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    • 6 hours, 27 minutes ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      TCOYD one conference and Breakthrough T1D summits. I really enjoy in person events.
    • 6 hours, 37 minutes ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      Many because I am a retired RN, CDE
    • 8 hours, 43 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      BAAAAAAD WORDS. Definitely the next step for sure.... After that more grumbling, cursing and eventually the decision whether or not taking the long acting THIS late is smart idea. If NOT, then a slightly heavier dose the next day of the short acting insulin seems real likely
    • 8 hours, 44 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      OH boy, an impossible question to answer without a lot more specific details......ie name of insulin / miss an injection completely over 24 hrs or by shorter time frame / to list a few.
    • 13 hours, 22 minutes ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 13 hours, 23 minutes ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      Literal poverty prevents attending such conferences. I must survive, therefore to do so the job(s) require all that I have which remains. I would likely enjoy such conference(s), ALWAYS go for the "small" tables FIRST, their survival depends on it...
    • 14 hours, 49 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      Yes, TCOYD and maybe an ADA conference. The second conference I went to in order to check out tech. Both were in the 90s.
    • 14 hours, 52 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 15 hours, 2 minutes ago
      Kathy Hanavan likes your comment at
      Have you ever attended a diabetes-related conference?
      Before retiring I would go to our local teaching hospital/ADA conferences. They were held yearly and were a great way getting my CE's.
    • 1 day, 2 hours ago
      kilupx likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Other: I was not diagnosed with T1D at a young age.
    • 1 day, 14 hours ago
      KarenM6 likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      The word "chose" is past tense. In the present tense, "no." In the past tense, the ancient of days 1996, the answer was "yes." They even hospitalized you for 2 days. I was and am very healthy and horrified the medical staff when I walked up and down 9 flights of stairs to get something. C'est la vie 🫠
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I felt my lows when I was younger. Now after 45+ years with type 1 I feel a bit of “blurry brain function” when below 50. Thankful for CGM alerts!
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I was diagnosed at age 29. Is that considered "young"?
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The "target" is set for 100 (the lowest option with Medtronic), my alarms are 70-130. With the algorithm it's interesting with a basal that rises and falls (and the "auto-bolus") according to levels and dosing, thus my alarms (down to 2% lows this way). But... There's another setting offering different target range, I have it set 70-90 for now. Only been a few weeks so interesting to see how it goes.
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      On my Omnipod, both the high and the low are set at 110, the lowest it will allow. My preferred target rang is 70 to 120.
    • 1 day, 15 hours ago
      Janis Senungetuk likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Diagnosed in 1951 when I was 6 years old. I would feel terrible when glucose went low, but did not know what was wrong.
    • 1 day, 16 hours ago
      Kristi Warmecke likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Missing answer is “I felt them early in, but not it can be hard at times to physically see a low.”
    • 1 day, 17 hours ago
      Steven Gill likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      To me... (a1C has been as low as 5.2, now near 6.0 with a lot less lows). Discuss with your doc goals, read the DCCT trials (determined "multiple injections" were more beneficial than 1 or 2 shots a day (mixed). Than up to your own confidence with insulin: -how your body reacts (after dosed I notice in 30-35 minutes) it's different for everyone -confidence with understanding the glycemic scale for food (some reach the blood stream quicker, some slower) -your health-as I grow up may not hear a low alarm as quick, nor be able to react as well -and tools... I'm confident with my CGM, alarms, understanding my insulin pump A tighter or lower target can lower a1C, wasn't worth my lows. But an a1C a little closer to non-diabetic can offer a little more prevention against the damage from diabetes. We're doing this to get as old a we can and be as healthy as we can (not necessarily a brag about numbers)---read a definition of heath is to be as far from death as possible. I think that changes...
    • 1 day, 18 hours ago
      atr likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      110, which is as low as omnipod 5 allows. If I could change it, it would be 90-100.
    • 1 day, 19 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      In 1973 when I was diagnosed the hospital policy was to force a low so you knew what they felt like. Around 2000 I became severely hypo unaware.
    • 1 day, 19 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Initially, I felt lows long before they became problematic. This diminished gradually over time. Now, after 51 years, I feel nothing until BG drops to critical levels -50. Exception is when BG drops dramatically over a very short period of time.
    • 1 day, 20 hours ago
      Edward Geary likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 2 days, 12 hours ago
      kilupx likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 2 days, 12 hours ago
      Anita Stokar likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The whole "target" question is a mess. I think most of us here (T1D people who are proactive etc) define "target" as where we want to be after a meal or correction bolus has done it's job. Pump mfr's (and many Endo's) define "target" like they define an A1C goal: averaging 110 over time. Lots of "discussions" (notice the quotes) with my Endo about my targets (I don't accept the "standard goal" of 70-180, I prefer aiming for 70-140). So so answer today's question, my alert ranges are 70 and 120 for high (I correct if I have no IOB, but may have food on board). My target bg (post bolus) is 80-90.
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    For insulin pump users: On average, how often do you take insulin using a different method other than through your pump? (E.g., giving an injection, using inhaled insulin, etc.)

