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    • 6 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 18 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 19 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 hour, 34 minutes ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 3 hours, 25 minutes ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 3 hours, 31 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    • 3 hours, 31 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 3 hours, 33 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 3 hours, 34 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      PUMP USERS: Just in case nobody has told you, if you use a pump, Insulin is considered durable medical equipment, which can save a lot of money, even with the new price cap
    • 3 hours, 43 minutes ago
      Samantha Robinson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 3 hours, 48 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Normally, no time spent but I changed insulins so I wanted to verify everything with my insurance company before asking my endocrinologist to write a new script.
    • 3 hours, 50 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 3 hours, 51 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 8 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I expect that we’ve all had that feeling about how stupid payers can be when it comes to T1D.
    • 4 hours, 8 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Seriously depends on when you ask. The past 3 months have only been an hour or two, but if you'd asked this same question last September it would've been over 8 as I dealt with the annual "Yes I need a Dexcom and Omnipod again" red tape with my insurance/providers/doctor's office. I am counting the time on hold as well, but still - pretty ridiculous that insurance thinks Type 1 is going to magically go away just because it's been a year. I wish!
    • 4 hours, 8 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 4 hours, 9 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours, 9 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 4 hours, 9 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 9 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 4 hours, 28 minutes ago
      William Bennett likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 4 hours, 28 minutes ago
      pru barry likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Eight times a year I have to spend more than eight hours to fix errors on the part of my mail order pharmacy and DME supplier. My endo doesn't keep track of when prescriptions expire or need refills so add another couple hours a year building a to-do list for the doc. I'm ready to start billing for my time.
    • 4 hours, 30 minutes ago
      pru barry likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      One of the most unnecessary and frustrating parts of being a type 1 diabetic is all the stress and time involved with insurance companies, pharmacies, durable medical equipment distributers and their need to always contact physicians.
    • 5 hours, 1 minute ago
      Bill Williams likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Significantly less time since I switched from Byram to ADS. It has made a world of difference and saved so many headaches!!
    • 5 hours, 14 minutes ago
      Janis Senungetuk likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      One of the most unnecessary and frustrating parts of being a type 1 diabetic is all the stress and time involved with insurance companies, pharmacies, durable medical equipment distributers and their need to always contact physicians.
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    At what point, on average, do you typically start treating a high (assuming your blood glucose is not rising rapidly)?

    Home > LC Polls > At what point, on average, do you typically start treating a high (assuming your blood glucose is not rising rapidly)?
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    At what point do you typically start treating a low (assuming your blood glucose is not dropping rapidly)?

    Sarah Howard

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    31 Comments

    1. Mary Dexter

      Depends on how much time has passed since I last ate, what the arrows are doing, and whether it’s the middle of the night and leg pain won’t let me sleep.

      1
      1 year ago Log in to Reply
    2. Kathy Hanavan

      It really depends on the circumstances – am I going to exercise, how soon did I just bolus, did I not pre bolus ahead of time enough, am I going to be driving, etc

      1
      1 year ago Log in to Reply
    3. connie ker

      A number over 180 is out of range for me. However, with a cgm you can see the arrow, plus you factor in the time of meal and insulin bolus…….it is very complex and I certainly miss my healthy pancreas.

      4
      1 year ago Log in to Reply
    4. Sherolyn Newell

      This question has as many variables as yesterday’s question about lows. And pretty much the same variables.

      4
      1 year ago Log in to Reply
    5. StPetie

      Tough question. But one I’m anxious to see responses to. I answered 140 – 150 but that’s just a guesstimated average. Sometimes I treat higher, sometimes lower. Like most, I’m sure, it depends on various orher factors. With IOB probably being the single most important to me.

      1
      1 year ago Log in to Reply
    6. Carol Evans

      There are indeed variables to answering this question. I answered between 160-169. Mostly, for me, it will depend on how much IOB (insulin on board) is remaining, if any; whether I plan to exercise; whether I know the reason my BG is going over 160 (and suspect it will go even higher without help) and want to try to ā€œnip it in the bud.ā€ A 15-minute walk will often bring my BG back to a good number; that’s my go-to solution if I have the time and the weather is cooperating!

