AID and Pump Settings Tool For Better Glucose Control

AID and Pump Settings Tool being used with smartphone and CGM data

Try out our AID and Pump Settings Tool to fine-tune your insulin pump settings and automated insulin delivery (AID) system for better glucose outcomes. Suboptimal settings are common, often leading to increased glucose variability and higher average glucose levels. Our personalized settings are based on evidence-backed principles from Pumping Insulin with Automated Insulin Delivery.

The tool is informed by two major data reviews: one conducted in 2011, which analyzed over 1,000 insulin pump users, and another in 2024, which evaluated 195 AID users. Those achieving optimal glucose outcomes had:

  • Average glucose below 155 mg/dL (8.6 mmol/L)
  • Minimal hypoglycemia
  • Low glucose variability
  • Consistent bolus calculator use

How to Use the AID and Pump Settings Tool

This tool provides personalized basal and bolus insulin settings using your weight, 14-day average glucose, and Total Daily Dose (TDD) of insulin. It supports diabetes management by helping you improve time-in-range and minimize blood sugar swings.

Try the AID and Pump Settings Tool

Who Can Use This Tool?

Important: This tool is intended for clinicians and individuals with a healthcare provider’s approval for glucose self-management. It is not a substitute for medical advice. Always consult your healthcare provider for personal recommendations. The calculations are based on adult data, so they cannot be used to determine insulin doses for children or for people switching from MDI to an insulin pump or AID system. The results are appropriate for adults weighing 110 lbs. (49.9 kg) or more.

Optimize Your Settings to Reduce Glucose Variability

If you’re experiencing high average glucose with minor hypoglycemia, the tool adjusts your TDD to a more effective value and recommends updated insulin pump and AID settings. These changes can significantly improve automated insulin delivery optimization and glucose control.

If you’re new to AID systems or unsure about making changes, always try the suggested pump settings first. AID systems typically allow for settings that are 5–10% stronger due to improved internal insulin regulation.

Getting Started – What You’ll Need

  • Download your AGP (Advanced Glucose Profile) or 14-day averages from your CGM
  • Get TDD data from your insulin pump history
  • Refer to your device manuals as needed

Click the green “i” icon next to each field for more information. All values entered must be numeric—avoid letters or symbols.

Adjustments for Excess Hypoglycemia

If more than 3% of your glucose values are below 70 mg/dL (3.9 mmol/L), your TDD should be adjusted downward to account for frequent lows:

  • Occasional lows: Multiply TDD by 0.95
  • Severe or frequent lows: Multiply TDD by 0.90

Frequent lows may release stress hormones that increase average glucose, even if you’re using an insulin pump or an AID system.

Clinical Validation

Peer-reviewed studies support this approach. Read the study: Improved glucose outcomes in insulin pump users

Try the AID and Pump Settings Tool

Last Updated on January 29, 2026

Author

  • John Walsh, PA is a Physician Assistant and Diabetes Clinical Specialist with Advanced Metabolic Care and Research. He has provided clinical care for patients with diabetes for more than 30 years, including thousands of people on insulin pumps. He is the co-author of Pumping Insulin, now in its 6th edition, Using Insulin, STOP the Rollercoaster, and The Pocket Pancreas. President of the Diabetes Mall, he is also the webmaster of diabetesnet.com, a highly trafficked source of diabetes information and technology, and opensourcediabetes.org. John is a consultant and advisory board member for pharmaceutical and device corporations and a frequent speaker on diabetes, insulin pump therapy, bolus calculators, infusion set design, glucose management, and the future of smart pumps, meters, and continuous monitors. His recent research, published in the Journal of Diabetes Science and Technology, explores the dosing and behaviors that lead to successful glucose outcomes by pump wearers. John has worn nearly every insulin pump and CGM available and is a sub-investigator on numerous research studies on diabetes drugs and devices.

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