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    • 3 hours, 44 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 4 hours, 36 minutes ago
      Kathy Hanavan likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 7 hours, 38 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 7 hours, 38 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 7 hours, 46 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 7 hours, 48 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 8 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 8 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 8 hours, 1 minute ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 8 hours, 1 minute ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 8 hours, 1 minute ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 8 hours, 1 minute ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 8 hours, 3 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      Do you realize what you have just said: "Obscurantism, gobbledegook, and pointillism used not as an art form but as a 'Gotcha!' of legal/financial determinism?"
    • 8 hours, 5 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 8 hours, 6 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 8 hours, 7 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 8 hours, 22 minutes ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 5 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 1 day, 6 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 1 day, 6 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 7 hours ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 1 day, 7 hours ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 8 hours ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 8 hours ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    • 1 day, 8 hours ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
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    If you drink coffee, do you bolus for the coffee itself (not any of the additional cream/sugar)? Share your tips for how to bolus for coffee in the comments!

    Home > LC Polls > If you drink coffee, do you bolus for the coffee itself (not any of the additional cream/sugar)? Share your tips for how to bolus for coffee in the comments!
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    Have you ever needed to pull over while driving because of a low or a high? Share how you handle your blood sugar while driving in the comments!

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    If you were misdiagnosed with something else before being diagnosed with T1D, did you end up in DKA due to the misdiagnosis?

    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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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. 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    36 Comments

    1. Nicholas Argento

      Coffee with caffeine raises BG due to an increase in liver glucose production, even if black. I see it every day. It varies from person to person and depends on a lot of factors. I think of it as a carb equivalent- a non-carbohydrate that raises BG levels…

      6
      5 years ago Log in to Reply
    2. Jneticdiabetic

      I’ve heard the coffee effect is significant some, but have observed an obvious effect on my BGs. I don’t bolus for it. Most work days I have multiple cups of coffee with heavy cream until I finally get a break in meetings to have “breakfast.” My bigger challenge on the morning: Rapid BG rise when I disconnect my pump to shower. I bolus for 10g before getting in the shower to combat this.

      1
      5 years ago Log in to Reply
    3. connie ker

      If numbers are low I use creamer, sugar free, and if they are higher, I forget the creamer. I never bolus for coffee at all, and use 1/2 package of Splenda or Stevia

      5 years ago Log in to Reply
    4. Nevin Bowman

      I do not need to bolus for the coffee, but I did a survey a year or so ago, and about 60% of those surveyed needed to bolus for black coffee.

      5 years ago Log in to Reply
    5. Ernie Richmann

      I bolus only for coffee first ting in the morning. I take 1 unit if I am at a bg of 110. More or less depending on my morning blood glucose reading. Black coffee in the morning can raise my blood sugar by 40 or more.

      5 years ago Log in to Reply
    6. Grey Gray

      I have to take 1 unit for my morning coffee. Which is 15 carb equivalent for me.. But do not see same effect if I drink coffee later in day. Thought it was dawn phenomenon until I tried to quit drinking coffee for a while and quit experiencing the rise.

      2
      5 years ago Log in to Reply
    7. Philip Bunsick

      Interesting. I use a small amount of milk with my coffee and never bolus and never have had an issue with BG rising due to coffee. As carbs are very low I have never had a problem but interesting to see that black coffee can increase BG on its own.

      5 years ago Log in to Reply
    8. Gary Taylor

      Coffee is the only explanation I have for the fact that my BG rises 50-60 points in the morning as I do not eat until later. I get up at 6:30 and do not eat until 9 or 10 am. Depending on my morning BG, I take one to two units of insulin to counter the coffee’s effect.

      1
      5 years ago Log in to Reply
    9. Sherolyn Newell

      Very interesting comments. I have weird morning readings a lot. Seems like if I get up around 100 or lower, my glucose always goes up. If I get up too high, say around 140, my glucose tends to do down. This is with no bolus or eating, only black coffee. I just figured it was normal diabetes weirdness. Or my liver trying to make up for not eating breakfast right off. Maybe it’s the coffee, but even that doesn’t explain the mornings that it goes down.

      1
      5 years ago Log in to Reply
    10. Beth Franz

      I drink black coffee off and on during the day – no bolus needed. However I do have feet on the floor effect that bounces me 20-25 points that requires a unit or so of rapid acting.

      5 years ago Log in to Reply
    11. George Lovelace

      The only thing I have in my Coffee is Extra Caffeine and hadn’t noticed any Bg issues other than the usual Dawn Phenomenon I’ve dealt with for 57 years. Using CIQ so maybe I’ll check records in there but I doubt it.

      5 years ago Log in to Reply
    12. Tod Herman

      My previous Endo advised me that coffee has a goofy effect on some people. I don’t drink black coffee because I love the sugar free flavored creamers. I only drink coffee in the mornings, and I drink two to three large cups (about five to six cups according to the coffee pot). My I:C ratio is pretty high, 1 to 6 carbs in the am, and with the creamer I take about 2.5 units extended over 1.5 hours (with an average glucose level of 100).

      5 years ago Log in to Reply
    13. Mike S

      At least 1 unit for a cup of coffee, even if I’m having nothing else. Time of day doesn’t seem to be a factor, it always raises my sugars.

      5 years ago Log in to Reply
    14. Jenny Richardson

      Only when I’m at work. My blood sugar tends to slowly rise while sipping coffee and working behind a desk. Just a unit or two keeps me in range. If I’m home moving around it’s not necessary.

