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    • 1 hour, 41 minutes ago
      Amy Schneider likes your comment at
      Do you store your unopened insulin in the refrigerator?
      I keep my opened insulin in the refrigerator too. When traveling I use a FRIO evaporative pouch.
    • 3 hours, 7 minutes ago
      Kathy Hanavan likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      I want a thumbs down icon!
    • 3 hours, 7 minutes ago
      Kathy Hanavan likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      I seldom have any questions other than RX refill request which I submit through the patient portal. If I do have treatment questions, I typically do my own research, and if not satisfied with what I find out, I submit a question in the portal.
    • 3 hours, 8 minutes ago
      Kathy Hanavan likes your comment at
      Between your regular T1D care visits, what questions tend to come up that you wish you could ask a diabetes expert? Share your thoughts in the comments.
      When I come up with a question between visits, I usually just do some research.
    • 5 hours, 20 minutes ago
      ConnieT1D62 likes your comment at
      Do you store your unopened insulin in the refrigerator?
      I keep my opened insulin in the refrigerator too. When traveling I use a FRIO evaporative pouch.
    • 5 hours, 21 minutes ago
      ConnieT1D62 likes your comment at
      Do you store your unopened insulin in the refrigerator?
      Sorry. Of course I store unopened in frig. Opened in my room as I use it up in 30 days
    • 5 hours, 21 minutes ago
      ConnieT1D62 likes your comment at
      Do you store your unopened insulin in the refrigerator?
      No, I keep it in the oven! ;) Same answer as the last time they asked this ridiculous question!
    • 6 hours, 4 minutes ago
      Becky Hertz likes your comment at
      Do you store your unopened insulin in the refrigerator?
      Unopened yes, and now even opened just in case. I am getting a new health [lan (thank goodness a much better one - with better doctors and hospitals in network!) so it's worth it. But I can't get any appt - even for a PCP until September. I've been occasionally buying out of pocket insulin, pump and CGM supplies (in my mind, hoarding is a character asset for T1D people). I need to have my enough stuff to see me through, Of course, I am hoping there''s an appt cancellation.
    • 7 hours, 27 minutes ago
      Bruce Schnitzler likes your comment at
      Do you store your unopened insulin in the refrigerator?
      Unopened yes, and now even opened just in case. I am getting a new health [lan (thank goodness a much better one - with better doctors and hospitals in network!) so it's worth it. But I can't get any appt - even for a PCP until September. I've been occasionally buying out of pocket insulin, pump and CGM supplies (in my mind, hoarding is a character asset for T1D people). I need to have my enough stuff to see me through, Of course, I am hoping there''s an appt cancellation.
    • 9 hours, 24 minutes ago
      alex likes your comment at
      Here’s What You Need to Know About the Dexcom G7
      This article explains the Dexcom G7 features in a clear and easy way, especially for people new to continuous glucose monitoring. Very informative and helpful. Sportzfy TV Download
    • 1 day ago
      KarenM6 likes your comment at
      Have you ever been told you couldn’t physically do something because you live with diabetes?
      Long time ago - told there were certain occupations I would not be allowed to do because if T1D. Pilot, air traffic controller, military, etc.
    • 1 day ago
      KarenM6 likes your comment at
      Has someone ever told you that you can’t eat something because you live with diabetes?
      I have been told many times "YOU CAN'T EAT THAT!" ONLY to frustrate them and eat it anyway and then bolus accordingly.
    • 1 day ago
      KarenM6 likes your comment at
      Has someone ever told you that you can’t eat something because you live with diabetes?
      I think it is a common experience for most people with T1D. People do not understand anything about it. I do not take it personally. I try to educate when appropriate.
    • 1 day ago
      KarenM6 likes your comment at
      Has someone ever told you that you can’t eat something because you live with diabetes?
      Lol hell when haven't they. Lol
    • 1 day ago
      KarenM6 likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      Being 4 years of age, I think I can be forgiven for not knowing much of anything at all. That was 3 quarters of a century ago. ⎛⎝( ` ᢍ ´ )⎠⎞
