Activity
- 14 minutes ago
  
  Kate Kuhn likes your comment at
  Do you bolus insulin for “total carbs” (including fiber) or “net carbs” (total carbs minus fiber)?
  I always subtract the fiber from the carbs. I just look on the label. If it says 35 carbs, and 3grams of fiber, I dose for 32 carbs. Easy-peasy.
- 14 minutes ago
  
  Kate Kuhn likes your comment at
  Do you bolus insulin for “total carbs” (including fiber) or “net carbs” (total carbs minus fiber)?
  Since I'm not a cow, my body can't digest a significant amount of fiber into glucose. (If it did I'd be concerned about my intestinal biome. ) I make sure that there is 25-25 of fiber in my daily diet to move food through my gut. I ignore fiber and protein in meal boluses calculations and do any corrections later without being concerned about the cause of any elevation above expected, because their conversion rates to glucose don't have predictable short term outcomes.
- 7 hours, 32 minutes ago
  
  lis be likes your comment at
  Do you bolus insulin for “total carbs” (including fiber) or “net carbs” (total carbs minus fiber)?
  If my meal includes more that 5 grams of fiber I subtract from carbs. Otherwise no.
- 20 hours, 2 minutes ago
  
  Fabio Gobeth likes your comment at
  Do you keep track of where you rotate your CGM site?
  No need to track it’s pretty obvious. Switch sides each time and try to miss any visible puncture spots
- 1 day ago
  
  Rafaela likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It really depends on when I catch it and how low it is. If I see it early enough I treat it and just watch it to make sure it is recovering.
- 1 day, 1 hour ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 1 day, 1 hour ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 1 day, 1 hour ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 1 hour ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It all depends on how low, where I am and what I'm doing and if I can easily eat/drink fast acting carbs to treat it. I only get anxious if it's taking a long time to bring bg level up to my target of 110 and I'm out in public.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and what I am doing. Like today I had one at work where Dexcom said low but because I could treat and had two people with them, aware of it, I was okay.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and for how long. Generally not anxious as much as sweating and foggy headed.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually get more annoyed than anxious...It typically happens when I'm in the middle of working! I work as a private clarinet instructor so it's just me and the student and it's really difficult to string words together when I'm low.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 1 day, 2 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 1 day, 2 hours ago
  
  John Barbuto likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 4 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 4 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 1 day, 4 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Two Reese's Peanut Butter cups for me 😊
- 1 day, 4 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
- 1 day, 4 hours ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 1 day, 4 hours ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 4 hours ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
Clear All

Acute and Chronic Adverse Outcomes of Type 1 Diabetes

T1D Exchange, 10 months ago 0 1 min read

Longendyke, R, Grundman, J, Majidi, S

KEY POINTS

The Diabetes Control and Complications Trial (DCCT) and the follow-up Epidemiology of Diabetes Interventions and Complications (EDIC) study showed that improving glycemic management is associated with lower rates of complications.
Acute complications can occur in youth and adolescents, and chronic complications can occur as early as the adolescent period.
Guidelines exist for screening and management of complications.
New technologies, including continuous glucose monitors and insulin pumps, have the potential to better understand/address glycemic patterns and decrease rates of bothacute and chronic complications.

Click here to view the article!

If you are a member of the T1DX-QI, you can view the full pdf in the portal.

Tags #DKA #Endocrinology and Metabolism Clinics of North America #hypoglycemia

Emerging Technologies and Therapeutics for Type 1 Diabetes

T1D Exchange

Acute and Chronic Adverse Outcomes of Type 1 Diabetes Cancel reply

You must be logged in to post a comment.

101 Federal Street, Suite 440
Boston, MA 02110
Phone: 617-892-6100
Email: admin@t1dexchange.org

Trending News

Sign up for a new account.

Sign up by entering your info below.

Welcome back

Acute and Chronic Adverse Outcomes of Type 1 Diabetes

SIGN UP FOR OUR NEWSLETTER

Privacy Policy

Terms of Use

Follow Us

Account successfully created.

Your Account Type

Select Topics

We're preparing your personalized page.

Subscribe Now

Trending News

Sign up for a new account.

Sign up by entering your info below.

Welcome back

Reset Your Password

Acute and Chronic Adverse Outcomes of Type 1 Diabetes

Emerging Technologies and Therapeutics for Type 1 Diabetes

Optimizing Glycemic Outcomes for Minoritized and Medically Underserved Adults Living with Type 1 Diabetes

T1D Exchange

Related Stories

EASD 2024: The Impacts of Automated Insulin Delivery and CGMs

Strategies to Increase the Use of Connected Insulin Pens Through Shared Decision-Making: A Quality Improvement Success Story

Increasing Access to Connected Insulin Pens by Promoting Shared Decision-Making Through Collaborative Quality Improvement

Partnering With Families Through Shared Decision-Making to Increase Connected Pen Use: A Quality Improvement Success Story

Increasing Awareness and Uptake of Connected Insulin Pens for Eligible Patients With Diabetes: A Quality Improvement Success Story

Depression Rates in Youth With Type 1 Diabetes During the COVID-19 Pandemic: Data From the T1D Exchange Quality Improvement Collaborative

Acute and Chronic Adverse Outcomes of Type 1 Diabetes Cancel reply

SIGN UP FOR OUR NEWSLETTER

Privacy Policy

Terms of Use

Follow Us

Account successfully created.

Your Account Type

Select Topics

We're preparing your personalized page.