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    • 3 hours, 35 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 3 hours, 36 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I am my own advocate. I read about new devices and always investigate side effects of any new medication before starting. I usually bring up but then have good discussion with Endo before making decisions.
    • 3 hours, 37 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      With my endo, I usually have to ask. With the Diabetes Educator, she'll make the suggestion first. They're both very aware that I'm dependent on insurance covering the majority of the cost.
    • 4 hours, 51 minutes ago
      Trina Blake likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 4 hours, 56 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      No, I was the one who had diabetes
    • 4 hours, 57 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 4 hours, 57 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      Already married over forty years when I was diagnosed.
    • 4 hours, 57 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I never knew of anyone who had diabetes, type 1 or 2 before I was married. I became a T1D after I was married.
    • 5 hours, 1 minute ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I answered “no.” I don’t think my girlfriend at diabetes children’s camp when I was 13 counts. While I think there would be a lot I would have in common with a partner with T1D, I wouldn’t want that to be what brought us together, and I don’t think it would keep us together.
    • 5 hours, 2 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      went on one date with a T1D. she had been dx'd as a child (I was dx'd at 43) so she was very old school. she ragged on me during the entire date about my menu choices, my carbs estimation for my shot and she lost her mind when I ordered a Corona! punchline is that my sugar was less than 150 when I went to sleep.
    • 5 hours, 2 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      When I was married, diabetes was not in the picture at all. All I knew was an uncle who died in 1929 because he refused injections. I developed LADA in my 40's, followed by my husband with Type 2, then my two daughters who had PCOS and Type 2, then my son with Type 2. Enough.
    • 5 hours, 2 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I am married to someone with Type 2.
    • 5 hours, 2 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 5 hours, 2 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I dated someone, but I was/am not out of the closet about having T1 so he didn’t know that I have T1
    • 5 hours, 2 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      My husband was diagnosis at age 3 and I was diagnosed at age 4.
    • 5 hours, 23 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 5 hours, 24 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 5 hours, 43 minutes ago
      Bonnie Lundblom likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 5 hours, 52 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I may already be on the best medications and devices available to me.
    • 5 hours, 53 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 5 hours, 53 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 5 hours, 53 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I had to answer “other” because I just got a new endo after my other one retired so I’ve only met with him once. Too early to discuss new technology or medications.
    • 5 hours, 53 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Generally, no, my healthcare provider does not suggest new medications or devices. However, it is not often that new meds/devices become available. Most things are dependent upon my quarterly blood tests. Recently, my Endo put me on statin drugs when my bloodwork showed high cholesterol over a six month period. Otherwise, I am usually the one who asks about new devices about which I have heard or read.
    • 5 hours, 53 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 5 hours, 54 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I am on the Dexcom, I’m not on a pump though. I am LADA so I have very high insulin resistance, so I use a lot of insulin & there’s just not a pump that would be efficient for my amount of insulin. I’ve tried to get Afrezza, but every Endoc I bring it up to won’t prescribe it. Even though I bring them evidence that it doesn’t cause lung cancer when you’re not a smoker. So frustrating that we can’t agree on that course of treatment.
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    Are there certain times of the day during which you consistently need more insulin than your average amount of insulin? Please select all the timeframes during which you routinely need more insulin to avoid high blood glucose levels.

    Home > LC Polls > Are there certain times of the day during which you consistently need more insulin than your average amount of insulin? Please select all the timeframes during which you routinely need more insulin to avoid high blood glucose levels.
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    If you use a CGM, how many times in the past month have you had to change your sensor more than 24 hours before its session expired?

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    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    34 Comments

    1. Natalie Daley

      Consistently is the key word. Sometimes, and this varies by the day, might work.

      4 months ago Log in to Reply
    2. Ahh Life

      I assume that the pump assumes that the equations assume that it is 05:30 to 11:00 when the ratio factor (insulin to carbs) is 1:14.

      Other times of the day it is 1:12

      4 months ago Log in to Reply
    3. Jane Cerullo

      Sometimes but not all the time. I think maybe 🤔 if I have a higher fat food. Especially nuts. Will be normal until about 3 am. Then continue to rise with higher than usual insulin dose.

