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    • 1 day, 8 hours ago
      lis be likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      Every 9 days I have to have to change an infusion set after one day use to switch the sensor to the other side - come on deccom you can do better
    • 1 day, 8 hours ago
      lis be likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      Starting in 1996, my midriff has received more pounding than the Gaza strip. Both look similar. Consequently, I change frequently, every 2.5 days or so. Whatever the landscape will tolerate. 📄🖍️o(≧o≦)o🧸
    • 1 day, 8 hours ago
      lis be likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      I change infusion sites every other day rather than every 4th day. I’ve been doing this for years after I started to see my insulin requirements increase dramatically on the 3rd day. It’s not really “earlier than recommended” since my endo agrees with this schedule and writes my prescriptions to accommodate it.
    • 1 day, 9 hours ago
      Ahh Life likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      I usually extend them rather than cut their longevity short. I am insulin resistant and if I don't refill pump at day 2 I can't get to day 3-4. So, I usually use it a day longer than instructed due to the refill. And before moving to G7 I would restart my CGM and get an average of 14 days with some rare, 21 day uses in the mix. Sadly, Dexcom has figured out how to make more money off us by forcing a restart every 10 days with a transmitter built in.
    • 1 day, 11 hours ago
      Molly Jones likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      I change my infusion site early if it's ripped off (obviously) or if I'm running high for no reason I can detect. Changing the site can sometimes help. I only change my CGM early if 1) it's going haywire with my numbers (reading high or low without cause) or 2) sometimes it's just convienant due to scheduling. But that's usually one day early.
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      Starting in 1996, my midriff has received more pounding than the Gaza strip. Both look similar. Consequently, I change frequently, every 2.5 days or so. Whatever the landscape will tolerate. 📄🖍️o(≧o≦)o🧸
    • 1 day, 15 hours ago
      Daniel Bestvater likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      Starting in 1996, my midriff has received more pounding than the Gaza strip. Both look similar. Consequently, I change frequently, every 2.5 days or so. Whatever the landscape will tolerate. 📄🖍️o(≧o≦)o🧸
    • 1 day, 16 hours ago
      dholl62@gmail.com likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      I change my infusion site early if it's ripped off (obviously) or if I'm running high for no reason I can detect. Changing the site can sometimes help. I only change my CGM early if 1) it's going haywire with my numbers (reading high or low without cause) or 2) sometimes it's just convienant due to scheduling. But that's usually one day early.
    • 1 day, 17 hours ago
      TEH likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      Sites on my legs seem to get irritated with resultant higher glucoses by day 2, so I often change out these sites every 2 rather than 3 days.
    • 1 day, 17 hours ago
      atr likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      I answered "maybe" because I am house bound and can do survey's online, but not in person. Also, I am 86 and not eligible for most research.
    • 1 day, 17 hours ago
      atr likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      Assuming I would live long enough to complete it — I’m going to be 80, but I’m a healthy, active T1D.
    • 1 day, 17 hours ago
      atr likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      All depends on location and age requirements
    • 1 day, 17 hours ago
      atr likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      Yes. At my age (according to the social security life expectancy table) I have 8.6 years left. Whew! Thank heavens for that point-six. 🍄🦋
    • 1 day, 17 hours ago
      atr likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      Starting in 1996, my midriff has received more pounding than the Gaza strip. Both look similar. Consequently, I change frequently, every 2.5 days or so. Whatever the landscape will tolerate. 📄🖍️o(≧o≦)o🧸
    • 1 day, 18 hours ago
      Chrisanda likes your comment at
      How often do you change infusion or sensor sites earlier than recommended?
      Starting in 1996, my midriff has received more pounding than the Gaza strip. Both look similar. Consequently, I change frequently, every 2.5 days or so. Whatever the landscape will tolerate. 📄🖍️o(≧o≦)o🧸
    • 2 days, 9 hours ago
      Ahh Life likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      I answered "maybe" because I am house bound and can do survey's online, but not in person. Also, I am 86 and not eligible for most research.
    • 2 days, 9 hours ago
      Ahh Life likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      Assuming I would live long enough to complete it — I’m going to be 80, but I’m a healthy, active T1D.
    • 2 days, 11 hours ago
      Mary Thomson likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      I answered "maybe" because I am house bound and can do survey's online, but not in person. Also, I am 86 and not eligible for most research.
    • 2 days, 12 hours ago
      TEH likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      All depends on location and age requirements
    • 2 days, 13 hours ago
      Kristi Warmecke likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      All depends on location and age requirements
    • 2 days, 15 hours ago
      lis be likes your comment at
      If research results were shared directly with participants in plain language summaries, how valuable would that be to you?
      I don't have problems reading published results. I'm more concerned with information that doesn't get published or is just left out.
    • 2 days, 15 hours ago
      lis be likes your comment at
      If research results were shared directly with participants in plain language summaries, how valuable would that be to you?
      Why would you want to restrict plain language disclosure to participants? How about plain language for everybody?
    • 2 days, 16 hours ago
      Sarah Berry likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      Yes. At my age (according to the social security life expectancy table) I have 8.6 years left. Whew! Thank heavens for that point-six. 🍄🦋
    • 2 days, 16 hours ago
      Sarah Berry likes your comment at
      Would you be willing to participate in long-term research (1 year or longer)?
      All depends on location and age requirements
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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
      5 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.

      5 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
        5 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.

      5 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.

      5 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
      5 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
      5 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
      5 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
        5 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
      5 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.

        5 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
      5 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
      5 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
        5 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
      5 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
      5 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
      5 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
      5 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.

      5 years ago Log in to Reply
    16. Robert Farley

      Only with pasta and rice

      5 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.

      5 years ago Log in to Reply
    18. Donald Stitt

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

      3
      5 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.

      5 years ago Log in to Reply
    20. Chris Deutsch

      I usually just extend the administration of the insulin dose.

      5 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.

      5 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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