suboptimally
Adverb
Meaning
suboptimally (comparative more suboptimally, superlative most suboptimally)
In a less than optimal manner.
Examples
A 12 year old male with suboptimally controlled type 1 diabetes for 8 years and poor growth developed persistently elevated liver enzymes.
I call this “falling over”… it does continue to run but suboptimally to say the least.