Subscribe Now

[hb-subscribe]

Trending News

T1D Exchange T1D Exchange T1D Exchange
  • Activity
    • 3 hours, 40 minutes ago
      kilupx likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 3 hours, 40 minutes ago
      kilupx likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 4 hours, 6 minutes ago
      Anita Stokar likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The whole "target" question is a mess. I think most of us here (T1D people who are proactive etc) define "target" as where we want to be after a meal or correction bolus has done it's job. Pump mfr's (and many Endo's) define "target" like they define an A1C goal: averaging 110 over time. Lots of "discussions" (notice the quotes) with my Endo about my targets (I don't accept the "standard goal" of 70-180, I prefer aiming for 70-140). So so answer today's question, my alert ranges are 70 and 120 for high (I correct if I have no IOB, but may have food on board). My target bg (post bolus) is 80-90.
    • 6 hours, 6 minutes ago
      Fabio Gobeth likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      They don't call people with MS "sclerotics". In my career (first response) I interacted with lots of people in crisis, I tried to remember to ask if they were "dealing with alcoholism", "do you have schizophrenia" , that sort of language.
    • 6 hours, 7 minutes ago
      Fabio Gobeth likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      I avoid the word ‘diabetic’. It feels like a label. There are more things that define me than being a ‘diabetic’.
    • 8 hours, 15 minutes ago
      Vicki Andersen likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 8 hours, 29 minutes ago
      Julianne likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My range is 70 to 150
    • 9 hours, 13 minutes ago
      Janis Senungetuk likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I remember "injecting" an orange as a trial.
    • 9 hours, 37 minutes ago
      Janis Senungetuk likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      Charles, I have the exact same problem. I found a guy on Etsy up in Canada that made a 3d printed fixture that helps. It's not 100% but it works most times. The needle on the stringe has a lot of variablity that may require moving into a place on the white dot to get it to fill the cartridge. I am only suggesting it. Your milage may vary. https://www.etsy.com/listing/1177982431/exakt-tool-for-tandem-tslim-insulin
    • 9 hours, 38 minutes ago
      Janis Senungetuk likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I wore a saline trial Tandem and a saline trial Omnipod when I was switching from a Medtronic 521 to a new pump. I chose Tandem and have been a very satisfied Tandem pump user since 2012.
    • 10 hours, 18 minutes ago
      Anthony Harder likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 10 hours, 18 minutes ago
      Anthony Harder likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 10 hours, 55 minutes ago
      Marty likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 10 hours, 55 minutes ago
      Kathy Hanavan likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 22 hours, 31 minutes ago
      Bekki Weston likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      When I'm told what I can eat or not eat. Usually not eat.
    • 22 hours, 32 minutes ago
      Bekki Weston likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      I apply it as soon as I remember. My long-acting insulin dose is already divided into 2 doses.
    • 1 day, 10 hours ago
      eherban1 likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      taking Tresiba helps since it lasts more than 24 hours. it depends when I figure it out. if it's before 10 am, I just take it as normal.
    • 1 day, 16 hours ago
      Patricia Dalrymple likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I never knew about a saline trial, My first four insulin pumps were Medtronic. When it was time for a new insulin pump I asked what else was out there on the market. That's when I was introduce to Tandem. I am glad that I made the switch. My only problem is using a syringe to put the insulin in the reservoir. I have low vision and Essential Tremors which make the process challenging at times. Other than small issue it's is great.
    • 2 days, 4 hours ago
      maria prel likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      No, it is just an opportunity for me to teach them a little about diabetes. I don't think most people are trying to be mean, they are just uneducated.
    • 2 days, 4 hours ago
      maria prel likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      It is more about lack of understanding of diabetes management and attitude that accompanies it that bothers me the most. A friend was critical of someone who was just giving themselves (“shooting up more”) insulin because they wanted to eat something that “obviously” had carbs or sugar in it. His attitude was with derision because he didn’t understand. To him, the person was guilty of something for just giving himself more insulin to cover the carbs. It is the judgement without knowledge that bothers me the most.
    • 2 days, 4 hours ago
      maria prel likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      1. You can’t have that! You’re diabetic. 2. Do you need some orange juice?
    • 2 days, 7 hours ago
      Dennis Dacey likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I remember "injecting" an orange as a trial.
    • 2 days, 7 hours ago
      Dennis Dacey likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I never knew about a saline trial, My first four insulin pumps were Medtronic. When it was time for a new insulin pump I asked what else was out there on the market. That's when I was introduce to Tandem. I am glad that I made the switch. My only problem is using a syringe to put the insulin in the reservoir. I have low vision and Essential Tremors which make the process challenging at times. Other than small issue it's is great.
    • 2 days, 7 hours ago
      Dennis Dacey likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      Funny how using saline would influence a decision. Yes, I understand the comfort part of it, but having it keep you in range would be an important factor in choosing a pump. You would actually need insulin to get that info.
    • 2 days, 8 hours ago
      TEH likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I wore a saline trial Tandem and a saline trial Omnipod when I was switching from a Medtronic 521 to a new pump. I chose Tandem and have been a very satisfied Tandem pump user since 2012.
    Clear All
Pages
    • T1D Exchange T1D Exchange T1D Exchange
    • Articles
    • Community
      • About
      • Insights
      • T1D Screening
        • T1D Screening How-To
        • T1D Screening Results
        • T1D Screening Resources
      • Donate
      • Join the Community
    • Quality Improvement
      • About
      • Collaborative
        • Leadership
        • Committees
      • Centers
      • Meet the Experts
      • Learning Sessions
      • Resources
        • Change Packages
        • Sick Day Guide
      • Portal
      • Health Equity
        • Heal Advisors
    • Registry
      • About
      • Recruit for the Registry
    • Research
      • About
      • Publications
      • COVID-19 Research
      • Our Initiatives
    • Partnerships
      • About
      • Previous Work
      • Academic Partnerships
      • Industry Partnerships
    • About
      • Team
      • Board of Directors
      • Culture & Careers
      • Annual Report
    • Join / Login
    • Search
    • Donate

