOB decay in AAPS, most users set a clearly higher DIA than in commercial systems. In general, many people find that a **DIA** of 9h works well for them. After you have more experience with AAPS and have a well-tuned profile, you can try to determine a personalized DIA and peak configuration with the information presented in the next section.
143+
In this example, peak setting is 75 minutes, DIA is 8 hours and [insulin concentration](#Insulin-Concentration) is the standard 100 IU/mL.
144144

145-
#### Additional details on the impact of DIA and peak configuration
145+
Due to the influence of zero-temping explained above and the formula used for IOB decay in AAPS, most users set a clearly higher DIA than in commercial systems. In general, many people find that a **DIA** of 9h works well for them. After you have more experience with AAPS and have a well-tuned profile, you can try to find personalized DIA and peak settings with the information below.
146+
147+
148+
````{admonition} Details on the impact of DIA and peak configuration
149+
:class: dropdown
146150
147151
Since the basal rate has an indirect influence to IOB decay in AAPS, it follows that too high basal rates can mask too high DIA, and vice versa. It makes sense to first carefully tune basal rates before adjusting DIA and peak. Additionally, consider that the DIA and peak settings interact in sense that the effect of DIA depends on peak, and vice versa.
148152
149-
The following charts show the exact impact of DIA and peak to the IOB curves.
153+
These charts show the exact impact of DIA and peak to the IOB curves, across hard limits.
150154
151155
Adjusting DIA:
152156
@@ -168,6 +172,8 @@ Finally, a comparison adjusting DIA and peak in parallel. The logic here is that
168172
169173
Note that when DIA and peak are adjusted in this fashion, every point in the curve will shift by the same relative amount.
170174
175+
````
176+
171177
#### Further reading on DIA and peak configuration
172178

173179
* [Technical details and historical background from the AAPS predecessor, OpenAPS](https://openaps.readthedocs.io/en/latest/docs/While%20You%20Wait%20For%20Gear/understanding-insulin-on-board-calculations.html#understanding-the-new-iob-curves-based-on-exponential-activity-curves).

0 commit comments

Comments
 (0)