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    • 1 hour, 48 minutes ago
      Wanacure 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?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 1 hour, 49 minutes ago
      Wanacure 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?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 2 hours, 4 minutes ago
      Wanacure 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?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 2 hours, 5 minutes ago
      Wanacure 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?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 4 hours, 25 minutes ago
      Wanacure 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 try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 11 hours, 34 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.
    • 11 hours, 35 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.
    • 13 hours, 31 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.
    • 13 hours, 47 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.
    • 1 day 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.
    • 1 day, 4 hours 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
    • 1 day, 4 hours 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.
    • 1 day, 5 hours 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
    • 1 day, 5 hours 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 ā€˜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.
    • 1 day, 5 hours 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.
    • 1 day, 5 hours 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.
    • 1 day, 5 hours 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!
    • 1 day, 5 hours 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.
    • 1 day, 5 hours 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.
    • 1 day, 5 hours 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.
    • 1 day, 6 hours 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.
    • 1 day, 6 hours 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?)
    • 1 day, 6 hours 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.
    • 1 day, 6 hours 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, 7 hours 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.
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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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    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
      2 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
      2 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

      2 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.

      2 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.

      2 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
      2 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.

      2 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
      2 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
      2 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.

      2 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.

      2 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).

      2 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.

      2 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.

      2 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.

      2 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.

      2 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.

      2 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.

      2 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.

      2 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.

        2 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.

      2 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.

      2 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.

      2 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.

      2 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
      2 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.

      2 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.

      2 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
      2 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.

      2 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.

      2 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

      2 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

      2 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.

      2 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.

      2 years ago Log in to Reply
    34. Cheryl Seibert

      Coffee doesn’t affect my BG

      2 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
      2 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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