      5 years ago Log in to Reply
    15. Tray Geiger

      This was a super interesting question to me as I never knew some people were affected by black coffee! I never have been (luckily!), and I’ve been experiencing what I call a revise dawn phenomenon for years. My basal rate is substantially lower from 5:00-7:00 AM than any other time. All of that to say, no, no bolus for the coffee itself.

      5 years ago Log in to Reply
    16. persevereT1D52

      Before I get out of bed every morning, I bolus for coffee with sugar free creamer. I have dawn phenomena and “feet on the floor” BG issues and that covers it all perfectly.

      5 years ago Log in to Reply
    17. Joanne Milo

      I just started to bolus this week, after noticing a spike in my Loop carb absorption screen. I only use 5g carb … it is dependent on what my current bg is. If I’m under 120, it doesn’t bolus.

      5 years ago Log in to Reply
    18. Bob Durstenfeld

      I drink tea, usually mid-morning and I do not see this phenomenon. This is very interesting. Thank you for the eye opening question.

      5 years ago Log in to Reply
    19. William Bennett

      For decades since DX I’ve bolused for my a.m. coffee (Splenda and light cream, no carbs) as 32 grams of carb. Which works but I’m not sure why. Except some years ago someone told me about a thing called “feet on the ground,” which is kind of like Dawn Phenomenon but kicks in after you get up and persists for an hour or so. So it may be that it’s actually that that I’m blousing for, maybe kicked up a bit by the effect of caffeine. But hey, it works.

      5 years ago Log in to Reply
      1. Germaine Sarda

        Everything you wrote is exactly how it is for me, even the way I take my coffee.

        5 years ago Log in to Reply
    20. Carol Meares

      I drink half caffeine coffee. My basal is set for dawn effect starting gradually from 3 am to 7:30 am with increased basal. I bolus .5 units for half caffeinated coffee and may bolus another .5 if the trend continues up after FOF. Unfortunately it is not always the same. But my BS will do from 90 or 100 to 130 and higher if I don’t intervene. This is with my black coffee alone. If I go out for a walk with my dog I will skip the second .5 dose.

      5 years ago Log in to Reply
    21. Becky Hertz

      I quit drinking coffee about 5 years ago because 1. It was too acidic for me and 2. I had to bolus 3 units to cover it, (2 shots of espresso), and this was decaf.

      5 years ago Log in to Reply
    22. Christina Trudo

      Yes, I bolus for three grams. For reasons unknown, there are times this seems a little too much… or not quite enough. So it goes.

      5 years ago Log in to Reply
    23. Julie Akawie

      Depends on the time of day, bG, and IOB. But, yes, I do on occasion bolus for coffee.

      5 years ago Log in to Reply
    24. Bonnie Lundblom

      I said “Other” since I bolus for the small amount (1-2 teaspoons) of milk I add to my coffee each morning to prevent my blood sugar spiking by 60-80 points if I don’t bolus, dawn phenomenon is my assumption.

      1
      5 years ago Log in to Reply
    25. Sally Numrich

      Coffee is always black, nothing added and I have never had issues with my coffee consumption. Even when I was a manager for Starbucks for many years, I never took insulin for my black coffee. Of course I had to for fancy espresso drinks but not my favorite black coffee.

      5 years ago Log in to Reply
    26. Patricia Dalrymple

      I drink international coffee, sugar free decaffeinated because caffeine gives me headaches. But the interesting part is it had 5 grams of carbs years ago. The company took it off the market and put it back on with zero carbs. I wish every company with a sugar free statement on their labels would do the same! Kudos to them.

      5 years ago Log in to Reply
    27. Mitch Chernoff

      Interesting to learn even black coffee may impact some. I always drink coffee black with no influence on my blood sugar.

      1
      5 years ago Log in to Reply
    28. Tina Roberts

      Black coffee raises my sugars like crazy! I have to bolus with 25 carbs every morning for my one cup of coffee.

      5 years ago Log in to Reply
    29. ConnieT1D62

      I usually drink 1 or 2 cups of coffee a day with a splash of regular milk: 1 cup in the early AM with breakfast and 1 cup later in the day with or w/o food – depends on my scheduled agenda for the day. I take 1 or 1.5 u to cover the coffee excursion.

      5 years ago Log in to Reply
    30. lorraine zephir

      i was told by the diabetic education to program 10 units of carbs due to coffee increasing blood sugar

      5 years ago Log in to Reply
    31. Leona Hanson

      I use to bolus for coffee because I use cream the found out when I did 30min later I would be really low .so I had to stop bolusing for coffee yes I would go up 40-60points and then come down just as quick

      5 years ago Log in to Reply
    32. Sahran Holiday

      Seeing the comments realizing why my adjustments for the milk in coffee and tea were insufficient especially the giant iced coffee.

      5 years ago Log in to Reply
    33. Sealani Weiner

      The prejudice of people…..I am a tea drinker!! (This is humor people…)
      I don’t bolus for the tea but I do bolus for the combination of stevia, KITU super creamer, cream, and premier protein vanilla I put in there. ADD nutmeg and cinnamon on top. (and that is my fill of chemicals for the day.)
      I am finding lately that I have to give myself coverage for 15 units of carbs. Each one has just a small amount of carbs, but combined, they can throw me up fairly quickly.

      5 years ago Log in to Reply
    34. Cheryl Seibert

      Coffee doesn’t affect my BG

      5 years ago Log in to Reply
    35. CindyGoddard

      I bolus for coffee 1.5 units for 14oz of coffee. I’m never sure if it is Dawn phenomenon or for the coffee.

      1
      5 years ago Log in to Reply

    If you drink coffee, do you bolus for the coffee itself (not any of the additional cream/sugar)? Share your tips for how to bolus for coffee in the comments! Cancel reply

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