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    • 4 hours, 57 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.
    • 4 hours, 58 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.
    • 5 hours 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.
    • 6 hours, 13 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.)
    • 6 hours, 19 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
    • 6 hours, 19 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.
    • 6 hours, 19 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.
    • 6 hours, 19 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.
    • 6 hours, 23 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.
    • 6 hours, 24 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.
    • 6 hours, 24 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.
    • 6 hours, 24 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.
    • 6 hours, 24 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.
    • 6 hours, 24 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
    • 6 hours, 24 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.
    • 6 hours, 45 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.)
    • 6 hours, 46 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.
    • 7 hours, 6 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.
    • 7 hours, 15 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.
    • 7 hours, 15 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.)
    • 7 hours, 15 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.
    • 7 hours, 15 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.
    • 7 hours, 15 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.
    • 7 hours, 16 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.
    • 7 hours, 16 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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    For current or past insulin pump users: Have you ever changed your insulin delivery routine because of insulin absorption issues?

    Home > LC Polls > For current or past insulin pump users: Have you ever changed your insulin delivery routine because of insulin absorption issues?
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    If you could reach your health goals (e.g., A1c, time in range) equally well with any of these insulin delivery methods, which would you prefer to use?

    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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    35 Comments

    1. LizB

      For 16+ years I pretty much used my lower abdomen, manually inserting Silhouettes. In 2020-2021 I started having many alarms about insulin flow being blocked, no delivery. Last year I switched to Mio Advanced sets and I am able to reach all new areas I couldn’t before. I plan on giving my lower abdomen a good, long rest.

      1
      1 year ago Log in to Reply
    2. connie ker

      Insulin absorption issues can also happen to those of us doing the syringes and vials (MDI) too. It is important to change body spots and for me the best absorption is into the CORE.

      2
      1 year ago Log in to Reply
    3. Angela Naccari

      I answered that I changed to tru steel but a few more of the answers would have been correct. I wish there has been multiple choices. I have stopped using sites then went back to them and years ago I had to stop using a pump and used Afrezza because of poor absorption. Now using pump! 60 years TD2

      1
      1 year ago Log in to Reply
      1. AnitaS

        Unless I am misinterpreting your answer, there were multiple choices. I clicked on two of the choices.

        1 year ago Log in to Reply
    4. Annie Wall

      I took a two year pump vacation mainly due to infusion set site problems. I returned to pumping in June and am using TruSteel sets and that seems to make a big difference. It’s actually harder to vary sites as much as I’d like because your need extra space for the needle and for the second adhesive pad.

      1
      1 year ago Log in to Reply
    5. Louise Robinson

      Last June, I began having insulin absorption issues on Day 3 of my infusion site. (46 years w/Type 1 and pumping since 2011). I should have changed out my site early on Day 3 but, because I have been unable to obtain Medicare-approval for more frequent site changes, I am making my sites last the full 3 days and “supplementing” my insulin delivery on Day 3 with insulin injections via syringe. I have maintained good control by doing this with my A1c’s in the low 6’s. If I changed the sites early, I would run out of infusion sets and cartridges for my pump and have to resort back to MDI. Medicare allows 30 of each for a 90-day period. I did purchase out-of-pocket an extra box of each to prevent my running out. Even though I provided data about my glucose values on Day 3 and my syringe-delivered insulin on Day 3, my endo’s case notes of my office visits haven’t provided the info Medicare requires to approve site changes every 2.5 days vs every 3 days. I am in the process of changing endocrinologist and am more confident my new one will be able to navigate the Medicare requirements and get me what I need. So frustrating…all I’m trying to do is stay healthy.

      5
      1 year ago Log in to Reply
      1. KSannie

        The manufacturer recommends changing the Trusteel every 3 days, so Medicare has to approve that one for 2-day frequency of set changes. That solved my problems with high sugars on day 3. I am getting 45 sets every 90 days on Medicare.

        1 year ago Log in to Reply
    6. Chris Albright

      Beyond the choices that were provided, I have also changed infusion sets from a longer cannula (9mm) to (6mm) and visa versa.