    Do you keep a written or digital log of past injection/pump sites on your body to ensure regular site rotation?

    Home > LC Polls > Do you keep a written or digital log of past injection/pump sites on your body to ensure regular site rotation?
    Previous

    If you use a CGM, on a scale of 1-5, how satisfied are you with the accuracy of your CGM? (1 = least satisfied, 5 = most satisfied)

    Next

    How did you schedule your next appointment with your main T1D health care provider?

    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.

    Related Stories

    2025 ADA

    All About T1D Exchange Research at ADA’s 85th Scientific Sessions 

    Sarah Howard, 2 weeks ago 10 min read  
    Conditions

    What to Know About Thyroid Conditions with T1D 

    Michael Howerton, 2 weeks ago 7 min read  
    2025 ADA

    T1D Exchange Announces 13 Real-World Data Presentations and Posters at the American Diabetes Association (ADA) 85th Scientific Sessions 

    T1D Exchange, 4 weeks ago 4 min read  
    Mental Health

    What is the Emotional Impact of Screening for T1D? 

    Hannah Doskicz, 1 month ago 5 min read  
    Meet the Expert

    Meet the Expert: Advancing Research To Treat, Delay, and Prevent the Development of T1D 

    Jewels Doskicz, 2 months ago 7 min read  
    Advocacy

    Sam Scott, PhD: The Science of Exercise with T1D 

    Jewels Doskicz, 2 months ago 9 min read  

    34 Comments

    1. Britni

      I write myself reminders in my blood glucose and insulin log to use my left hand for my Lantus injections every other day so that I’m not always taking it on the same side of my body all the time. I take most of my Humalog doses in whichever arm doesn’t have the CGM that day, so that rotates every two weeks, no reminder necessary.

