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    • 3 hours, 29 minutes ago
      Kristi Warmecke likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      not for those of moderate income.
    • 3 hours, 30 minutes ago
      Kristi Warmecke likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I am hopeful- it may not be in my lifetime, but they have already made great strides in the research. The autoimmune response and need for immunosuppressants is still a pretty big sticking point.
    • 3 hours, 31 minutes ago
      Kristi Warmecke likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      But probably not in my lifetime.
    • 5 hours, 11 minutes ago
      dholl62@gmail.com likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I don't see how a cure will be possible without islet cells as they are what produce insulin. Using immunosuppressants or not is what will determine what the first "cure" will be like. If safe immunosuppresants are used, then it is actually a "functional cure". If they can infuse islet cells without needing immunosuppressants nor other meds, then I would call it a "cure".
    • 5 hours, 12 minutes ago
      dholl62@gmail.com likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I am hopeful- it may not be in my lifetime, but they have already made great strides in the research. The autoimmune response and need for immunosuppressants is still a pretty big sticking point.
    • 5 hours, 51 minutes ago
      Bruce Schnitzler likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I don't see how a cure will be possible without islet cells as they are what produce insulin. Using immunosuppressants or not is what will determine what the first "cure" will be like. If safe immunosuppresants are used, then it is actually a "functional cure". If they can infuse islet cells without needing immunosuppressants nor other meds, then I would call it a "cure".
    • 6 hours, 32 minutes ago
      Steve Rumble likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I think that a functional cure is the most viable scenario as far as a "cure" is concerned. It seems like the most progress is being made with islet cell therapies.
    • 6 hours, 39 minutes ago
      Natalie Daley likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I don't see how a cure will be possible without islet cells as they are what produce insulin. Using immunosuppressants or not is what will determine what the first "cure" will be like. If safe immunosuppresants are used, then it is actually a "functional cure". If they can infuse islet cells without needing immunosuppressants nor other meds, then I would call it a "cure".
    • 7 hours, 9 minutes ago
      Marty likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I am hopeful- it may not be in my lifetime, but they have already made great strides in the research. The autoimmune response and need for immunosuppressants is still a pretty big sticking point.
    • 7 hours, 9 minutes ago
      Marty likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      But probably not in my lifetime.
    • 7 hours, 19 minutes ago
      Kathy Hanavan likes your comment at
      If islet cell transplantation is proven safe and effective, how likely would you be to consider it a treatment option?
      Very likely provided immunosuppressants aren't required. Also younger people should receive the treatment first.
    • 7 hours, 19 minutes ago
      Kathy Hanavan likes your comment at
      If islet cell transplantation is proven safe and effective, how likely would you be to consider it a treatment option?
      as long as it doesn't require immunosuppression, I'm interested
    • 7 hours, 19 minutes ago
      Kathy Hanavan likes your comment at
      If islet cell transplantation is proven safe and effective, how likely would you be to consider it a treatment option?
      I was going to comment that there's always a trade off. Am I trading insulin replacement with some other daily treatment? If so, what's the difference? Is the new daily grind more harmful than the old?
    • 7 hours, 21 minutes ago
      Kathy Hanavan likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I am hopeful- it may not be in my lifetime, but they have already made great strides in the research. The autoimmune response and need for immunosuppressants is still a pretty big sticking point.
    • 7 hours, 50 minutes ago
      John Barbuto likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      But probably not in my lifetime.
    • 8 hours, 16 minutes ago
      KCR likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I am hopeful- it may not be in my lifetime, but they have already made great strides in the research. The autoimmune response and need for immunosuppressants is still a pretty big sticking point.
    • 8 hours, 16 minutes ago
      KCR likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I said, "Unsure." I do not have enough information to state an opinion.
    • 8 hours, 17 minutes ago
      KCR likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      But probably not in my lifetime.
    • 8 hours, 32 minutes ago
      Katrina Mundinger likes your comment at
      How willing would you be to take immunosuppressants if you were considering an islet cell transplant?
      Scylla and Charybdis being perhaps more apt.
    • 8 hours, 58 minutes ago
      TEH likes your comment at
      How likely do you think islet cell therapies are to become a viable long-term treatment for T1D?
      I think that a functional cure is the most viable scenario as far as a "cure" is concerned. It seems like the most progress is being made with islet cell therapies.
    • 11 hours, 40 minutes ago
      Ahh Life likes your comment at
      How willing would you be to take immunosuppressants if you were considering an islet cell transplant?
      After 70 years with T1d and some reduced kidney function and seeing my dad's poor recovery after a kidney transplant, I have no desire to be subjected to chemicals that would further accelerate the demise of my kidneys.
    • 1 day, 3 hours ago
      lis be likes your comment at
      How willing would you be to take immunosuppressants if you were considering an islet cell transplant?
      Nope, T1D is a manageable thing with today's technology. I'll keep the devil I know.
    • 1 day, 4 hours ago
      dako likes your comment at
      How easy is it for you to find research opportunities that feel relevant to you?
      Agreed, and there are plenty of issues aging with T1D.
    • 1 day, 9 hours ago
      eherban1 likes your comment at
      If islet cell transplantation is proven safe and effective, how likely would you be to consider it a treatment option?
      All depends on if anti rejection and immunosuppressive medications are needed. If so I would not be interested.
    • 1 day, 9 hours ago
      eherban1 likes your comment at
      If islet cell transplantation is proven safe and effective, how likely would you be to consider it a treatment option?
      Very likely provided immunosuppressants aren't required. Also younger people should receive the treatment first.
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    How often do you bolus before eating?

