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    • 8 hours, 25 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 8 hours, 32 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 8 hours, 58 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 13 hours, 34 minutes ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 13 hours, 34 minutes ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 13 hours, 54 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 13 hours, 55 minutes ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 13 hours, 55 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I answered no, but I do experience nausea and/or vomiting, usually on a daily basis, but this is because I have gastroparesis. I have rarely been able to eat breakfast over the last 20+ years as I end up vomiting it all back up ... try explaining that to ward staff in hospital(s). ;-)
    • 14 hours, 14 minutes ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 6 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 7 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 7 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The constant refilling and site changes...doesn't seem worth it.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Luddites just may be the most comfortable people on earth. 🙃 
    • 1 day, 9 hours ago
      Antsy likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      Holy cow! 8 to 10” bubbles? There is definitely something wrong if that is happening to you. I occasionally get 1/4” inch 10” is excessive. Have you gone in and shown your pump instructor how you’re doing it so that they can help you figure out the problem?
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      Aside from the first year after your diagnosis, have you seen a registered dietitian for help managing nutrition and T1D?
      When I was put on insulin, the first dietitian I payed to see said I could eat whatever I wanted as long as I followed the set number of macros (carbs, protein, fats). The stupid diet had my blood sugars all over the map. She didn't care/listen when I told her milk, bread/pasta made me feel really sick. She said because I was on insulin I need to eat a high carb, low protein and low fat diet. What bad advice! Thankfully, I came to my senses and starting reading the experiences of other T1D's who were following the The Bernstein diet.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      Aside from the first year after your diagnosis, have you seen a registered dietitian for help managing nutrition and T1D?
      Saw one, recently out of school, when I was first diagnosed ten years ago. She insisted I needed 150 grams of carbs per day minimum and handed me a sheet with meal plans. She explained that I needed those carbs to keep my brain functioning properly. GEEZ. I can only hope she's learned a thing or two since then.
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    Do you experience differences in your pain tolerance when your BG levels are high?

    Home > LC Polls > Do you experience differences in your pain tolerance when your BG levels are high?
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    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    34 Comments

    1. Britni

      I answered “other” because I’m not sure. I’ve never paid attention.

      3
      2 years ago Log in to Reply
    2. Ahh Life

      In a kind of perverse non-answer to this question, when you get older your pain gets more constant and comes seems to come from every which direction, while the BG levels sometimes follow along and sometimes don’t . . . ( ͡❛ ͜ʖ ͡❛)💨

      3
      2 years ago Log in to Reply
      1. n6jax@scinternet.net

        I [sweet charlie] agree.. I am 89 yrs old, so I hurt !!

        2 years ago Log in to Reply
    3. Joan McGinnis

      I have never noticed this if possible. I have had back pain for long time

      2 years ago Log in to Reply
    4. Tb-well

      To me it isn’t a matter of sensitivity to the pain as much as it is more frustrating and therefore more noticeable to me.

      2 years ago Log in to Reply
    5. Vicki Breckenridge

      I don’t know as I don’t really experience much pain and I’m 67. I put no.

      2 years ago Log in to Reply
    6. Sherolyn Newell

      I think when my arthritis is hurting more than usual, by BG levels tend to be a bit higher. Never noticed the other way around.

      1
      2 years ago Log in to Reply
    7. Lawrence Stearns

      I answered “No” for pain tolerance with high BG. I have never notice a difference.
      However, I have often noticed much more pain when my BG is low. Significantly more pain with hypoglycemia.

      1
      2 years ago Log in to Reply
    8. connie ker

      Never thought about it so answered OTHER. Before I was diagnosed I had a frozen shoulder and the pain was unbearable. Then when I needed more insulin I had a 2nd frozen shoulder with the other side. Both were very painful episodes signaling high blood sugars.

      2 years ago Log in to Reply
    9. kflying1@yahoo.com

      It’s not one of the things I’ve tracked, and to me it’s a chicken and egg question – is the pain greater because BG is higher or is BG higher because of the pain? I dunno.

      4
      2 years ago Log in to Reply
    10. Jneticdiabetic

      I put “other” because I have not noticed an association between pain and my BG.

      3
      2 years ago Log in to Reply
    11. Tina Roberts

      I have no idea? Never thought to notice.

      3
      2 years ago Log in to Reply
      1. Sahran Holiday

        Some of these questions are getting very dumb cause they can’t think of anything to ask.

        2
        2 years ago Log in to Reply
      2. n6jax@scinternet.net

        Yes Sahran, maybe we should ask the questions !!

