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    • 8 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 9 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 2 hours, 30 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 9 hours, 39 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 9 hours, 39 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 11 hours, 35 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 11 hours, 51 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 23 hours, 2 minutes ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 2 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 2 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 3 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 6 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 7 hours ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 1 day, 7 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    Clear All
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    How long before you eat your first meal of the day do you complete your bolus?

    Home > LC Polls > How long before you eat your first meal of the day do you complete your bolus?
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    42 Comments

    1. Lawrence S.

      I have an insulin dilemma, especially in the morning. If I take my bolus too soon, my blood glucose bottoms out. If I take my bolus too late, my blood glucose goes way above 200. I view it as an art, not a science. The best result for me is to take my insulin about 30 minutes before I eat. I race to get my breakfast made, then start eating while trying to keep my blood glucose above 50, or so. Just another day in the life of a T1D šŸ™‚

      10
      3 months ago Log in to Reply
    2. Pam Taylor

      I take injections now. When I was using an insulin pump it was usually 10 minutes before I ate

      3 months ago Log in to Reply
      1. Dawn Konig

        Hi Pam, would you be willing to share how you are finding the injections compared to the pump?

        1
        3 months ago Log in to Reply
      2. sweet charlie

        same request as Dawn !! ???

        3 months ago Log in to Reply
    3. Ginger Vieira

      It absolutely depends on what I’m eating! And now that I use inhaled insulin, sometimes I actually shouldn’t dose until 15 to 30 minutes AFTER eating because it’s so darn fast. Every meal is different depending on the macros (fat, carbs, protein).

      3
      3 months ago Log in to Reply
    4. Dawn Konig

      Depends on morning BG

      4
      3 months ago Log in to Reply
    5. Kevin McCue

      Just a few months ago I would dose at meal time but now I have to dose 30 minutes or more ahead. Afrezza has virtually quit working, took 25 units and nothing happens. I need a reset. Thinking of fasting to see if it works

      3 months ago Log in to Reply
      1. Kevin McCue

        What I really want is a way to test insulin for potency but being that Afrezza isn’t working either I think it’s stress related.

        2
        3 months ago Log in to Reply
    6. Clare Fishman

      It depends what my blood sugar is, whether I am planning to exercise, what kind of exercise I am doing and what kind of meal I am eating.

      3
      3 months ago Log in to Reply
    7. Don (Lucky) Copps

      Should hayhad 20-30. A lot depends on my current blood sugar. The lower my current number the last time I give for the insulin to work the higher, my blood sugar the more time I give the insulin to work.

      2
      3 months ago Log in to Reply
    8. KCR

      Usually about 20 minutes but longer if I see a BG bump due to the ā€œfeet on the floorā€ effect.

      3 months ago Log in to Reply
    9. Amanda Barras

      I try to remember to do it earlier, but I’m terrible about this and usually bolus right as I eat. I know my bs would be more stable if I pre-bolused.

      3 months ago Log in to Reply
    10. Julie Nalibov

      I bolus for 5 carbs every morning (unless my BS is really low) just to cover for the morning rise and a cup of coffee w/plant milk. I mostly do intermittent fasting and wait a few hours before eating a very late breakfast which has REALLY helped me avoid the post breakfast spikes – especially because I love carbs and I can now handle toast or half bagel without huge spikes if I wait until 11 or 12 pm for first meal and bolus aggressively 20 min. before. If i walk our dog or exercise,then I can handle full carb breakfast.

      3 months ago Log in to Reply
    11. dave hedeen

      Question should hav specified insulin. Using Fiasp is completely different timing than prior novolog

      3 months ago Log in to Reply
      1. Dave Akers

        Don’t forget inhaled! that’s completely different PK/PD from FIASP and novolog.

        3 months ago Log in to Reply
    12. Mary Dexter

      Like everything, it depends: upon what I am eating, upon what my blood sugar was when I got up.

      2
      3 months ago Log in to Reply
      1. Mike S

        Came here to say this. There really isn’t a one size fits all answer to this question.

        2
        3 months ago Log in to Reply
    13. Sherolyn Newell

      Same answer as all the other questions about when I bolus. Depends on current BG and what I am eating.

      2
      3 months ago Log in to Reply
    14. Joan Fray

      I always have a cup of coffee with non fat milk and read the paper before I eat. So I bolus for the coffee (cgm calculates BG+15 gm). Then when I eat breakfast I bolus for that. Big deal- an egg or a yogurt.

      1
      3 months ago Log in to Reply
      1. Daniel Bestvater

        I bolus 30-45 minutes before eating. I usually bolus have a cup of coffee and move around a bit to help insulin absorption. If BG is elevated I may wait an hour or longer until my BG comes down to a reasonable range.

        3 months ago Log in to Reply
    15. mojoseje

      It depends on my current bg and what I’m eating.

      2
      3 months ago Log in to Reply
    16. Marty

      I bolus 2u when I get up and have coffee with milk 15-20 min later. I’d add a correction bolus if I needed it, but with Control IQ, I nearly always wake up with a normal BG.

