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    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 28 minutes ago
      Janis Senungetuk has commented in the same post you commented in :
      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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 34 minutes ago
      Janis Senungetuk 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
    • 34 minutes ago
      Janis Senungetuk 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.
      Just did what makes sense to me- eating less carbs, watching blood glucose more often and taking corrections as needed. Also some level of activity if possible.
    • 34 minutes ago
      Janis Senungetuk 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.
      Been type 1 since the early 80's learned self management as therapies changed. Unless hospitalized(which I never am anymore) I decide how much insulin to put in my body based on my on going experience with the 1000's of reasons I may need more or less of it. I do love my pump, insulin and CGM so I guess I have to tell the doctor what I do once a year. .. I just keep throwing info and facts he isn't up on till he gets a glazed over look on his face and writes my scripts. I find the most inconvenient part of diabetes is all the people that want to help but don't know much about everyday life with the disease. And NO I do not want to join a discussion group!
    • 37 minutes ago
      Janis Senungetuk 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.
      Many times I have needed to adjust insulin intake amount in order to cope with illness, but only rarely needed outside help. In the early 1970’s I made some mistakes managing influenza. My BG went very high (no meter available for testing at home), and I ended up in the hospital then.
    • 38 minutes ago
      Janis Senungetuk 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.
      Except for those brand new at this, we all know the drill. We know that we need to be flexible, make adjustments, and pay attention.
    • 39 minutes ago
      TEH 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.
      only time that I have been sick was when I got COVID during Jan '22. my sugars were going crazy high and I couldn't understand why but when I tested positive for COVID, in retrospect it made sense.
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    How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?

    Home > LC Polls > How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
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    40 Comments

    1. Steven Gill

      Several months I adjusted my basal, than tweaked them. Haven’t needed to since but I don’t think I need a doctor to tell me how.

      1
      2 months ago Log in to Reply
    2. Britni

      I answered “other” for two reasons. A) “Rates” instead of “doses” implies this question is meant only for pump users, but I use MDI and there isn’t an “N/A I use MDI” option. B) It varies. If I notice an obvious pattern and think that changing my basal doses will help, I’ll change them and tell my doctor at my next appointment. Some years I’ve made lots of changes on my own. Some years I’ve only made changes when my doctor suggested them.

      2 months ago Log in to Reply
    3. Ginger Vieira

      Tiny adjustments in my long-acting basal dose makes a huge difference in my ability to stay in my goal range. If I notice I’m suddenly struggling with stubborn highs, I know I probably need a tiny boost in my basal dose. Just going from 9 units to 10 units of Lantus can have a huge impact on how easy it is to stay in my goal range.

      1
      2 months ago Log in to Reply
    4. Robin Melen

      My pump handles most everything, but in the week following chemo, I use a different profile in the pump with higher basal rates – my sugars tend to rise during that week. Then I return to my main profile and all is well!

      2 months ago Log in to Reply
    5. Beth Dykes

      My endo doesn’t touch my settings. After 38 years, I do it all myself.

      2 months ago Log in to Reply
    6. Elle Hamann

      Whenever it needs adjusted, we adjust it.

      2
      2 months ago Log in to Reply
      1. cynthia jaworski

        of course!

        2 months ago Log in to Reply
    7. Daniel Bestvater

      I use control-IQ in the evening and at night. Often during the day if I am at all active, I must turn off CIQ and set my own basal rates or I will become hypoglycemic. CIQ works fine provided I am not very active.

      2 months ago Log in to Reply
    8. Donald Cragun

      I change my carb to insulin ratios daily to adjust to what happened on that day.

      I change basal rates when I see that my blood sugar is rising or falling at times when they shouldn’t be. It is entirely based on my blood sugar; not on the calendar.

      2 months ago Log in to Reply
    9. kalmay

      Don’t use a pump

      2 months ago Log in to Reply
    10. Lawrence S.

      I could have selected two answers. I selected “once every couple of months.” However, I could have said that I have a pump that automatically adjusts the basal rates (Tandem Control IQ). As my blood glucose levels rates change, I adjust basal rates, bolus rates (carb ratios), or correction factors, depending upon the circumstances of the BG changes.

      2 months ago Log in to Reply
    11. William Bennett

      On my own if it seems necessary, but I’ve been at this for a long time and am pretty stable, so it rarely is.

      2 months ago Log in to Reply
    12. Sherolyn Newell

      I will change the rates on my own, but usually only when I have trouble consistently for a couple weeks. I have found that issues tend to be temporary for me. I can use an adjustment dose if needed.

      2
      2 months ago Log in to Reply
    13. Jneticdiabetic

      I adjust my basal rates for menstruation when I remember. I used to predictably run high a week before my period. At 45 y/o, the timing of insulin resistance varies and I sometimes get very low when I start. I guess that’s perimenopause talking. I also sometimes make basal adjustments if I spot consistent patterns of highs or lows in my CGM. For the most part, I leave it to my b Tandem pump/Control-IQ.

      1
      2 months ago Log in to Reply
    14. Barbara Bubar

      LOL…..I agree with another comment…no one touches my pump settings but me….my NP just “observes.” I’m the one who lives with what is happening.

      1
      2 months ago Log in to Reply
    15. Ehamilton0722

      I use control IQ with my tandem pump, but if i see a consistent pattern of highs or lows, i will adjust my set basal rates as needed.

      2
      2 months ago Log in to Reply
    16. Marty

      I use Control IQ, which automatically adjusts basal rates, but I do set up new profiles with different basal rates as needed for different circumstances. Until I switched doctors to accommodate Medicare requirements for frequent appts, my endo never even asked about pump parameters when I saw him once per year. He saw my data and respected my ability to manage things.

