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    • 8 minutes ago
      TEH likes your comment at
      Would you be interested in participating in research focused on preventing T1D in family members?
      I assume I don’t have enough family members to be eligible. Moderately
    • 13 hours, 7 minutes ago
      magoo likes your comment at
      How often do you experience low glucose during exercise?
      I am 86 and rarely exercise. I notice, though, that since not exercising regularly, my BGs are very sensitive to almost everything. Showering produces a low unless I plan it during a high or eat something beforehand. Dressing and doing laundry are also times where I have to be careful.
    • 18 hours, 2 minutes ago
      Lawrence S. likes your comment at
      How often do you experience low glucose during exercise?
      I am 86 and rarely exercise. I notice, though, that since not exercising regularly, my BGs are very sensitive to almost everything. Showering produces a low unless I plan it during a high or eat something beforehand. Dressing and doing laundry are also times where I have to be careful.
    • 18 hours, 3 minutes ago
      Lawrence S. likes your comment at
      How often do you experience low glucose during exercise?
      It is very exercise dependent for me. I usually turn my basal off and carb up before doing any aggressive exercise. Sometimes I will bike with a group for up to 5 hours with no basal or IOB. I use Humalog in my pump and can be unhooked for up to 6 hours without any hyperglycaemia, I’ve been type 1 for about 50 years….fast acting insulin hangs around for a long time in body!
    • 18 hours, 3 minutes ago
      Lawrence S. likes your comment at
      How often do you experience low glucose during exercise?
      I check sugar before exercise and eat a snack depending on the #
    • 18 hours, 3 minutes ago
      Lawrence S. likes your comment at
      How often do you experience low glucose during exercise?
      I check my CGM readings before I go to the gym to exercise or go for a walk. I usually take 2 glucose tablets before I start if I'm trending g down.
    • 18 hours, 4 minutes ago
      Lawrence S. likes your comment at
      How often do you experience low glucose during exercise?
      My main exercise is walking and pre CGM i would use a peariodic finger prick to check my BG and occaisionally would delay to long between tests. CGM eliminates that issue so now I am aware of decreasing BG values in time to stop exercising or to eat something to boost BG levels.
    • 18 hours, 5 minutes ago
      Lawrence S. likes your comment at
      How often do you experience low glucose during exercise?
      Probably need to plan better: eat a few more carbs beforehand or go a temp basil. But since it isn’t anything 2 glucose tablets can’t solve, I usually just adjust accordingly. Luckily, I don’t exercise to lose weight so eating extra isn’t a problem.
    • 22 hours, 4 minutes ago
      Derek West likes your comment at
      How often do you experience low glucose during exercise?
      I check sugar before exercise and eat a snack depending on the #
    • 22 hours, 5 minutes ago
      Derek West likes your comment at
      How often do you experience low glucose during exercise?
      My main exercise is walking and pre CGM i would use a peariodic finger prick to check my BG and occaisionally would delay to long between tests. CGM eliminates that issue so now I am aware of decreasing BG values in time to stop exercising or to eat something to boost BG levels.
    • 22 hours, 33 minutes ago
      atr likes your comment at
      How often do you experience low glucose during exercise?
      My main exercise is walking and pre CGM i would use a peariodic finger prick to check my BG and occaisionally would delay to long between tests. CGM eliminates that issue so now I am aware of decreasing BG values in time to stop exercising or to eat something to boost BG levels.
    • 2 days, 9 hours ago
      AmyM likes your comment at
      How confident do you feel understanding informed consent documents for research studies?
      I am unclear. Maybe you can explain what I am missing. The clinical studies I have done do not involve sharing data with social media. They are medical and are HIPAA protected.
    • 2 days, 21 hours ago
      Laurie B likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      I guess it more an insurance restriction than a cost problem. But I don't want to be charged full price for a new pump.
    • 2 days, 21 hours ago
      ChrisW likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      MDI and since FIASP is now covered under Medicare I wanted to try the inPen. They wanted over $600 for it so I said no thanks!
    • 2 days, 22 hours ago
      Lawrence S. likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      Wish cost did not have to come into play but unfortunately it does.
    • 2 days, 22 hours ago
      Lawrence S. likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      It isn’t that I can’t afford devices or meds, it’s more that I feel pharma is jacking up prices to see what the market will bare without conscience. Free enterprise does not work in most of the life sustaining medical community, particularly in the US.
    • 2 days, 22 hours ago
      Lawrence S. likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      I guess it more an insurance restriction than a cost problem. But I don't want to be charged full price for a new pump.
    • 2 days, 22 hours ago
      Lawrence S. likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      Having to wait for the warrantee period to run out before switching pump manufacturers is the biggest restraint. I had to wait to switch from Minimed 770 to T:slim X2 several months. I am now considering going back to Minimed because of the improvements in their sensor and the problems Tandem is having with infusion set manufacturing. So I have to wait a year.
    • 2 days, 23 hours ago
      Steve Rumble likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      Insurance influences my decision to try a new device more than cost.
    • 2 days, 23 hours ago
      Kathy Hanavan likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      Insurance influences my decision to try a new device more than cost.
    • 2 days, 23 hours ago
      Marty likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      Insurance influences my decision to try a new device more than cost.
    • 3 days ago
      TEH likes your comment at
      How often does cost influence your decision to try a new device or therapy?
      Insurance influences my decision to try a new device more than cost.
    • 3 days, 17 hours ago
      ChrisW likes your comment at
      Have you ever declined a research opportunity? If so, what was the primary reason?
      I turned down a CGM study because the sponsors, a manufacturer, claimed the data would belong to them exclusively. While I may grant use of the data, its mine thank you!
    • 3 days, 22 hours ago
      Natalie Daley likes your comment at
      How confident do you feel understanding informed consent documents for research studies?
      My fear and concern with those who answer "very confident" and are non-lawyers is that you may be unaware of what Facebook, Google, Amazon, Nvidia, Apple, Microsoft, et al do with your data. As the old saying goes about the capitalist, "Here. Take it. How much money will you give me for this rope you are going to hang me by?"
    • 4 days, 22 hours ago
      Anita Stokar likes your comment at
      Have you ever declined a research opportunity? If so, what was the primary reason?
      While I'm not sure if I had a significant chance of being selected, I declined to further pursue the potential for being considered for the Vertex islet cell study, due to it preventing me from donating blood products for at least the duration of the trial. I'm a passionate platelet donor, and I am okay with living with diabetes in order to be able to continue doing so regularly.
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    If you drink caffeinated beverages, do you bolus for the caffeine itself (in addition to any carbohydrates in the beverage, such as sugar, milk, etc.)?