      2
      1 year ago Log in to Reply
    7. Jane Cerullo

      Have my CGM set 70-150. If arrow is up I wait u til it kettles down. FSL take a minute. Don’t pay much attention to up arrow. Then will treat if i know i have no IOB. My A1c is 5.6 with at least 95 % TIR. So works for me.

      1 year ago Log in to Reply
      1. Richard Wiener

        How frequently r u in the 60’s & 50’s?

        1 year ago Log in to Reply
    8. Mike S

      A frustrating question as it really varies. I have a CGM, so I generally start to play closer attention if it’s 180 and heading up. (which was how I figured this answer) BUT if I have no IOB, then probably at 140 (or even 130) depending on whether I’m about to go for a walk vs. sit on the couch. But if I just had birthday cake, I’m not going to worry about it unless it races past 240. Frustrating, but if I over-correct for sweets that rapidly rise my sugars, then I end up having to eat more later. (Though, honestly, is that so awful? More cake please!)

      2
      1 year ago Log in to Reply
      1. Sherolyn Newell

        I have to admit I’ve thought the same thing when guessing on carbs for sweets. My mind goes in the direction of if I guess too high I can always eat more. šŸ™‚

        1 year ago Log in to Reply
    9. Kevin McCue

      the rising sugar I treat is most often from insulin fall off. Seems that the faster insulin’s kick in but do not hold the duration I need for a meal to metabolize. Pumping only allows the single insulin. I remember using R and NPH and having the opposite problem. All these years later I’m still searching for that magic bullet to meet my needs.

      1 year ago Log in to Reply
      1. AnitaS

        Is it possible for you to do an extra bolus a few hours after your main bolus for a meal? I sometimes have that same problem and either doing an extended bolus, extra bolus or a 15 minute walk usually can get the sugar level to come down.

        1 year ago Log in to Reply
    10. Britni

      This one’s tricky to answer. I’m on MDI and my target is either 120 or 150 depending on time of day. If I’m taking insulin anyway, like for a meal, I’ll treat anything higher than my target. I almost never take injections outside of meal times during the day, though, even if my blood sugar’s high. Before bed I’ll usually only treat a high if I would need at least 3 units of insulin to do so. Right now that means when my blood sugar’s over 270. So I checked the box for 240 or higher.

      1 year ago Log in to Reply
    11. Ernie Richmann

      Depends-I have a Tandem pump with control IQ. Depends on insulin on board, activity at the time since I often walk or do other types of exercise to lower blood sugar.

      2
      1 year ago Log in to Reply
    12. Lawrence S.

      Generally speaking, if my blood sugar is remaining high, at any level, I will bolus to bring it down to close to 100 – 115. Usually, I am able to work or exercise it down.

      1 year ago Log in to Reply
    13. Janis Senungetuk

      Nothing’s set in concrete. My response depends on IOB, what I last ate and when, time of day and other factors that can cause a high.

      1
      1 year ago Log in to Reply
    14. TomH

      I’m on Omnipod and G6 CGM; I usually see significant insulin effect at 75 minutes (I think this is slower than many). I agree with many other comments here, it depends on when I ate, how much I ate, insulin on board (IOB), intent to exercise in the near future. If a meal is 2+ hrs old and BG is 160+ and rising slowly, I’m likely to treat. If rising quickly, I’m definitely going to treat. If a bolus and meal is 1+ hrs old, BG is 180+ and rising slowly, I’m going to look at treating; if rising quickly, I’ll probably treat dependent on what was eaten.

      1
      1 year ago Log in to Reply
    15. George Dear

      A poor question, too many factors involved.

      2
      1 year ago Log in to Reply
    16. Trish Seidle

      It really depends upon what time, how close I am to a meal, what my activities are going to be etc etc etc.

      1
      1 year ago Log in to Reply
    17. Andrew Stewart

      My in-range is 70 mg/dL to 180 mg/dL so I’ll evaluate if a correction bolus is needed once I go over 180 mg/dL. The factors involved in determining if a correction is needed are really the same for High and Low as the same variables are in play. From yesterday’s question on treating a Low, “It really depends on my IOB (insulin on board), level of activity, the trend arrow from my CGM (steep or gradual) and FOB (food on board)” and to add to that, time of day which is tied to level of activity.

