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    • 9 hours, 34 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 9 hours, 41 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 10 hours, 7 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 14 hours, 43 minutes ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 14 hours, 43 minutes ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 15 hours, 3 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 15 hours, 4 minutes ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 15 hours, 4 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I answered no, but I do experience nausea and/or vomiting, usually on a daily basis, but this is because I have gastroparesis. I have rarely been able to eat breakfast over the last 20+ years as I end up vomiting it all back up ... try explaining that to ward staff in hospital(s). ;-)
    • 15 hours, 24 minutes ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 7 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 7 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The constant refilling and site changes...doesn't seem worth it.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Luddites just may be the most comfortable people on earth. 🙃 
    • 1 day, 10 hours ago
      Antsy likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      Holy cow! 8 to 10” bubbles? There is definitely something wrong if that is happening to you. I occasionally get 1/4” inch 10” is excessive. Have you gone in and shown your pump instructor how you’re doing it so that they can help you figure out the problem?
    • 1 day, 10 hours ago
      Wanacure likes your comment at
      Aside from the first year after your diagnosis, have you seen a registered dietitian for help managing nutrition and T1D?
      When I was put on insulin, the first dietitian I payed to see said I could eat whatever I wanted as long as I followed the set number of macros (carbs, protein, fats). The stupid diet had my blood sugars all over the map. She didn't care/listen when I told her milk, bread/pasta made me feel really sick. She said because I was on insulin I need to eat a high carb, low protein and low fat diet. What bad advice! Thankfully, I came to my senses and starting reading the experiences of other T1D's who were following the The Bernstein diet.
    • 1 day, 10 hours ago
      Wanacure likes your comment at
      Aside from the first year after your diagnosis, have you seen a registered dietitian for help managing nutrition and T1D?
      Saw one, recently out of school, when I was first diagnosed ten years ago. She insisted I needed 150 grams of carbs per day minimum and handed me a sheet with meal plans. She explained that I needed those carbs to keep my brain functioning properly. GEEZ. I can only hope she's learned a thing or two since then.
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    How often do you typically test your basal rates?

    Home > LC Polls > How often do you typically test your basal rates?
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    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    28 Comments

    1. Andrea J. Schedel

      Um. I don’t even know what that means. They are set & if I’m in range overnight, and between meals, they’re OK?

      2 years ago Log in to Reply
    2. Eve Rabbiner

      I change rates whenever they are no longer working well.

      2 years ago Log in to Reply
    3. Annie Wall

      I test my basal rates for my long-acting insulin when I experience some wackiness. I find that I do have to change the amounts (I take two shots of Lantus a day) a couple of times a year. Basal testing is pretty easy with Dexcom with no more finger sticks.

      2 years ago Log in to Reply
    4. Britni Steingard

      I’ve never purposefully tested them. If I have reason to think they’re not working I change them and wait to see if the issue resolves.

      2 years ago Log in to Reply
    5. Jana Foley

      I’ve never heard of testing my basal rates. I adjust them when my endo thinks they need adjusting. Not sure if that’s the same as testing them or not.

      2 years ago Log in to Reply
    6. Bonnie Lundblom

      I answered “Never” based on the wording of this question. If it was asking how often I need to adjust my pump’s basal rate that would not have been my answer. I’ve had to adjust my rate a lot over the past 2 months so on my next Telehealth endocrinology appointment I’ll be asking for help in understanding why this is happening.

      2 years ago Log in to Reply
    7. Ernie Richmann

      How do I test? If I am out of range, I consider my bolus ratio, time of day, activity level, stress, sleep, and basal rate. How do I determine if I need to change my basal rate?

      2 years ago Log in to Reply
    8. Lynn Green

      I test my basal rates as needed. There is always room to fine tune my basal rate when I can see a pattern or specifically when testing it.

      2 years ago Log in to Reply
    9. Melinda Lipe

      I know about testing basal rates, involving fasting for a period of time. I just don’t feel comfortable doing it with my active work as a nurse. My basal needs adjustment at least monthly so I have pump profiles to use as needed, and adjust those as well.

      2 years ago Log in to Reply
    10. James Dexter

      T-Slim X2 Control IQ constantly adjusts my basal rate so I don’t have to think about it.

      2 years ago Log in to Reply
    11. connie ker

      I don’t know how to check a basal rate, what does this mean? I’ve been 22 years into this T1D and I have never heard of checking basal rates before,. Can you please tell us what this is, how is it checked, and what does the result reveal???????

      2 years ago Log in to Reply
    12. Nicholas Argento

      I don’t formally test them, which requires that you fast for some period of time and see if there is a change in BG with normal basal rates. However, I regularly assess whether I drift up or down before next meal, which is normally at least 5 hours since last intake.

