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    • 42 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am confident about access to my medical needs in the immediate future. I am not a fortune teller and have no idea what my access to medical supplies will be like in a year or longer. I don't take my spoiled lifestyle for granted.
    • 43 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 44 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I answered slightly. I'm absolutely certain supplies and medication will be available. However, I'm doubtful they will be affordable. If I can't afford them, I can't access them.
    • 47 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am worried about the changes to Medicare making no provision for getting an immediate replacement if a pump fails. It sounds like we will have to get these from the suppliers instead of a warranty replacement from Tandem themselves (or whatever brand you use). Pumps will be rented and will have to be returned so they can verify the problem before replacing them, which is ridiculous. Meanwhile, Medicare would not pay for us to get long acting insulin as a temporary replacement for the basal.
    • 49 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I broke down for the first time in 25 years and bought a bottle of insulin because I think I may have thrown a bottle out with the box. Medicare wouldn’t fill the prescription because it was too early. I just didn’t want the fight and worry. I’m not sure that’s what happened but it’s the only explanation. Also, I live in Florida and the threat of losing power is always there. I should get a generator but I’m a little afraid of them and you still can’t be sure you have access to propane. If my insulin goes bad, I’m not sure I could get refills. My back up plan is to leave before hurricane or go to a hospital. But it is all just causes concern.
    • 1 hour, 3 minutes ago
      Derek West likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Very! However, I wish I could use Fiasp insulin in the Tandem pumps.
    • 3 hours, 37 minutes ago
      Bruce Schnitzler likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I broke down for the first time in 25 years and bought a bottle of insulin because I think I may have thrown a bottle out with the box. Medicare wouldn’t fill the prescription because it was too early. I just didn’t want the fight and worry. I’m not sure that’s what happened but it’s the only explanation. Also, I live in Florida and the threat of losing power is always there. I should get a generator but I’m a little afraid of them and you still can’t be sure you have access to propane. If my insulin goes bad, I’m not sure I could get refills. My back up plan is to leave before hurricane or go to a hospital. But it is all just causes concern.
    • 4 hours, 9 minutes ago
      Karen Newe likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      The most common comment: but you aren’t heavy. That’s when we get into the differences. A relative tried to tell me that insulin makes you lose weight. But when we last discussed this, one of you said it best: if it isn’t in their circle of experience, why would they know or care?
    • 4 hours, 27 minutes ago
      KSannie likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Very! However, I wish I could use Fiasp insulin in the Tandem pumps.
    • 4 hours, 28 minutes ago
      KSannie likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 4 hours, 28 minutes ago
      KSannie likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 5 hours, 55 minutes ago
      Patricia Dalrymple likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Try Uni-Solve Adhesive Remover (smith&nephew)- wipe it on wait a minute to let it work and it will come off easy. at least it works great for me and I've tried several different brands, I use it for CGM & Omnipod removal
    • 12 hours, 55 minutes ago
      Sandy Norman likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 20 hours, 21 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      There are several conversations about this across social media. Many people chime in and vote for a new, more accurate name for type 1.. some of the popular alternatives- Pancreatic Autoimmune Disease, Beta Cell Destruction Disease, Autoimmune Diabetes, Autoimmune Insulin Failure, Autoimmune Absolute Insulin Deficiency (AAID)
    • 20 hours, 22 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      The most common comment: but you aren’t heavy. That’s when we get into the differences. A relative tried to tell me that insulin makes you lose weight. But when we last discussed this, one of you said it best: if it isn’t in their circle of experience, why would they know or care?
    • 20 hours, 23 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 22 hours, 35 minutes ago
      Kristi Warmecke likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 1 hour ago
      Lee Tincher likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      If I could get a CGM that is consistent and predictable I'd be very happy with the Twiist or the Tandem. The weak point with pumps used to be infusion sites, but now that we are relying on poor performing technology to support potentially great algorithms itis quite frustrating.
    • 1 day, 3 hours ago
      Beckett Nelson likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 1 day, 4 hours ago
      John Barbuto likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      I have been using a insulin smart pen for the last 2 years; I find that it meets my current needs to ensure good management and results
    • 1 day, 5 hours ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 5 hours ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 1 day, 5 hours ago
      Gerald Oefelein likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 17 hours ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 17 hours ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
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    When driving or riding in a car for a long period of time, do you make any changes to your typical insulin dosage? Select all that apply to you!

