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    • 13 hours, 21 minutes ago
      KarenM6 likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Moderately. My doctor and pharmacy are awesome, my insurance and durable medical equipment supplier, not so much. The excessive red tape of paper to get DME supplies shipped is almost always a nightmare!
    • 13 hours, 27 minutes ago
      KarenM6 likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Run, don’t walk from Edgepark! Read my response to Nevin Bowman above! (Hint: the company I was referring to in that post was Edgepark)
    • 13 hours, 27 minutes ago
      KarenM6 likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I once had a supplier withhold old pump supplies while refusing to ship the order for a new pump and I was on a 3-way call with insurance and got to listen to DME lie directly to Insurance about it and then I had the pleasure of interjecting and getting to call them a liar! I would have been more vindicated if it actually accomplished anything, but after I finally got my shipment I fired that DME and never looked back. The red tape that insurance insists on for DME is excessive for chronically ill patients!
    • 13 hours, 36 minutes ago
      kristina blake likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      After doing this weighing and measurements you get pretty good at estimating
    • 14 hours, 57 minutes ago
      Patricia Dalrymple likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 16 hours, 8 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      Been doing it for so long it's mostly estimation at this point. Every once in a while at home I'll measure out exact portions of rice, pasta, etc to remind myself just how SMALL portions should be as I tend to let them get a little bigger over time. (wishful thinking) Very helpful to have that image in mind at restaurants where portions tend to be way larger than a single serving.
    • 16 hours, 8 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      Yes, for me never weighing or measuring but actively using the Calorie King book and app for several years I have most things memorized or I can make a decent assessment.
    • 16 hours, 8 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      After doing this weighing and measurements you get pretty good at estimating
    • 16 hours, 8 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 17 hours, 3 minutes ago
      Lawrence S. likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 17 hours, 43 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Well, since I'm waiting on pump supplies for 2 months now, my confidence is slipping.
    • 17 hours, 43 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am confident about access to my medical needs in the immediate future. I am not a fortune teller and have no idea what my access to medical supplies will be like in a year or longer. I don't take my spoiled lifestyle for granted.
    • 17 hours, 43 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 17 hours, 50 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am worried about the changes to Medicare making no provision for getting an immediate replacement if a pump fails. It sounds like we will have to get these from the suppliers instead of a warranty replacement from Tandem themselves (or whatever brand you use). Pumps will be rented and will have to be returned so they can verify the problem before replacing them, which is ridiculous. Meanwhile, Medicare would not pay for us to get long acting insulin as a temporary replacement for the basal.
    • 17 hours, 56 minutes ago
      Amanda Barras likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      After doing this weighing and measurements you get pretty good at estimating
    • 18 hours ago
      Derek West likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 20 hours, 33 minutes ago
      Ahh Life likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      So far since Jan 1, ‘26, I’ve spent nearly 30 hours on the phone battling and trying to get Medicare covered diabetes supplies. Called 5 different suppliers t get what I need to use my pump.
    • 20 hours, 34 minutes ago
      Ahh Life likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      You are too modest. That hurdle is on fire and you have to juggle chainsaws as you jump over it. Congratulations and good luck making it over the next one in 90 days.
    • 1 day, 10 hours ago
      KarenM6 likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 12 hours ago
      Kristi Warmecke likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Well, since I'm waiting on pump supplies for 2 months now, my confidence is slipping.
    • 1 day, 12 hours ago
      Laurie B likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 1 day, 12 hours ago
      Kristi Warmecke likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I answered slightly. I'm absolutely certain supplies and medication will be available. However, I'm doubtful they will be affordable. If I can't afford them, I can't access them.
    • 1 day, 13 hours ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am confident about access to my medical needs in the immediate future. I am not a fortune teller and have no idea what my access to medical supplies will be like in a year or longer. I don't take my spoiled lifestyle for granted.
    • 1 day, 13 hours ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 1 day, 13 hours ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I answered slightly. I'm absolutely certain supplies and medication will be available. However, I'm doubtful they will be affordable. If I can't afford them, I can't access them.
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    How often do you pre-bolus (a bolus you complete BEFORE you eat)?