    • 1 day, 2 hours ago
      lis be likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      I was only 2 when Diagnosed 70 years ago. My small town doctor admitted he didn't know much about T1D, and fortune for my parents and I he called what is now Joslin Clinic, and they told him how much insulin to give me. He taught my parents, who then traveled over 350 miles to Boston, to learn about how to manage T1D. My doctor learned more about T1D, and was able to help 2 other young men, that were later DX with T1D in our small town. I went to Joslin until I turned 18 and returned to become a Joslin Medalist and participated in the research study, 20 years ago. Still go there for some care.
    • 1 day, 2 hours ago
      lis be likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      I was 7 when things changed in my home. My older brother was hospitalized for 2 weeks. When he came home, we no longer ate the way we had before. This was 1956. Dessert alternated between sugarless pudding or sugarless Jello. I learned that bread and potatoes had carbohydrates and that turned to sugar. There was a jar in the bathroom. It seemed my brother was testing his urine every time he went in there. There was a burner and pot on the stove designated for boiling syringes. I watched my brother give himself shots and I remember how hard it was to find someone to manage his care if my parents had to travel. Diabetic Forecast magazine came in the mail each month and there were meetings of the local diabetes association that my mother attended religiously. My brother got a kidney and pancreas transplant at age 60 and before he died lived for 5 years as a non-diabetic. A few years later I was diagnosed. Sorry he was not able to make use of today’s technology. I often wonder what he and my late parents would think about me, at age 66, being the only one in the family with type 1.
    • 1 day, 2 hours ago
      lis be likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      Being 4 years of age, I think I can be forgiven for not knowing much of anything at all. That was 3 quarters of a century ago. ⎛⎝( ` ᢍ ´ )⎠⎞
    • 1 day, 6 hours ago
      kilupx likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      My brother was type 1 since an early age. I was only diagnosed in my late 40s
    • 1 day, 8 hours ago
      Phyllis Biederman likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      Absolutely nothing. Diagnosed in late December 1962 at at the age of 8 years and was told I was going for a stay in hospital because I have "sugar diabetes".
    • 1 day, 9 hours ago
      Bill Williams likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      Being 4 years of age, I think I can be forgiven for not knowing much of anything at all. That was 3 quarters of a century ago. ⎛⎝( ` ᢍ ´ )⎠⎞
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      I was diagnosed in 1976 at the age of 18 while in college. One weekend, I was drinking a lot of water and peeing frequently. I remembered having read a Reader's Digest article on diabetes, and I told my friends I thought I might have it. Two days later, the diagnosis was confirmed.
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      Absolutely nothing. Diagnosed in late December 1962 at at the age of 8 years and was told I was going for a stay in hospital because I have "sugar diabetes".
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      I knew I couldn’t or shouldn’t have my two fav things in the world: Pepsi cola and chocolate. I was 42, and suspected very strongly that I had it, and ate a large piece of chocolate cake before my doctor’s appointment (sounds more like I was 12). Fast forward 25 years later: I never had a real cola again, but do occasionally have chocolate. I’m way healthier than I was back then in terms of diet. I no longer have irritable bowel, and I’m lucky to be able to afford what I need to combat the ill effects of this chronic disease. I’m blessed, and grateful for insulin.
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      How much did you know about type 1 diabetes before you were diagnosed?
      It was 35 years ago for me. I had no experience with T1d. I was starting to show symptoms and my sister-in-law quickly researched T1d and told me what she found. I went to my GP a week or two later. My BG was over 600. He sent me to the hospital right away. Blood test confirmed it.
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    Do you ever change your insulin to carb ratio for different types of foods?

