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    • 10 hours, 47 minutes ago
      Kristi Warmecke likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Unlike most of the comments on this subject matter, I have needed glucagon several times per year. I am very active, and work hard around the house. I have a Tandem X2 pump with Control IQ and a Dexcom G7 sensor. However, from time to time, my blood sugars drop quickly, or I spend too much time between taking my meal insulin dose and eating my meal, where I need help. The glucagon has come in very handy. For me, it would be fool-hardy to be caught without it. Regarding cost, the price on glucagon has shot up, drastically, over the past year or two, even with health insurance. Luckily, I was able to find a generic, NOT pre-mixed glucagon. It is referred to as "Glucagon Emergency Kit For Low Blood Sugar 1MG." It's the old fashioned kind where you have to mix it yourself. But, at least I have something in case of an emergency.
    • 14 hours, 10 minutes ago
      eherban1 likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      I use InPen and it's great. Except they aren't keeping up with iOS so you now have to unlock your phone and open the app to check IOB instead of simply looking at the home screen. You can tell when app developers aren't users, otherwise they'd know how much of a pain this is when you check 50 times a day
    • 15 hours, 11 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Insurance won't cover and it was several hundred dollars.
    • 15 hours, 13 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 15 hours, 14 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 15 hours, 15 minutes ago
      Trish Bowers likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I do because it Costc me over $300 to replace it. Too expensive.
    • 15 hours, 41 minutes ago
      John Barbuto likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Medicare has added FIASP for 2026! Besides the great news of being able to use this once again, it is one of the few fast acting insulins that works with the inPen. I am considering doing that in the new year
    • 15 hours, 41 minutes ago
      John Barbuto likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Been using fiasp for 2 years (in the UK) and it's significantly better than novorapid. Would highly recommend to everyone, especially if you find your insulin a bit slow to act.
    • 16 hours, 34 minutes ago
      Lozzy E likes your comment at
      Multiple daily injections (MDI) users: Do you use an app or other device to track your insulin dosing? Share the tools you use in the comments below!
      Medicare has added FIASP for 2026! Besides the great news of being able to use this once again, it is one of the few fast acting insulins that works with the inPen. I am considering doing that in the new year
    • 20 hours, 10 minutes ago
      Ahh Life likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      The last Glucagon prescription that I purchased was 15 years ago. Now it's way too expensive because my insurance doesn't cover it. They just want us to either die or use ambulance service to use or send us to ER. Pretty stupid to me. I've had T1D for 52 years and never needed it really. Only 3 times during early morning hypos in 2015-16 I needed rescue to wake me.
    • 1 day, 1 hour ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      My experience over the past 65 years is that a sugary drink and patience will bring me out of a low satisfactorily. If I’m unconscious, as has happened four or five times over that period, the EMTs know what to do.
    • 1 day, 1 hour ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 1 day, 1 hour ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No I haven't a glucagon in yeans. Reason being:, every time I had a prescription, the glucaagon was never used and expired.
    • 1 day, 1 hour ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 1 day, 1 hour ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I do because it Costc me over $300 to replace it. Too expensive.
    • 1 day, 1 hour ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Insurance won't cover and it was several hundred dollars.
    • 1 day, 1 hour ago
      René Wagner likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No,insurance won't cover it. T1D for 45+ years and haven't had a situation where I needed it - so far so good
    • 1 day, 3 hours ago
      Vicki Breckenridge likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Glucagon is $425 for me on Medicare. It is cheaper to get an ambulance! I have an expired one that will work if I ever need it, but I won't.
    • 1 day, 10 hours ago
      Richard likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      No. During the past century I threw out many glucagon doses about 5 years after each had expired - having never used a single glucagon dose.. This century, two dose kits were disposed of and never used. At this point, in my opinion, with modern tools for accurately monitoring one's body glucose levels, AND common awareness of how one is feeling, severe low BGL can be easily avoided thus not needing "emergency' glucagon. NOTE WELL!!! what I wrote in the last sentence, does NOT apply to the very young, and some newly diagnosed who have not yet mastered insulin dosing and who have not yet been accustomed to recognizing low or quickly dropping BGL.
    • 1 day, 11 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      My experience over the past 65 years is that a sugary drink and patience will bring me out of a low satisfactorily. If I’m unconscious, as has happened four or five times over that period, the EMTs know what to do.
    • 1 day, 11 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      Expiration dates are put on by the manufacturerbecause they have to, and almost never indicate the product won't work. I am confident if I need it , it will work.
    • 1 day, 11 hours ago
      Dennis Dacey likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      With the latest monitoring technology I will probably never need it. I did need it a couple of times in the past, many years ago, and I do have expired Glucagon on hand. I do question whether expiration is real, since until it is mixed, what is there to expire?
    • 1 day, 14 hours ago
      ConnieT1D62 likes your comment at
      Have you been diagnosed with neuropathy? If so, please share your top management tips in the comments.
      My endocrinologist is very good about following the standards of care and looks at my feet every three months when I’m in as well as once a year he does a thorough test with a microfilament and a tuning fork regarding my feet. He says that there is mild neuropathy and at this point, it has not caused me any real problem no pain, numbness, tingling. I recently had a nerve conduction test on my hands because there was concern that there might be something going on with my spine and the neurologist did tell me I had some neuropathy in my hands along with carpal tunnel syndrome in both of them. This all was a surprise to me. I have had a complaint of periodic numbness in some fingers of both hands which he said at this point is mainly being caused by carpal tunnel syndrome. So I think a lot of people with diabetes may be unaware of some mild neuropathy unless their doctors are doing regular thorough testing. my cardiologist also suspects that the fact that my blood pressure tends to go all over the place, sometimes being high, and then crashing to extremely low levels is caused by autonomic neuropathy, and I suspect that some of my chronic gastrointestinal distress may also be caused by some neuropathy. diabetes for 64 years so not a surprise.
    • 1 day, 16 hours ago
      Bill Williams likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      I have been a T1D for 57 years. I have not had Glucagon on hand in 25+ years. Normal carb/sugary items seem to be ok.
    • 1 day, 16 hours ago
      Lee Tincher likes your comment at
      Do you have Glucagon on hand that is not expired? If not, please share why in the comments.
      With the latest monitoring technology I will probably never need it. I did need it a couple of times in the past, many years ago, and I do have expired Glucagon on hand. I do question whether expiration is real, since until it is mixed, what is there to expire?
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    If you have (or your child has) experienced diabetes burnout (feeling run down and not managing your diabetes in the way you normally would), how do you usually handle it? Select all that apply.

