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    • 3 hours, 25 minutes ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Try the "Atkins" diet or some other no-carb diet (e.g., Paleo minus fruits and staches) for a few days. This will allow you to measure your insulin demands based solely on non-carbohydrates (fats and proteins). Ultimately, your glucose can be affected by all three*, but eliminating one macro group at a time will let you assess how much each affects your bg levels.
    • 3 hours, 26 minutes ago
      Patricia Dalrymple likes your comment at
      Does dietary protein affect your glucose levels?
      Patricia, if you're willing to isolate your diet to a single protein for a few days you'll most likely know. It doesn't work for everyone. It did for me.
    • 3 hours, 28 minutes ago
      Patricia Dalrymple likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 7 hours, 25 minutes ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 7 hours, 26 minutes ago
      TEH likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 16 hours, 34 minutes ago
      Sandra Rosborough likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 1 day, 3 hours ago
      Bob Durstenfeld likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 1 day, 5 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      My absolutely favorite meeting with a dietician is when a guy came up from Miami to lecture our local diabetic group. His advice? He said, to wit, "You probably shouldn't drink alcohol, but if you must, then try and make it dry champagne."
    • 1 day, 5 hours ago
      lis be likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was diagnosed, I was simply given a diet to follow. Period. I followed it for awhile, but then I moved to the UK, and the recommended diet was different, so I used that. When I finally went onto separate injections for each meal, I made my own diet. I have been eating whole grains since about a year before my diagnosis, and have never been a fan of sugary foods. I'm glad I never had to meet with a dietician: it would have been a waste of time.
    • 1 day, 5 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once. She wanted me to go to a group class and I told her I had very specific questions. After we talked, she agreed that I didn’t need to go, that I could probably teach the class. My problem isn’t with nutrition but we having the willpower to deny myself what everyone else is eating (or at least in smaller portions). Most times I am successful.
    • 1 day, 5 hours ago
      KSannie likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      It was a worthless meeting. They had no idea about how carbs raise blood sugar!!! I’ve found few Endo offices that understand type 1!
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Pretty sure most of us type 1's have spent a ton of time and research developing personal guidelines for our bodies and insulin response. Trial, error, start again. test. Thinking about the high carb pyramid they gave me in the hospital when first diagnosed in 1980... and my youth not understanding why i had so many sugar swings. Food guidance from the government has always seemed driven by lobbyists and politicians...
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Not at all. I'm 86 and what got me here is what I'm still doing. Also, I have heart disease and will not increase my use of beef fat or butter.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      Amanda Barras -- The marketplace of ideas, almost as much of a cul de sac as the tribal alleys of true believers, there are plenty of shortcomings to keto and Bernstein diets. Google almost any "Critcism of X diet" and a plethora of articles will appear. Same goes for all the current protein-push policies that are in vogue.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      To what extent will the 2025-2030 Dietary Guidelines for Americans influence your eating habits?
      While I appreciate the pyramid needed some adjustment, going to a meat and fat pushing diet (my perception) is just as bad. Plus I don’t trust people that ignore the science and common sense needed just because they happen to be currently in charge.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      Does dietary protein affect your glucose levels?
      Said I’m not sure. I mostly have some protein with every meal. How would I know for sure that protein is the impact and not some other of the 100s of factors that affect BG?
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      Once when 1st diagnosed
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 6 hours ago
      Ahh Life likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      A dietician diagnosed me as Type 1. My doctor sent me to her because I was struggling to get my glucose levels down while being treated for Type 2. By the time I met her, I had dropped from 155 to 115 over the course of a few months. She took one look at me and told my doctor to order more tests. I was on insulin about a week later. She likely saved me from DKA and may have saved my life.
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      When I was younger I used to see a dietitian with every T1D appointment, but that was like 20-30 years ago
    • 1 day, 6 hours ago
      Lawrence S. likes your comment at
      Have you ever met with a dietitian to support your diabetes management plan?
      One appointment shortly after I was diagnosed but none since then.
    • 1 day, 20 hours ago
      lis be likes your comment at
      Does dietary protein affect your glucose levels?
      So, I ordinarily would answer "never" to this question. I can go on a no carb diet for days and need no bolus insulin whatsoever (I still must take a basal dose). For example, I can eat eggs, bacon, and other "breakfast" meats for breakfast, I can eat a cheeseburger (lettuce wrap bun) for lunch and even eat a 16oz steak for dinner and not need a single unit of bolus insulin. That said, protein drinks and protein bars are a different story. Even a small amount of carbs mixed in (say about 6-8g) will drive my glucose up slightly. Because this increase is significantly larger than the carbs would induce alone, obviously, the protein does cause some increase.
    • 2 days, 2 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      It has a minor Impact but it happens every time.
    • 2 days, 2 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      For me always - it may take hours, but it will eventually go up.
    • 2 days, 2 hours ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      Said I’m not sure. I mostly have some protein with every meal. How would I know for sure that protein is the impact and not some other of the 100s of factors that affect BG?
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    If you had T1D as a child, at what age did you start to manage your daily insulin doses mostly on your own? If you have a child with T1D, at what age did they start to manage their insulin doses mostly on their own?

