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      What part of managing T1D takes the most mental energy for you right now?
      It is the most ironic of ironies. Just as I have seemingly mastered the technical intricacies of gewgaws like CGMs, correction factors, insulin sensitivities, pancreatic enzymes, Kaplen-Meier curves, etc. that I must board the mystery train of insurance/logistics as my favorite form of conveyance. Befuddlement may end up being my BFF. જ⁀➴
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      What part of managing T1D takes the most mental energy for you right now?
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      What part of managing T1D takes the most mental energy for you right now?
      It is the most ironic of ironies. Just as I have seemingly mastered the technical intricacies of gewgaws like CGMs, correction factors, insulin sensitivities, pancreatic enzymes, Kaplen-Meier curves, etc. that I must board the mystery train of insurance/logistics as my favorite form of conveyance. Befuddlement may end up being my BFF. જ⁀➴
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      What part of managing T1D takes the most mental energy for you right now?
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    • 11 hours, 24 minutes ago
      Lawrence S. likes your comment at
      What part of managing T1D takes the most mental energy for you right now?
      Preventing highs? I found truly waiting for 15 minutes before eating helps a lot. Sometimes it’s not practical. And exercise. I worry as I age that I will get lazier. Keeping my mouth shut also prevents many highs. Nope, for me, Medicare has just been a nightmare, throwing wrenches into my routine.
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      What part of managing T1D takes the most mental energy for you right now?
      I find your answers truly humorous but often very informative.
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      What part of managing T1D takes the most mental energy for you right now?
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      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
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      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I change all of my pump settings on my own as needed and override boluses for what I know I’ll need vs what the algorithm low-ball suggests.
    • 2 days, 5 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I definitely use less insulin using my pump's algorithm than I would using my own guess. However, since I know how much my pump would give me for my typical meal, I would be pretty close to what it deems necessary. My pump is usually pretty correct. However, I do override the bolus the bolus or basal rates as sometimes I know other factors that don't go into the pump's algorithm calculations.
    • 2 days, 5 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I said unsure. Before my pump and CGM, before using a glucometer, I would try to anticipate the answer. I was rarely spot on. But I see now that glucometer isn’t part of the unknown. Still, without my pump algorithm and especially CGM data which is basically on an app I am reading, I’m afraid my decisions would not lead me to where I am today where foot doc, eye doc, etc. say they would not be able to tell from those body parts whether I was diabetic. My Endo is probably way down the list. Yesterday, I was in-and-out in 10 minutes and ordered a script I told him I did not need.
    • 2 days, 5 hours ago
      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I have been on this journey for 45 years. I have lots of experience dealing with decisions.
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      Lawrence S. likes your comment at
      How confident do you feel making diabetes-related decisions without input from apps, algorithms, or other people?
      I took it that the assumption was having the test data and knowing what you've previously done already, how comfortable are you making a treatment decision. In that case, like you, after decades of doing it (even without the data), I'm fully confident. I'm sure you are too given what we've been through throughout the decades.
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    Do you consider the glycemic index of different foods before deciding what to eat?

    Home > LC Polls > Do you consider the glycemic index of different foods before deciding what to eat?
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    Sarah Howard

    Sarah Howard has worked in the diabetes research field 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.

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    22 Comments

    1. PamK

      I chose “other” because while I don’t really stop to consider the glycemic index of my foods, I eat a high fiber diet which includes alot of low glycemic foods already. I’ve been on this diet for @40 years, long before the lists of low/high glycemic foods became available.

      3
      4 years ago Log in to Reply
    2. Carol Meares

      I put yes, often but I don’t consider an actual number. I just know foods to be fast or slow or hit me hard and need more insulin. I also consider fat eaten with carbs just as another variable to consider when guesstimating insulin needs.

      7
      4 years ago Log in to Reply
    3. Nevin Bowman

      No. I eat a low amount of carbs so it doesn’t really affect me much one way or the other.

      4 years ago Log in to Reply
    4. Clare Fishman

      Since I started using Loop I have been far more in tune with the nature of the carbs in a meal. When programming a bolus the food icons are labeled fast, medium, or slow indicating how quickly the food will impact blood sugar (glycemic index). Candy is 2 hours, casseroles, soups, sandwiches are 3 hours and fatty foods like meat, nuts, avocados are slow 4 hour foods.

