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    • 9 hours, 43 minutes ago
      Kristi Warmecke likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Unlike most of the comments on this subject matter, I have needed glucagon several times per year. I am very active, and work hard around the house. I have a Tandem X2 pump with Control IQ and a Dexcom G7 sensor. However, from time to time, my blood sugars drop quickly, or I spend too much time between taking my meal insulin dose and eating my meal, where I need help. The glucagon has come in very handy. For me, it would be fool-hardy to be caught without it. Regarding cost, the price on glucagon has shot up, drastically, over the past year or two, even with health insurance. Luckily, I was able to find a generic, NOT pre-mixed glucagon. It is referred to as "Glucagon Emergency Kit For Low Blood Sugar 1MG." It's the old fashioned kind where you have to mix it yourself. But, at least I have something in case of an emergency.
    • 13 hours, 6 minutes ago
      eherban1 likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      I use InPen and it's great. Except they aren't keeping up with iOS so you now have to unlock your phone and open the app to check IOB instead of simply looking at the home screen. You can tell when app developers aren't users, otherwise they'd know how much of a pain this is when you check 50 times a day
    • 14 hours, 7 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Insurance won't cover and it was several hundred dollars.
    • 14 hours, 9 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 14 hours, 10 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 14 hours, 11 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I do because it Costc me over $300 to replace it. Too expensive.
    • 14 hours, 37 minutes ago
      John Barbuto likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Medicare has added FIASP for 2026! Besides the great news of being able to use this once again, it is one of the few fast acting insulins that works with the inPen. I am considering doing that in the new year
    • 14 hours, 37 minutes ago
      John Barbuto likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Been using fiasp for 2 years (in the UK) and it's significantly better than novorapid. Would highly recommend to everyone, especially if you find your insulin a bit slow to act.
    • 15 hours, 30 minutes ago
      Lozzy E likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Medicare has added FIASP for 2026! Besides the great news of being able to use this once again, it is one of the few fast acting insulins that works with the inPen. I am considering doing that in the new year
    • 19 hours, 6 minutes ago
      Ahh Life likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      The last Glucagon prescription that I purchased was 15 years ago. Now it's way too expensive because my insurance doesn't cover it. They just want us to either die or use ambulance service to use or send us to ER. Pretty stupid to me. I've had T1D for 52 years and never needed it really. Only 3 times during early morning hypos in 2015-16 I needed rescue to wake me.
    • 1 day ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      My experience over the past 65 years is that a sugary drink and patience will bring me out of a low satisfactorily. If I’m unconscious, as has happened four or five times over that period, the EMTs know what to do.
    • 1 day ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 1 day ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No I haven't a glucagon in yeans. Reason being:, every time I had a prescription, the glucaagon was never used and expired.
    • 1 day ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 1 day ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I do because it Costc me over $300 to replace it. Too expensive.
    • 1 day ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Insurance won't cover and it was several hundred dollars.
    • 1 day ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No,insurance won't cover it. T1D for 45+ years and haven't had a situation where I needed it - so far so good
    • 1 day, 2 hours ago
      Vicki Breckenridge likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 1 day, 9 hours ago
      Richard likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 1 day, 10 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      My experience over the past 65 years is that a sugary drink and patience will bring me out of a low satisfactorily. If I’m unconscious, as has happened four or five times over that period, the EMTs know what to do.
    • 1 day, 10 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Expiration dates are put on by the manufacturerbecause they have to, and almost never indicate the product won't work. I am confident if I need it , it will work.
    • 1 day, 10 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      With the latest monitoring technology I will probably never need it. I did need it a couple of times in the past, many years ago, and I do have expired Glucagon on hand. I do question whether expiration is real, since until it is mixed, what is there to expire?
    • 1 day, 13 hours ago
      ConnieT1D62 likes your comment at
      Have you been diagnosed with neuropathy? If so, please share your top management tips in the comments.
      My endocrinologist is very good about following the standards of care and looks at my feet every three months when I’m in as well as once a year he does a thorough test with a microfilament and a tuning fork regarding my feet. He says that there is mild neuropathy and at this point, it has not caused me any real problem no pain, numbness, tingling. I recently had a nerve conduction test on my hands because there was concern that there might be something going on with my spine and the neurologist did tell me I had some neuropathy in my hands along with carpal tunnel syndrome in both of them. This all was a surprise to me. I have had a complaint of periodic numbness in some fingers of both hands which he said at this point is mainly being caused by carpal tunnel syndrome. So I think a lot of people with diabetes may be unaware of some mild neuropathy unless their doctors are doing regular thorough testing. my cardiologist also suspects that the fact that my blood pressure tends to go all over the place, sometimes being high, and then crashing to extremely low levels is caused by autonomic neuropathy, and I suspect that some of my chronic gastrointestinal distress may also be caused by some neuropathy. diabetes for 64 years so not a surprise.
    • 1 day, 15 hours ago
      Bill Williams likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I have been a T1D for 57 years. I have not had Glucagon on hand in 25+ years. Normal carb/sugary items seem to be ok.
    • 1 day, 15 hours ago
      Lee Tincher likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      With the latest monitoring technology I will probably never need it. I did need it a couple of times in the past, many years ago, and I do have expired Glucagon on hand. I do question whether expiration is real, since until it is mixed, what is there to expire?
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    Do you ever change your insulin to carb ratio for different types of foods?