    Home > LC Polls > If you had T1D as a child, at what age did you start to manage your daily insulin doses mostly on your own? If you have a child with T1D, at what age did they start to manage their insulin doses mostly on their own?
    Previous

    Which of the following options best describes your primary insulin delivery method (the one you use most) and your most recent A1c? (Note: 7% is equivalent to 53 mmol/mol)

    Next

    If you use a CGM, on a scale of 1-5, how satisfied are you with the accuracy of your CGM?

    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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    33 Comments

    1. Steven Gill

      (No kids, how do I respond?)

      3 years ago Log in to Reply
    2. Nevin Bowman

      Diagnosed at age 4. I began giving my own shots and monitoring BG at age 6.

      2
      3 years ago Log in to Reply
    3. MT

      In the 1970s, it was NPH. There was no ‘managing doses’. You ate at the same time every day and tried to get the carbs in before the insulin peaked.

      6
      3 years ago Log in to Reply
      1. William Bennett

        The ENOD regimen: “Eat Now Or Die!”

        2
        3 years ago Log in to Reply
    4. Amanda Barras

      At age 11 I tired Agustin myself and didn’t know what I was doing and struggled with lows. My doctor forbid me from messing with doses again until I was older. So, it was more 14-15 before I handled things on my own. But, still struggled.

      1
      3 years ago Log in to Reply
    5. cynthia jaworski

      diagnosed at 10. I was engaged in the dosing from the start. I was solely responsible for my urine tests. I spent several months using only Regular insulin, injected at each meal. The dose depended upon my urine test. After that initial period, my parents found an endocrinologist, and unlike our GP, he was up-to-date on the new developments, such as NPH, so dosing became less chaotic.

      2
      3 years ago Log in to Reply
      1. William Bennett

        Always interesting how much the year of diagnosis plays into the experience. I was started out on the R/NPH “exchange diet” thing which was state-of-the art in 1983. I intellectually get that NPH was a new and wonderful thing, but MAN was it hard to live with that whole regimen, especially in the pre-glucometer era but even after. With CGM I could imagine it being a lot more manageable, but the very long effect curves of that stuff meant you had to structure your whole life around your insulin. Looking back that just seemed a given, the nature of the beast. Finally getting onto Lantus-Novolog MDI, with carb counting and the rest, after 20 years on that stuff was like being released from prison. Damn did I get hit with some nasty hypos on that stuff, especially NPH. Like a freight train coming at you. Every day felt like skating on thin ice. I used to call it the Eat Now Or DIE! regimen.

        “You kids don’t know how good you have it!”

        “Right, gramps, back to your nap.”

        5
        3 years ago Log in to Reply
    6. William Bennett

      > N/A – I / my child was diagnosed as an adult

      Interesting that more of us ticked that box (so far) than any of the others. I was dx’d in 1983, age 28, before the T1/T2 terminology came in. Doc told me about it, even as he put down “juvenile type” on my chart, the reason being that unlike T2 — “mature onset” back then–the auto-immune kind doesn’t really track with age. Always amuses me that despite the change to T1/T2, the “I thought only kids got that kind” myth lives on. Though the number of T1 adults who get misdiagnosed as T2 because of its persistence even among medical professionals is no joke.

      7
      3 years ago Log in to Reply
      1. Kris Sykes-David

        I was surprised as well how many of us ticked the dx’d at an older age. Folks in the medical care business are always surprised when I tell them I was 55 when dx’d. Hmmmm.

        1
        3 years ago Log in to Reply
      2. Becky Hertz

        Not really, only 41%, that leaves 65%+ diagnosed as a child.