      3 years ago Log in to Reply
    2. kristenthomas

      I follow a set rotation of 10 sites that I use to keep things even.

      2
      3 years ago Log in to Reply
    3. gary rind

      I’m on MDI so the shots tend to add up. I’ll rotate the sides of my stomach for shots, 2 weeks on the left and then 2 weeks on the right. This gives the sides time to heal up.

      3 years ago Log in to Reply
    4. Larry Martin

      No I have a regular pattern so just move to the next place in line.

      4
      3 years ago Log in to Reply
    5. Nicholas Argento

      No log- but a technique. I use 6 areas of the abdomen and rotate from one to the next, and within those areas, move up and down and back and forth to use a wide area and try to AVOID SCAR TISSUE.

      5
      3 years ago Log in to Reply
      1. TEH

        Me too! Thats what I was going to comment.

        1
        3 years ago Log in to Reply
    6. William Bennett

      No, I just have a pattern I follow. I’ve been religious about rotating sites for all this stuff since first dx’d in 1983, back when they showed me pix of what hypertrophy looked like. Even finger sticks are on a finger-rotation scheme.

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

      I switch back and forth between the backs of my arms and move up and down a bit. If it seems like the insulin isn’t absorbing very well, I switch to legs for a while. CGM is on my abdomen, so I generally don’t use that. Lower back works, but it’s hard to get it on there.

      3 years ago Log in to Reply
    8. StPetie

      Due to limited area available on my abdomen, I use specific patterns to rotate infusion and cgm sites. Therefore, I don’t feel the need to log them.

      1
      3 years ago Log in to Reply
    9. Miguel Carela

      Omnipod keeps the record whenever I use a new pod.

      1
      3 years ago Log in to Reply
    10. Bob Durstenfeld

      I said NO, but I have a regular 12 sight rotation, including my lower back and thighs an addition to my abdomen.

      1
      3 years ago Log in to Reply
    11. Glenda Schuessler

      No log for infusion site placement, but I mentally take note and definitely rotate.

      1
      3 years ago Log in to Reply
    12. Mike S

      My body is its own log of where the sites have been. I’ve been rotating between arms and abdomen since starting a pump years ago and never use the same site twice in a row. Residual marks are my visual cue of what area to avoid when I rotate back to that particular site.

      5
      3 years ago Log in to Reply
    13. Jacqueline Sanders

      I rotate between 6 sites on a regular basis

      3 years ago Log in to Reply
    14. Kevin McCue

      I would consider such an app. I have been roasting sites but it is difficult to remember where I left off when switching sides

      2
      3 years ago Log in to Reply
    15. Kristine Warmecke

      No however for best practice, I should.

      3 years ago Log in to Reply
    16. cynthia jaworski

      As directed, I only use my libre on my upper arms. I switch arms every 2 weeks with my new sensor. As for my MDI, whatever is convenient or socially acceptable. Won’t drop trousers in a restaurant!

      1
      3 years ago Log in to Reply
    17. George Lovelace

      No, I just look for the “Bullet Holes”

      5
      3 years ago Log in to Reply
    18. KCR

      I follow a regular rotation pattern but don’t use a log to track it.

      2
      3 years ago Log in to Reply
    19. Becky Hertz

      I rotate between arms, upper and lower back fat, gluts, thighs, and sometimes lower abdomen and sides of upper abdomen. I’ve had two midline surgeries on my abdomen so the property there is very limited.

      3 years ago Log in to Reply
    20. Ahh Life

      😕 I use the integumentary system. It’s always with me, visible, and I do not have to search for a phone, an app, or a log book.

      3 years ago Log in to Reply
      1. Patricia Dalrymple

        I love your vocabulary!! I am always learning new words. Love it!

        1
        3 years ago Log in to Reply
      2. Wanacure

        Don’t we all use that system? What’s the alternative to skin? 🤓 If any of us get on Jeopardy, we’ll be well-prepared by Ahh Life!