    Home > LC Polls > For insulin pump users: On average, how often do you take insulin using a different method other than through your pump? (E.g., giving an injection, using inhaled insulin, etc.)
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    If you use a CGM, at what blood glucose level is your “high” alert set? If you use multiple alert schedules, select the number that is your “high” alert at 3 p.m. in your time zone.

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    29 Comments

    1. Mary Ann Sayers

      ONLY when I haven’t gotten my CGM!!! (Because my pre-approval was delayed 10 days!!!) I tested bgs 12times daily to make up partially from the loss of not having a CGM!!!)

      2
      2 years ago Log in to Reply
    2. AimmcG

      I was in Ireland many years ago and pump broke. The cap that holds the insulin in place broke when I was replacing the cartridge. It was near the end of my trip and they wouldn’t be able to get me a new pump before I left 3 days later. I only had the quick acting insulin and a few needs. I was like a pin cushion for those days. I was anxious and ate very little. It was pre CGM too so my fingers hurt. A new one was at my home when I arrived

      5
      2 years ago Log in to Reply
    3. Lawrence S.

      I’ve been using an insulin pump since 1998. As far as I’m concerned, the pump is best method of insulin delivery that I’ve used. I said, “never.”

      2 years ago Log in to Reply
      1. William Bennett

        You’ve never needed a backup plan in case of a pump failure? I had the notorious “button freeze” with my old Paradigm not long after I started pumping and it took three days for a replacement to arrive. I was very glad I still had Lantus and Novolog injectors in my fridge, and I’ve made sure to get a new set of each every year for contingencies like this.

        1
        2 years ago Log in to Reply
    4. Jian

      Have done it once or twice in years when blood sugar very high and prior to going to the ER for
      some kind of gastritis. I gave some SQ

      2 years ago Log in to Reply
    5. Mick Martin

      I selected “Never”, but that’s not strictly true. It’s just that this was the closest option made available.

      I use an insulin injection whenever I get an unexpected ‘High’ value on my pump. I then look at what might be causing the high and remedy the situation.

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

      I have a script for Lantus and Fiasp injectors to use in case of pump failure. I’ve only rarely needed them for that reason, but I find the Fiasp pens very handy at times. Two uses that crop up a few times a year:
      -To bring down a stubborn high due to some issue yet to be determined.
      -To bolus for a meal when my reservoir is getting low but the timing for changing it is inconvenient

      I know some insurance carriers won’t cover injectors for pump patients, which sucks. Pumps are great, but they have FAR more failure points than MDI, and having a backup is critical.

      4
      2 years ago Log in to Reply
    7. Patricia Kilwein

      Recently had a code after an alarm on my insulin pump. Auto basal delivery stopped. Gave myself injection of insulin to cover, called medtronic helpline and they were able to walk me through getting it working properly again.

      2 years ago Log in to Reply
    8. Joan Benedetto

      My son, age eleven, has been on a pump for 9.5 years. If we have a stubborn BG over 200, we give a syringe correction. It’s just part of our management style, and our son prefers that as he does not like being “high”. We do this 2-3 times per month.

      2 years ago Log in to Reply
    9. ConnieT1D62

      I answered one or twice a year because that was kinda the best answer for my experience …
      Truth be told, it varies because I take injected insulin when pump catheter occludes or when I take a pump vacation, which I often do during the month of July. Right now I went off the pump about a week ago due to scar tissue build-up in my lower abdomen sites and have been using Tresiba and Fiasp pens with Dexcom on my phone. All is going well and I am injecting in my upper arms and thighs that provide “fresh flesh” territory.