    Home > LC Polls > When driving or riding in a car for a long period of time, do you make any changes to your typical insulin dosage? Select all that apply to you!
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    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    40 Comments

    1. Stephen Woodward

      Temp basal higher than norm.

      5 years ago Log in to Reply
    2. Britni

      I don’t make any changes specifically when I’m riding in the car, but I’m very active at work so any time I’m less active (like most weekends) I increase my lantus and humalog doses.

      5 years ago Log in to Reply
    3. John Dowd

      I don’t usually make any changes. It stays pretty constant.

      2
      5 years ago Log in to Reply
    4. James Goldman

      I just consume less carbohydrate and do not adjust my insulin. Along with that, I monitor my BS constantly through my cell phone.

      5 years ago Log in to Reply
    5. Ahh Life

      Other. No changes to insulin. I do carry dried figs. Each one is about 14 carbs. Great and quick, from Costco. 💪 👍

      5 years ago Log in to Reply
    6. Elissa Macher

      I keep my pump on my lap where I can see my BS readings from my CGM. I give extra insulin or eat carbs as needed.

      5 years ago Log in to Reply
    7. GLORIA MILLER

      Sometimes I need to decrease my basal and at other times I need to increase my basal rate on my pump depending on how my glucose level is for the day.

      5 years ago Log in to Reply
    8. Kristen Clifford

      I don’t adjust my basal rates for long car rides or flights. I do, however, usually consume more carbs than usual while traveling, so I adjust my bolus accordingly, but only for the food.

      1
      5 years ago Log in to Reply
    9. Annie Wall

      I don’t make any changes when I travel. I just do what I always do: pay attention to my pump readings, let Control IQ do what it needs to do.

      1
      5 years ago Log in to Reply
    10. Sahran Holiday

      Always test before driving, make necessary adjustments. Have candy in the console if CGM warns low.

      2
      5 years ago Log in to Reply
    11. Patricia Dalrymple

      I don’t take long driving trips that often to notice, and I work out of my home even pre-pandemic. But when I do, and especially when driving, I keep glucose tablets near and pay particular attention to how I am feeling. I am fortunate not to have to take long trips alone. I would probably alter things to go a little higher in that case and probably stop every 2-3 hours to check it. I do not use a CGM yet.

      5 years ago Log in to Reply
    12. CherylRae Bart

      I observe my BG on my watch & respond as appropriate when safe to do so.

      5 years ago Log in to Reply
    13. Randi Niemer

      I don’t change anything.

      2
      5 years ago Log in to Reply
    14. Daniel Bestvater

      I sometimes use control IQ, but find it slow to respond when driving. So I often increase basal by 50% when driving for long periods.

      5 years ago Log in to Reply
    15. Mark Hellie

      I use a DIY Loop.

      5 years ago Log in to Reply
    16. Steven Jerdee

      I don’t do anything different. I put a regular Coke in the holder incase I happen to go low. This is more of a concern than anything.

      1
      5 years ago Log in to Reply
    17. rick phillips

      I leave mine the same

      2
      5 years ago Log in to Reply
    18. Natalie Daley

      I don’t change my regimen. I’m always the driver, and long trips usually are accompanied by packing, etc, a lot of work, so although I’m going to be sitting and driving, a lot of work went into going.

      5 years ago Log in to Reply
    19. Jim Andrews

      I set a tighter range when traveling. My Tandem T:slim X2 with Control IQ takes care of any minor swings. And I always carry glucose tabs to treat lows.

      5 years ago Log in to Reply
    20. Brandon Denson

      I typically tend to make no adjustments unless needed. Long car rides really don’t affect me unless my sleeping and eating schedule is thrown way off.