      4 months ago Log in to Reply
    4. Lawrence S.

      The Dawn Effect, 6:00am to 8:30am. Basal rate changes from 0.49, to 1.0 units per hour. Carb ratio changes from 1:9 to 1.6 . Correction factor remains at 1:40.

      4 months ago Log in to Reply
    5. Annie Wall

      With Tandem andControl-IQ,my basal rates are set highest for the dawn phenomenon, which for me starts at 6 am so I chose 6-9 am. It varies slightly the rest of the day.

      1
      4 months ago Log in to Reply
    6. TEH

      I haven’t been able to discern a single time I need more i sulin. It varies from day to day. Sometimes over night. Frequently in the morning, but not always. Once i a while in the afternoon & evening.

      3
      4 months ago Log in to Reply
      1. KCR

        Me, too, and it can be very frustrating sometimes!

        3
        4 months ago Log in to Reply
    7. Patricia Dalrymple

      I don’t use a CGM. Waiting until I retire to learn about that in another year. I’ve tried them before and didn’t work well because I could never calibrate them but there has been improvement. I’m highest after dinner because it’s my highest carb meal. I can only take to a certain limit of insulin and then I go low before my digestion catches up.

      1
      4 months ago Log in to Reply
      1. Mary Dexter

        Calibrating Medtronic’s CGM is nigh impossible. Dexcom is very forgiving. You don’t have to be perfect. Occasionally I do calibrate. Like all mechanical devices some sensors are better than others. But often it is scarily accurate without calibrating. When it’s not, I calibrate and then it’s accurate. And their customer service doesn’t ask what you did wrong. They just ship a replacement overnight.

        2
        4 months ago Log in to Reply
      2. Patricia Dalrymple

        Thanks Mary. Yes it was Medtronic. I’ve thought about switching but haven’t had the energy to invest in learning Tandem and Dexcom. My endo’s PA told me I could use Dexcom with Medtronic but other things I have read here seem to indicate that is false. When I retire I hope to spend more time figuring this all out.

        4 months ago Log in to Reply
      3. Steven Gill

        Unsure your system, MEDTRONIC seems very accurate and at least easy for me (if the CGM is at the edge of the range for error: 20% each can calibrate again to get the numbers closer). Although my numbers seem higher than a doc’s/lab it’s very close and consistent.

        1
        4 months ago Log in to Reply
      4. MT

        I also didn’t like the calibration and all its troubles with some previous cgm devices. Now I wear the Libre 3 and love it! Easy, accurate and no calibration!

        4 months ago Log in to Reply
      5. Patricia Dalrymple

        MT: so you use Libre 3 CGM. What pump do you use? I’m thinking it is best to use a pump and a CGM from the same company so if there are issues, it is easier to get help.

        4 months ago Log in to Reply
    8. Jen Farley

      I am effected by the Dawn Phenomenon. It starts between 4 and 6 am and will run until about 9 am. I have hear many reasons for it. My hopes it is due to my weight and I am 30lbs down and still going. It started after the weight gain.

      1
      4 months ago Log in to Reply
    9. Mary Dexter

      The time when I need more insulin varies. Currently it is shifting again

      3
      4 months ago Log in to Reply
    10. beth nelson

      It’s not so much more insulin as it is I need to take the insulin well in advance of eating in the morning until about 10.

      4 months ago Log in to Reply
    11. KSannie

      My requirement for a higher basal goes up in the evening, probably because I am no longer on my feet, and no longer going up and down the stairs.

      1
      4 months ago Log in to Reply
    12. Trina Blake

      Not so much any more. I have 9 different “time zones” in my Tandem X2 pump, intergrated with my Dexcom G6. Each time zone has a separate basal rate, carb:insulin ratio and ISF. Since my schedule – which includes if and when I eat varies so much, I keep an eye on my BG graph on my pup and have my high alert st at 120 bg. I can take corrective action straight away, and often will correct and wait to eat until I am at target (80-90 bg).

