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    • 2 hours, 47 minutes ago
      kilupx likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 2 hours, 47 minutes 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.
    • 3 hours, 13 minutes 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.
    • 5 hours, 13 minutes ago
      Fabio Gobeth likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      They don't call people with MS "sclerotics". In my career (first response) I interacted with lots of people in crisis, I tried to remember to ask if they were "dealing with alcoholism", "do you have schizophrenia" , that sort of language.
    • 5 hours, 14 minutes ago
      Fabio Gobeth likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      I avoid the word ‘diabetic’. It feels like a label. There are more things that define me than being a ‘diabetic’.
    • 7 hours, 22 minutes ago
      Vicki Andersen likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 7 hours, 36 minutes ago
      Julianne likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My range is 70 to 150
    • 8 hours, 20 minutes ago
      Janis Senungetuk likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I remember "injecting" an orange as a trial.
    • 8 hours, 44 minutes ago
      Janis Senungetuk likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      Charles, I have the exact same problem. I found a guy on Etsy up in Canada that made a 3d printed fixture that helps. It's not 100% but it works most times. The needle on the stringe has a lot of variablity that may require moving into a place on the white dot to get it to fill the cartridge. I am only suggesting it. Your milage may vary. https://www.etsy.com/listing/1177982431/exakt-tool-for-tandem-tslim-insulin
    • 8 hours, 45 minutes ago
      Janis Senungetuk likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I wore a saline trial Tandem and a saline trial Omnipod when I was switching from a Medtronic 521 to a new pump. I chose Tandem and have been a very satisfied Tandem pump user since 2012.
    • 9 hours, 25 minutes ago
      Anthony Harder likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 9 hours, 25 minutes ago
      Anthony Harder likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 10 hours, 2 minutes ago
      Marty likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 10 hours, 2 minutes ago
      Kathy Hanavan likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      I don't have a choice. I'm on the Tandem X2 pump, with Control IQ software. It is automatically programmed for a target range of 110. If I had a choice, I would put it on 100.
    • 21 hours, 38 minutes ago
      Bekki Weston likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      When I'm told what I can eat or not eat. Usually not eat.
    • 21 hours, 39 minutes ago
      Bekki Weston likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      I apply it as soon as I remember. My long-acting insulin dose is already divided into 2 doses.
    • 1 day, 9 hours ago
      eherban1 likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      taking Tresiba helps since it lasts more than 24 hours. it depends when I figure it out. if it's before 10 am, I just take it as normal.
    • 1 day, 16 hours ago
      Patricia Dalrymple likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I never knew about a saline trial, My first four insulin pumps were Medtronic. When it was time for a new insulin pump I asked what else was out there on the market. That's when I was introduce to Tandem. I am glad that I made the switch. My only problem is using a syringe to put the insulin in the reservoir. I have low vision and Essential Tremors which make the process challenging at times. Other than small issue it's is great.
    • 2 days, 3 hours ago
      maria prel likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      No, it is just an opportunity for me to teach them a little about diabetes. I don't think most people are trying to be mean, they are just uneducated.
    • 2 days, 3 hours ago
      maria prel likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      It is more about lack of understanding of diabetes management and attitude that accompanies it that bothers me the most. A friend was critical of someone who was just giving themselves (“shooting up more”) insulin because they wanted to eat something that “obviously” had carbs or sugar in it. His attitude was with derision because he didn’t understand. To him, the person was guilty of something for just giving himself more insulin to cover the carbs. It is the judgement without knowledge that bothers me the most.
    • 2 days, 3 hours ago
      maria prel likes your comment at
      When people talk about diabetes, are there trigger words that bother you? Please share what they are in the comments.
      1. You can’t have that! You’re diabetic. 2. Do you need some orange juice?
    • 2 days, 6 hours ago
      Dennis Dacey likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I remember "injecting" an orange as a trial.
    • 2 days, 6 hours ago
      Dennis Dacey likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I never knew about a saline trial, My first four insulin pumps were Medtronic. When it was time for a new insulin pump I asked what else was out there on the market. That's when I was introduce to Tandem. I am glad that I made the switch. My only problem is using a syringe to put the insulin in the reservoir. I have low vision and Essential Tremors which make the process challenging at times. Other than small issue it's is great.
    • 2 days, 6 hours ago
      Dennis Dacey likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      Funny how using saline would influence a decision. Yes, I understand the comfort part of it, but having it keep you in range would be an important factor in choosing a pump. You would actually need insulin to get that info.
    • 2 days, 7 hours ago
      TEH likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      I wore a saline trial Tandem and a saline trial Omnipod when I was switching from a Medtronic 521 to a new pump. I chose Tandem and have been a very satisfied Tandem pump user since 2012.
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    For insulin pump users: When traveling to a time zone that is at least 2 hours different than your home time zone, do you change the time on your pump? (For example, traveling from Eastern Time to Mountain Time, or traveling from Pacific Time to Central Time)

    Home > LC Polls > For insulin pump users: When traveling to a time zone that is at least 2 hours different than your home time zone, do you change the time on your pump? (For example, traveling from Eastern Time to Mountain Time, or traveling from Pacific Time to Central Time)
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    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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    25 Comments

    1. Jennifer Wilson

      It depends on how long I will be in the alternate time zone. If more than three days, yes, I change the time. If not, then no. If I do not change the time, I try to eat as close to my normal schedule as possible.

      1
      2 years ago Log in to Reply
    2. Joan Fray

      I change the time just before boarding the plane

      1
      2 years ago Log in to Reply
    3. Tom Muldowney

      Tslim x2 control iq also alerts that there is a discrepancy on time between phone and pump.

