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    • 29 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 32 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I had ketones thrn I am sick. If mid to large I wd call my endo or if also vomiting or dehydrated from diarrhea. I wd go to the ER
    • 1 hour, 46 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 1 hour, 47 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 1 hour, 54 minutes ago
      KSannie likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 1 hour, 56 minutes ago
      Patricia Dalrymple likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 2 hours, 10 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I increase my basal and insulin ratios if I eat until I show no longer test positive. I do only test if I have been high for a longer than usual time.
    • 2 hours, 10 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 2 hours, 32 minutes ago
      Judith Halterman likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 2 hours, 35 minutes ago
      Derek West likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 17 hours, 44 minutes ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 1 day ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 1 day, 2 hours ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 2 hours ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 20 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 2 days, 23 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 3 days, 1 hour ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 3 days, 17 hours ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 4 days, 12 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 1 hour ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
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    Have you ever dropped a vial of insulin and had the vial crack or break open?

    Home > LC Polls > Have you ever dropped a vial of insulin and had the vial crack or break open?
    Previous

    Do you currently have an unexpired glucagon kit? If so, what kind? If you have more than one unexpired glucagon kit, please select all that apply.

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    If you live in the United States, how would you best describe your primary insurance plan type and its annual medical deductible?

    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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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. 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    35 Comments

    1. Ahh Life

      Yes. And it’s sort of like burning a truffle, scratching the Hubble Space telescope, or bending a Giacomecotti Man Pointing. Sigh!

      7
      3 years ago Log in to Reply
    2. Jian

      once in 46 yrs

      2
      3 years ago Log in to Reply
    3. Jason Lynch

      I’m completely on a pump now, but I still get pens because I find them much more convenient and durable.

      1
      3 years ago Log in to Reply
    4. Barbara Bubar

      LONG ago….in a hotel bathroom on a Sunday morning! Very hard to find a pharmacy open to replace it.

      1
      3 years ago Log in to Reply
    5. Amanda Barras

      Yes, but only 2 vials in my 35 years and they were decades apart.

      3 years ago Log in to Reply
    6. mojoseje

      Years ago, I was on a trip to Chicago and dropped two bottles (one brand new, another almost empty) on the bathroom floor. I had to call my doc’s emergency number back at home to have them call in a new prescription. I was on a shoestring budget and that extra $100 (no insurance) killed my entertainment for the weekend.

      1
      3 years ago Log in to Reply
    7. Lawrence S.

      Oops, I typed “yes”, and meant to hit the “no” button. Sorry. please change my answer, if possible.

      3 years ago Log in to Reply
    8. Mike S

      Thankfully had a back up vial, but did spend a few dazed seconds looking at the floor and thinking – there goes 300 bucks. Even contemplated trying to suck it up with a syringe to get some back…I know, stupid that I even considered using contaminated insulin, but this stuff is literally keeping us alive and is stupidly expensive to obtain in the US…even with insurance.

      4
      3 years ago Log in to Reply
    9. Kristine Warmecke

      Only once in 41 years of T1D and occurred while in nursing school. One of the other student’s gave me some until I could get a vial from my endo.

      3 years ago Log in to Reply
    10. Bill Williams

      I returned to a hotel room in London many years ago and found the remains of a vial on the bathroom counter with a note apologizing for the “mishap”. I called the concierge and he had a new vial in my hands less than an hour later.

      3 years ago Log in to Reply
    11. William Bennett

      Yes, because where is it you’re most likely going to be when you’re using vial insulin? A bathroom. And what do bathrooms almost always have? Tiled floors.

      Fortunately I’ve only done it once. So far.

      3 years ago Log in to Reply
    12. fletchina

      I dropped a vial and it broke while I was traveling for business. I had packed a spare bottle (phew!). However, this occurred 10 years ago. Now insurance has gotten so tight w insulin dispersal that I do t have a spare bottle.

      3 years ago Log in to Reply
    13. Kathleen Juzenas

      Yes. I accidentally dropped and broke a new vial. Fortunately my pharmacy replaced it at no cost to me.

      3 years ago Log in to Reply
      1. AnitaS

        Wow, that was nice

        3 years ago Log in to Reply
    14. Alyne Branson

      Years ago (probably 30) I dropped one and it broke. No backup and I was working at a summer camp that was 30 mins from the closest pharmacy – and not my normal pharmacy. After some phone calls and the drive to town (had to borrow a car) I had the new vial. Since then whenever I open a new vial I keep it in one of those cushioned/insulated holders.

      3 years ago Log in to Reply
    15. Janice Bohn

      Oh the horror when I dropped and broke a vial. Amazon to the rescue, purchased clear rubber vial protectors for both regular and long acting insulin

      1
      3 years ago Log in to Reply
    16. A Bailey

      Well really, I didn’t but my granddaughter did! Luckly had another vial.

      3 years ago Log in to Reply
    17. Bob Durstenfeld

      Yes and it was most annoying, I dropped it on a tile floor in a hotel room. I had to take a taxi to a pharmacy an beg them to sell me a replacement. They wanted to speak to my west coast doctor from the east coast. I was not carrying a spare vial.

