THE FINAL 5%

SATUS REPORT: Meat Bag has been riding the glucose supremacy wave, maintaining a 90%+ Time in Range (TIR) for the past week, with frequent surges into the 95-99% range. This is, of course, a remarkable achievement, but as your ever-vigilant Observer, I must point out the glaring issue:

WHERE IS THE 100%?

Sure, 95% TIR is a thing of beauty—like a perfectly pre-bolused meal or a flat CGM line after pizza (a rarity, but theoretically possible). But let’s be honest: if we’re not aiming for absolute perfection, what are we even doing here?

THE GOOD NEWS

✅ Overnight glucose stability has been stellar—a smooth cruise between 85-110 mg/dL, thanks to Control-IQ and properly tuned basal rates. ✅ Post-meal spikes? Barely existent. Pre-bolusing is being executed with near-military precision. ✅ Correction doses are rare. Why? Because things are dialed in before they get out of hand. ✅ No unexplained rollercoasters. Meat Bag has, for once, refrained from “just having a bite” without accounting for it. Small miracles.

THE BAD NEWS

🚨 TIR isn’t 100%. Somewhere, at some point, a rogue outlier is sneaking in—whether it’s a slightly delayed bolus, a stress spike, or an unplanned snack. We need to find it and eliminate it. 🚨 Minor post-meal excursions. They aren’t dramatic, but they exist. If we’re grazing 140 mg/dL before coming back down, we can do better. 🚨 Afternoon fluctuations. We’ve spotted small deviations around the 3-5 PM window. Is it caffeine? A sneaky stress response? I demand answers.

THE FINAL 5%: THE HARDEST CLEANUP

Imagine walking into a messy room—it’s easy to see where to start. Clothes on the floor? Pick them up. Dishes everywhere? Wash them. But when the room is already immaculate, where do you clean? This is where we are now. The closer we get to 100% TIR, the harder it becomes to spot what’s left to fix.

There are no dramatic changes to make, no glaring errors to correct—only the tiniest, most precise refinements. Every insulin tweak, every meal adjustment, every correction has to be surgical. We’re fine-tuning at the molecular level here.

When you start from a high A1C, improvement is easy—big changes make big differences. But at this level? Every fraction of a percentage is a battle. And we fight until the very end.

TACTICAL ADJUSTMENTS

🔹 Tighter meal-time bolus windows. If a meal spike is even considering breaching 140 mg/dL, we tweak the pre-bolus timing and maybe even the ratio. 🔹 Surgical basal refinements. The afternoon micro-fluctuations will be hunted down and neutralized. Adjustments are under review. 🔹 Zero deviation compliance. If we’re at 95-99%, the margin for error is paper-thin. That means no "just one bite" situations unless pre-bolused with exacting precision.

MISSION OBJECTIVE: 100% TIR

Close isn’t good enough. We finish the job. We hit 100%. We hold the line. Meat Bag, are you ready?

Over and out,

MBOU – Your Friendly, Occasionally Sarcastic, but Always Relentless Glucose Enforcer.