      2 years ago Log in to Reply
    4. Gary Taylor

      I change it even for a 1 hour time zone change.

      2
      2 years ago Log in to Reply
    5. Dennis Dacey

      Like most “things diabetes” I don’t have a simple yes or no response.
      If I’m planning to be in a different time-zone for a period of time and adopt my schedule to that zone, then YES.

      2
      2 years ago Log in to Reply
    6. Lawrence S.

      I tend to travel more North and South, within the same time zone. The last time I took a long trip out of the time zone was 20+ years ago. I was gone for one week. Yes, I changed the time on my pump during that trip.

      2 years ago Log in to Reply
    7. William Bennett

      Two hours or more is a “yes” from me. But for a long time, particularly when changing time zones, I’ve pondered the reasons why these devices don’t use network time like all my other smart devices. Partly it’s b/c, as a rule pumps aren’t natively open to the network, just BT to CGM transmitter. Maybe a good thing security-wise, though since Tandem introduced network connectivity for updates that’s starting to change. But speaking of Tandem, the latest version actually has bi-directionality with the smartphone app, t:connect, even to the extent of initiating boluses from the phone, plus interactions with the Dexcom app from the pump side such as calibrations and initiating new sensor sessions. So synching time would seem a no brainer. But does it? I recently had to manually update the time on my X2 when I noticed it had lost a few minutes relative to my iPhone, so apparently the answer is no, but I haven’t been able to find any hard information yet.

      As I think about it, though, I believe I can see why not. I’d love to land in CA and find my pump and my iPhone both already know what local time it is, but would I necessarily want my profiles to start acting on the new time zone when my body still needs another 24-48 hours to reset, depending on how far I’ve traveled? Hm.. Maybe I”ve answered my own question….

      4
      2 years ago Log in to Reply
    8. Nevin Bowman

      Sometimes. The answer is no unless it will be a long time, as in months, not days.

      2 years ago Log in to Reply
    9. TomH

      This is required if people use different basal, ISF/CF, or ICR rates based on time of day. Alternately, they need to be wary of changing meal times and potential highs and lows.

      2 years ago Log in to Reply
    10. Jneticdiabetic

      I put “Sometimes” (or when I remember).

      2 years ago Log in to Reply
    11. Marty

      I’ve noticed that it takes several days for my “dawn effect” to adapt to a new time zone so I wait for that to happen before I change the time on my pump. Otherwise, I’d have trouble with lows if my increased early morning basal rate kicked in before I needed it. For a period of time when I was traveling between the east and west coasts every couple of weeks, my need for more insulin in the early morning disappeared completely. I think I broke my biological clock for a while.

      2
      2 years ago Log in to Reply
    12. V. J. Teague

      I was still on MDI the last time I traveled to that different of a time zone. I did keep my watch set the same as home so that my long acting timing wouldn’t be screwed up. I adjusted by the end of my visit and did the same method going home. I spent less than 1 day in a 1 hour different time zone on a pump and did not change anything.

      2 years ago Log in to Reply
    13. Trisha Oldenkamp

      I want my settings to match with my schedule at the new location. I’m currently in a time zone 9 hours from back home. Blood sugar is still bumpy for the first day and then it smooths out.

      1
      2 years ago Log in to Reply
    14. Becky Cain

      I did not in the past but do so now because I get a notice on my phone that tells me there is a discrepancy in my pump and t:connect app. It would drive me crazy if I didn’t!

      1
      2 years ago Log in to Reply
    15. Trina Blake

      If I am only two hours away or for a short time – then no. For longer trips and more time zones away then yes (my pump has about 9 different time zones for settings). Since I only eat when I am both hungry and at target (80), I don’t have a set schedule for eating, and time of day wherever I am doesn’t matter.

      2 years ago Log in to Reply
    16. Tere North

      Yes, but honestly, only because the phone app alerts me that my phone and pump are showing different times.

      2 years ago Log in to Reply
      1. Velika Peterson

        It depends on how long the trip is

        2 years ago Log in to Reply
    17. Velika Peterson

      It depends on how long the trip is. Jet lag also plays a role, so the body works on the old time zone for a while, hence it’s fine to use old settings for a couple of days.

      2
      2 years ago Log in to Reply
    18. Gerald Oefelein

      I change pump settings when I arrive at my destination.

      2 years ago Log in to Reply
    19. Pauline M Reynolds

      I should have answered Yes. But I do not change the time en route because I want to know what my pump/body thinks the time is versus the local time in order to better figure insulin doses.

      2 years ago Log in to Reply
    20. KSannie

      I change it, but gradually. And since I tend to get up later when visiting, I do not change by the total time change amount. When I am in Kansas, I get up at 6:30 am. When I am in Cambridge, England, I get up at 7:30. So I only need to change it by five hours, not the full 6-hour time difference.

      2 years ago Log in to Reply
    21. Janis Senungetuk

      Sometimes, all depends on how long and the purpose of the trip. My last trip beyond the borders of Wisconsin was in 2019 on a Medalist study visit to Joslin in Boston. Since precise time was essentially important, I changed the time when I arrived at Logan airport.

      1
      2 years ago Log in to Reply
    22. Becky Hertz

      Depends on how long I’ll be in that time zone.

      2 years ago Log in to Reply
    23. kim bullock

      I will be traveling out of my time zone next year in spring . I will have to get advice from my endo on how to handle the different time zones

      2 years ago Log in to Reply
    24. Mig Vascos

      I always do. As far as when, it depends on different factors.

      2 years ago Log in to Reply

    For insulin pump users: When traveling to a time zone that is at least 2 hours different than your home time zone, do you change the time on your pump? (For example, traveling from Eastern Time to Mountain Time, or traveling from Pacific Time to Central Time) Cancel reply

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