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    • 2 hours, 14 minutes ago
      KarenM6 likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      There are many concerns, one being if I'll still be alive if it's ever offered :)
    • 2 hours, 14 minutes ago
      KarenM6 likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      At 78 I don't think islet transplantation will affect my life course. Big pharma sees biological treatments as the path to ever higher profits, not constrained by patent terms the way drugs are. Most diabetics would be better served by an improved standard of care from the ADA and the medical community.
    • 3 hours, 30 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Very, but more worried about it even making to the FDA and approved there first.
    • 3 hours, 30 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      There are many concerns, one being if I'll still be alive if it's ever offered :)
    • 3 hours, 30 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      At 78 I don't think islet transplantation will affect my life course. Big pharma sees biological treatments as the path to ever higher profits, not constrained by patent terms the way drugs are. Most diabetics would be better served by an improved standard of care from the ADA and the medical community.
    • 3 hours, 32 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Severe case of hardening of the “oughteries” here. Ought we be concerned with cost, insurance, coverage, hail storms, earthquakes? ▄█▀█● Why are we not homeschooled to enjoy the progress being made?
    • 3 hours, 32 minutes ago
      Lawrence S. likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      While those items are very much a concern, there are other factors that are more concerning ie immunosuppressant.
    • 3 hours, 33 minutes ago
      Amanda Barras likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      If they can transplant them such that we do not need immunosuppresants, we'd be fine. Otherwise, those meds are just one more thing that could become in short supply. But at least we could go through scanners at the airports and travel without huge bags of supplies.
    • 3 hours, 33 minutes ago
      Amanda Barras likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      General access to islet transplants is still years away. FDA has to deem it safe. Though, I am excited about the possibility.
    • 3 hours, 34 minutes ago
      Amanda Barras likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      At 78 I don't think islet transplantation will affect my life course. Big pharma sees biological treatments as the path to ever higher profits, not constrained by patent terms the way drugs are. Most diabetics would be better served by an improved standard of care from the ADA and the medical community.
    • 5 hours, 35 minutes ago
      Patricia Dalrymple likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      If they can transplant them such that we do not need immunosuppresants, we'd be fine. Otherwise, those meds are just one more thing that could become in short supply. But at least we could go through scanners at the airports and travel without huge bags of supplies.
    • 6 hours, 13 minutes ago
      Gerald Oefelein likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      If they can transplant them such that we do not need immunosuppresants, we'd be fine. Otherwise, those meds are just one more thing that could become in short supply. But at least we could go through scanners at the airports and travel without huge bags of supplies.
    • 6 hours, 14 minutes ago
      Gerald Oefelein likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      While those items are very much a concern, there are other factors that are more concerning ie immunosuppressant.
    • 6 hours, 56 minutes ago
      Marty likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      much more concerned about my age (65) than anything else. 😉
    • 7 hours, 19 minutes ago
      dholl62@gmail.com likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      much more concerned about my age (65) than anything else. 😉
    • 7 hours, 42 minutes ago
      Steve Rumble likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Severe case of hardening of the “oughteries” here. Ought we be concerned with cost, insurance, coverage, hail storms, earthquakes? ▄█▀█● Why are we not homeschooled to enjoy the progress being made?
    • 7 hours, 43 minutes ago
      Steve Rumble likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      While those items are very much a concern, there are other factors that are more concerning ie immunosuppressant.
    • 7 hours, 43 minutes ago
      atr likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      Severe case of hardening of the “oughteries” here. Ought we be concerned with cost, insurance, coverage, hail storms, earthquakes? ▄█▀█● Why are we not homeschooled to enjoy the progress being made?
    • 7 hours, 58 minutes ago
      Sarah Berry likes your comment at
      How concerned are you about potential barriers to islet cell transplantation, such as cost, access, eligibility, or insurance approval?
      much more concerned about my age (65) than anything else. 😉
    • 8 hours, 59 minutes ago
      Steve Rumble likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      Age 73 here. I'm in the same boat. I ogten am considered too old for consideration for "smaller" research projects. But - best of luck to them. I'll be rooting on the sidelines.
    • 8 hours, 59 minutes ago
      Steve Rumble likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      no immunosuppression needed - 👍 immunosuppression needed - 👎
    • 1 day ago
      Gerald Oefelein likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      I've tried twice and was rejected both times because I control my diabetes as best I can. As others have already stated, if immunosuppressing drugs are involved, count me out. I'm not interested in something worse than what I already have.
    • 1 day ago
      Gerald Oefelein likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      Not if it requires immunosuppressant drugs. Been there done that time to move on to something much better.
    • 1 day ago
      Gerald Oefelein likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      no immunosuppression needed - 👍 immunosuppression needed - 👎
    • 1 day, 5 hours ago
      Natalie Daley likes your comment at
      How likely is it that you would participate in a clinical trial for islet cell transplantation?
      I answered “Very Unlikely” not because I woud not want to participate but because, at age 75, I think it very unlikely that any researcher would want me in their patient panel.
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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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    How often do you get at least 150 minutes per week of moderate aerobic activity (ex: brisk walking, swimming, gardening)?

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    Do you currently use any of the following CGM systems?

    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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