    Home > LC Polls > Do you ever change your insulin to carb ratio for different types of foods?
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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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    25 Comments

    1. Marsha Miller

      If it is high in fat, I add more insulin.

      3
      4 years ago Log in to Reply
    2. Sharon Gerdik

      I didn’t even understand this question. I do not change insulins and I don’t change my carb ratios. I do however use extended boluses in different ways.

      4 years ago Log in to Reply
      1. luis.cosme@mac.com

        “cleaner” foods seem to require less insulin than foods with higher fat content. So for example 15g of steamed brown rice might require less insulin than 15 g of French fries. So some folks might decide to use a higher carb ratio for the chips than for the rice.

        1
        4 years ago Log in to Reply
    3. Clare Fishman

      I don’t change my I:C ratio, but I do indicate to Loop if it is a slow, medium or fast carb and I let Loop do the math.

      4 years ago Log in to Reply
    4. Sahran Holiday

      Adjust depending on activity and how much insulin I’ve taken in the last 24 hours. Companies claim fast acting insulin duration is 4 hours. That’s completely not true. It’s there for 24+ hours.

      4 years ago Log in to Reply
    5. connie ker

      My insulin carb ratio is different as the day progresses. I am on MDI of humalog and lantus, so many things can affect the insulin/carb ration. Any T1D will tell you the same, each day is a journey.

      3
      4 years ago Log in to Reply
    6. GLORIA MILLER

      At 64 years T1 I don’t count carbs. When carb counting first became popular I tried it out but I did better on my own – knowing how food reacts to my insulin – and adjusted accordingly.

      6
      4 years ago Log in to Reply
    7. Sherolyn Newell

      I add a few more carbs for some foods so that the pump calculates more insulin. There are certain things that I know how many carbs to say it is to get the correct amount of insulin. For instance, peanut butter sandwich = 50 carbs, even though it is actually less than that.

      1
      4 years ago Log in to Reply
      1. Daniel Bestvater

        I don’t actually change my carb ratios. But I do adjust the recommended dose based on; activity level, infusion set location, how long of a pre-bolus time I have………

        2
        4 years ago Log in to Reply
    8. Kristina Sanders

      YES! For me, foods with minimal processing and a balanced profile require less insulin – i.e. apples, beans, and quinoa most of all.

      I have gotten hypoglycemic more times than I can count because of quinoa!

      1
      4 years ago Log in to Reply
      1. Antsy

        Yes, quinoa has gotten me too! I actually don’t count quinoa carbs at all anymore, I dose for everything else and keep an eye on my CGM readings for the next few hours.

        4 years ago Log in to Reply
    9. AnitaS

      I don’t actually change the ratio in my pump, but I do give myself extra insulin when I eat certain foods that raise my sugar even though the food is low carb. For instance, eggs really raise my blood sugar so not only do I give extra insulin, but I also extend my bolus as the egg will make my sugar stay high for hours on end.

      1
      4 years ago Log in to Reply
    10. Francisco Varea

      I don’t change the setting on the pump. But when I eat something that I know to raise my blood glucose levels, then I do an extra manual bolus. This something I do quite often.

      3
      4 years ago Log in to Reply
      1. DiabetesC

        I checked yes, but this is actually how I do it too. Somewhat the same in concept.

        1
        4 years ago Log in to Reply
    11. Alan Segal

      I don’t change the “ratio”, but I count a slice of pizza at 50 carbs instead of 34…. I still use 10:1 ratio…..

      1
      4 years ago Log in to Reply
    12. Cheryl Seibert

      I handle differences in types of food intake with the various bolus options on my insulin pump. Regular bolus for fast reacting carbs, 50%/50% extended/dual bolus for combo foods like pizza that have both fast absorbing and more complex carbs, and then only extended bolus for complex carb intake .

      3
      4 years ago Log in to Reply
    13. Mick Martin

      I don’t change the insulin to carb ratio, but I do change the infusion rate. i.e. for high fat content foods I tend to give a dual-wave bolus of insulin, taking approximately 1/3 of the total amount initially, followed by 2/3 over a period of 2 hours.

      3
      4 years ago Log in to Reply
    14. Janis Senungetuk

      I don’t change the ratio, Depending on the food and how it’s prepared I might extend the bolus.

      4
      4 years ago Log in to Reply
    15. Becky Hertz

      I said other. As some before me have said, I don’t change my I:c ratio but will override the suggested insulin dosage based on a particular food. Usually for me it’s less insulin.

      4 years ago Log in to Reply
    16. Robert Farley

      Only with pasta and rice

      4 years ago Log in to Reply
    17. Patricia Dalrymple

      I have a high and low exercise basal rate and sometimes I extra bolus after going out to eat (I can never control myself out of the house) and I also adjust basal rate.

      4 years ago Log in to Reply
    18. Donald Stitt

      I use the dual wave and extended bolus to adjust for different foods

      3
      4 years ago Log in to Reply
    19. Brandon Denson

      I’ll adjust manually for more or less insulin depending on the particular food being consumed.

      4 years ago Log in to Reply
    20. Chris Deutsch

      I usually just extend the administration of the insulin dose.

      4 years ago Log in to Reply
    21. Molly Jones

      At times I will lower the suggested insulin dose due to my trending BG and what I am eating. It depends on whether or not my BG is dropping and how quickly what I am eating will be absorbed.

      4 years ago Log in to Reply

    Do you ever change your insulin to carb ratio for different types of foods? Cancel reply

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