    Home > LC Polls > If you have (or your child has) experienced diabetes burnout (feeling run down and not managing your diabetes in the way you normally would), how do you usually handle it? Select all that apply.
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    If you use a CGM, how many times in the past month have you had to change your sensor more than 24 hours before its session expired?

    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. Kristine Warmecke

      When my brother and I were younger (under 15) if they saw one of struggling big time with not wanting to manage our T1D, they would give us a “vacation from management”. Usually just a day of not doing our own injections and testing. A lot easier back in the days of urine testing and set insulin regimens.

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

      I also seek new therapies or medication that can make it easier to reach my goals.

      1
      3 years ago Log in to Reply
    3. Edward Geary

      Experience has taught me the “diabetes” is ultimately my problem to solve. So, with assistance if necessary, I start “drilling down” to identify the problem and patiently build back the mental stamina to cope with a situation that will not completely disappear and cannot be denied or ignored. This, in part, is why it’s such a lonely disease. Family particularly spouses can be supportive but in the end it’s between us and the diabetes. Stoicism helps acceptance. In health.

      5
      3 years ago Log in to Reply
    4. Steve Gold

      I’d seek out someone to chat with.
      When it comes to advice on Type 1, aka “insulin dependent” aka “IDDM” aka Juvenile onset it’s had many names over the 40 years I’ve had it there is one common theme there few people know about the practical aspects of Type 1. For me, I’ve found the best place to go is a medical professional that happens to have type 1. I’ve got the best advice from a MD, Nurse Practitioner and even a nutritionist that happens to have Type 1. Next in line are other diabetics there you must be a little careful that their opinions are based in facts, not something else. The list goes on… You just need to think about the person giving the advice.

      3
      3 years ago Log in to Reply
    5. AnitaS

      I don’t technically know if I get burn-out, but if I get slightly lax on keeping an eye out on my sugar levels, I don’t worry about it as by the next day I am ready to start being better about trying to keep my sugar levels where I want them.

      1
      3 years ago Log in to Reply
    6. Lynn Smith

      I pray. Along with all the other things in life that I talk to God about, I pray for Him to help me with my feelings of being overwhelmed by my health issues. Just talking to Him about it brings a sense of His presence and comfort.

      3
      3 years ago Log in to Reply
    7. KCR

      Meditation and self-compassion practices help me recenter when I feel overwhelmed by dealing with diabetes.

