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  • Activity
    • 9 hours, 37 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
    • 9 hours, 44 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!!!
    • 10 hours, 10 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.
    • 14 hours, 46 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.
    • 14 hours, 46 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.
    • 15 hours, 7 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.
    • 15 hours, 7 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.
    • 15 hours, 8 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). ;-)
    • 15 hours, 27 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, 7 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, 8 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, 9 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, 9 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, 9 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, 9 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, 9 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, 9 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, 9 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, 9 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, 9 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, 9 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, 9 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, 10 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, 10 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, 10 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 have different basal insulin rates for nights than for days?

    Home > LC Polls > Do you have different basal insulin rates for nights than for days?
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    If you use a CGM and share your CGM data with any of your loved ones through an app, for which types of CGM alerts does your network receive notifications? Select all that apply!

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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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    32 Comments

    1. Ahh Life

      12:00 am – 0.20 1.70 1:12 110
      05:30 am. – 0.25 1.70 1.14 110
      11:00 am – 0.25 1:70 1:12 110
      11:00 am – 0.20 1:70 1:12 110

      7 months ago Log in to Reply
      1. Ahh Life

        Didn’t come out right. Try again
        12:00 am – 0.20 0.25 1.70 1:12 110
        05:30 am. – 0.25 0.25 1.70 1.14 110
        11:00 am – 0.25 0.25 1:70 1:12 110
        12:00 pm – 0.20 0.20 1:70 1:12 110

        1
        7 months ago Log in to Reply
      2. Mary Dexter

        ? I don’t understand either post.

        7 months ago Log in to Reply
      3. Ahh Life

        Mary Dexter — straight from the tSlim X2 profiels, i.e.

        Starting time + Basal rate +
        correction factor + Carb ratios + Target BG. 😊

        7 months ago Log in to Reply
    2. GLORIA MILLER

      Omnipod 5 does not allow us to set basal rates which is a flaw with the system, in my opinion. It is supposed to learn what we need but after more than three months it has not learned to adjust for the dawn phenomenon or feet on the floor demand for more insulin.

      1
      7 months ago Log in to Reply
    3. Beckett Nelson

      My peak basal is at 6pm. After 12 years of working straight nights, my “dawn phenomenon” happens then lol

      1
      7 months ago Log in to Reply
    4. AnitaS

      I set my basal rate dramatically lower for the night time (about 1/2 of the amount I use for day and evening amounts). However, my Control IQ also does do slight adjustments

      1
      7 months ago Log in to Reply
    5. Steve Rumble

      Currently use MDI with one shot of Lantus per day

      7 months ago Log in to Reply
      1. Mary Dexter

        Some of us split the basal dose, not necessarily evenly, according to the current needs.

        7 months ago Log in to Reply
    6. Ms Cris

      Fluctuate higher to lower throughout the night AND THROUGHOUT THE MENSTRUAL CYCLE (different at night for sure!).

      Unfortunately, technology still hasn’t fully been able to account for my menstrual cycle better than I can. We tried control IQ, sleep mode, and basal IQ; none worked well. My Endo and Tandem tried with me – I do better manually.

      7 months ago Log in to Reply
    7. Lawrence S.

      I could have selected two answers to the question. My insulin rates are lower during the night. But, I also use the Tandem X2 with Control IQ, and I use a pump that automatically adjusts my basal rates depending on my blood glucose levels. With my gastroparesis, my blood sugars often rise throughout the night, and my Control IQ kicks in so I wake up in the morning with a reasonable blood glucose level.

      7 months ago Log in to Reply
    8. Mary Dexter

      Oh, the joys of LADA. Sometimes my basal is higher at night than during the day. Sometimes it’s lower. The only thing predictable is its unpredictability. I wear a G6 and adjust accordingly as it slides through its changes.

      7 months ago Log in to Reply
    9. Carol Meares

      I am on Omnipod 5. During the day my bg levels are good. At night my bg levels are too high. It is driving me crazy and will probably bring my A1c up. I hope to meet with an educator to fix this soon.

      7 months ago Log in to Reply
      1. Carol Meares

        During the day I manage myself because the algorithm is too slow. I will be adjusting sensitivity level and ICR more aggressively to see if that helps. The algorithm is taking way too long to get to know me.There are other things I love about Omnipod 5 tho.

        7 months ago Log in to Reply
    10. Thomas Cline

      I’m on MDI and for my basal inject Levimir when I go to sleep and when I wake up, with more at bedtime than before breakfast. On the other hand, with MDI, where I simply titrate my levels during the day, I rely on Levimir to cover longer-term rises (i.e. after the effect of my Fiasp bolus has disappeared) from meals as well as my true basal requirement (which actually changes a bit fairly frequently anyway).

      7 months ago Log in to Reply
    11. Mark Schweim

      My Basal rate patterns fluctuate so I have 6 Basal rates set for various times of day and night and some times of daylight hours I need more Basal than I need overnight, while there are also some times overnight that I need more hourly Basal than I need most hours during the day.