      3 months ago Log in to Reply
    17. Ken Raiche

      So many variables, what I’m eating, where my sugar level is at, exercise the day before it’s not the easiest question to answer. All that to say that I usually bolus while I’m eating and eat foods which are absorbed slowly into the system.

      3 months ago Log in to Reply
    18. Joan Benedetto

      I answered 15-20, but it depends on BG when our son arises. If he’s over 120, we definitely wait 20 minutes, but, if he’s 80, only ten.

      3 months ago Log in to Reply
    19. Ahh Life

      How long is measured by the stopwatch. It’s a little like doing the 100 yard dash every a.m. Some days you start at the 90, 100, or 110 yards line. The rough days are the ones you start at 50 or 400 yards away. šŸƒšŸ¾ā€ā™€ļø

      3 months ago Log in to Reply
    20. Kathleen Juzenas

      Generally 10-20 min but longer if bG is high.

      3 months ago Log in to Reply
    21. Kathryn Keller

      Even with fiasp, I bolus my daughter generally 15 minutes before she eats. Even longer, if her blood sugar is higher. If she is 100 or below, I just have her eat her gummy vitamins right when I bolus her and that holds her up enough so she doesn’t drop low before the food hits or spike up too high once it does.

      3 months ago Log in to Reply
    22. Dave Akers

      Inhaled insulin is the most physiologic option. Peak in 35 minutes… requires no prebolus.

      3 months ago Log in to Reply
    23. Bea Anderson

      Varies. All of the above. The goal would be 10 to 20 minutes.

      1
      3 months ago Log in to Reply
    24. Becky Hertz

      Depends on what I’m having for breakfast and what my bg level is. Nut bars, right before I eat. Oatmeal, 5-10+ minutes before I eat. If my bg’s are higher than I’d like could be more like 10-20 minutes.

      3 months ago Log in to Reply
    25. Nicholas Argento

      Not sure what happened to 20-30- I pre dose by this time for cereal to avoid big spike post meal

      3 months ago Log in to Reply
    26. Jim Cobbe

      Depends entirely on blood glucose; on multiple syringe-delivered Tresiba and Fiasp shots now, and having serious BG instability issues probably connected to things unrelated to current insulin regime. If BG very high, sometimes Fiasp bolus over 30 minutes in advance of meal; if in normal range, 10 minutes to just before; if low (< 70), sometimes as much as 10 or 15 minutes after start of meal. Very straightforward really: blood glucose is unstable so timing of bolus is too in order to make match as close as feasible. [Note I spent at least a decade on animal insulins and this may contribute to BG instability].

      2
      3 months ago Log in to Reply
    27. Carol Meares

      I use Lyumjev, prebolusing 5-10 minutes and trying to increase to 15-20.

      1
      3 months ago Log in to Reply
    28. Janis Senungetuk

      With breakfast I bolus just before I eat. Control IQ is keeping my bg around 110 – 90, so unless I have morning appointments, I allow myself to wake up s-l-o-w-l-y.

      1
      3 months ago Log in to Reply
    29. Milly Bassett

      It depends what I’m eating, I may not have to bolus. I can go for a walk and my Lantus takes care of it. but, if it’s really high, I bolus and it’s always way after I eat.

      3 months ago Log in to Reply
    30. Sherrie Johnson

      I answered before but I have found out at times I should wait till after especially when eating out the food comes too late or I can’t eat it all. It’s a juggling game we all play.

      1
      3 months ago Log in to Reply
    31. Eva

      It depends on what my blood sugar is when I wake up. If my BG is 100 to 70 then I bolus right before at mealtime. If 100 to 140 then about 15- 20 minutes before I eat. If 140 to 180 then 30 to 45 minutes before. And, greater than 180 about an 1 hour before. Typically, I don’t start eating unless my blood sugar is between 90 to 130.

      3 months ago Log in to Reply
    32. V. J. Teague

      My HCPs love how often I remember to pre-bolus. I am going through something called carcinoid syndrome. It makes everything more difficult, but especially glucose control. Does anyone in this group have any experience with carcinoid syndrome and long duration T1D?

      3 months ago Log in to Reply
    33. Donald Cragun

      How long I wait after giving a bolus before or after eating any meal is determined by my blood sugar before that meal.

      3 months ago Log in to Reply
    34. Yaffa Steubinger

      There really is no right answer for me. If my BS is normal before I eat, I bolus right before I eat. If it’s high, I bolus about 15-30 minutes before I eat. If it’s low, I bolus during my meal.

      1
      3 months ago Log in to Reply
    35. Magnus Hiis

      I use DIY looping

      3 months ago Log in to Reply
    36. PamK

      I use Lyumjev in my pump, which starts working much faster than Humalog. So, I either bolus just before I eat or 5 – 10 minutes after I start eating depending on what my meal consists of (IE: How much fiber, how many carbs, how much protein/fat.)

      3 months ago Log in to Reply

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