      2 years ago Log in to Reply
    10. Lynn Smith

      I wear a pump for my basal. But for all meals, and any highs, I use Afrezza inhaled insulin. Works much better for me.

      2 years ago Log in to Reply
    11. Kathy Hanavan

      I use Humalog in my pump, but if I am high, I will use Lyumjev by injection to come down faster. I tried Lyumjev in the pump, but I developed redness and irritation at all of my sites in about 18 hours. I also have Toujeo for back up in case of pump failure which I have had to use twice now.

      1
      2 years ago Log in to Reply
      1. terrih57@msn.com

        I tried Lyumjev and it also caused a burning and Tandem informed me to only use hu along in the pump.

        2 years ago Log in to Reply
    12. Bob Durstenfeld

      I use Fiasp in a pen when I have a stubborn high. Usually of my own doing.
      Works great.

      1
      2 years ago Log in to Reply
    13. terrih57@msn.com

      I only use a pen or syringe if I think my pump is malfunctioning and I need a ‘quick fix’!

      2 years ago Log in to Reply
    14. Janis Senungetuk

      I’ll use an injection of Novolog to bring down a stubborn high over the 225 level. The Novolog in my pump takes far longer to make the correction.

      2 years ago Log in to Reply
    15. Marty

      I have a backup pen but I’ve never used it. I tend to drink a lot of water and exercise to bring down highs faster. I like the idea of using Afrezza but I’ve never seriously tried to follow through with my endo. I think she would encourage me to leave well enough alone 🙂

      2 years ago Log in to Reply
    16. Sarah Austin

      I will take an injection of Lyumjev to get a stubborn high down quickly. It works so fast while the Humalog in my pump takes forever to kick in

      1
      2 years ago Log in to Reply
    17. Stephen Woodward

      Afrezza works great.

      2 years ago Log in to Reply
    18. TEH

      In 20+ years of pumping I think I used a syringe to inject insulin only two times. The first time was when my 5 series Minimed stopped working and the Minimed overnighted me a new pump. The second time was when I did not have sufficent supplies when I switched from a Minimed 770G to my new T:slim X2 back in Febuary.

      2 years ago Log in to Reply
    19. KIMBERELY SMITH

      I use Dexcom ge

      2 years ago Log in to Reply
    20. Jneticdiabetic

      I’m in pump but inject a few times per month when I suspect site occlusion, have a stubborn high, or reservoir is running low and I don’t have time to change immediately.

      2 years ago Log in to Reply
    21. Mig Vascos

      the answer “occasional” was missing from the choices which would have been my answer.

      2 years ago Log in to Reply
    22. Molly Jones

      On average, I never take insulin with other methods besides my pump. I have a pen for Lantus and syringes in case of pump failure, which came in handy once before, some twelve years ago, but this is not an average occurrence.

      2 years ago Log in to Reply
    23. Amanda Barras

      If my pump is low but I am eating a meal and don’t want to hassle with a refill or if my blood sugar is high and won’t come down with boluses.

      2 years ago Log in to Reply
    24. George Lovelace

      1 Time in 5 years since I’ve been on the Tandem.

      2 years ago Log in to Reply
    25. Cristina Jorge Schwarz

      If I’m spiking due to a bad site, or food nutrition value was not advertised properly, I’ll give an intramuscular injection to quickly come down. I need to avoid migraines!

      2 years ago Log in to Reply
    26. Cheryl Weaver

      Several times a week, because I have absorption issues. I’m 78 now, and I’ve been Type 1 since I was 14 years old.

      2 years ago Log in to Reply
    27. T1D4LongTime

      My method is injected rapid insulin (Lyumjev). I chose multiple times per month, but this week it was multiple times per week. There seemed to be an issue with pump insulin delivery after it was at 60u or less in the cartridge. So weeks, I inject a lot and others not at all. Depends a lot on stress. Once BG goes high, many times even an injection won’t bring it down. Ugh!

      2 years ago Log in to Reply

    For insulin pump users: On average, how often do you take insulin using a different method other than through your pump? (E.g., giving an injection, using inhaled insulin, etc.) Cancel reply

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