    Home > LC Polls > How often do you pre-bolus (a bolus you complete BEFORE you eat)?
    Previous

    How often do you pre-bolus at least 5 minutes before eating?

    Next

    The last time you had to call customer service for something T1D device related, how long did you stay on the phone for with them?

    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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    18 Comments

    1. lis be

      I said almost always, but if my sugar reads below 90 sometimes I wait until halfway through the meal. (depending on how many carbs)

      3
      2 years ago Log in to Reply
    2. Nevin Bowman

      “almost always” because I forget on rare occurrences, but otherwise “always”.

      1
      2 years ago Log in to Reply
    3. Gary Taylor

      I answered “almost always” and that’s true. Those boluses, however, are usually done moments before I eat rather than the recommended 15 to 30 minutes before.

      4
      2 years ago Log in to Reply
      1. Natalie Daley

        Fast acting insulin works in 3-5 minutes.

        2 years ago Log in to Reply
    4. Jane Cerullo

      On MDI with InPen so can only use humalog. Usually bolus prior. I may go back to Lyumjev and put info manually into pen. Wish they made a cartridge. But Lyumjev so much faster. Oh well

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

      Almost always. Two times I don’t pre-bolus are when I forget to pre-bolus, and when my blood glucose level is dangerously low. Then, I take my insulin when I start eating.

      5
      2 years ago Log in to Reply
    6. Kathy Hanavan

      I always bolus before I eat, but find it hard to pre bolus for the recommended 15″ or so. Working on it!!

      3
      2 years ago Log in to Reply
    7. Ceolmhor

      Bad question. There’s a large range between “Almost always” and “rarely”. I would guess that many of us live there.

      5
      2 years ago Log in to Reply
    8. Janice B

      It is generally not as far in advance as I would like.
      At work I never know if I will be interrupted before eating and we pretty much eat when I get home from work so no extended time to pre bolus at that time either.

      2
      2 years ago Log in to Reply
    9. Bea Anderson

      Rarely sounds so bad and not 100% true. Almost always isn’t true either. 50% is accurate. Eating Keto with 14 grams total carbs daily, 3-5 g per meal hardly requires a bolus of any kind. I’m climbing out of a stretch of overeating and rollercoaster BGs. This is hard, but works.

      2 years ago Log in to Reply
    10. Janis Senungetuk

      My answer choice was “other” because it’s usually 50/50. Breakfast is bolus as soon as the coffee’s ready. If there’s lunch it’s a small low carb snack, not enough to pre-bolus for. Dinner is almost always 15 – 20 minutes pre and 2 hr extended bolus, unless I’m trending low.

      2 years ago Log in to Reply
    11. miss.stake

      I wasn’t really sure how to answer this. I always do a pre-bolus but as an extended bolus. So only 100% upfront is rare.

      1
      2 years ago Log in to Reply
    12. Jaysen LeSage

      I would put my answer at sometimes. Maybe 50% of the time (I’m working on getting better with it).

      2 years ago Log in to Reply
    13. Tina Roberts

      On Medtronic I rarely prebolused. Now on omnipod5 and Dexcom almost always.

      2 years ago Log in to Reply
    14. Jan Masty

      Almost always. Certainly not when my glucose is already low. Then I wait till after I begin eating.

      1
      2 years ago Log in to Reply
    15. KIMBERELY SMITH

      Before I eat

      2 years ago Log in to Reply
    16. Jen Farley

      About 50/50.

      2 years ago Log in to Reply
    17. Lozzy E

      Sometimes. It depends on my current glucose reading and the GI of what I’m about to eat (and in what order).

      2 years ago Log in to Reply

    How often do you pre-bolus (a bolus you complete BEFORE you eat)? Cancel reply

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