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    • 11 minutes ago
      KarenM6 likes your comment at
      Of the people in your life, who (if anyone) makes you feel judged or criticized for your T1D management (for example, what foods you eat, where or when you check your blood glucose, etc.)? Select all that apply to you.
      Insulin, meters, diabetic tech are not magic wands. Its usage does not guarantee only "positive" results. Negative events can and do occur, period. Non -D- typically (incorrectly) equate negative events as being total user failure, severe user errors. As diabetics we get blamed, despite having made zero mistakes on our part. We make seriously educated best guesses, despite that truth, we can and do fail anyway sometimes! Outsiders falsely need to believe inulin, our tech are complete-total cures, rather than tiny bandages at best. When confronted for using (sic. my) "drugs" in public, no matter how invisibly done... it is their self righteousness , poor assessment which is the issue. I gladly squash such insects...
    • 5 hours, 12 minutes ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      The more important question is 'how well does the clip work'. For me, the Medtronic clip worked very well, but the Tandem clip is quite ineffective and the pump falls off my belt during things like yard work or other bending movements.
    • 5 hours, 13 minutes ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      I answered never. I always use a clip -- I wear my t:slim x2 on my belt -- but not the Tandem clip. I use the black t:Holster Rotating Belt Clip. Very pleased.
    • 5 hours, 14 minutes ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      I am rough on pumps and use a Tandem X2 but dont use the Tandem clip/holster. I use a neoprene case and a pouch with a metal clip. Thenmetal clip is uncomfortable while I sleep. Looking for a different solution for wearing my pump at night.
    • 1 day, 1 hour ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I answered that nobody wants to be screened, but I was answering based on my immediate family. I did let my deceased type-1 diabetic cousin's 35 year old son know he can be tested for his likelihood of becoming type-1 diabetic. He said he may be tested as he was always curious if he had a chance.
    • 1 day, 1 hour ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I have T1, and when my oldest grandson got T1, the other 3 grandkids got screened. The grandson who's the brother of the one with T1, showed a strong possibility of being a future T1 diabetic. It sadly came true about a year later.
    • 1 day, 2 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I have LADA, and the idea of screening has not come up, either by me or my adult children. I guess I need to present the opportunity to them so they can make the decision.
    • 1 day, 2 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 1 day, 5 hours ago
      Samantha Walsh likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 2 days ago
      KarenM6 likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 2 hours ago
      Katie Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 2 hours ago
      Kate Kuhn likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 3 hours ago
      Karen DeVeaux likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 2 days, 3 hours ago
      Kelly-Dayne likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 4 hours ago
      William Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 5 hours ago
      Jneticdiabetic likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 2 days, 5 hours ago
      Lawrence S. likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      my siblings & parents are older (like me) and they've never expressed any interest in getting tested. my nieces and nephews have never said anything either
    • 2 days, 16 hours ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I participated in several ADA walks not long after being Dx with T1D. As Ahh Life points out large $ are rased, but where do they go? I stopped supporting ADA for that reason. I think JDF is much more open on where the funding goes.
    • 2 days, 16 hours ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      JDRF only. I like knowing that my contributions are going specifically to T1D.
    • 2 days, 16 hours ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 2 days, 21 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      Switched a long time ago to Tandem/Dexcom from Minimed because of improved and more automated control, and haven't looked back. Still wishing for a cure, but know it's not going to happen for dinosaurs like me. I'll just be glad when young people will will one day experience that magic word: cure. It's too easy to sit around and complain, but it's high time for a cure, and way past time having us depend on treatment that is pretty much a money maker for big Pharma when it seems as if there's a cure waiting in the wings. Filling up landfills with used pump supplies, etc., makes our society look nothing but incompetent and greedy. Sorry to rant.......
    • 2 days, 21 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      They do too often. Why I ask? Well because it will help long term.... oh how do you know that it will help? It's a brand new medication, never been used by the D community, except for the shortest term study mandated in order to get it to market, and sell. Long term has never been achieved... its NEW. Let's revisit/wait a couple years... if its MAGIC medicine, sure I'll try it. But unless it's got magic properties, guarantees magic results why would I want it, until it's been used for a decent while??? Oh well... yeah, guess that does makes sense....
    • 3 days, 14 hours ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      Yes and for the last year and a half that is exclusively what I have been offered so I am not getting all the usual checks an in person endo visit requires. ADA and others spent 10-20 years convincing endos they needed to check patients feet and that progress has evaporated.
    • 3 days, 14 hours ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      I would rather see in person. He checks my feet, BP etc. we have a chance to catch up and for me to ask questions. To me so much better face to face. We did virtual during pandemic.
    • 3 days, 21 hours ago
      Phyllis Biederman likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I’ll occasionally use the holster with clip that came with my pump or a protective case of my own when I’m wearing something without pockets. However I find these quite bulky thus usually just slip my pump in a pocket.
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    Do you modify your insulin dose for a meal if you plan to exercise within a few hours after eating?