    Home > LC Polls > If you drink caffeinated beverages, do you bolus for the caffeine itself (in addition to any carbohydrates in the beverage, such as sugar, milk, etc.)?
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    Which healthcare provider have you used in the past 12 months for your non-diabetes health needs? (Please do not include your diabetes care providers in your responses.) Select all that apply.

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    If you were misdiagnosed with another condition before being diagnosed with T1D, were you experiencing diabetes-related ketoacidosis (DKA) when you were eventually diagnosed with T1D?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field 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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    36 Comments

    1. StPetie

      I drink various caffinated drinks but the only one that requires a bolus is regular coffe.

      3 years ago Log in to Reply
    2. Kim J

      Only in the morning for my first cup of coffee

      3 years ago Log in to Reply
    3. Steve Rumble

      I drink several cups of black coffee daily and have never noted an increase in blood glucose levels due the coffee, so I do not bolus for it!

      2
      3 years ago Log in to Reply
    4. Jane Cerullo

      I answered yes but not sure if it is caffeine or just morning cortisol. I only drink coffee in the morning. My BS is starting to rise normally and I bolus. So could be either or both.

      3
      3 years ago Log in to Reply
      1. ConnieT1D62

        Thanks, Jane, for sharing most realistic example in answer to this question, imho.

        3 years ago Log in to Reply
    5. Annie Wall

      I never bolus for my coffee even though I have half and half in it!

      2
      3 years ago Log in to Reply
    6. GLORIA MILLER

      I am one of the weird people who can’t stand coffee. I do drink iced tea and once in a while I will drink hot tea but even if it is caffeinated, I do not bolus for it.

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

      No. I have never bolused for caffeine in any drink. Generally, I try to stay away from caffeine. But, occasionally indulge.

      3 years ago Log in to Reply
    8. KIMBERELY SMITH

      Sometimes spirit or Orange juice

      3 years ago Log in to Reply
    9. Danny

      Anytime I drink caffeinated beverages, my sugar level goes high, which seems like it is from caffeine. I do not consume them anymore.

      3 years ago Log in to Reply
    10. Tina Roberts

      Yes! Caffeine raises my blood sugar. I have to enter 25 carbs for 10 oz of coffee or tea.

      3 years ago Log in to Reply
    11. TEH

      I usually have a coffee for breakfast lunch. When I was on a Minimed G3 sensor it would report a sizable bump in my BG. With that I bolised for it. That may have led to poor BG control.
      Since being on Dex 6 sensor sinse February, I haven’t seen the bump in BG. So I stopped bolising for it.

      0
      3 years ago Log in to Reply
    12. Edward Geary

      One unit particularly if I drink a coffee without food.

      1
      3 years ago Log in to Reply
    13. William Bennett

      I have one cup, first thing in the a.m., lifetime habit. Splenda, not sugar, and light cream not half and half or milk, so virtually no carbs to speak of. But early on after dx I found I have to bolus for it quite a lot–like 32 carbs!–or it hits like a carb freight train. Time of day may have something to do with it: I have always had pretty severe dawn phenomenon. Seems like a lot, but it works, so that’s what I do.

      3 years ago Log in to Reply
      1. David & Kaleo of Team Nani

        Coffee, even black, consistently launches 20-40 glucose jump for me. Espresso is better. Flavored coffees are even worse than dark, black.