      Since 1987 I have literally worked every work shift except swing shift, but in that time I have worked Day Shift hours a total of less than 6 years. The rest of my time since 1987 I have been working full-time nights or evening shifts so my work shift alone means my Basal patterns based on time of day would be expected to run pretty much completely opposite of what somebody working exclusively day shift would probably need.

      7 months ago Log in to Reply
    12. Bob Durstenfeld

      I love that Tandem’s Control IQ brings to 110 +/- 10 overnight consistently.

      3
      7 months ago Log in to Reply
      1. Amanda Barras

        Agree! I have a nice steady line too! I range between 80-110. On this pump I can confidently go to bed at 70-75 and not treat and know CIQ will suspend just enough to get me back in “range” and keep me there. Tho, I personally consider ideal in range for myself 70-100, I won’t treat until I’m below than range.

        1
        7 months ago Log in to Reply
    13. kristina blake

      I use the Tandem X@ with BIQ (the target on CIQ is too high for me) I have 9 “time zones” for my basal rates – I also have different correction (ISF) and carb:insulin rations throughout the day.

      2
      7 months ago Log in to Reply
      1. Lawrence S.

        I just counted. I use 12 different basal rates/time zones. It fluctuates, depending upon how my BG levels change from season to season.

        7 months ago Log in to Reply
    14. Amanda Barras

      I have 6 different basal rates. My lowest are in the afternoon/early evening. But I also have a pump that adjusts as needed. I figure the times I’m less active (sleep and mornings) are when my rates are higher.

      1
      7 months ago Log in to Reply
    15. Diana L.

      I have different basal rates all throughout the day
      using TSlim, so it also adjusts according to my glucose readings

      7 months ago Log in to Reply
    16. Joan McGinnis

      slightly less from 9-12 am but I have Control IQ which adjusts automatically and while Inever thought I could live with that , I love it.

      7 months ago Log in to Reply
    17. Mick Martin

      I’ve programmed my pump, a Medtronic 780G, to deliver 6 different rates within any 24 hour period, but my pump automatically adjusts my basal rates depending on my blood glucose levels, too.

      7 months ago Log in to Reply
    18. Britni

      “Other.” My answer’s a “yes” in that I take lantus twice daily and my dose in the morning is different than my dose at night. But whether the PM dose is higher or lower than the AM dose depends on whether it’s a weekend or a weekday.

      7 months ago Log in to Reply
    19. Bonnie Lundblom

      Using the Tandem Tslim I have 3 basal settings to select from: Exercise, NonExercise, and Steroid because my blood sugar is so different depending on how physically active I am and whether or not I’ve need any steroid injections. For each setting I always have to cover for the “dawn phenomenon” which for me starts around 3:30 AM and require much higher basal rates.

      1
      7 months ago Log in to Reply
    20. Louise Robinson

      My basal rates vary throughout the day with my lowest rates from midnight to 3 am and my highest rates from 3 am to 8 am, largely to combat Dawn Phenomenon. I have 9 separate basal rates during the day. This is with my using the Tandem t:slim pump with Control IQ which will also adjust basal rates as indicated by CGM readings. My last A1c was 5.7. (Dx’d Type 1 in 1976.)

      7 months ago Log in to Reply
      1. Louise Robinson

        I have also created numerous profiles with different settings. I have an Exercise profile to prevent my going too low during exercise. (The Exercise activity option in the pump which I also engage wasn’t enough to prevent lows.) I also created a Day 3 profile to increase my bolus and basal insulin delivery during Day 3 due to insulin absorption issues. After 1 year and a change of endo, Medicare has finally agreed to pay for my pump supplies so I can change every 2.5 days vs every 3 days. Yesterday, I received my first shipment of 40 (vs 30) infusion sets and insulin cartridges.

        7 months ago Log in to Reply
    21. mbulzomi@optonline.net

      I am running 6 different Basel rates throughout the entire 24-hour day. Of course, my nights rates are slightly lower than my day rates. However, I change my Basels almost every time I change my set. This is berceuse I have been a T1D for 55 years and on a pump for over 39 years. and have only used my abdomen area, 2 inches from the belly bottom to as far as I can comfortably reach to the rear, both sides.

      7 months ago Log in to Reply
    22. Steven Gill

      I use four different basal rates, the overnight is almost 1/2 my day’s.

      7 months ago Log in to Reply
    23. Milly Bassett

      I don’t administer basal (Lantus) at night.

      6 months ago Log in to Reply
    24. T1D4LongTime

      My basal is lower during the night. Historically (56 years), I’ve always went low in the middle of the night. Along with the lower basal, the Carb Ratio, Target BG, and Correction Factors are less aggressive in the sleeping hours.

      6 months ago Log in to Reply

    Do you have different basal insulin rates for nights than for days? Cancel reply

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