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Update completing-the-objectives.md - Objective 9
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peterleimbach authored Dec 8, 2023
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(Objectives-objective-8-adjust-basals-and-ratios-if-needed-and-then-enable-autosens)=
## Objective 8: Adjust basals and ratios if needed, and then enable autosens

As part of this objective you will revist your profile's performance and will use autosens functionality as an indicator for wrong settings. Estimated time to complete this objective: >= 14 days.
As part of this objective you will revist your profile's performance and will use autosens functionality as an indicator for wrong settings. Estimated time to complete this objective: 7 days.

- Let you loop run at least 7 days to check if your basals remain accurate or do a traditional basal test series over one week.
- If it remains relatvely stable you can enable [autosens](../Usage/Open-APS-features.md) over a period of 7 days and watch OVERVIEW's graph white line showing your insulin sensitivity rising or falling due to exercise or hormones etc. and keep an eye on the OpenAPS report tab which shows AAPS adjusting the basals and/or targets accordingly.
- You can use [autotune](https://openaps.readthedocs.io/en/latest/docs/Customize-Iterate/autotune.html) as a one off to check your basals remain accurate or do a traditional basal test.
- Enable [autosens](../Usage/Open-APS-features.md) over a period of 7 days and watch OVERVIEW's graph white line showing your insulin sensitivity rising or falling due to exercise or hormones etc. and keep an eye on the OpenAPS report tab which shows AAPS adjusting the basals and/or targets accordingly.

(Objectives-objective-9-enabling-additional-oref1-features-for-daytime-use-such-as-super-micro-bolus-smb)=
## Objective 9: Enabling additional oref1 features for daytime use, such as super micro bolus (SMB)

- You must read the [SMB chapter in this wiki](Open-APS-features-super-micro-bolus-smb) and [chapter oref1 in openAPSdocs](https://openaps.readthedocs.io/en/latest/docs/Customize-Iterate/oref1.html) to understand how SMB works, especially what's the idea behind zero-temping.
- Then you ought to [rise maxIOB](Open-APS-features-maximum-total-iob-openaps-cant-go-over-openaps-max-iob) to get SMBs working fine. maxIOB now includes all IOB, not just added basal. That is, if given a bolus of 8 U for a meal and maxIOB is 7 U, no SMBs will be delivered until IOB drops below 7 U. A good start is maxIOB = average mealbolus + 3x max daily basal (max daily basal = the maximum hourly value in any time segment of the day - see [objective 7](Objectives-objective-7-tuning-the-closed-loop-raising-max-iob-above-0-and-gradually-lowering-bg-targets) for an illustration)
- min_5m_carbimpact default in absorption settings has changed from 3 to 8 going from AMA to SMB. If you are upgrading from AMA to SMB, you have to change it manually.
In this objective you will tackle and use "Super Micro Bolus (SMB)" as one core functionality. After working through the mandatory readings you will have a good understanding of what SMBs are, how these work, reasonable starting point with SMBs and why basal is set to zero temporarily after SMBs are given (zero-temping). Estimated time to complete this objective: 28 days.

- The [SMB section in this documentation](Open-APS-features-super-micro-bolus-smb) and [oref1 coverage in the openAPSdocs](https://openaps.readthedocs.io/en/latest/docs/Customize-Iterate/oref1.html) are must-reads to understand SMB and the concept of zero-temping.
- Once done, you [raise maxIOB](Open-APS-features-maximum-total-iob-openaps-cant-go-over-openaps-max-iob) to get SMBs working fine. maxIOB now includes all IOB, not just accumulated basal. This threshold pauses SMBs until IOB drops below this value (e.g. maxIOB is set to 7 U and a bolus of 8 U is given to cover a meal: SMBs will be paused and not given unless IOB drops below 7 U). A good start is setting maxIOB = average mealbolus + 3x max daily basal (max daily basal = the maximum hourly value in any time segment of the day - see [objective 7](Objectives-objective-7-tuning-the-closed-loop-raising-max-iob-above-0-and-gradually-lowering-bg-targets) as reference)
- Change "min_5m_carbimpact"-parameter (Preferences > Absorbtion settings > min_5m_carbimpact) to 8 as you move from an OpenAPS AMA algorithm to OpenAPS SMB. AMAs default is 3 (mg/dl per 5 mins).

(Objectives-objective-10-automation)=
## Objective 10: Automation
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