        3 years ago Log in to Reply
    7. Kristine O'Brien

      Diagnosed at age 1 1/2 in the days of Regular and NPH – so, as others have said, no dosing, just a lot of “don’t screw up”. I did my own urine tests and injections by age 5, filled syringes by age 7, and mostly took over when I got my first blood glucose meter . . . one minute for a result, can you even imagine that today?!

      5
      3 years ago Log in to Reply
      1. ConnieT1D62

        With my first Glucometer in 1981 it took 5 minutes for the result!!!

        3 years ago Log in to Reply
      2. Kristine O'Brien

        You know, I was going to write 5 minutes but I thought that couldn’t possibly be right!

        3 years ago Log in to Reply
    8. Sue Martin

      I was diagnosed when I was 18 1/2. So I managed my dosage on my own.

      1
      3 years ago Log in to Reply
    9. Kristine Warmecke

      I started doing my own adjustment’s with CDE supervision once my parent’s got on board with BS testing. Started out with just the strips that we would cut to make the supply last longer, and read what BS by the color on the side of the bottle. I’d call my numbers in weekly to my CDE, with what I thought needed to be done and she would say that’s it or let’s try this and here’s why. By the time I was 15 I was doing it on my own. My brother on the other took longer to take it on himself.

      3 years ago Log in to Reply
    10. Karen Tay

      I have to admit I did not want anything to do with giving myself my shot until I moved out of the house.

      1
      3 years ago Log in to Reply
      1. Jen Farley

        I hear ya, I had been in the hospital once or twice because I ran out of insulin and did not tell anyone. I was diagnosed much later in life, but ate but crumbs most my life because after eating I felt really bad. I hope you had caring parents.

        3 years ago Log in to Reply
    11. Karen Tay

      I was diagnosed right before my fourth birthday.

      3 years ago Log in to Reply
    12. Becky Hertz

      I was diagnosed at 14 (1974) and managed my insulin, NPH and Regular, from the beginning. No carb counting back then!

      3 years ago Log in to Reply
    13. Sherrie Johnson

      It was 1961 I was 14 years old couldn’t believe this happened to me I took two shots today one in the morning I think it was pork insulin and regular small amount and at night a very small dose. There was urine testing which was a joke if you had run high sugar you were going to have it in your system for 24 hours so that was useless the blood test was a stick also if you didn’t time it right and get the right color you didn’t know where you were. I would say control was nil at that time had to boil glass syringes using big old metal needles. I was sick a lot missed a lot of school. As technology started catching up with the disease I grew up. Disposables were a blessing. NPH came into the picture that was another nightmare if you didn’t eat by a certain time you were a basket case. I remember I was 34 when I finally had a blood testing machine meter that changed my life then then came the pump so far been on the pump for 33 years out of my 61 years. Now I have a CGM that communicates with my pump it is so nice the technology is catching up life is so much easier now I look forward to continued good health.

      6
      3 years ago Log in to Reply
      1. Patricia Maddix

        I was also diagnosed in 1961 at the age of 11 and my story is exactly the same. That’s the way diabetes was treated back then with one or two shots a day that never changed. Every meal had a prescribed amount of carbohydrate, protein, and fat that had to berigidly adhered to with no variations. At least two or three snacks a day and no wiggle room for times of eating or again you were in big trouble. it wasn’t until 1980 or 1981 that we could actually do a finger prick and get an idea of what our actual blood sugar was. I never could understand why people complained about pricking their finger as it was just a godsend to know what your blood sugar was. insulin adjustments were usually done at doctors appointments but sometimes using a chart provided by the doctor my parents and I would discuss possible minor changes. I started from day one giving my own shots, boiling syringes and needles, testing urine, etc. Now on a tandem pump with control IQ and it is so wonderful. and till reading everyone’s comments, I had almost forgotten what a rigid life we all lead as children and kudos to everyone as we were extremely grown-up kids. No kids should have to go through that.

        5
        3 years ago Log in to Reply
      2. ConnieT1D62

        Sherrie and Patricia – I was 8 years old in 1962 and diagnosed in the same era of primitive diabetes care and lack of technology. We did what we had to do with what was known at the time and somehow managed to survive all these years. I remember a seemingly endless of schedule graham and milk snacks on top of having to eat three balanced meals a day. I was a petite, skinny little kid … no way did I need to eat all that food, but had to because of the need to “feed” the insulin to prevent episodes of severe hypoglycemia.

