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    • 4 hours, 39 minutes ago
      Lenora Ventura likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 6 hours, 14 minutes ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      same here. I was able to get a neurologist to diagnose it as that.
    • 6 hours, 15 minutes ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      I have developed this very weird numbness and pain in my left outer thigh which I attribute to neuropathy, although there has been no official diagnosis. Of course, like every good diabetic, I did my own research and found that it is called meralgia paresthetica. It only comes on intermittently and rarely interferes with daily functions. Rest remedies it. Having lived with T1D for 56 years so far, I consider myself to be pretty lucky...so far.
    • 6 hours, 16 minutes ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      I feel the same way. I'm never sure who to believe or how to get a valid assessment.
    • 6 hours, 17 minutes ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 8 hours, 59 minutes ago
      Lawrence S. likes your comment at
      Do you live with diabetes-related neuropathy?
      Gastroparesis
    • 9 hours ago
      Lawrence S. likes your comment at
      Do you live with diabetes-related neuropathy?
      In late summer of 2017 I lost all feeling in both lower extremities to my hips and both upper extremities to my shoulders. It was not all diabetic related though. Lowered the drug in my chemo regimen but didn't reverse by next treatment, so that drug was stopped. Slowly I regained feeling in my arms and legs; left with no sensation in hands & feet up to ankles & wrist. I'm thankful that my oncologist realized that it wasn't just a diabetic thing.
    • 11 hours, 50 minutes ago
      Sandra Rosborough likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 12 hours, 38 minutes ago
      KSannie likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 15 hours, 45 minutes ago
      Lee Tincher likes your comment at
      Do you live with diabetes-related neuropathy?
      My feet were killing me when I started taking insulin. Saw on another website that alpha lipoic acid (ALA) was good for neuropathy. Once I started taking it, the pain was gone within a week! Still using it 20 years later, still pain free
    • 15 hours, 46 minutes ago
      Lee Tincher likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 16 hours, 5 minutes ago
      magoo likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 16 hours, 5 minutes ago
      Mike S likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 16 hours, 18 minutes ago
      Dennis Dacey likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 1 day, 5 hours ago
      ConnieT1D62 likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      I spend a bit of time in my garden, yardwork , the animal shelter. Days I'm not with the Shelter my herd gets walked.
    • 1 day, 5 hours ago
      ConnieT1D62 likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Good old WALKING!
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      avid cyclist for many years now ........... OK ..... add in resident year around maintenance yard work
    • 1 day, 11 hours ago
      Lawrence S. likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Walking and hiking.
    • 1 day, 13 hours ago
      Steven Gill likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Try pausing insulin on your pump if you are below 150mg/dl.
    • 1 day, 15 hours ago
      Daniel Bestvater likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Really struggle with bouncing blood sugars and so I don’t exercise. I know this is a bad thing but really end up with so much bouncing hard to figure it out.
    • 1 day, 16 hours ago
      Dennis Dacey likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Good old WALKING!
    • 1 day, 16 hours ago
      KCR likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Good old WALKING!
    • 1 day, 16 hours ago
      KCR likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Really struggle with bouncing blood sugars and so I don’t exercise. I know this is a bad thing but really end up with so much bouncing hard to figure it out.
    • 1 day, 16 hours ago
      TEH likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Really struggle with bouncing blood sugars and so I don’t exercise. I know this is a bad thing but really end up with so much bouncing hard to figure it out.
    • 2 days, 12 hours ago
      Bonnie Lundblom likes your comment at
      What event(s) prompt you to calibrate your CGM? Select all that apply.
      I always do 3 successive finger sticks about 1 day after applying a new G7 sensor. I'm amazed at how much variability there is among sensors. Some are spot on, and remain so during the entire 10 days, while the worst I saw was off 100 mg/dl at the start (reading half of the actual level) (I demanded -- and got -- a replacement for that outlier, since I did't want to have to trust it for days and go through piles of strips just to see if it was as bad as it seemed). I generally also do another batch of 3 tests several days later, just to check. I care about accuracy. I've found that it is essential to do multiple sequential finger sticks to get an accurate number from strips, since they too are far more variable than I am comfortable with. If the variability in strips is too great, I do 4 tests rather than 3, and throw out one, averaging the rest. I love my CGM, but it doesn't completely replace strips.
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    How would you bolus for a ½ cup scoop of plain vanilla ice cream (not reduced fat or sugar)? If you would use multiple strategies, please select all that apply.

    Home > LC Polls > How would you bolus for a ½ cup scoop of plain vanilla ice cream (not reduced fat or sugar)? If you would use multiple strategies, please select all that apply.
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    Sarah Howard 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.

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    26 Comments

    1. Clare Fishman

      I am not a vanilla fan so it is unlikely I would eat this but if it were chocolate, I would bolus for it all before eating. If small corrections are needed for the fat later on, I would let Loop take care of them.

      3
      3 years ago Log in to Reply
      1. Sherolyn Newell

        Chocolate ice cream has less carbs than vanilla too. I think they put more sugar in the vanilla.

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

        I like vanilla, chocolate, mint chocolate chip, strawberry, butter pecan … 😉

        1
        3 years ago Log in to Reply
    2. TS

      I would look on the carton for carbohydrate content and bowlers for that. If I was out, I would look up online the carb content of the specific place where I was eating the ice cream and estimate. Ice cream does not affect me much differently than any other kind of fast acting carbohydrates.

      1
      3 years ago Log in to Reply
    3. Miriam Eisenberg

      Bolus just before eating the ice cream, and allow tslim/Dexcom to adjust insulin as needed. This works well for portion controlled sweets.