    Home > LC Polls > How often do you bolus before eating?
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    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    9 Comments

    1. Trina Blake

      Food “enters” my systemvery slowly, often the insulin wuld kick in before the food did. So I bolus at “first bite” Since I don’t have much of an appetute, that allows me to not “clear my plate”. If something has “fast/simple” carbs, I might bolus 5-10 minutes prior to actually eating. At least I know I don’t have gastroparesis – been this way all my life – slow to get things down the pipe as it were.

      2 years ago Log in to Reply
    2. Ahh Life

      Sometimes. Prior to gastroparesis, the answer would have been always. Now gastroparesis plays a game with digestion that could well be entitled like that old TV show, “You Bet Your Life,” because digestion may or may not occur. And with low BG you are literally betting your life. So much fun. Sigh! 🙄

      2
      2 years ago Log in to Reply
    3. William Ervin

      I am on a zero carb diet and rarely if ever take a bolus before eating.

      2 years ago Log in to Reply
    4. Paul McGuigan

      always unless I’m low

      2 years ago Log in to Reply
    5. Dennis Dacey

      Rarely. Most days, I eat the internationally recommended regimen of 230 – 250 grams of carbohydrate for a healthy adult who is not concerned with obesity and only bolus prior to a meal when my current BGL is substantially higher than my meal-time 110 mg/dl target.

      2 years ago Log in to Reply
    6. Molly Jones

      Whether or not I bolus depends on what I am eating and my blood sugar. I answered often, but it depends on the situation.
      I can be hungry, have a BG of 70 and eat raw vegetables with cheese and or nuts and need no insulin if I am waiting to eat carbs in a bit.
      I can be low and eat carbs and need no insulin.
      There are other situations also where insulin is not required, but thanks to control-iq, they don’t happen as often.

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

      I said, “always.” But, in afterthought, I don’t bolus when I’m eating for a low blood sugar.

      2 years ago Log in to Reply
    8. Anita Stokar

      I always bolus before eating unless my sugar is low to begin with. Then I will wait until my sugar reaches about 70 before bolusing.

      2 years ago Log in to Reply
    9. Mick Martin

      I selected “Often”, but I think I should clarify that.

      On the vast majority of occasions I do bolus prior to eating, but if my blood glucose level is lower than about 5.0 mmol/l [90 mg/dL] I wait until I’ve eaten as I have gastroparesis … delayed emptying of stomach contents … which frequently means that my insulin has ‘kicked in’ before my body has started to ‘breakdown’ the food(s) that I’ve imbibed and I, therefore, suffer with hypoglycaemic [hypoglycemic] events.

      2 years ago Log in to Reply

    How often do you bolus before eating? Cancel reply

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