      2 months ago Log in to Reply
    17. Eva

      I use a temp basal when I’m exercising and at night, if I did a lot of cardio. Minor tweaks matter.

      1
      2 months ago Log in to Reply
    18. AnitaS

      I use a pump that automatically adjusts my basal rates but I use different profiles for different circumstances. If I keep seeing too high or low of results, I will do a small adjustment but usually I just give a correction dose or eat something small to adjust blood sugars.

      2 months ago Log in to Reply
    19. Annie Simon

      I see my endocrinologist every 4 months and we review my data on my phone app as I have a CGM (sensor). He either keeps it the same or adjusts the pre meal insukin (ADMELOG) also is Tresiba and administer it at breakfast which last me 24 hours. It’s usually the same a slight change of 1-2 units at breakfast or dinner as now I’m not taking any pre lunch l.

      2 months ago Log in to Reply
    20. Steve Rumble

      I very rarely adjust my basal insulin (Lantus) rates, but more frequently adjust the correction factor for boluses (Novolog).

      2 months ago Log in to Reply
    21. Kayci Marr

      Multiple times per month if we aren’t counting temp basal for exercise or long car rides

      1
      2 months ago Log in to Reply
    22. Jeff Balbirnie

      Whenever necessary, zero use for white coats ā€œsanctioningā€ whatever I do… EVER.

      1
      2 months ago Log in to Reply
    23. Sue Martin

      I use injected insulin, so I change my “rate” on the fly, so to speak.

      2 months ago Log in to Reply
    24. Ernie Richmann

      I do activate a profile with 50% of my normal basal rate for longer bike rides and walks.

      2 months ago Log in to Reply
    25. Abigail Elias

      I have 6 pre-programmed basal rate profiles (each of which has different rates for multiple different times of day). I will switch among them depending on my activities, but I don’t reprogram them unless my endocrinologist sees a pattern of high or low blood sugars and suggests I adjust a rate for a particular time of day for one or more of the profiles.

      2 months ago Log in to Reply
    26. Beckett Nelson

      Sometimes a couple times a year, sometimes once a year…it all depends what my body needs

      2 months ago Log in to Reply
    27. Thomas Cline

      On MDI, I use changes in my basal insulin (Levemir) not just for basal needs, but also to adjust for the longer-lasting effects on blood sugar of food that my fast-acting insulin (Fiasp) would not completely cover. Hence I may change several times a week, depending on diet and time of consumption.

      2 months ago Log in to Reply
    28. sdimond

      For the last several years I have injected 7 units of Tresiba in the morning and 13 units at bed time. I cover my low carb meals with Novilin-R and a couple of units of Humalog. A1C is 4.7 and standard deviation about 12.

      1
      2 months ago Log in to Reply
    29. Trina Blake

      If the question includes temp basal rates – then often. I hae 9 different time zones for my pump settings (all of them: basal, ISF for corrections and carb:insulin for when I eat). I have BIQ (te CIQ target is too high for me) and will avail myself of temp basal when needed. I also have different profiles based on where I place my infusion set.

      1
      2 months ago Log in to Reply
    30. Ms Cris

      Each site absorbs differently on my body, and so by rotating I also change my basal absorption (arms vs belly vs lower back, vs thigh). My semaglutide 1X/week injection has a curve of strength, with days 3-5 the strongest. Then my menstrual cycle is thrown in, with week one needing the least, and so on. I am way sensitive…

      2
      2 months ago Log in to Reply
      1. Ms Cris

        Oh, and for activity/exercise! Different temp rates for different activities.

        1
        2 months ago Log in to Reply
    31. Mary Ann Sayers

      When my bgs show a constant low at a given time I adjust the basal to avoid the lows.

      2
      2 months ago Log in to Reply
    32. Becky Hertz

      Not sure exactly what this question is asking. I do temp basals on an ad needed basis, stubborn highs or lows. I also adjust my basal profile when needed.

      1
      2 months ago Log in to Reply
    33. Clearblueskynm

      Whenever I need to…unless pretty new to diabetes and insulin, everyone should feel comfortable with changing their basal as necessary as it is your life, your body, and no physician is available 24/7

      3
      2 months ago Log in to Reply
    34. Juha Kankaanpaa

      I change the basal rate when needed. There is no time frame how often this happens.

      1
      2 months ago Log in to Reply
    35. Kathy Morison

      I take a basal injections twice a day. The morning dose stays mostly the same unless I have to be fasting or Im sick. The night time dose runs according to what my bedtime sugar is. I will decrease it if its running on the low side.

      2 months ago Log in to Reply
    36. George Lovelace

      So fine tuned with CIQ but my Endo still follows my G6 and advises me of any change needed.

      2 months ago Log in to Reply
    37. M C

      I change it when necessary. If I see a pattern forming (eg. going lower than normal, or higher) over a certain period of the day, I’ll make the adjustment accordingly to correct the changed pattern.

      2 months ago Log in to Reply
    38. Jim Cobbe

      Basal, never, but not for reason given as I’d interpret it; I don’t change it at my quarterly appointments either without detailed discussion and agreement with my endo — and as often as not, I’ve not gone along with his initial suggestion; I know better than him how things turn out in my body. He generally accepts my decisions after I state my reasons, albeit sometimes begrudgingly. Lately, somewhat to my surprise, he has seemed more willing to accept things as they are and just tell me to keep doing what I’m doing, and he hopes to keep ‘taking care’ of me for another decade (I’m 76 now with 47 years T1)!

      2 months ago Log in to Reply

    How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider? Cancel reply

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