    Home > LC Polls > Do you modify your insulin dose for a meal if you plan to exercise within a few hours after eating?
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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 Manager of Marketing 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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    27 Comments

    1. Wanacure

      Depending on the situation I might lower insulin doses AFTER I exercise as well.

      1
      1 year ago Log in to Reply
      1. AnitaS

        I always have to give myself extra insulin after I exercise as my sugar rises when I stop. If I have gone on a several-hour bike ride during the day, however, I would need to lower my basal insulin during the night as that is when my sugar may have a difficult time staying above 70.

        1 year ago Log in to Reply
    2. Ernie Richmann

      I may take less insulin if I am exercising soon after eating. Most times I am better off taking a normal bolus and waiting at least 2 hours before exercising. I take carbs during long exercise periods. I have a 24 hour walk on April 30 and I will set my basal rate to 50% and set my low alarm from 80 to 100. Hoping to walk 73 miles.

      1
      1 year ago Log in to Reply
      1. AnitaS

        Way to go! 🙂

        1 year ago Log in to Reply
    3. Lawrence S.

      I am modifying my insulin dose right now, as I’m sitting here eating my breakfast. I usually dose for 45 carbs at breakfast, but this morning I dosed for 25 carbs. I also increase my protein intake, so my blood sugar does not drop too quickly. I’m going for a run after breakfast, when my blood sugar gets above, oh, maybe 175. I’m at 137 now. Going up!! I always decrease my insulin, and often increase my carbs and proteins before running or exercise.

      1 year ago Log in to Reply
      1. Lawrence S.

        Oh, one more thing. I’ve also unplugged my insulin tubing from my cannula, and won’t reconnect until I’m about 15 – 20 minutes completed with my run (workout).

        1 year ago Log in to Reply
      2. Jane Cerullo

        Question Lawrence. How low do your readings go when running? I would freak out with 137 before breakfast.

        1 year ago Log in to Reply
      3. Lawrence S.

        Jane,
        The 137 was actually at the end of my breakfast. I started breakfast at around 97. Funny, I had two phone calls before this run, and by the time I got out to run, I was on 217. I was on 120 at the end of the run. But, if I had not eaten the protein with my meal, I probably would have gone sub-40. My blood sugars really plummet without the protein.

        1 year ago Log in to Reply
    4. Kathleen Juzenas

      Almost never. My usual exercise after a meal is mild walking, rarely right after a meal. I often lower my basal rate though before walking.

      1 year ago Log in to Reply
    5. Jane Cerullo

      I answered no because on a few hours o would know if my BS was stable. If I am doing cardio would probably eat a snack but weights or machines doesn’t lower my BS noticeably. Always have my phone for CGM readings and glucose tabs in case.

      1 year ago Log in to Reply
    6. Steve Rumble

      I try to walk for an hour or so daily and I always eat before doing so and rarely bolus for that meal. My glucose level can drop 60 – 80 points over an hour of enthusiastic walking or walking on a treadmill which is sometimes an option.

      1
      1 year ago Log in to Reply
    7. Cheryl Seibert

      I answered, “Sometimes depending on the situation”. If very strenuous exercise is planned, then I will lower my insulin dose. If light or moderate exercise, like walking with my husband, who walks a slower pace, I will extend it out over a time period to cover the exercise. My pump has Exercise Mode, so I will activate that mode and adjust insulin if the exercise is going to be lengthy (strenuous yard work, bicycling, etc.). I ALWAYS take carbs with me when exercising though to be safe.