    Home > LC Polls > Do you ever change your insulin to carb ratio for different types of foods?
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    Do you currently use any of the following CGM systems?

    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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    25 Comments

    1. Marsha Miller

      If it is high in fat, I add more insulin.

      3
      4 years ago Log in to Reply
    2. Sharon Gerdik

      I didn’t even understand this question. I do not change insulins and I don’t change my carb ratios. I do however use extended boluses in different ways.

      4 years ago Log in to Reply
      1. luis.cosme@mac.com

        “cleaner” foods seem to require less insulin than foods with higher fat content. So for example 15g of steamed brown rice might require less insulin than 15 g of French fries. So some folks might decide to use a higher carb ratio for the chips than for the rice.

        1
        4 years ago Log in to Reply
    3. Clare Fishman

      I don’t change my I:C ratio, but I do indicate to Loop if it is a slow, medium or fast carb and I let Loop do the math.

      4 years ago Log in to Reply
    4. Sahran Holiday

      Adjust depending on activity and how much insulin I’ve taken in the last 24 hours. Companies claim fast acting insulin duration is 4 hours. That’s completely not true. It’s there for 24+ hours.

      4 years ago Log in to Reply
    5. connie ker

      My insulin carb ratio is different as the day progresses. I am on MDI of humalog and lantus, so many things can affect the insulin/carb ration. Any T1D will tell you the same, each day is a journey.

      3
      4 years ago Log in to Reply
    6. GLORIA MILLER

      At 64 years T1 I don’t count carbs. When carb counting first became popular I tried it out but I did better on my own – knowing how food reacts to my insulin – and adjusted accordingly.

      6
      4 years ago Log in to Reply
    7. Sherolyn Newell

      I add a few more carbs for some foods so that the pump calculates more insulin. There are certain things that I know how many carbs to say it is to get the correct amount of insulin. For instance, peanut butter sandwich = 50 carbs, even though it is actually less than that.

      1
      4 years ago Log in to Reply
      1. Daniel Bestvater

        I don’t actually change my carb ratios. But I do adjust the recommended dose based on; activity level, infusion set location, how long of a pre-bolus time I have………

        2
        4 years ago Log in to Reply
    8. Kristina Sanders

      YES! For me, foods with minimal processing and a balanced profile require less insulin – i.e. apples, beans, and quinoa most of all.

      I have gotten hypoglycemic more times than I can count because of quinoa!

      1
      4 years ago Log in to Reply
      1. Antsy

        Yes, quinoa has gotten me too! I actually don’t count quinoa carbs at all anymore, I dose for everything else and keep an eye on my CGM readings for the next few hours.

        4 years ago Log in to Reply
    9. AnitaS

      I don’t actually change the ratio in my pump, but I do give myself extra insulin when I eat certain foods that raise my sugar even though the food is low carb. For instance, eggs really raise my blood sugar so not only do I give extra insulin, but I also extend my bolus as the egg will make my sugar stay high for hours on end.

      1
      4 years ago Log in to Reply
    10. Francisco Varea

      I don’t change the setting on the pump. But when I eat something that I know to raise my blood glucose levels, then I do an extra manual bolus. This something I do quite often.

      3
      4 years ago Log in to Reply
      1. DiabetesC

        I checked yes, but this is actually how I do it too. Somewhat the same in concept.

        1
        4 years ago Log in to Reply
    11. Alan Segal

      I don’t change the “ratio”, but I count a slice of pizza at 50 carbs instead of 34…. I still use 10:1 ratio…..

      1
      4 years ago Log in to Reply
    12. Cheryl Seibert

      I handle differences in types of food intake with the various bolus options on my insulin pump. Regular bolus for fast reacting carbs, 50%/50% extended/dual bolus for combo foods like pizza that have both fast absorbing and more complex carbs, and then only extended bolus for complex carb intake .

      3
      4 years ago Log in to Reply
    13. Mick Martin

      I don’t change the insulin to carb ratio, but I do change the infusion rate. i.e. for high fat content foods I tend to give a dual-wave bolus of insulin, taking approximately 1/3 of the total amount initially, followed by 2/3 over a period of 2 hours.

      3
      4 years ago Log in to Reply
    14. Janis Senungetuk

      I don’t change the ratio, Depending on the food and how it’s prepared I might extend the bolus.

      4
      4 years ago Log in to Reply
    15. Becky Hertz

      I said other. As some before me have said, I don’t change my I:c ratio but will override the suggested insulin dosage based on a particular food. Usually for me it’s less insulin.

      4 years ago Log in to Reply
    16. Robert Farley

      Only with pasta and rice

      4 years ago Log in to Reply
    17. Patricia Dalrymple

      I have a high and low exercise basal rate and sometimes I extra bolus after going out to eat (I can never control myself out of the house) and I also adjust basal rate.

      4 years ago Log in to Reply
    18. Donald Stitt

      I use the dual wave and extended bolus to adjust for different foods

      3
      4 years ago Log in to Reply
    19. Brandon Denson

      I’ll adjust manually for more or less insulin depending on the particular food being consumed.

      4 years ago Log in to Reply
    20. Chris Deutsch

      I usually just extend the administration of the insulin dose.

      4 years ago Log in to Reply
    21. Molly Jones

      At times I will lower the suggested insulin dose due to my trending BG and what I am eating. It depends on whether or not my BG is dropping and how quickly what I am eating will be absorbed.

      4 years ago Log in to Reply

    Do you ever change your insulin to carb ratio for different types of foods? Cancel reply

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