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    • 7 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 7 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 22 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 23 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 2 hours, 44 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 9 hours, 53 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 9 hours, 53 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 11 hours, 49 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 12 hours, 5 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 23 hours, 16 minutes ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 6 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
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    Do you most often bolus before, during, or after you eat a meal?

    Home > LC Polls > Do you most often bolus before, during, or after you eat a meal?
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    49 Comments

    1. Lynnc

      Either before or during depending on my starting blood sugar.

      7 months ago Log in to Reply
    2. Annie Wall

      I bolus before meals. Except for when I forget!

      3
      7 months ago Log in to Reply
    3. Don P

      the question had 2 key words…”most often” … I like most others will vary timing depending on glucose levels & type of carbs to be consumed. Before was my response.

      1
      7 months ago Log in to Reply
    4. Milly Bassett

      I usually walk it off. My Lantus kicks in when I’m active. All I need is a good walk in my neighborhood after dinner and I’m back on track. If I can’t walk because I’m at a social function, I dance, I swim, or just walk around at the party. I don’t bolus before dinner because by that time I’m at a good range.

      1
      7 months ago Log in to Reply
    5. BARRY HUNSINGER

      I try to pre-bolus, but sometimes I forget or not sure what I am going to eat. Sometimes I I bolus while eating or after.

      1
      7 months ago Log in to Reply
    6. Francisco Varea

      I try 15 min before meals, per my endo advice. Hard to do most of the time.

      2
      7 months ago Log in to Reply
    7. Carol Meares

      I put before, but some times not enough before.

      3
      7 months ago Log in to Reply
    8. Dennis Dacey

      Rarely after finishing a meal, and with certain meals when carb count [restaurant] is uncertain, after first tasting each food on plate and then calculating bolus.
      “Before”??? what does that mean? Does that include after plating and calculating? Or does that mean 15+ minutes? In that case very rarely.

      My most accurate response to the question, as posed, would be “At time of meal” which for some unknown reason was not included in wanted responses.

      3
      7 months ago Log in to Reply
    9. lynn nelson

      For me there are several variables…what my blood sugar is before I start eating and what I’m eating. For example, I’ve learned if my blood sugar is 85 premeal/snack and I’m eating popcorn, I need to wait til about mid portion til I bolus otherwise the insulin goes into my system faster and I end up with low blood sugar. For those that want to argue about this, I’ve experienced this many times.

      5
      7 months ago Log in to Reply
      1. AnitaS

        I do the same thing, or do an extended bolus with my pump so I don’t go low before the popcorn carbs kick in. I hate when I accidentally take all of the insulin in one regular (non-extended) bolus because I can’t take that insulin that has already been delivered back out of my system. Then I have to take fast acting carbs.

        7 months ago Log in to Reply
    10. Mick Martin

      That REALLY depends on what my blood glucose level is prior to eating. I have gastroparesis … delayed emptying of stomach contents … which often results in my suffering a hypoglycaemic [hypoglycemic, for my American cousins] event should I infuse insulin prior to eating.

      3
      7 months ago Log in to Reply
    11. Lyn McQuaid

      Pre-bolusing is key to postprandial glucose control! When I was diagnosed in the era of R and NPH, I was taught to pre-bolus and find it still necessary with a pump and Humalog, although not as far in advance.

      1
      7 months ago Log in to Reply
    12. Bruce Schnitzler

      Before if I am at home and glucose is normal or elevated. If I am eating out, I wait until the food arrives.

      4
      7 months ago Log in to Reply
    13. Missy Kirchem

      If BG is lower after if normal during, if higher before

      7 months ago Log in to Reply
    14. Becky Cain

      I almost always bolus before but I need to delay that when I’m eating carbs that are slow to digest. Like someone said, I have to be careful about hypoglycemia when my insulin kicks in before my carbs.

      1
      7 months ago Log in to Reply
    15. Kris Sykes-David

      I try to pre-bolus about thirty minutes before I eat, unless I’m in a lower range.

