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  • Activity
    • 8 hours, 23 minutes ago
      Janis Senungetuk likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 13 hours, 1 minute ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      In July, I went on the only Medicare plan in my area that covered Afrezza. For 2024, no one is covering it. Like others, hate these formulary decisions by the Insurance providers.
    • 15 hours, 52 minutes ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 16 hours, 18 minutes ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 16 hours, 19 minutes ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I answered NO for 2023 but in 2024 I will have to switch from Humalog to Novolog.
    • 16 hours, 50 minutes ago
      Bill Williams likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 17 hours, 59 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      With Medicare's change to the cost of insulin, my Part D plan dropped Novolog. $35 "limit" only works if insurers have your medication on their formulary.
    • 18 hours, 12 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 18 hours, 13 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Lispro, aspart, and glulisine are also FDA-approved for pump use (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695255/). These are the generic versions of Humalog, Novolog and Apidra, respectively.
    • 18 hours, 29 minutes ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      This past year my doctor appts were my new social life!
    • 18 hours, 30 minutes ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 18 hours, 54 minutes ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 20 hours, 22 minutes ago
      Bruce Schnitzler likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      @George Lovelace. {{{{{Hugs}}}}} to you, sir. Are you getting support after the loss of your wife? I do hope so.
    • 20 hours, 56 minutes ago
      Mick Martin likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 21 hours, 41 minutes ago
      Marty likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I am required to see my Endo every three months by Medicare. Otherwise, I'd probably go 2 times per year.
    • 21 hours, 41 minutes ago
      Marty likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 1 day, 12 hours ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 12 hours ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 12 hours ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I didn't have to change but I couldn't get a new one from Caremark because it wasn't on the formulary. I used an AARP pharmacy card and got a $44 Rx for $18. Like Bob, I hate formulary!
    • 1 day, 15 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Long-acting insulin changed from basaglar to lantus for the upcoming year. Not a big deal since she moved to a pump this past year.
    • 1 day, 15 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 15 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I have to change my insurance company now for 2024 so that i can continue to afford humalog. (or I have to switch to Lyumjev if I keep my current plan) I was startled to see that on my current plan, humalog would cost 16,000 next year (for the full year). Everyone, check your plans!
    • 1 day, 20 hours ago
      lis be likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 20 hours ago
      lis be likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 21 hours ago
      TEH likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
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    If you have a menstrual cycle, do you notice changes in your insulin sensitivity throughout the month?

    Home > LC Polls > If you have a menstrual cycle, do you notice changes in your insulin sensitivity throughout the month?
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    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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 Manager of Marketing at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    13 Comments

    1. Molly Jones

      I have all the information, but have not paid attention.

      3 years ago Log in to Reply
    2. Mick Martin

      N/A. I’m male.

      3 years ago Log in to Reply
    3. Wanda Rose

      Yes I used to have to reduce my insulin immediately prior to mental cycle, for a couple.of days or I would have constant lows

      3 years ago Log in to Reply
    4. Stacie G.

      The changes aren’t to my sensitivity. They’re changes to my insulin intake due to food intake. I get cravings, “munchies” and tend to eat more the week before my cycle starts. The occasional craving doesn’t effect my “regular” eating schedule or pattern like when I’m PMS-ing for sure.

      3 years ago Log in to Reply
    5. Liz Avery

      I am now past menopause, but each cycle would spike my glucose through the roof. I don’t think it was any additional “munching” that did it, just hormones. My husband used to say “the whores are moaning”

      3 years ago Log in to Reply
    6. connie ker

      I think Hormones or lack of Hormones affect sugar levels significantly. I was going through menopause when I was diagnosed with LADA at the age of 49. The OB-GYN put me on birth control pills and I couldn’t get through the first month of pills. Vision got blurry and symptoms were pronounced for diabetes. I always wonder if I could have prevented this onset. Too late now, I am now into my 24th year on insulin, and today is my 73rd birthday. We can only go forward 1 day at a time! Men also have hormones but I cannot speak from their vantage point.

      3 years ago Log in to Reply
    7. Danielle Eastman

      To a SHOCKING degree!

      3 years ago Log in to Reply
    8. Becky Hertz

      I’m past menopause but didn’t notice much of an effect on my blood sugars when I was menstruations. Then again, there wasn’t the technology then as there is more, so who knows?

      3 years ago Log in to Reply
    9. lis be

      I used to have low sugars the day before, elevated sugars for the few days it lasted, then dramatically low sugars just after.

      3 years ago Log in to Reply
    10. Megen Blackburn

      I no longer have a menstrual cycle as I have a hysterectomy in 2013. However, I started having significant changes in blood sugars and insulin sensitivity/resistance related to the cycle starting in 2009-2019. The only thing we could conclude that caused these changes was fluctuating hormone levels related to changes in approach to age 40. Because of all of this, I had to discontinue long acting insulin and is started insulin pump & CGM therapy.

      3 years ago Log in to Reply
    11. Katey Mitts

      Yes, for sure. Although I have a semi-closed loop pump system I still have 4 basal rate profiles in my pump that I switch to during the month. Ovulation: During ovulation I require increased basal/bonus rate in the AM only. PMS: increased basal/bolus rate for 24 hrs up to 7 days before menstruation. AMC: after my menstruation stops my rates drop significantly for 1 day. Regular: all other times. I have found this subject to be missing in data and help throughout my 23 years with DM. I’d love to see more help/instruction to women with DM. I’m entering peri menopause and I have no clue how all this will change. I will just need to keep figuring it out as I go. Unless the closed loop system will anticipate all this.

      3 years ago Log in to Reply
    12. Jneticdiabetic

      Yes, big BG differences with my menstrual cycle. Usually run high the week before my period starts. Sometimes low when it concludes. Though the pattern is not as predictable now on my 40s. I used to have a higher basal rate pattern setting on my pump that I would switch to the week before. A few years ago, I had 2 severe low BGs overnight as my period concluded, which prompted me to start using a CGM again. I’ve had trouble working out basal rate adjustments at this time of the month using automode on my Medtronic 670g. My CDE recently advised exiting automode at this time of the month, as the insulin delivery predictions are based on a running 6-day average. In other words, my pump won’t be able to learn that I need more insulin the week before my period until it’s too late and then the delayed increase in my basal insulin could set me up for lows. That makes sense. Will be giving manual mode a try with my next period.

      3 years ago Log in to Reply
    13. Beth Franz

      I really don’t notice a difference although I have that day or two every month where I’m cranky and hungry all day? That certainly ups the insulin needs. I was diagnosed at almost 40 so maybe that makes a difference?

      3 years ago Log in to Reply

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