      5
      3 years ago Log in to Reply
    8. Drina Nicole Jewell

      When my son’s starts feeling the burnout he comes to me and asks me to step in and take over management for awhile. As for myself, I mean there isn’t anyone I can ask for help other than my son and I’m not putting that on him. So I push through.

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

      Not sure I have had diabetes burnout but there have been times when I have been way lax on my diet- eating foods on the “do not” list. I exercise almost daily which I would do with or without diabetes just because I like to move- hiking, biking, walking, strength training.

      2
      3 years ago Log in to Reply
    10. Chris Albright

      I sometimes get frustrated managing this T1 disease but have never given up the daily efforts to manage thru it. There is not an option, you just have to ‘suck it up’ and work thru the grind……

      4
      3 years ago Log in to Reply
    11. Jneticdiabetic

      I have definitely felt burnt out, but not to be the point that I stopped taking care of myself. I have used a lot of the listed strategies to help when my T1D gets extra frustrating. Also had to learn to go easy on myself. Somedays T1D has a mind if it’s own.

      3
      3 years ago Log in to Reply
    12. Andrew Stewart

      My burnout is not from managing my diabetes but from not doing it well. I’m very results oriented and want to do everything to the best of my abilities but the T1D game of maximizing TIR (time in range) is a game where it seems the rules constantly change. We all know this but still get caught trying for perfection at the micro level rather than the bigger picture (macro level). I need to remember that T1D is a marathon, not a sprint and it’s okay to slow down (insert your T1D pitfalls here) but keep going, it’s a slow process but quitting won’t speed it up.

      #BeWell

      10
      3 years ago Log in to Reply
      1. sweet charlie

        Yes!! I have lasted 69 years from age 21 without micro manageing T1D…

        1
        3 years ago Log in to Reply
    13. Ahh Life

      The question seriously lacks at least one answer:

      “I do not experience burn out. Ever.”

      After 71 years of doing the T1D “thing,” I have eyes burn out, nerves burn out, joints burn out, pancreas burn out. But the whole human being package? Not ‘til I’m nailed in the pine box. Then, you can do all the burning you want. 🔥

      6
      3 years ago Log in to Reply
    14. Keith LeMar

      I haven’t experienced diabetes burnout during over 55 years with T1D, but I do get very frustrated with the expense of managing the condition.

      2
      3 years ago Log in to Reply
      1. sweet charlie

        Me also!!! I think insulin price was about $1.00 a vile 70 years ago..

        3 years ago Log in to Reply
    15. George Lovelace

      58 yrs, been a few frustrations mostly dealing with Insurance lately. As far as control my Diabuddies and my Endo are my “go to’s”

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

      I’ve told others to “keep on trucking” and try hard to practice that myself. Conversations with the DOC for practical solutions can help when I clearly know what I’m having the most problems with. Asking my CDE for help has sometimes been useful, but her available time is strictly limited by her employer. So, I keep pushing myself to get up and keep moving forward.

      1
      3 years ago Log in to Reply
    17. TomH

      Yell and scream at the world…then get back to business.

      3
      3 years ago Log in to Reply
      1. Eileen Wagner

        If I could send you a picture I would! Are you on Facebook? I can look you up. 😊

        3 years ago Log in to Reply
    18. Eileen Wagner

      I was experiencing severe burnout after 35 years. I decided to get a diabetic tattoo. Not everyone’s thing, but it worked for me. 😁

      1
      3 years ago Log in to Reply
      1. Ms Cris

        I have been itching for my next tattoo, and get into this space with my burnout, too. I’m only 6 years in, but I am soooo sensitive (to insulin, carbs, and protein) and the frustration with that sensitivity gets to me. Little room for error. I love tattoos and piercings, they lift my spirits.

        1
        3 years ago Log in to Reply
    19. Lawrence S.

      Sometimes I feel overwhelmed dealing with the day to day high and low blood sugars. That, combined with the never ending daily stressors. I start thinking that there has to be a break coming. But, there is not. My best go to, to get through, is going out for a run or a bike ride. Occasionally, a walk. Then, get on with the next chore.

      1
      3 years ago Log in to Reply
    20. Patricia Dalrymple

      Before I was diagnosed (I’m LADA), I had to have my right nostril removed for a benign tumor that was growing aggressively. My plastic surgeon, a wonderful man, had done his residency in a burn unit. Whenever I am feeling sorry for myself, I remember the people who are way worse off than I am, I say a grateful prayer of thanks, I cheat a little (usually occurs after my Endo appt when I get good reviews) and get back in the wagon. I tell my husband when I go low: what a great disease – I have to eat to make myself better. I am positive by nature which makes life much easier to bear. Beats the alternative. Stay well my warriors.