      2
      7 months ago Log in to Reply
    16. Marvin Shotkin

      ALWAYS before. My bolus doesn’t kick in for 2-3 hours, so

      1
      7 months ago Log in to Reply
    17. Marvin Shotkin

      ALWAYS before. My bolus doesn’t kick in for up to 2-3 hours, so I have programmed my pump to pre-bolus an hour before eating. Obviously, I must make adjustments on days when meals might be delayed.

      7 months ago Log in to Reply
    18. Judith Marged

      Since I use Afrezza, I will inhale the insulin mid-meal and then about an hour after the meal, if needed. This acts so quickly, I would go low mid meal if I inhaled prior to eating. The only time I might bolus prior to eating would be if I were running high.

      7 months ago Log in to Reply
    19. TEH

      I answered other as in yes, all three. I try to remember to bolis before but thats impossible when we go out to eat.

      I usually rememberb when I start.

      Sometimes after if I am below 70.
      Sometimes after, as my BG IS RISING quickly and my pump is alarming.

      1
      7 months ago Log in to Reply
      1. ConnieT1D62

        Like you the scenarios have so amply described – it all depends on circumstances. There is no right or wrong perfect answer.

        7 months ago Log in to Reply
      2. ConnieT1D62

        I meant to say “Like the scenarios you have so amply described – it all depends on circumstances. There is no right or wrong perfect answer. ”

        Once again I wish there was an edit button so we could fix unintentional typos.

        7 months ago Log in to Reply
    20. Bob Durstenfeld

      If I could get Medicare coverage for one of the Fast analog insulin, like Fiasp, I would bolus after meals, but with Novolog it is 15 minutes before.

      1
      7 months ago Log in to Reply
    21. gary rind

      use FIASP, bolus 10 minutes before meals

      7 months ago Log in to Reply
    22. Steve Rumble

      I try to bolus before meals but frequently I am not sure of the carbs in the meal so take my shot during or after the meal.

      1
      7 months ago Log in to Reply
    23. Dave Akers

      Finally nice to inhale an Insulin AT mealtime! No more 15-20 minute prebolus when that’s not convenient for my lifestyle.

      1
      7 months ago Log in to Reply
    24. Patricia Dalrymple

      Like everyone else, it depends. After reading a lot on here, when I am home I bolus a few minutes before. If I am out and I see food coming out quickly, I’ll bolus before meal. But that can be risky since I do a carb count of 90 just about every time I eat out. If I do more, I go low first. Then, will do correction 2.5 hours later or earlier if I know I’ve overeaten. At home, I don’t have to after bolus often.

      7 months ago Log in to Reply
    25. Kathy Morison

      It all depends on the type of food Im going to eat. Complex carbs take longer to absorb so I would wait or take just enough to cover any simple sugar foods before eating, then more after about an hour or so

      7 months ago Log in to Reply
    26. stillarobyn

      Before, but sometimes memory not so good and hunger wins out and I bolus during or after as the “oh crap” kicks in.

      7 months ago Log in to Reply
    27. Thomas Cline

      Before, but only just before. I always want to be sure I know what I’ll actually be eating and when I’ll be eating it before I bolus. The scariest times are when I get distracted just before I’m ready to eat and forget that I’ve already bolused for the meal. Fortunately that doesn’t happen often.

      1
      7 months ago Log in to Reply
    28. pru barry

      My better self boluses before a meal, and that’s usually just before. My more usual, not so disciplined self plays catch up the minute I remember. I think part of that is just a way of saying “I didn’t choose to have this need.”

      7 months ago Log in to Reply
    29. TomH

      I try to pre-bolus, but am lucky if I do so by 5-10 minutes and it usually needs to be another 5-10 minutes, though once in a while it causes me to go low for no apparent reason (particular food, etc.).

      2
      7 months ago Log in to Reply
    30. Mary Coleman

      Before and after is my usual routine.

      7 months ago Log in to Reply
    31. Marsha Miller

      Depends on My current BS, the food, and how much BOB I have.

      1
      7 months ago Log in to Reply
    32. Brian Vodehnal

      However with sushi matching a starch and a protein, before, during, and after is a must.

