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    • 3 hours, 47 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 3 hours, 47 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 5 hours, 43 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 5 hours, 59 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 17 hours, 10 minutes ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 20 hours, 58 minutes ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 21 hours, 1 minute ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 21 hours, 43 minutes ago
      Wanacure 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
    • 21 hours, 43 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ‘delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 21 hours, 45 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 21 hours, 50 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 21 hours, 51 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 21 hours, 53 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 21 hours, 53 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 21 hours, 53 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 22 hours, 29 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 22 hours, 40 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 22 hours, 52 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 22 hours, 53 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 1 hour ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      PUMP USERS: Just in case nobody has told you, if you use a pump, Insulin is considered durable medical equipment, which can save a lot of money, even with the new price cap
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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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    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
      4 months 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.

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

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

        1
        4 months 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
      4 months 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.

      4 months ago Log in to Reply
    4. Jane Cerullo

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

      1
      4 months ago Log in to Reply
    5. Jeff Balbirnie

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

      4 months 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
      4 months 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
      4 months 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.

        4 months 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.

      4 months 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
      4 months 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
      4 months 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
      4 months 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
      4 months 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.

      4 months 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.

      4 months 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

      4 months 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.

      4 months 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.

      4 months 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
      4 months 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.

      4 months 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.

      4 months ago Log in to Reply
    21. sweet charlie

      I would take a 20 minute walk….

      4 months ago Log in to Reply
    22. Nicholas Aponte

      Try to bolus 5-10 minutes before eating it.

      4 months ago Log in to Reply
    23. Steven Gill

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

      4 months 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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