      1
      1 year ago Log in to Reply
    8. Bonnie kenney

      I exercise 5-6 days a week. I don’t exercise if I have Insulin on board.

      1 year ago Log in to Reply
    9. Joan McGinnis

      I use control IQ so use activity setting when I exercise mostly. Just depends if exercising right away after eating I wd use less insulin for meal and not use activity setting

      1 year ago Log in to Reply
    10. KCR

      Even light walking can drop my BG! So I also adjust doses if I need to go to a big box store and run a lot of errands. 🤪

      1
      1 year ago Log in to Reply
    11. kflying1@yahoo.com

      Yes – as my DEXCOM G6 has taught me, I can get BS level drops greater than 100 in the 1st hour of exercise (sometimes in the first 15 minutes) I need to always start exercise with BS readings above 200. Since starting with the CGM I haven’t collapsed or had a visit from EMS for a severe Hypoglycemic event. Relying on finger sticks has proven, at least in my case, highly problematic. ( Sorry and not sorry for sounding evangelistic about CGMs, yet they really are game changers!)

      1
      1 year ago Log in to Reply
      1. Lawrence S.

        I am the same way. My blood sugars drop like a rock when I work out. I recently found a solution; eat more protein before I work out. The protein is a game changer for working out!

        1
        1 year ago Log in to Reply
    12. Kris Sykes-David

      I walk for over an hour every morning about 1-1/2 hours after breakfast. I don’t really change my dose for that and will walk the hills and flats at a moderate clip usually without going low. (Sugar tabs are with me always!) I will also do some strength training or a little more cardio after the walk and seem to do okay. I do adjust my bolus for lunch if I plan to head out to work in the yard right after the meal. Otherwise, I go low!

      1
      1 year ago Log in to Reply
    13. rick phillips

      I normally half dose

      1 year ago Log in to Reply
    14. kflying1@yahoo.com

      After reading through the comments I am again impressed with my fellow T1’s amazing willingness to adapt and overcome. as well as how there are so many different answers to a common disease that lead to success. My fellow T1s are the greatest encouragement to deal with this disease – far more than formulaic Endo practices. Argh – 284 on waking up, as opposed to 75 yesterday – time to go shoot up.

      2
      1 year ago Log in to Reply
    15. Amanda Barras

      I have better luck of stable post dinner bs if I both take my normal dose AND walk my dogs post meal. I always have more of a post meal post spike if I don’t walk them.

      1 year ago Log in to Reply
    16. Marty

      I regularly substitute 1 hour of post-breakfast cardio for 2 units of pre-breakfast insulin. I also use a t:slim Control IQ exercise profile to reduce my basal to 15% of normal while I’m exercising and use a 1:500 (unit:BG) correction bolus setting to minimize “stealth” boluses that might try to bring my BG too low. It took a while to figure this out, but it allows me to get a good workout without having to consume extra calories.

      1
      1 year ago Log in to Reply
    17. M C

      If I plan on doing something immediately following the meal, then I will definitely make accommodations regarding the insulin dosage for whatever activity is coming. If the activity is a few hours away, I would not modify the dose. Thus my response of ‘Sometimes,…’

      1 year ago Log in to Reply
    18. Dave Akers

      Inhaled Insulin makes my life much easier when exercising. This stuff works FAST! I have no issues working out 1hr after dosing.

      1
      1 year ago Log in to Reply
      1. AnitaS

        I just took the pulmonary lung function test today and only planned to use afrezza with a stubborn high, but I was thinking about using it for dosing before exercise as insulin on board does sometimes cause my sugar to drop when exercising after eating.

        1 year ago Log in to Reply
    19. n6jax@scinternet.net

      NO !! I just eat MORE !! Or I carry some carbs to eat if my BG drops .. from Sweet Charlie..

      1
      1 year ago Log in to Reply
    20. Britni

      My job keeps me very active, so it’s actually more likely that I would modify my insulin dose because I know I _won’t_ be exercising within a few hours after eating.

      1 year ago Log in to Reply

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