      Everyday learning isn’t always learning something new but refining what you already know. Cheers

      1
      1 year ago Log in to Reply
    18. Carol Meares

      It depends. How much IOB? Am I going out walking or exercising or driving? I like to be between 80 and 130 for most of the time. I do what I can to stay between those numbers. My target is 100 for any corrections. That has been my target with MDI for 20 years and with pump for 8. I don’t wait for Control IQ to correct. It lets me go too high and takes too long to come down. I use sleep mode and I micromanage. I wish I could just set the target at 100 and give it up to Control IQ so that I can maintain the A1c that I have always had since about a year after dx. I’m not positive about this but I think I would rather go back to basal IQ. I would at least like to have the option. I feel like I spent less time micromanaging and had more days in 100% range.

      1
      1 year ago Log in to Reply
    19. M C

      As with the question yesterday – it all depends on a number of other factors – such as – do I already have insulin working/pending and knowing it will bring by BG back to ‘normal’ – OR – Am I about to start an activity that will naturally bring the BG back down, without a correction…. Etc. [There are always more factors involved in answering these types of questions – they are not as straightforward as the writer seems to think they should be when posting the query.]

      3
      1 year ago Log in to Reply
    20. Mig Vascos

      as everyone else says it depends on many factors. I start watching if it is over 140 with an arrow up. Often if I see it going up, i exercise either on my stationary bike or by walking for 30 minutes to help my body assimilate the IOB. It usually works.

      1
      1 year ago Log in to Reply
    21. Patricia Dalrymple

      They put the fear of God in you if you stay high, so I correct for everything over 100, my target when I am sitting working (which seems to be too much these days). If I have enough active insulin it won’t give me more. I knew someone whose parents just kept getting body parts amputated. I stay as near 100 as I can get. Do I go low? Sure. But I am working on it. Do I go high? Sure but always trying to be good. Do I play games, like take a little more insulin…sure…more cake please. Can I figure this damn disease out? Nope. There is always something. Some days no matter what I eat, I go low. Some days no matter how many corrections, I am high. Fresh reservoir? Low. Eat everything the same but have an appointment I’m late for: never fails. I go low and have to eat, rebrush the teeth, wait to drive. Life with T1D.

      2
      1 year ago Log in to Reply
    22. Robin Corlis

      I begin treating my daughter at 130 mg/dl.

      1 year ago Log in to Reply
    23. Becky Hertz

      Again, trick question. My upper limit in my Dexcom is 150. I’ll start eating unless I have enough insulin in board to cover. I do become more vigilant above 150.

      1 year ago Log in to Reply
    24. n6jax@scinternet.net

      My answer is very complex, but I can say if I am going up above 160 on CGM, I will exercise… I wont play games with insulin intake during that day… Sweet Charlie..

      1 year ago Log in to Reply
    25. mbulzomi@optonline.net

      I have my Dex set at 160mg/dl as a high. Can’t get Tandem Smart IQ to go below 180mg/dl.

      1 year ago Log in to Reply
    26. PamK

      I chose “Lower than 140” but it depends on when I last ate. If I recently had a meal and there is enough insulin on board (IOB) then I wouldn’t correct. If I haven’t eaten recently or if there is no IOB, then I treat.

      1 year ago Log in to Reply
    27. Dylan Sutton

      Using Loop, which will start treating a high as soon as the _predicted_ BG goes above the target, even if current BG is BELOW target. The BG prediction relies on BG trend, carbs on board and carb decay curve, insulin on board, ICR and ISF. It does the same for lows – even if current BG is high, if the predicted BG is below target it will suspend or reduce basal.

      1 year ago Log in to Reply
    28. Steve Lerner

      When I was diagnosed in 1959, I met T1 individuals who were blind, and had limbs amputated. Not wanting to have to face that fate, I correct my BS as soon as I see it going past 125.

      1 year ago Log in to Reply

    At what point, on average, do you typically start treating a high (assuming your blood glucose is not rising rapidly)? Cancel reply

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