        3 years ago Log in to Reply
    21. AnitaS

      I alternate between left & right stomach while also moving up and down, right & left arm, and right & left lower back. I also try to stay a few inches away from my cgm

      1
      3 years ago Log in to Reply
    22. Catherine Davis

      I can see the red dots where my recent sites were and avoid them. I have a very fair complexion so they are quite visible.

      1
      3 years ago Log in to Reply
    23. Randy Mees

      I don’t keep a written record, I just sort of remember. My endo always asks about injection sites, so as a joke, one time I drew a diagram on my abdomen and divided it iMonday thru Sunday and breakfast, lunch, dinner, and bedtime. When he ask about where I put my shots, I raised my shirt. We all had a good laugh.

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

      I did for about 60 years, but not in the last8 years. I follow a pattern with my daily syringe injections so I do not hit the same spot for at least 3 months .. I am about 130 lbs .

      3 years ago Log in to Reply
    25. Molly Jones

      Clocks work well to keep me informed of the next pump site. CGM needs to have a log as I don’t go round the same as my pump, but go back and forth and am sometimes confused.

      3 years ago Log in to Reply
    26. BOB FISK

      I don’t log my injection sites each day, but I have a straightforward pattern that I use. Since I have the current infusion site as a marker when I change to the new one, I know where I am in the pattern. This pattern changes from side to side to insure that the subsequent placement of the infusion set is not closeby.

      3 years ago Log in to Reply
    27. Wanacure

      1. Each time I change Dexcom sensor, as advised by endo tech, I alternate left of navel, above navel, then to right of navel. 2. I used to inject insulin in butt, legs, arms rotating in each site. Then I learned exercise can cause variation in insulin effectiveness in legs and arms. I thought it scarey weird at first, but finally started injecting insulin(s) in abdomen to maintain more consistent insulin activity. Works better for me. 3. For finger sticks: I avoid sensitive pads. I record left side of finger and thumbs, then do right side of digits, then middle of each digit. Shaking the finger or milking it before jabbing, cuts down on wasted strips. A couple of times in distant past I tried using earlobes and toes for sticks, but bleeding was excessive. Pix of fat atrophy scared me too.

      3 years ago Log in to Reply
    28. Lawrence S.

      I keep it in my head. Yikes 🙂

      3 years ago Log in to Reply
    29. Cheryl Seibert

      No need for manual logging. Because I wear a CGM on my upper arm, I position my infusion site on the same side of my body for ease in sleeping. I go as follows: 1st 3 days on my buttock, 2nd 3-4 days on my stomach, last 3 days on my hip again different spot.

      3 years ago Log in to Reply
    30. PamK

      I have a standard rotation I use all the time, so no need to write it down.

      3 years ago Log in to Reply
    31. Leona Hanson

      I don’t log because I rotate like this my arm to my belly to my leg then the other side so everything heals good before the other round my cgm on the opposite side but backwards but I don’t use my leg instead I use my lower back

      3 years ago Log in to Reply

    Do you keep a written or digital log of past injection/pump sites on your body to ensure regular site rotation? Cancel reply

    You must be logged in to post a comment.




    101 Federal Street, Suite 440
    Boston, MA 02110
    Phone: 617-892-6100
    Email: admin@t1dexchange.org

    Privacy Policy

    Terms of Use

    Follow Us

    • facebook
    • twitter
    • linkedin

    © 2024 T1D Exchange.
    All Rights Reserved.

    © 2023 T1D Exchange. All Rights Reserved.
    • Login
    • Register

    Forgot Password

    Registration confirmation will be emailed to you.

    Skip Next Finish

    Account successfully created.

    Please check your inbox and verify your email in the next 24 hours.

    Your Account Type

    Please select all that apply.

    I have type 1 diabetes

    I'm a parent/guardian of a person with type 1 diabetes

    I'm interested in the diabetes community or industry

    Select Topics

    We will customize your stories feed based on what you select here.

    [userselectcat]

    We're preparing your personalized page.

    This will only take a second...

    Search and filter

    [searchandfilter slug="sort-filter-post"]