What is likely happening
Boost's COB tiers (Tier 1 <25 min, Tier 2 <40 min) deliver insulin proportional to insulinReq, which is driven by current ISF and the gap between BG and target. If ISF is tuned aggressively or insulinReqPct is high, these tiers stack significant insulin on top of the meal bolus.
If the profile ISF is too low (number too small), the algorithm overestimates how much insulin is needed per mg/dL correction. Combined with a large Max IOB headroom, this allows continued stacking well into absorption.
Boost's Fast Carb Protection reduces aggressiveness when a recent low + fast rise is detected, but it cannot fire if the hypo itself is triggered by the overcorrection — the protection is for pre-emptive fast carb scenarios, not post-delivery correction.
Settings to change
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Insulin Required % first
Reduce to 35–40%. This directly scales how much of the calculated need is acted on during COB tiers.
ApsBoostInsulinReqPct → 35–40%
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Max IOB first
Lower to 0.5–0.8 U. When IOB exceeds this, Boost falls back to oref1 — this prevents stacking beyond a safe ceiling.
ApsBoostMaxIob → 0.5–0.8 U
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Bolus Cap
Reduce to 1.0–1.5 U as a hard ceiling on any single SMB delivery.
ApsBoostBolus → 1.0–1.5 U
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Boost Scale
If hypos persist after the above, reduce scale to 0.7–0.8. This reduces the Tier 3+ UAM bolus magnitude.
ApsBoostScale → 0.7–0.8
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Profile ISF (outside Boost settings)
Verify ISF is not too low (too aggressive). A too-low ISF means insulinReq is overestimated at every step. Fasting basal testing first, then ISF.
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Profile CR (outside Boost settings)
A too-low CR (too aggressive) means the pre-meal bolus already overdoses before Boost fires. Check CR separately from Boost.
What not to do
- Don't set Scale ≥ 3.0 to disable Boost as your first response — you lose all Boost benefit and revert to standard oref1 which may have worse meal coverage.
- Don't raise the DynISF Normal Target as a first fix — this makes ISF less aggressive at a given BG but doesn't address the stacking behaviour during COB tiers.
- Don't extend Night Mode hours into the day to suppress post-meal SMBs — this is a blunt instrument that will block needed corrections at other times.
- Don't reduce smbBasalMinutes in isolation — this only limits per-SMB size; if ISF is wrong, the algorithm will just deliver more frequent small SMBs instead.
- Don't ignore profile calibration — Boost amplifies what the profile tells it. A miscalibrated ISF or CR will always produce bad meal outcomes regardless of Boost settings.