      2
      1 year ago Log in to Reply
      1. Chris Albright

        In addition to my previous response, I have started to use the fatty area on my back (2-3 inches above belt line. I get really get good absorption from these areas since they have not been used prior. Little trickier to insert it but good spots for me

        4
        1 year ago Log in to Reply
      2. Jneticdiabetic

        Good reminder! Especially for those who have less padding or are noticing that they’re soft cannulas are bent at withdrawal.

        1 year ago Log in to Reply
    7. Hieromonk Alexis

      I do switch the site when absorption seems to be impaired, and that usually works. But it’s never a permanent change.

      1 year ago Log in to Reply
    8. Andrew Aronoff

      I’ve been a Type 1 for over 50 years. I’m currently on a 1 year pump vacation which will end in May. I’ll then resume use of my MiniMed 640G and the Quick-Set infusion sets. I’ve found that the biggest advantages of the pump are the ability to program different basal doses and use a square-wave bolus. FWIW, my A1C and time in range has not changed significantly since I went back to MDI (two shots per day of Levemir and Humalog before meals or snacks).

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

      After years of rotating sites around the abdomen and butt, there are certain areas of my abdomen that just don’t allow insulin absorption. I’m also using my legs now. I cannot reach my arms to insert cannulas. I find that anywhere around the rib cage does not work, lower abdomen does not work, high up on my thigh does not work. I have lots of absorption issues on my legs. It seems that I’m running out of places to place my cannulas where I get decent absorption. I change sites early often.

      1 year ago Log in to Reply
    10. AnitaS

      I am always willing to tell people to give Tru-steel a try if they have issues with the soft cannulas. So many of my soft cannulas became bent with insertion which caused so many high blood glucose readings. Since starting the Tru-steel infusion sets a few months after starting to pump, I haven’t had those issues.

      1
      1 year ago Log in to Reply
    11. Sondra Mangan

      If I notice poor absorption, I will give a little more time for that spot in my Omnipod rotation.

      1
      1 year ago Log in to Reply
    12. Daniel Bestvater

      T1D ~ 45 years and have pumped for about 25 years. I use the steel needle canulas and find insulin absorption to be more consistent with them. I rotate all over my body and use different basal rates for different areas. I’m thin so to use some spots I gently bend the needle to ~ a 45 degree angle before insertion, this has worked well for me.

      1 year ago Log in to Reply
    13. George Lovelace

      23 yr Pumper started on Humalog then Mixed with Velosulin the Novolog and changed to Apidra. On Tandem so now with Novolog

      1 year ago Log in to Reply
    14. Amy Jo

      I answered “other” – I often need to change my site after only 2 days rather than 3. This was particularly true while pregnant/TTC – by day 3 I had much more frequency hyperglycemia (>200), which negatively impacted my A1c.

      1 year ago Log in to Reply
    15. Jim Gilligan

      I am getting better time in range and consistent glucose readings by changing injection areas. With Tandem AutoSoft 90 I had trouble disconnecting and reconnecting the tubing for a shower. So I had infusion sets only in my abdomen for well over a decade. The Tandem rep made me aware of AutoSoft XC infusion sets. I can disconnect the XC with one hand and this has allowed me to move to fresh real estate around my back and upper butt with significant absorption improvement.

      1
      1 year ago Log in to Reply
    16. Marty

      I had to change sites every 2 days when I was using Fiasp or increase my insulin by >30% on the 3rd day. When I switched to generic Humalog, that problem went away and I can now use the same site for 3 days. I speculate that the same ingredient that make Fiasp faster acting (niacinamide) also wore out my sites more quickly.

      1 year ago Log in to Reply
    17. Carol Meares

      I would also like to try inhaled insulin but my insurance won’t cover it.

      1 year ago Log in to Reply
      1. mentat

        Have you contacted Mannkind directly? They have some options for cases like this.

        1 year ago Log in to Reply
    18. M C

      As said before, I have gained much better control through the use of the insulin pump, however, I am running out of viable body ‘real estate’ due to scarring and hardening of the tissues under the skin. When this happens, absorption of the insulin gets more challenging, and uncomfortable. I would hate it, but it may come to the point where I will have to give up the use of the pump. (Solutions are welcome!)

