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At what point, on average, do you typically start treating a high (assuming your blood glucose is not rising rapidly)?
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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.
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
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.
This question has as many variables as yesterday’s question about lows. And pretty much the same variables.
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.
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 ānip it in the bud.ā A 15-minute walk will often bring my BG back to a good number; thatās my go-to solution if I have the time and the weather is cooperating!
Have my CGM set 70-150. If arrow is up I wait u til it kettles down. FSL take a minute. Donāt 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.
How frequently r u in the 60ās & 50ās?
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!)
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. š
the rising sugar I treat is most often from insulin fall off. Seems that the faster insulinās 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 Iām still searching for that magic bullet to meet my needs.
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.
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.
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.
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.
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.
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.
A poor question, too many factors involved.
It really depends upon what time, how close I am to a meal, what my activities are going to be etc etc etc.
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
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 donāt 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. Iām 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.
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.]
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.
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 wonāt 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 insulinā¦sureā¦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 Iām late for: never fails. I go low and have to eat, rebrush the teeth, wait to drive. Life with T1D.
I begin treating my daughter at 130 mg/dl.
Again, trick question. My upper limit in my Dexcom is 150. Iāll start eating unless I have enough insulin in board to cover. I do become more vigilant above 150.
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..
I have my Dex set at 160mg/dl as a high. Can’t get Tandem Smart IQ to go below 180mg/dl.
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.
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.
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.