      3 years ago Log in to Reply
    18. Becky Hertz

      New vial off long acting when I was on a pump break. We’re had gone to a camp and had to give it medicine to The staff. I was transferring insulin and one vial fell ona cement floor and shattered. There was a gap in the tin and I said “and that’s why you always pack at least twice the amount you think you’ll need”.

      1
      3 years ago Log in to Reply
    19. Janis Senungetuk

      YES, twice in 68 years. Twenty years ago visiting my daughter and her family in Chicago, I dropped the full vial of Lantus on the bathroom tile. We were on our way out to eat dinner. It took over 2.5 hours to get a replacement because the pharmacy insisted on the prescription info /insurance payment Second time was on a casino weekend trip, in state, but also many mile from home. I again dropped the vial on a tile floor. That time it was Humalog. We were directed to a Walgreens, a couple miles from the casino/hotel and very fortunately, that wasn’t as much of a hassle. They accepted my insurance card, put it through and I left with a new vial. Within the past 15 years everything has changed in regard to insurance pharmacy coverage and the price of insulin. Now I don’t travel anywhere without multiple supplies.

      3 years ago Log in to Reply
    20. Jeanne McMillan-Olson

      Yes, I dropped a vial while at a picnic in college in approximately 1965 and it broke. Probably Lente insulin. Hasn’t happened since.

      3 years ago Log in to Reply
    21. Ginger Vieira

      YES! As a teenager, in the middle of a shift working concessions at a movie theater! From then on, I wrapped a rubberband around every vial — a cheap safety system! I’m glad insulin pens are more protected by all their plastic.

      3 years ago Log in to Reply
    22. Patricia Kilwein

      I’ve dropped a vile of insulin but thankfully it didn’t crack or break. Since then I purchased neoprene popsicle holders and made vile holders from them….

      1
      3 years ago Log in to Reply
      1. Patricia Kilwein

        Vial🙄

        1
        3 years ago Log in to Reply
    23. KarenM6

      I have dropped vials many times but have been SOOOO lucky to not have any break!! But, I definitely cringed when I heard the thunk as it hit the tile!

      2
      3 years ago Log in to Reply
    24. ChrisW

      First thing in the morning I was opening a new box of pen fill vials. I pulled out the prescribing information bible from the box.
      The blister pack of vials came out with it and hit the floor. Picked it up and looked okay. The first vial was chipped on the edge the plunger goes in but otherwise looked okay. I used it for a couple of days but started smelling insulin when I picked up the pen. Also a dose wasn’t having the expected effect. Remembering the chip I pulled out the vial and found a crack going up the vial. The label that wraps the vial was holding it together. I checked the other vials and found they were all leaking. I opened the next box standing on carpet.

      3 years ago Log in to Reply
    25. Joan Fray

      Of course. Bathroom tile floor + 60 years of t1d = several broken vials.

      3 years ago Log in to Reply
    26. George Lovelace

      Twice, first was a Vial of NPH so that hurt but back then prices were around $14 a vial so not so bad, second was a Vial of Novolog but since I was on Medicare the Loss was even less than the $14 NPH!

      3 years ago Log in to Reply
    27. Sasha Wooldridge

      I had just opened my last vial before my refill and dropped it on the kitchen floor. It was also a Friday after 5 pm. I was insanely lucky to have already filled my pump cartridge so it could have been worse. I had to go through a few hoops but managed to get a new vial called in to my local pharmacy by the end of the weekend. My insurance said I was allowed one emergency prescription per year. I immediately got the silicone protectors and now every time I switch vials I’m as careful and focused as I can be.

      3 years ago Log in to Reply
    28. BARRY HUNSINGER

      I didn’t actually drop the vial. I inserted the syringe to add air so I could withdraw insulin and the bottle broke open spilling all the insulin. The pharmacy was skeptical but replaced the bottle.

      3 years ago Log in to Reply
    29. Wanacure

      Only one cracked vial in many decades. Didn’t realize vial had leaked most of insulin till 2 days later. I always keep at least one spare of each vial of Humalog and Lantus. In addition I can access a pharmacy within one hour during day via public transportation and within 2 hours at night. For a fee there’s home delivery.

      3 years ago Log in to Reply
    30. PamK

      Twice! Once when I was younger; I think my mother dropped it. The second time was after I got married and I dropped it. Both times the bottle shattered on the floor.

      3 years ago Log in to Reply
    31. Mary Berube

      Yes I have dropped vials of insulin but no, they have never cracked or broken.

      3 years ago Log in to Reply
    32. sweetcharlie

      NO….. But in my early years I cracked a glass syringe when trying to sterilize it a glass bottle of alcohal when on a camping / skin diveing trip on Block Island,R.I. and the only pharmacy would not sell me a new one!!! BTW,, that was also the first time I ate raw fish!!

      3 years ago Log in to Reply
    33. Brad Larson

      Yes, but it was approximately 50 years ago

      3 years ago Log in to Reply

    Have you ever dropped a vial of insulin and had the vial crack or break open? Cancel reply

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