      4
      3 years ago Log in to Reply
    21. Ms Cris

      First, I fully own the anger/frustration: yell, feel it, acknowledge it.

      Second, I tell myself I’m doing my personal best right now, that hour, that day. I’m stepping in to do the meticulous job of the pancreas: how the hell can I be expected to do as well 24/7? Be easy on myself.

      Third, I am lucky to have a therapist who specializes in major life changes – like T1D. Thanks to her, I have tools/methods to get me through these episodes. And she’s someone I can unload on, be honest with. I hate being a burden on my family and friends, she takes that on so I can have better personal relationships.

      I re-read The Four Agreements/Fifth Agreement over and over.

      1
      3 years ago Log in to Reply
    22. Molly Jones

      I chose N/A as I don’t think I have had been burnt out in any of my medical conditions enough to become lackadaisical. The future of this body and brain are reminders to try and stay on top.

      3 years ago Log in to Reply
    23. ConnieT1D62

      When it happens, I let it all hang out and fall down and then pick myself up, dust myself off, and get back on track all over again. Diabetes burn-out episodes are rare and usually don’t last very long when they do happen because after 60 years of living with T1D doing what need to be done to function as my own beta cells comes second nature to me. I take full responsibility to do what needs to be done to manage my self-care choices and routines because I cannot rely on anyone else to do if for me.

      1
      3 years ago Log in to Reply
      1. Tom Rintelmann

        I concur with Connie. After 42 years with T1D, an occassionalburnouthappens.
        It’s my responsibility, but venting to my wife for a day helps. Like Connie I just pick myself up and remember why I need to remain diligent.

        1
        3 years ago Log in to Reply
    24. Stephen Woodward

      “Oh sh-*, F~!%, D@mi+, As*$”e Get Over it!” Short and sweat, then dive back in and get on with it, it will be ok.

      3 years ago Log in to Reply
    25. James Hoare

      sleep, perchance to dream, wake up, start again.

      1
      3 years ago Log in to Reply
    26. Katie L

      I feel like there should have been an option for “get really frustrated and depressed for a while”.

      2
      3 years ago Log in to Reply
    27. Wanacure

      Diabetes burnout? I don’t think that burns me out. It’s everything else! Trump, the January 6 insurrection, my frustration with getting online, my cellphone frustration, having to mow the damn lawn, my messy house, the cost of maintenance, money worries, these are just some of the things that burn me out. I don’t have time or space for diabetes burnout. In addition to the 5 “handles” I checked, I’ve found keeping a daily written record of feelings, goals, accomplishments, questions, problems is very helpful. Cognitive behavioral therapy helps. So does having lunch with friends, and playing scrabble, and just chilling out all at the local Senior Center. And there’s the public library. And PBS and NPR. In the past I handled stress by 6-8 drinks of alcohol (beer, dry wine, vodka, rum, whiskey, absinthe, ouzo, gin, scotch, etc) at home alone. My doctor told me not to keep booze at home; too tempting. Better I should go out for a drink socially. I’m fortunate to have several brew pubs within walking distance (1.5 miles) plus a saloon. One of them is dog friendly, so I could go there, pet dogs, savor a craft IPA followed by craft imperial stout while using the free WiFi, chat with friendly folks. But for the time being, I’m not drinking at all.

      3 years ago Log in to Reply
      1. Patricia Dalrymple

        I love this!

        3 years ago Log in to Reply
    28. Amanda Mitchell

      I don’t believe I’ve found a way to deal with burnout. Get angry and scream more. Create more colorful words to describe the pump. Throw something. Logical minds knows it’s stupid. Investing in a punching bag would be a better choice. When I’m done throwing a tantrum I usually just remind myself that it’s this or death, so I’d better buck up buttercup.

      3 years ago Log in to Reply
    29. Brad Larson

      Have learned for myself that burnout usually coincides with being out of control. Tighter control and physical activity cures it.

      3 years ago Log in to Reply
    30. Cheryl Seibert

      I chose Talk to my husband, figure it out myself (I debug every problem LOL!), and talk to my endo. I laughed at “Reduce stress”. Ha! Not possible…. but going outside and exercising helps with the stress.

      3 years ago Log in to Reply

    If you have (or your child has) experienced diabetes burnout (feeling run down and not managing your diabetes in the way you normally would), how do you usually handle it? Select all that apply. Cancel reply

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