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    • 1 hour, 26 minutes ago
      eherban1 likes your comment at
      Have your insurance deductibles and/or premiums increased in 2026?
      The Eli Lilly coupon program: https://insulins.lilly.com/lilly-insulin-value-program or the Nordisk coupon program: https://www.novocare.com/diabetes/help-with-costs/help-with-insulin-costs/myinsulinrx.html might help. It has for me.
    • 1 day, 2 hours 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.
    • 1 day, 2 hours 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.
    • 1 day, 2 hours 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.
    • 1 day, 6 hours 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.
    • 1 day, 6 hours 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.
    • 1 day, 15 hours 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!
    • 2 days, 2 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.
    • 2 days, 4 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."
    • 2 days, 4 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.
    • 2 days, 4 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.
    • 2 days, 4 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!
    • 2 days, 5 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...
    • 2 days, 5 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.
    • 2 days, 5 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.
    • 2 days, 5 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.
    • 2 days, 5 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?
    • 2 days, 5 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
    • 2 days, 5 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.
    • 2 days, 5 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.
    • 2 days, 5 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
    • 2 days, 5 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.
    • 2 days, 19 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.
    • 3 days, 1 hour ago
      Deborah Wright likes your comment at
      Does dietary protein affect your glucose levels?
      It has a minor Impact but it happens every time.
    • 3 days, 1 hour 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.
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    If you use an insulin pump, how many times in the past month have you had to change your pump site more than 24 hours before its session was over?

    Home > LC Polls > If you use an insulin pump, how many times in the past month have you had to change your pump site more than 24 hours before its session was over?
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    Have you ever been without health insurance while living with T1D? If so, please share more in the comments about how being without insurance impacted your T1D management.

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    If you have had surgery while living with T1D, were you able to choose the person who managed your T1D during the procedure? If you have had surgery multiple times, please answer for your most recent procedure.

    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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    16 Comments

    1. Barbara Bubar

      Tough to answer because after 72 years of inserting things here and there in my body it’s tough to find new areas that work well. When I DO find a spot that works well I almost hate to change it so I’ve gone as long as 5 days. Often a tougher site just requires more insulin for the same foods. I am one of those skinny people (slender sounds better…LOL) so there’s not a lot of unused territory!

      3
      3 years ago Log in to Reply
      1. Catherine Davis

        I know the feeling. Steel needle infusion sets are the way to go, if you aren’t already using them. Leaving the plastic cannulas in for too long will ruin the absorption areas you have left. Steel needle sets are not so scary after I started using them, and much more reliable!

        3 years ago Log in to Reply
    2. Jneticdiabetic

      Once. My pump fell off my waistband in the restroom, fell to the floor, and a yanked out my infusion site.

      3 years ago Log in to Reply
    3. TomH

      I’ve been using a pump for 18 months using Omnipod Dash. I’ve had one pump die during the setup process (a screamer) before I put it on, and had one become pretty loose (on a cruise, multiple times in pools/water fun areas/ocean), but it hung in there with some extra 1st aid tape (no over-patches with me). I sometimes shave the hairs off, more to limit painful removal (I’m a wimp!). I think it depends on the skin oils make-up and sweatiness and I’m lucky not to have the issue. I’ve nearly pulled one off once, but not actually succeeded!

      3 years ago Log in to Reply
      1. pru barry

        What is a screamer? Is it just part of the Omni Pod Dash?

        3 years ago Log in to Reply
    4. Andrew Stewart

      Once, only because the site was not working very well for me. When it’s good, I ride it until the cartridge runs out.
      #BeWell

      1
      3 years ago Log in to Reply
    5. mbulzomi@optonline.net

      My pump, Tandem X2 has no sessions warnings. If you fill the cartridge to its maximum 300 units, it will run till the end. You the Pumper should change the cartridge every three days. However, they make it difficult if you are wearing a Sensor because the Sensor quits in ten days, so that is 3 1/3 day per secession. It’s one pain in the butt to have to wear the Sensor on one side and the Q set on the other side of your body.

      3 years ago Log in to Reply
    6. Amanda Barras

      That’s a loaded question. If you mean early because of site failure none. (Which I picked.) But if you mean changing it early because you go through 300 U in 2 days and they type of insulin you use will cause occlusion alarms if you refill and run past 2 days. Then every time.

      3 years ago Log in to Reply
    7. Janis Senungetuk

      By choice I’d rather replace the infusion set after 3 days than fill the insulin cartridge. I fill the Tandem cartridge with 250+ units and use it until there are less than 10 units left. Sometime I replace the infusion set every 3 days and sometimes, if there’s no irritation at the insertion site, I leave it until I run out of insulin.

      1
      3 years ago Log in to Reply
    8. Kathryn Keller

      Had first screamer dash pod. I woke up and was confused for awhile until I figured out what it was.

      3 years ago Log in to Reply
    9. Becky Hertz

      I have insulin resistance and absorption issues. My sites can crap out before 24 hours or be bad from the start. TruSteel sets help mitigate this as I can just move to another area without wasting an insertion set.

      1
      3 years ago Log in to Reply
      1. Catherine Davis

        I had the same problem which was really dangerous and the steel needle sets were scary at first, but they are not so painful and what a difference they made in getting insulin into me!!

        3 years ago Log in to Reply
    10. Joan Fray

      Interesting answers. I change my infusion set and cartridge every three days as a matter of course. Load the cartridge with 60 units and use aprox 16 units a day. I thought the insulin loses effectiveness after 3 or 4 days in the cartridge..?

      3 years ago Log in to Reply
    11. AnitaS

      I did once about a week ago because I put the infusion set in an area that sometimes just doesn’t absorb well. Luckily with a steel infusion set, I don’t waste an infusion set when I need to change the sight. I must say that having to change the site because of insulin not working well with a particular infusion site happens very infrequently.

      3 years ago Log in to Reply
    12. Catherine Davis

      None. Then again I don’t need that much insulin anymore, so my steel needle infusion sets may exceed the 2-day mark at times, because I have to load at least 80 units each time with my Tandem t:slim pump system, WHICH I LOVE!!! My total daily dose may be as low as 13-14 units or up to 25 units if my BG spikes.

      3 years ago Log in to Reply
    13. PamK

      I’m really not sure what is meant here by “changing a pump site more than 24 hours before its session was over.” Do you mean when the cartridge is empty? Or the three days of wear time for the infusion set? Or?? This question really isn’t clear.
      For the cartridge/reservoir to empty, I usually use it for 4 – 5 days. For the infusion set, I have to change mine every 2 – 2 1/2 days, so sooner than the 3 day wear time. So again, it depends on what you mean!

      3 years ago Log in to Reply

    If you use an insulin pump, how many times in the past month have you had to change your pump site more than 24 hours before its session was over? Cancel reply

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