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    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 11 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 12 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Just did what makes sense to me- eating less carbs, watching blood glucose more often and taking corrections as needed. Also some level of activity if possible.
    • 12 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Been type 1 since the early 80's learned self management as therapies changed. Unless hospitalized(which I never am anymore) I decide how much insulin to put in my body based on my on going experience with the 1000's of reasons I may need more or less of it. I do love my pump, insulin and CGM so I guess I have to tell the doctor what I do once a year. .. I just keep throwing info and facts he isn't up on till he gets a glazed over look on his face and writes my scripts. I find the most inconvenient part of diabetes is all the people that want to help but don't know much about everyday life with the disease. And NO I do not want to join a discussion group!
    • 15 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Many times I have needed to adjust insulin intake amount in order to cope with illness, but only rarely needed outside help. In the early 1970’s I made some mistakes managing influenza. My BG went very high (no meter available for testing at home), and I ended up in the hospital then.
    • 16 minutes ago
      Janis Senungetuk likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Except for those brand new at this, we all know the drill. We know that we need to be flexible, make adjustments, and pay attention.
    • 17 minutes ago
      TEH likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      only time that I have been sick was when I got COVID during Jan '22. my sugars were going crazy high and I couldn't understand why but when I tested positive for COVID, in retrospect it made sense.
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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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    34 Comments

    1. Natalie Daley

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

      1 week 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

      1 week ago Log in to Reply
    3. Jane Cerullo

      Sometimes but not all the time. I think maybe šŸ¤” 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.

      1 week 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.

      1 week 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
      1 week 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
      1 week ago Log in to Reply
      1. KCR

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

        3
        1 week 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
      1 week 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
        1 week 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.

        1 week 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
        1 week 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!

        6 days 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.

        6 days 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
      1 week ago Log in to Reply
    9. Mary Dexter

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

      3
      1 week 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.

      1 week 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
      1 week 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
      1 week ago Log in to Reply
      1. Cristina Jorge Schwarz

        We are similar in all these respects!

        1 week ago Log in to Reply
    13. cynthia jaworski

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

      1
      1 week 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.

        1 week 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
      1 week 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.

        1 week 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
      1 week 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
        1 week ago Log in to Reply
    16. Vicki Andersen

      Just post meal spikes cause me to need more insulin.

      1 week 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.

      1 week 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

      1 week 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.

      1 week 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.

      1 week 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

      1 week 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

      1 week 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.

      5 days ago Log in to Reply
    24. Randell Cole

      Not that I can tell

      4 days 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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