      2 years ago Log in to Reply
    13. Daniel Bestvater

      With a Dexcom G6 I’m constantly monitoring my basal rates and fine tuning them. Basal rates are very fluid and need to be constantly tweaked. I also use many temporary rates depending on how active I am.

      2 years ago Log in to Reply
    14. MARIE PEELER

      For those that asked, the testing procedure is explained in the book “Pumping Insulin” by Walsh and Roberts. In a nutshell, it involves fasting for a number of hours, examining your blood glucose trend during the fast (when, in theory if the basal dose is correct your BG trend should be flat), and making adjustments. Walsh and Roberts provide detailed info on the amount of the adjustments. It’s far more effective than examining your BG numbers when you are eating and bolusing as usual but, having said that, we don’t do it as we were desperate for weight gain for a good while and fasting wasn’t palatable. This question reminds me that we should revisit that. I think it makes sense for us to test anytime BG numbers go a bit wacky or there’s a reason to think bolus needs have changed.

      2 years ago Log in to Reply
    15. Mig Vascos

      I don’t test basal rates. I’m on the control IQ. Based on my glucose daily results I know if anything needs to be adjusted. I can see the graphs on the tandem and Dexcom apps on my Iphone.

      2 years ago Log in to Reply
    16. Kathleen Begbie

      I have never heard of ‘testing my basal rates’. Not clear as to what is involved

      2 years ago Log in to Reply
    17. Diana Lemcoff

      I check my basal rates according to what ControlIQ finds as trends. My endocrinologist adjusts them accordingly.

      2 years ago Log in to Reply
    18. Donald Cragun

      I check basal rates when I’ve had two days in a row that gave me higher or lower blood sugar readings that what I expected. After the shifts to and from daylight saving time, that is frequently almost daily; at other times it usually isn’t more often than once every two or three months.

      2 years ago Log in to Reply
    19. Molly Jones

      I tested my basal rates at least yearly for the first decade after being diagnosed with T!D as I did not have a sensor and my sensitivity to insulin kept increasing. I also have had recurrent unknown patterns of unknown highs and lows which I don’t know the reasons for. I gave up testing my basal rates to find the reasons for these as they do not last longer than three days. I currently use my dexcom sensor’s history helps me find rates to be adjusted.

      2 years ago Log in to Reply
    20. Sherolyn Newell

      I had never heard of it either. I always figured that if I stayed pretty flat when I wasn’t eating, it must be OK. For instance, I don’t always eat breakfast and usually stay pretty flat until lunch.

      2 years ago Log in to Reply
    21. George Lovelace

      Pumper for 22 years, I used to check quarterly but now with Control IQ I just let my Endo take care of it.

      2 years ago Log in to Reply
    22. kylekk@gmail.com

      I don’t really test my basal, but I keep a close eye on it and tweak as necessary. I use the Omnipod.

      2 years ago Log in to Reply
    23. Sherrie Johnson

      Whenever needed If I notice a new pattern or extreme lows are highs I’ll take it to Day break in shack most of the time adjustments are needed can explain why

      2 years ago Log in to Reply
    24. Marie Seymour-Green

      What does this mean?

      2 years ago Log in to Reply
    25. ANN GALLUZZO

      I can manage better by adjusting as needed based on my BG pattern. The so-called “tests” are useless, as the amount needed will be more on a cold day and less on a hot day. So if I did a “test” on a cold day, I would set my basals too high for some other day. Same problems with carb ratios.

      2 years ago Log in to Reply
    26. Janet Wilson

      For my son, we don’t do actual basal testing (fasting testing). But, we adjust basal rates (along with all other settings) as needed, monthly. During the months when he has an endo appointment, we adjust at the time of the visit. On other months, we do it at home. But, we’re always evaluating his settings (basal, bolus, ISF) and adjusting as needed.

      2 years ago Log in to Reply
    27. Dan Patrick

      Average 6-8 times per day. Use a pump and a cgm. Reason, my insulin sensitivity is 60:1

      2 years ago Log in to Reply
    28. Ahh Life

      I used to do it (24-hour fast) once a year with pretty accurate results. Now I do it without the fast, adjusting to day-to-day and hour-to-hour circumstances. 🧪 🧪 🧪 A very fertile area for research would be on the growth hormone / sleep patterns / exercise patterns impacts on insulin requirements. I suspect the growth hormones are now kicking it at very irregular times of day with my increasingly erratic sleep habits due to circumstances beyond my control. 〰️ 〰️ 〰️ ⚀ ⚀ 〰️ 〰️ 〰️

      2 years ago Log in to Reply

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