      7 months ago Log in to Reply
    33. Pauline M Reynolds

      Breakfast, just before. Lunch and dinner, just after because usually skirting a low then. Snacks, just before.

      1
      7 months ago Log in to Reply
    34. Tim Kirchgessner

      Always before

      7 months ago Log in to Reply
    35. Amanda Barras

      If I don’t bolus before I go high. Even if I sit down, bolus, and immediately start eating the food always hits first. Wish it weren’t so abrupt because sometimes I forget.

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

      And once in a while I will pre-bolus, about 75% of what I think is appropriate for the cooked meal at home. On the road, I never pre-bolus. I always wait until I see the food! One never knows what you will get in a restaurant or someone else home.

      1
      7 months ago Log in to Reply
    37. Steven Gill

      Ironically after 24 years, 6 endocrinologists, several trainers, and a lot of literature only heard about the idea to pre-bolus from a podcast. For lunch I do my insulin 25 minutes prior to eating (if eating in a restaurant I bolus 1/2 what I expect to eat when ordering, the rest when served to “correct”). For dinner 15 minutes prior, no idea why the difference.

      My a1C had remained in the low 7 range historically, last was 6.3 (only 4-5 weeks doing this), and according to the history on my CGM am looking at 5.4-5.5. Eating similar if not a few more carbs “comfort food,” and oddly less lows.

      Made the decision to try this if it didn’t interfere with work, play, eating, or whatever. I’ve forgotten some, when learning the time frames have started the drop before the absorption of the food (thus differing times) but at this point my insulin use has dropped from 39 units average to 36 a day (to include several milkshakes and staying below 130 the whole time), and 85% in range (keep my MEDTRONIC pump on manual, set at 65-130 for alerts- alerted at 70 and 125): 9% over and 5% under, no idea that remaining percent!

      So times vary but I really don’t differentiate for food but lunch is pretty identical (raw veggies with a sandwich), dinner the old-fashioned meal. Impatient for my next doc visit in September to see but so far fewer hypoglycemia, less insulin, less hesitant for a treat, if that’s a set back?

      7 months ago Log in to Reply
    38. Ceolmhor

      I pre-Bolus breakfast and lunch, but supper varies with the meal type. For meals that involve slow carb absorption, I set a timer and bolus after. For ā€œnormalā€ suppers, I bolus as I start eating. So I had to answer ā€œ Otherā€.

      1
      7 months ago Log in to Reply
    39. Janis Senungetuk

      Most often just before I start eating. If I’m running above 150 I’ll bolus 20 minutes before. It really depends on where and what I’m eating.

      1
      7 months ago Log in to Reply
    40. AnitaS

      If I I start out at a desired (range 110 or less) before a meal, I can’t prebolus more than 10 minutes as my sugar drops before it starts rising and I don’t want it to go below 70. It still does sometimes, but it usually bottoms out in the 70’s or 80’s. Does anybody else’s sugar drops before their food kicks in? I don’t think I have gastroparesis though.

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

        Yes, my blood glucose often drops low before the food kicks in. But, I do have gastroparesis.

        7 months ago Log in to Reply
    41. Molly Jones

      I chose before, but this is just as I start to eat.
      It takes me a long time to eat and digest, both.

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

      I use 20 minutes before eating as a rule of thumb. If my blood sugar is high, I’ll bolus earlier, with a little extra insulin. If my blood sugar is low, I’ll bolus closer to when I eat, with a little less insulin.

      7 months ago Log in to Reply
    43. Cheryl Seibert

      99% of the time bolus is done before a meal. If I’m low and eating a meal, I do an extended bolus with 0 units now and the bolus over 30 minutes

      7 months ago Log in to Reply
    44. Cristina JS

      I start a portion of the bolus before I eat, and extend the remainder during and after my meal.

      7 months ago Log in to Reply
    45. Kimberly Starkey

      For low-carb meals, I bolus just before sitting down; for higher-carb meals, I bolus 10 minutes in advance of sitting down.

      6 months ago Log in to Reply

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