        2
        3 years ago Log in to Reply
    14. Bill Williams

      I was diagnosed at age 9 in 1960 and took Lente insulin once a day. Standard, unchanging dose. Urine testing didn’t tell you much of anything useful.

      4
      3 years ago Log in to Reply
    15. ConnieT1D62

      I was diagnosed at 8 years old in December 1962. We boiled the stainless steel needles and glass syringes every morning, and then later transitioned to a stainless steel tube container filled with isopropyl alcohol that was in a plastic kit that contained the injection supplies. I quickly learned to draw up my own syringe and inject my self once or twice a day as I adjusted to living with diabetes … my mother was too nervous and it hurt when she injected me in my arms, so I took over and started using my thighs about 2 months after being diagnosed and I have been on my own ever since.

      1
      3 years ago Log in to Reply
    16. Janis Senungetuk

      I honestly don’t remember because there were so few options. Dx at the age of 8 in 1955. Urine testing, AM shot of beef/pork Regular and the ADA Exchange diet – period! I started giving my AM shot at 9, but my hands were still too small to manage filling the glass syringe. By 12 I was with a different MD and started on a carousel of every available insulin on the market. Not only did the type of insulin change but also the timing. I still wasn’t permitted to either provide any input or vary from the MD’s prescribed amounts. My entire adolescence was controlled by those rigid rules. Had to wait until I left for college at 18 to attempt to manage my insulin doses. I was on Regular and NPH by then and I wasn’t very successful.

      3
      3 years ago Log in to Reply
    17. KarenM6

      I was diagnosed at 5 and was giving my own shots and pulling up insulin at that age. (I never understood practicing on an orange. I was told it was because it was most similar to giving a shot on oneself, but it _really_ wasn’t! LOL.)
      As others have said, there wasn’t “management” per se as it was a fixed dose based on what the doctor said and the rest of life was changed to fit the dose. And also similar to others, I hit some really nasty lows. They got much, much worse and far more dangerous when a doctor doubled my dose of insulin.
      I was diagnose at a time when there was a transition from glass syringes to disposable. I didn’t have to manage the glass syringes and those big honkin’ needles that had to be sharpened, but I knew someone who did. I was so very grateful for the small, disposable syringes when I saw and heard about the glass one!!
      I found my old urine testing tubes the other day. I am very not sure why they were kept! LOL

      4
      3 years ago Log in to Reply
    18. AnitaS

      I am not really sure but probably about age 13. But to tell you the truth, I really don’t remember having a sliding scale till much later because I was using urine strips to estimate blood sugar rather than using a blood glucometer.

      2
      3 years ago Log in to Reply
    19. mbulzomi@optonline.net

      There was no answer, I did not have T1DE as a child. I was 23 tears of age and one-year out of the USN. No relatives or family who had/have T1D.

      3 years ago Log in to Reply
    20. Brad Larson

      Diagnosed at age 15, trained right away. 1970

      1
      3 years ago Log in to Reply
    21. Britni

      I answered 10-12 because I started deciding on and drawing up the doses when I was 11, but I didn’t start giving myself the injections until I was 16 (needle phobia)

      3 years ago Log in to Reply
    22. PamK

      I chose between ages 10 – 12 because I didn’t start giving myself my shots daily until I was 11 years old. I did so for a short time when I was @ 9, but decided I didn’t want to be bothered. So, I basically told my parents/doctor that if I had to have insulin they could give it to me.
      My parents sent me to “diabetes camp” (summer camp for diabetics) when I was 11, at my doctor’s recommendation. It took the nursing staff and counselors until the last two days of camp to get me to give myself my injection. I was a stubborn child!!

      3 years ago Log in to Reply
    23. Jen Farley

      I found out I was diabetic at 13 and I had to take care of it from day 1 so easy answer. 13

      3 years ago Log in to Reply
    24. T1D4LongTime

      T1D 56 yrs, diagnosed age 6. This was back in the day of glass syringes. My mother preferred to continue to do the injections until my teenage years. No reason I couldn’t have done it myself, but just never changed the status quo.

      3 years ago Log in to Reply

    If you had T1D as a child, at what age did you start to manage your daily insulin doses mostly on your own? If you have a child with T1D, at what age did they start to manage their insulin doses mostly on their own? Cancel reply

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