      3 years ago Log in to Reply
    4. Jane Cerullo

      On MDI so probably multiple doses. But truthfully would probably never eat regular ice cream.

      1
      3 years ago Log in to Reply
    5. Jeff Balbirnie

      No pump so, just regular ole dosing for a dietians portion kiddie cup of ice cream

      3 years ago Log in to Reply
    6. KCR

      A lot depends on current blood sugar, IOB, sugar cone or cup, and even brand of ice cream. I don’t eat ice cream often but a real treat is a stop at the local dairy for the huckleberry ice cream!

      1
      3 years ago Log in to Reply
    7. KMcKeon

      I am newly diagnosed and haven’t yet attempted ice cream. But I am thinking an extended bolus is the way to go.

      1
      3 years ago Log in to Reply
      1. AnitaS

        Good for you. Considering you are newly diagnosed, knowing already what an extended bolus is shows that you are learning quickly.

        3 years ago Log in to Reply
    8. Don (Lucky) Copps

      I would bolus 20/30 minutes b4 eating if possible. If bolusing when eating I’ll get a post meal spike – a no no.

      3 years ago Log in to Reply
    9. Sherolyn Newell

      Unless I am above 110, I bolus after eating it. Otherwise, I get a low. If I am below 100, I will wait a while after eating it.

      1
      3 years ago Log in to Reply
    10. kristina blake

      If I were to allow myself some ice cream (I am under Endo scolding to drop 10-15 lbs, so the calories count!) I would use an extended bolus – thank goodness for access to carb counts. I would go for the real thing. I have found that low fat and/or low sugar have more carbs than the real thing.

      1
      3 years ago Log in to Reply
    11. Marty

      I’d choose one of multiple possible strategies depending on the context. If I were about to exercise vigorously, I might not bolus at all. If my BG is normal and I’m just sitting around, I’d probably bolus 10-15 min before eating and then kept an eye on things in case a correction was needed later. If my BG were above normal, I’d add a correction bolus to the regular bolus and wait a bit longer before eating. Agree about choosing chocolate over vanilla, given a choice 🙂

      1
      3 years ago Log in to Reply
    12. mojoseje

      Because I’m on a pump/CGM that doesn’t allow for dual or square boluses, I bolus for the carbs on the carton. Test two hours later and correct, as needed, for the bg rise because of fats.

      2
      3 years ago Log in to Reply
    13. Mig Vascos

      I didn’t mark I do not eat ice cream but I do not eat ice cream. I’ve been on a Tandem pump for the last 6 years and as much as I like this pump I don’t like how the extended bolus works. Now a day I give me 1/2 of the bolus I calculate for the food before eating and the other half later when my BG starts rising. The Medtronic extended bolus worked better for me but I wouldn’t change to Medtronic just for that one feature. Staying with Tandem system.

      3 years ago Log in to Reply
    14. BARRY HUNSINGER

      I don’t eat ice cream any longer, but I do try to pre-bolus for the entire meal and then correct after three hours.

      3 years ago Log in to Reply
    15. Peter Richardson

      I eat ice cream once or twice a week. I would opt for a scoop of vanilla and a scoop of chocolate. I run Loop. So I would add 30-60 carbs with an expected absorption time of about 6 hours. I find that desserts as fatty as ice cream can take a long time for me to absorb. This is likely a situation where I might go low just before bed and then wake up with a BG at 200. Totally worth it for 2 scoops of ice cream

      3 years ago Log in to Reply
    16. Lawrence S.

      I gave a text book answer, responding to a hypothetical question. I answered extended bolus.
      However, what really happens is, I usually eat ice cream when my blood glucose level is low. So, I don’t bolus. On a rare occasion, I get a Berry Sundae when I’m at Sams Club. I usually bolus 3.5 to 4 units for that. Most times it works out well. Sometimes, I use an extended bolus. It depends upon how active I am. Every situation is a little different, and my need to bolus or do an extended bolus, differs, depending upon the situation.

      3 years ago Log in to Reply
    17. Carole Ludwig

      I can be satisfied with 1/3 cup of ice cream which is half the carbs on any ice cream nutrition info. Containers always list 2/3 cup. I would put in the whole amount of carbs 15-20 min before indulging.

      My favorite ice cream is Haagen-Dazs Matcha Green Tea because it is not high in sugar. I don’t like super sweet desserts. Only 13 carbs for 1/3 cup.

      3 years ago Log in to Reply
    18. Milly Bassett

      I probably wouldn’t have it in the first place. I get low sugar or no sugar at all. Of course even those types of ice cream will still raise it a little bit, so I would go for a walk. Too much bolus is scary for me. I tend to drop rather quickly, so walking drops it more smoothly.

      1
      3 years ago Log in to Reply
    19. Mary Ann Sayers

      I’d add +/- 30 carb to my total for the meal and see that covers it, depending on so many factors.

      3 years ago Log in to Reply
    20. Molly Jones

      I bolus for ice cream immediately before I eat it. I eat slowly and have intermittent gastroparesis both. I almost always have pecans or walnuts with ice cream which slows its liquid digestion down.

      3 years ago Log in to Reply
    21. sweet charlie

      I would take a 20 minute walk….

      3 years ago Log in to Reply
    22. Nicholas Aponte

      Try to bolus 5-10 minutes before eating it.

      3 years ago Log in to Reply
    23. Steven Gill

      “Inject” for the carbs but like 20-25 minutes before

      3 years ago Log in to Reply

    How would you bolus for a ½ cup scoop of plain vanilla ice cream (not reduced fat or sugar)? If you would use multiple strategies, please select all that apply. Cancel reply

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