        2 years ago Log in to Reply
    12. Melinda Lipe

      Never thought about it. Probably if I’m irritable because of hi or lo blood glucose, it might make a difference.

      1
      2 years ago Log in to Reply
    13. Jodi Greenfield

      I have not been paying attention to my glucose levels when in pain. I am curious now, so I will pay attention in the future!

      2 years ago Log in to Reply
    14. Becky Hertz

      I’ve never noticed, so probably no.

      2
      2 years ago Log in to Reply
    15. Carol Meares

      I don’t know the answer to this question in regards to the correlation of pain levels and my BG levels.

      2 years ago Log in to Reply
    16. Sahran Holiday

      Can see by the responses that this is not a valid question. Bllod gludcose needs to be managed and pain needs to be managed, separately. Thirst and dehydration may be related to high blood glucose, headaches can come from lows, Yes we can drink water or take a pain killer as a stop gap, doesn’t resolve the cause. Control is imprerative. T1D Exchange has to start thinking of better questions or lose subscribers.

      1
      2 years ago Log in to Reply
      1. ConnieT1D62

        The questions on T1D Exchange are meant to generate real life responses from real people who live with T1D for valid research purposes to benefit all of us. They are are not meant to give advice nor is this a social media platform site.

        5
        2 years ago Log in to Reply
      2. T1D Exchange

        Hi there! We’re working on a suggestion form for community members to suggest Questions of the Day. In the meantime, you are welcome to email question suggestions to admin@t1dexchange.org.

        All Questions of the Day are inspired by the real experiences of people with T1D because every person at T1D Exchange who writes the questions lives with T1D. We know our community includes people with a wide variety of experiences with T1D – from newly diagnosed to living with T1D 70+ years, parents of young children and seniors with T1D, and people who are thriving along with people who are struggling with T1D. Because of this, not all questions will apply to all people.

        Again, please feel free to send suggestions for Question of the Day to admin@t1dexchange.org, and stay tuned for a future suggestion form!

        5
        2 years ago Log in to Reply
    17. M C

      Unless one hurts themselves frequently, or has a chronic condition that causes pain (eg. arthritis, etc.), how in the world would a person know the answer to this question?

      1
      2 years ago Log in to Reply
      1. n6jax@scinternet.net

        I agree..

        2 years ago Log in to Reply
      2. Ahh Life

        May I suggest empirical verification at the least and a prolonged double-blind longitudinal study at the most?

        2 years ago Log in to Reply
    18. Molly Jones

      Other.
      A medication I take for epilepsy reduces pain in general, nor have I kept track of high BG and pain correlations to answer this question.

      1
      2 years ago Log in to Reply
    19. Jennifer Wilson

      Unsure

      2 years ago Log in to Reply
    20. ConnieT1D62

      No, not that I ever noticed.

      2 years ago Log in to Reply
    21. Chris Deutsch

      I have never noticed whether my sensitivity to pain is different when my blood sugar is high.

      2 years ago Log in to Reply
    22. Marina Kurkov

      Life is better, easier, less pain at the time the sugar is high — although I know it is dangerous, and do not go there deliberately.

      1
      2 years ago Log in to Reply
    23. KCR

      I really do not know because I have never paid attention to this. Usually when my BG is high I feel more anxious, for sure.

      2 years ago Log in to Reply
    24. Wanacure

      When bg levels are high I’m impervious. When bg levels are low, I’m susceptible to itchy skin, very sensitive to ambient temperatures, loss of balance. When really low I’m also impervious to pain which is dangerous.

      1
      2 years ago Log in to Reply
    25. ConnieT1D62

      I found this question to be very interesting and reading the responses I agree with Ahh Life who stated in a reply he made above:
      “May I suggest empirical verification at the least and a prolonged double-blind longitudinal study at the most?” to determine whether it is true or not.

      2 years ago Log in to Reply
    26. Lynn Smith

      From the time I was diagnosed at age 12 when my blood sugar, I am sure, was off the charts, I have had painful cramping in my calves when my blood sugar is high. Fortunately, now 54 years later, that’s not very often. But, if my blood sugar does get over 200, for whatever reason, my calves hurt. I think I have noticed my arthritic joints hurting worse during those times also.
      Just a short note about some of the negative comments about the questions discussed on this forum. I want to say thank you to whoever comes up with the questions. While some of the questions interest me and some don’t, I appreciate the effort. I think it is a good idea to allow members of the exchange to send in questions they are interested in hearing answers to, so thank you for that also.

      1
      2 years ago Log in to Reply
    27. PamK

      I’ve never noticed, or thought about this. Interesting question though! I answered N/A as I really don’t have an answer right now.

      2 years ago Log in to Reply

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