      2
      5 years ago Log in to Reply
    21. Becky Hertz

      I don’t make any changes. Follow my Dex reading adjust accordingly if needed.

      1
      5 years ago Log in to Reply
    22. John McHenery

      Make no changes but check before starting and stop at least every two hours and check, as required in the UK.

      5 years ago Log in to Reply
    23. Pauline M Reynolds

      I have never noticed a change in my insulin needs either riding or driving for a long time.

      5 years ago Log in to Reply
    24. BARRY HUNSINGER

      I don’t male any changes. I am on a pump and I can make changes on the fly. I also always have glucose tablets in my car in case of emergency.

      5 years ago Log in to Reply
    25. Jeff Perzan

      No changes as I’m on a closed loop system, which should adjust to whatever readings my CGM sensor is reading.

      1
      5 years ago Log in to Reply
    26. 102162

      I don’t make any changes. Not even time changes when crossing into time zones.

      1
      5 years ago Log in to Reply
    27. Carol Meares

      I check my Dexcom. If it looks good and I feel good, I go. If there is any rollercoaster or any question I do a finger stick.

      5 years ago Log in to Reply
    28. Amanda Barras

      If I see my bloodsugar trending high I just correct as needed.

      1
      5 years ago Log in to Reply
    29. Sue Herflicker

      I do corrections as needed and try to eat low carb!

      5 years ago Log in to Reply
    30. KarenM6

      As a person with hypoglycemia unawareness, I’m always careful when driving. So, driving with easy access to glucose tabs, having my Dexcom out and available to look at regularly. Making sure my blood sugar is slightly above goal so that I have time to manage all of that while also driving safely (and pulling over when necessary.)

      5 years ago Log in to Reply
    31. Eileen Wagner

      I just keep an extra eye on my bs levels and bolus extra as needed. I also bring extra snacks and low treatments on any trip I go on.

      1
      5 years ago Log in to Reply
    32. Thomas Emge

      No explicit changes, I am on a loop system and maybe I am paying more attention to numbers and will correct a little sooner but it is pretty much a regular situation.

      1
      5 years ago Log in to Reply
    33. ConnieT1D62

      Other. With Tandem X2 and CQI typically I don’t do anything to change my insulin dosage because CIQ does it for me. I do check the numbers on the pump screen or my phone periodically as needed, especially if I get an alarm or when at a rest stop, in case I need to eat or drink something with carbs.

      5 years ago Log in to Reply
    34. Donald Cragun

      When driving or riding in a car for a long period of time, I do not make any changes to your typical insulin dosage.
      I always carry glucose tablets and check my CGM regularly (adjusting if needed) whether or not I’m driving or riding.

      1
      5 years ago Log in to Reply
    35. Molly Jones

      It would have been nice if “no” was a choice.
      I chose other as I make no changes. I keep glucose tablets with me always, not that sitting in a car for long periods cause hypoglycemia for me.

      2
      5 years ago Log in to Reply
    36. Janice B

      I make no changes to my regular basal rates

      1
      5 years ago Log in to Reply
    37. Lynn Green

      I do not make any changes.

      1
      5 years ago Log in to Reply
    38. David Smith

      I don’t make any changes, but I monitor my glucose levels more closely so I can take early action if necessary.

      5 years ago Log in to Reply
    39. Philip Bunsick

      I cannot understand why “do nothing differently” is not an answer. That said I certainly do not understand why anyone would give themselves MORE insulin than usual while they are driving a long distance. Maybe I am missing something but increasing the possibility of going low while driving does not sound like a good idea. I would really love to hear why anyone would increase while driving

      1
      5 years ago Log in to Reply
    40. MikeeB.

      I drive with my Smart Phone, Dex or T-slim program always on , but the phone out of view of the road. (You can be stopped by the police, if they see it up in the windshield or hanging front the left side of the front window.)
      I use a Weather Tech phone holder.

      5 years ago Log in to Reply

    When driving or riding in a car for a long period of time, do you make any changes to your typical insulin dosage? Select all that apply to you! Cancel reply

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