        3 years ago Log in to Reply
    14. Shelly Smith

      I have never bolused for my coffee!

      3 years ago Log in to Reply
    15. T1D4LongTime

      I’m a heavy coffee drinker. Never had to bolus for coffee. I drink it strong and black. If I have coffee that is flavored from a coffee shop, I will ask about carb additives or bolus a 5-10g if it tastes sweet and then carefully watch my CGM values.

      0
      3 years ago Log in to Reply
    16. Patricia Kilwein

      I count caffeine no matter if it’s in diet soda or coffee. I have to guess when it comes to meat. Everything has carbs in it.

      3 years ago Log in to Reply
    17. Janice B

      I drink black coffee or herbal tea, nothing added so no need to bolus

      2
      3 years ago Log in to Reply
    18. Wanacure

      No, I do not bolus for coffee or green tea caffeine, because it does not contain any calories. Like others have commented, humans are hard-wired to secrete blood-sugar-raising hormone(s?) at dawn. If I get up, get dressed & make breakfast BECORE 6 AM, then take my Lantus (glargine) and Humalog (lispro) exactly at 6 AM, & then wait no longer than 15’ to eat about 30 grams net carbs…I can contol for & preclude dawn phenomenon. If I wait longer than 15’ to eat, bg will go too low after eating. This usually works. 😎

      1
      3 years ago Log in to Reply
    19. Wanacure

      I really need that 200 mg caffeine to feel energized along w/ my antidepressant. To counter caffeine side effects like dry-mouth or dehydration,
      I sip water through the day. Side note: 10 cups of coffee + 2 packs of cigarettes per day helped us “win” WW Ii. That much was consumed by a US military honcho during a critical battle. 😎

      1
      3 years ago Log in to Reply
    20. Amanda Barras

      I only add 10 g of carbs to my breakfast total when I drink coffee in the morning. Otherwise for soda etc, no.

      3 years ago Log in to Reply
    21. kim bullock

      I only drink diet soda so I never bolus for the caffeine. It’s not s carbohydrate.

      2
      3 years ago Log in to Reply
    22. Janis Senungetuk

      No and I add 1/2 & 1/2 in my AM coffee. I’m no longer drinking as many caffeinated beverages as I did prior to my Chronic Kidney disease dx because of the need to limit potassium. Now I have a 2 cup max on coffee, down from 6 a day.

      3 years ago Log in to Reply
    23. lis be

      rarely

      3 years ago Log in to Reply
    24. KarenM6

      After lots of experimentation, I don’t believe the occasional spikes in BS in the morning are related to hormones and not caffeine… so, I don’t bolus for caffeine!

      1
      3 years ago Log in to Reply
      1. KarenM6

        My grammar is terrible!
        I meant to say I believe the spikes are due to hormones, not caffeine. *sigh… I think I need more caffeine!

        3 years ago Log in to Reply
    25. Jan Masty

      I drink regular coffee in the morning. And, yes I bolus but it could just be because just getting up and getting ready makes my glucose fish. Not so sure it’s the coffee.

      3 years ago Log in to Reply
    26. Jeff Balbirnie

      The caffeine issue appears to be bad/pseudo science. Unless the beverage has sugar in it, there is zero need to bolus anything extra.

      2
      3 years ago Log in to Reply
      1. Ernie Richmann

        The carbs come from glycogen stored in the liver. Not bad science.

        1
        3 years ago Log in to Reply
    27. Mick Martin

      I don’t take milk or sugar in my caffeinated beverages, and I do NOT bolus anything extra for the caffeine I imbibe.

      3 years ago Log in to Reply
    28. ConnieT1D62

      I am a real deal coffee drinker and generally don’t bolus for the caffeine content. Occasionally I will have a flavored coffee and will give an extra unit or two for the additive ingredients that usually contain some kind of syrup and/or sweetener added to enhance the flavor. Otherwise I drink unsweetened medium or strong dark roast with a slice of lemon or a wee bit of milk.

      3 years ago Log in to Reply
    29. Ernie Richmann

      Yes- in the morning only. I drink black coffee. While black coffee has no carbs, caffeine can cause the liver to release sugar and raise blood sugar.

      3 years ago Log in to Reply
    30. Becky Hertz

      I only bonus if I drink coffee, caffeinated or decaf, and I quit drinking coffee years ago. Not worth the insulin nor acidic stomach.

      3 years ago Log in to Reply
    31. Trina Blake

      I love coffee. I drink it fully-caffeinated and black. I dose (0.57u per mug). I know it is the coffee because I need the bolus throughout the day (so it isn’t morning hormones). I am very. very aggressive in my T1D mgt, considering everything that is pant-based a carb – so I count things like broccoli, brussels sprouts, asparagus in my meal boluses.

      3 years ago Log in to Reply
    32. Jen Farley

      Zero is the way to go!

      3 years ago Log in to Reply

    If you drink caffeinated beverages, do you bolus for the caffeine itself (in addition to any carbohydrates in the beverage, such as sugar, milk, etc.)? Cancel reply

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