      3
      1 year ago Log in to Reply
      1. KarenM6

        I’m with you, M C!
        I don’t know that there is a solution involving injections or pumps. No educated individual that I have asked has come up with a working solution. The most common answer is “move your site.” But, that’s not workable for me. Also, I’ve not used my abdomen in _years_, yet the lipoatrophy is still there and quite visible. So, it’s a big bummer that I can’t use the abdomen anymore.
        Carol Meares’ answer may be the only one that comes close to working: inhaled insulin.
        I need a lot more education on inhaled insulins before I could say for sure, though.
        I hope we both find a solution!!!! 🙂

        1
        1 year ago Log in to Reply
      2. Kim Murphy

        Try the tubeless OmniPod it can go in at least 10 different sanctioned areas which gives you twenty or thirty spots and I get great absorption. I use much less insulin than I used to just because my absorption has improved with so many areas where you can put it.

        1 year ago Log in to Reply
    19. Russell Buckbee

      I had reactions to all insulin types and processes for a while. It went away after many trials to get my insulin into me. (This includes injections)

      1 year ago Log in to Reply
    20. Bonnie Lundblom

      I had to give my abdomen a several years vacation after MDI there for almost 30 years. Now using the Tslim pump and rotating sites every 3 days using a chart I made showing rotation order to ensure I leave sites alone for as long as possible, so far so good.

      1 year ago Log in to Reply
    21. Christina Trudo

      No, not in over 30 years. Now that I think of it, I did change to metal needles but hadn’t had a huge amount of trouble first, just the educator’s hunch it might help.

      1 year ago Log in to Reply
    22. Mig Vascos

      A couple of years into using the Tandem t:slim 2x i was having bad problems with absorption. I asked both Tandem and my NP to meet with me and go over the training. After some back and forth they agreed. I found that I was not holding the cap containing the infusion set correctly and consequently when I pull it back it didn’t catch well enough. They also suggested the metal needle which I tried and didn’t like at all. I also changed to the AutoSoft XC.
      Anyway, to make the story shorter, the training helped me do things correctly. Eventually I decided to tape the back end of the incision set and also the tube right where it begins. I only need to retape the tube after I shower. Now I get a better absorption and they last 4 days and even 5 without problems.
      Still Tandem infusion sets are not that easy to connect and disconnect unless I can see it and because I’m a side sleeper I”m only able to use the front of my abdomen.
      I still at times have absorption problems but now I know that when my BGs are not working correctly is not my fault. So, i just found a new place and replace it with a new one.
      Taping my sound like another hassle, but it really helps.

      1
      1 year ago Log in to Reply
    23. Jneticdiabetic

      I found absorption from my abdomen didn’t work as well after my two pregnancies. I’ve had good luck with the area at the top back of my hip just above our below the beltline. I have more padding there.
      I always had trouble with the infusion sets that get inserted straight in (e.g. Quickset). They would frequently kink/bend and fail within a day or 2. I’ve had much better luck with infusion sites that are inserted at an angle (Medtronic Silhouette, Tandem Vari-Soft).

      1 year ago Log in to Reply
    24. Kim Murphy

      I was having absorption issues so I switched from a tubed pump which only worked in my stomach to the Omnipod which I can put in 10 different locations.

      1 year ago Log in to Reply
    25. Linda Zottoli

      After 67 years of injected/pumped insulin, I’ve many times given the lower abdomen a rest, once for about 3 years. Being pretty thin, I began, years ago, using the silhouette/varisoft type set in order to use the area in front of my lower rib cage just below the skin, and I guess it would also work on the lower back. This was uncomfortable sometimes at first, but it seemed the insulin built up more fat, there, pretty quickly, and it’s been years since I had any discomfort with it. But the scars from heart surgery have limited that area. A steel set might be easier to put in the back above the waist, though I used to do fine with varisoft below waist — maybe work harder on that stretch first before I try putting in a set.

      1 year ago Log in to Reply
    26. Twinniepoo74

      I stopped my meditronic after someone hacked my pump but years later I am back on the omnipod

      1 year ago Log in to Reply
      1. mentat

        Wow!! Do you know who/why??

        1 year ago Log in to Reply
    27. Molly Jones

      Other was my answer as I changed my sites, but….
      My BG is quite variable. Who knows why. Bodily stress comes in infinite forms. In the early years of pump use I would try new sites to see if this was the cause.

      1 year ago Log in to Reply

    For current or past insulin pump users: Have you ever changed your insulin delivery routine because of insulin absorption issues? Cancel reply

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