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    • 3 hours, 37 minutes ago
      ConnieT1D62 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?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 3 hours, 38 minutes ago
      ConnieT1D62 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?
      I am my own advocate. I read about new devices and always investigate side effects of any new medication before starting. I usually bring up but then have good discussion with Endo before making decisions.
    • 3 hours, 39 minutes ago
      ConnieT1D62 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?
      With my endo, I usually have to ask. With the Diabetes Educator, she'll make the suggestion first. They're both very aware that I'm dependent on insurance covering the majority of the cost.
    • 4 hours, 53 minutes ago
      Trina Blake 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?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 4 hours, 58 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      No, I was the one who had diabetes
    • 4 hours, 59 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 4 hours, 59 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      Already married over forty years when I was diagnosed.
    • 4 hours, 59 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I never knew of anyone who had diabetes, type 1 or 2 before I was married. I became a T1D after I was married.
    • 5 hours, 3 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I answered “no.” I don’t think my girlfriend at diabetes children’s camp when I was 13 counts. While I think there would be a lot I would have in common with a partner with T1D, I wouldn’t want that to be what brought us together, and I don’t think it would keep us together.
    • 5 hours, 3 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      went on one date with a T1D. she had been dx'd as a child (I was dx'd at 43) so she was very old school. she ragged on me during the entire date about my menu choices, my carbs estimation for my shot and she lost her mind when I ordered a Corona! punchline is that my sugar was less than 150 when I went to sleep.
    • 5 hours, 4 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      When I was married, diabetes was not in the picture at all. All I knew was an uncle who died in 1929 because he refused injections. I developed LADA in my 40's, followed by my husband with Type 2, then my two daughters who had PCOS and Type 2, then my son with Type 2. Enough.
    • 5 hours, 4 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I am married to someone with Type 2.
    • 5 hours, 4 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 5 hours, 4 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I dated someone, but I was/am not out of the closet about having T1 so he didn’t know that I have T1
    • 5 hours, 4 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      My husband was diagnosis at age 3 and I was diagnosed at age 4.
    • 5 hours, 25 minutes ago
      Janis Senungetuk 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?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 5 hours, 26 minutes ago
      Janis Senungetuk 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?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 5 hours, 45 minutes ago
      Bonnie Lundblom likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 5 hours, 54 minutes ago
      beth nelson 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?
      I may already be on the best medications and devices available to me.
    • 5 hours, 54 minutes ago
      beth nelson 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?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 5 hours, 55 minutes ago
      beth nelson 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?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 5 hours, 55 minutes ago
      beth nelson 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?
      I had to answer “other” because I just got a new endo after my other one retired so I’ve only met with him once. Too early to discuss new technology or medications.
    • 5 hours, 55 minutes ago
      beth nelson 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?
      Generally, no, my healthcare provider does not suggest new medications or devices. However, it is not often that new meds/devices become available. Most things are dependent upon my quarterly blood tests. Recently, my Endo put me on statin drugs when my bloodwork showed high cholesterol over a six month period. Otherwise, I am usually the one who asks about new devices about which I have heard or read.
    • 5 hours, 55 minutes ago
      beth nelson 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?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 5 hours, 56 minutes ago
      beth nelson 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?
      I am on the Dexcom, I’m not on a pump though. I am LADA so I have very high insulin resistance, so I use a lot of insulin & there’s just not a pump that would be efficient for my amount of insulin. I’ve tried to get Afrezza, but every Endoc I bring it up to won’t prescribe it. Even though I bring them evidence that it doesn’t cause lung cancer when you’re not a smoker. So frustrating that we can’t agree on that course of treatment.
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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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    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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    49 Comments

    1. Lynnc

      Either before or during depending on my starting blood sugar.

      11 months ago Log in to Reply
    2. Annie Wall

      I bolus before meals. Except for when I forget!

      3
      11 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
      11 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
      11 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
      11 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
      11 months ago Log in to Reply
    7. Carol Meares

      I put before, but some times not enough before.

      3
      11 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
      11 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
      11 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.

        11 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
      11 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
      11 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
      11 months ago Log in to Reply
    13. Missy Kirchem

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

      11 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
      11 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
      11 months ago Log in to Reply
    16. Marvin Shotkin

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

      1
      11 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.

      11 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.

      11 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
      11 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.

        11 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.

        11 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
      11 months ago Log in to Reply
    21. gary rind

      use FIASP, bolus 10 minutes before meals

      11 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
      11 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
      11 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.

      11 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

      11 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.

      11 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
      11 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.”

      11 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
      11 months ago Log in to Reply
    30. Mary Coleman

      Before and after is my usual routine.

      11 months ago Log in to Reply
    31. Marsha Miller

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

      1
      11 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.

      11 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
      11 months ago Log in to Reply
    34. Tim Kirchgessner

      Always before

      11 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.

      11 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
      11 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?

      11 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 “normal” suppers, I bolus as I start eating. So I had to answer “ Other”.

      1
      11 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
      11 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
      11 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.

        11 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.

      11 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.

      11 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

      10 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.

      10 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.

      10 months ago Log in to Reply

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