      4
      4 months ago Log in to Reply
      1. Cristina Jorge Schwarz

        We are similar in all these respects!

        4 months ago Log in to Reply
    13. cynthia jaworski

      I have the Dawn Effect, but not always.Can’t plan for it, then.

      1
      4 months ago Log in to Reply
      1. AnitaS

        Before I had a pump, just like you, I would sometimes have dawn phenomena and sometimes not. I was worried about programming more insulin starting about 3am as I thought if I am not going to experience dawn phenomena, then I would go too low. However, thankfully I never go low. Very strange. It is like I always have the dawn phenomena now and I wake up with excellent blood sugars because of the pump settings.

        4 months ago Log in to Reply
    14. Lynn Smith

      I don’t experience dawn phenomenon so much as feet on the floor phenomenon. Since I am retired and stay up very late most evenings, my feet don’t usually hit the floor until maybe 9:00 am. That’s when my glucose begins to rise.

      3
      4 months ago Log in to Reply
      1. Cristina Jorge Schwarz

        Funny, my ‘feet on the floor’ effect is to drop! I make my coffee straight away. Even when I sleep later than usual, my BG will stay steady until I stand up.

        4 months ago Log in to Reply
    15. Steven Gill

      I require almost 1/2 the basal at night. It’s so dramatic if I’m higher than preferred with little effect from dosing, as soon as I lay down levels drop. As soon as I rise (I get up later on weekends if I can) so do levels.

      3
      4 months ago Log in to Reply
      1. LizB

        Same here. Time of day/night doesn’t matter. If I go to bed at 10pm or 2am, it will drop when I lay down. Same for waking up. I get feet on the floor no matter what time I wake up. THis makes adjusting basal hard unless I am able to go to bed and wake up at the same time every day, which I don’t.

        1
        4 months ago Log in to Reply
    16. Vicki Andersen

      Just post meal spikes cause me to need more insulin.

      4 months ago Log in to Reply
    17. Jan Masty

      My insulin needs go up consistently about 10 p.m. I often end up staying up for 1-2 hours more putzing with it to come down and level off. It’s good all night then.

      4 months ago Log in to Reply
    18. sweet charlie

      I don’t play that game. I still use the old method [70years ago].. One shot in the morning.. If I get high BG, I don’t eat and try to exercise.. Also I feel the dawn efect is mostly a game the CGM is playing and not a true BG value

      4 months ago Log in to Reply
    19. Sherolyn Newell

      I’ve had the opposite happen a few times. I had a few weeks when my lunch bolus seemed like it was super-charged and had to lower it to keep from going to low. Same thing happened later, but it was supper bolus. Both went back to normal in a few weeks.
      I have a higher basal starting at midnight to account for delayed supper carbs.

      4 months ago Log in to Reply
    20. Cristina Jorge Schwarz

      My pump program has 6 timed settings for my ‘average’ day. So while 2 of those settings are slightly higher, changes for higher activity with manual temp basals occur, too.

      4 months ago Log in to Reply
    21. Linda Pease

      I use smh and a pump with settings close to my needs for basal insulin I am losing weight so I generally need need less not more but I do use more in the day then at night

      4 months ago Log in to Reply
    22. KarenM6

      I get “boots on the ground” highs big time.
      Then, right around bedtime, my sensitivity seems to go down… but, as soon as I’m asleep, it kicks back in. I had thought I had the basal for that worked out last year, but I think I need to work on it again.
      Who was it who said, “Nothing lasts forever.”? They musta been diabetic! ;p

      4 months ago Log in to Reply
    23. PamK

      The time frames given don’t really apply. I generally use a higher basal rate at 5:00 am and 5:00 – 7:00 pm. The 5:00 am for the morning highs and the latter for dinner when I tend to eat a larger meal.

      4 months ago Log in to Reply
    24. Randell Cole

      Not that I can tell

      4 months ago Log in to Reply

    Are there certain times of the day during which you consistently need more insulin than your average amount of insulin? Please select all the timeframes during which you routinely need more insulin to avoid high blood glucose levels. Cancel reply

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