      1
      4 years ago Log in to Reply
      1. Carol Evans

        Hi Clare, I’ve never heard this about Loop. Can you tell me more, or point me to a website that discusses these Loop food icons? (I’m on tandem pump with dexcom cgm).
        Thanks,
        Carol Evans

        4 years ago Log in to Reply
      2. Denise Lyons

        Hi Carol, can’t reply directly to your post, Loop is a DIY hybrid closed loop system. It works similarly to your tandem system but it is community created. It works on iOS.

        4 years ago Log in to Reply
    5. Lawrence Stearns

      Like some of the previous comments, I don’t actually use a glycemic index number. It’s all done subconsciously after many years of guesstimating carbs, speed of digestion, etc. I try to eat fresh fruits and vegetables as much as possible. But, the fatty foods mess up my digestive process more than anything.

      4
      4 years ago Log in to Reply
    6. Joan Fray

      Not so much whether to eat something as how much to eat.

      2
      4 years ago Log in to Reply
    7. Richard Vaughn

      I studies the index many times in the past, and I continue now to use it indirectly.

      3
      4 years ago Log in to Reply
    8. TomH

      I’m in the US which doesn’t require GI listing on nutrition labels. This means either a working knowledge of GIs or yet another app! Other countries, notably Australia, require posting. It would be helpful to have the info immediately available and is something manufacturers probably already have in hand.

      4 years ago Log in to Reply
    9. Sahran Holiday

      Been at this for a very long time. It’s a guide not an absolute. I adjust for carbs depending whether fast or slow absorbing and acting.

      2
      4 years ago Log in to Reply
    10. cynthia jaworski

      The answers above indicate that we mostly have internalized concepts abo8t the GI of foods. After all, each one of us has known for a very long time that orange juice raises our blood sugar rapidly. And through the years , I am sure that we all learned that certain other carbs were slower or faster. So we don’t need a number define by a laboratory each time we eat.

      1
      4 years ago Log in to Reply
    11. Janis Senungetuk

      I consider it in regard to the time of the meal, past history with the food and what else is in the meal. That helps me determine how much of the food to eat.

      2
      4 years ago Log in to Reply
    12. Becky Hertz

      I never learned glycemic indices. I just know the more while our complex a food is the slower it absorbs.

      2
      4 years ago Log in to Reply
    13. Andrew Carpenter

      I don’t know what a “glycemic index” is. I count carbs and stay away from fructose and granulated sugar. No more than 75 grams of carbs per day in my bland diet…

      4 years ago Log in to Reply
    14. Ernie Richmann

      Yes- especially if I am participating in strenuous activity for a longer duration- some higher glycemic foods during the activity. On more resting days- lower glycemic foods. Most times I choose whole foods which are generally lower glycemic. The more processes foods are higher glycemic and not as healthy for a variety of reasons.

      1
      4 years ago Log in to Reply
    15. Sue Martin

      Ice cream has a lower glycemic index than rice.

      4 years ago Log in to Reply
    16. AnitaS

      I don’t actually look up the glycemic index for particular foods, but I will adjust how much insulin I give myself based on how particular foods affect me.

      1
      4 years ago Log in to Reply
    17. Molly Jones

      I chose other. My stomach is the one who decides and it often feels like it is based on multiple factors along with glycemic index. My appetite at times has no desire for slow digesting foods, if I’ve had too much during the last few days. I think that is my digestion in general.

      4 years ago Log in to Reply
    18. MARIE

      I said other as I don’t directly consider the glycemic index as I find it misleading if used without considering overall glycemic load. However we count carbs and stick with a LCHF (low carb high fat) diet so we are indirectly considering both GI and GL.

      4 years ago Log in to Reply
    19. Chris Albright

      I do consider this factor, but usually do a pretty good job of bolusing based on the GI of what I am eating. Is it always perfect….. no. But if you log those occasions of what you ate and how it effected you, you can improve on it going forward. With that said, life is easier if you meals that are low glycemic…

      4 years ago Log in to Reply
    20. Cheryl Seibert

      Not exactly! I’ve been T1D 55 years and know how different foods affect by BG. Lows require fast-acting carbs. I DO consider Total Carbs along with IOB and BG level before deciding what to eat and/or deciding how to bolus (extended vs immediate).

      4 years ago Log in to Reply

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