Subscribe Now

[hb-subscribe]

Trending News

T1D Exchange T1D Exchange T1D Exchange
  • Activity
    • 3 hours, 23 minutes ago
      Anita Stokar likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I usually bring up new options and then we discuss the pros and cons.
    • 3 hours, 53 minutes ago
      Ahh Life likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I put "Never" because I'm 85 and stable. Why change a good thing?
    • 3 hours, 54 minutes ago
      Ahh Life likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      Ten years ago when I first started seeing her I asked her to work with me as an equal partner in all treatment decisions. She agreed and made a definite effort at every appointment to maintain that commitment. That was a decade ago. Healthcare has changed dramatically along with her caseload. At my 90 day appointment next week I hope she will have the uninterrupted time to allow for an actual pro/con discussion on several issues.
    • 3 hours, 55 minutes ago
      Ahh Life likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      the best one was when he recommended a CGM (Libre 2) for the first time. I said to him, "am I gonna scan myself like a can of peaches at the supermarket"? he got a laugh out of that one
    • 4 hours, 25 minutes ago
      Janis Senungetuk likes your comment at
      Have you ever been hospitalized for a type 1 diabetes-related issue? Please share more in the comments.
      I said “No.” Perhaps I’m the luckiest person alive since I’ve navigated the diabetic road for 74 years. Have never had DKA, although symptomatic twice. Have had numerous hypoglycemic affairs, but no hospitalizations. I am also a bit determined. They may hospitalize me for dementia or other old age conditions. But not for T1D. ✨.•*¨*.¸.•*¨*.¸¸.•*¨`*• ¨*.¸.•*¨`*. ¸.•*¨*.¸¸.•*¨`*•.✨
    • 6 hours, 21 minutes ago
      KarenM6 likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      Ten years ago when I first started seeing her I asked her to work with me as an equal partner in all treatment decisions. She agreed and made a definite effort at every appointment to maintain that commitment. That was a decade ago. Healthcare has changed dramatically along with her caseload. At my 90 day appointment next week I hope she will have the uninterrupted time to allow for an actual pro/con discussion on several issues.
    • 6 hours, 23 minutes ago
      KarenM6 likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      My first one always pushed me towards new tech, letting me try it and then letting me decide. When I moved from Baltimore, a better place to be sick besides NYC you probably can’t find, to Florida, I asked for an Endo recommendation. He suggested USF but that’s a 45 min drive from me, on a good traffic day. So this one is convenient but he is more interested in not being inconvenienced. We got into it the last time I was there and were pretty honest with each other and he told me my insurance was the major problem. I have Medicare and a gap, like I’m not going to use that…I paid for it! Medicare is good paying for most things but you have to fight with them to get even normal prescriptions filled, here at least. So, to drone on, we’ve cleared the air and he and his staff have worked hard this past 3 months to get me what I need. I’m grateful for that. It’s not easy being a doc.
    • 6 hours, 24 minutes ago
      KarenM6 likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      To paraphrase a famous Ernest Hemingway line, it would be pretty to think so. 🧠
    • 7 hours, 39 minutes ago
      ChrisW likes your comment at
      Do you check your blood glucose before driving a car?
      Kind of a bad question, “check” means what, CGM and meter both are used to “check” BG, so it would appear that 60%+ “check”. Maybe it should have been, “How do you check BG before driving?” To get a more specific assessment of the BG checking task.
    • 7 hours, 51 minutes ago
      ChrisW likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      She recommended having the latest incarnation of Glucagon on hand and Lantus pens in case I have a pump problem.
    • 10 hours, 36 minutes ago
      kristina blake likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I am usually the one who asks about new tech. Or I explain the new tech that I am using to my endo.
    • 10 hours, 38 minutes ago
      kristina blake likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      To paraphrase a famous Ernest Hemingway line, it would be pretty to think so. 🧠
    • 11 hours, 17 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      the best one was when he recommended a CGM (Libre 2) for the first time. I said to him, "am I gonna scan myself like a can of peaches at the supermarket"? he got a laugh out of that one
    • 11 hours, 23 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I think I stay more up-to-date than my doc on what’s available for T1 treatment, but then I’m retired, have more time and more stake in the result than my doc does; further, he has to stay up-to-date on numerous other conditions/treatments, though an argument is true, it is his job. We still discuss settings/treatments/new offerings/changes in formulary of insurance coverage at each appointment a few times a year to go over blood work, update scripts, and check current treatments.
    • 11 hours, 24 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I usually bring up new options and then we discuss the pros and cons.
    • 11 hours, 47 minutes ago
      Sarah Berry likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I think I stay more up-to-date than my doc on what’s available for T1 treatment, but then I’m retired, have more time and more stake in the result than my doc does; further, he has to stay up-to-date on numerous other conditions/treatments, though an argument is true, it is his job. We still discuss settings/treatments/new offerings/changes in formulary of insurance coverage at each appointment a few times a year to go over blood work, update scripts, and check current treatments.
    • 11 hours, 48 minutes ago
      Sarah Berry likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I usually bring up new options and then we discuss the pros and cons.
    • 12 hours, 25 minutes ago
      Vicki Andersen likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I usually bring up new options and then we discuss the pros and cons.
    • 13 hours, 10 minutes ago
      Lawrence S. likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I am usually the one who asks about new tech. Or I explain the new tech that I am using to my endo.
    • 13 hours, 10 minutes ago
      Lawrence S. likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      My first one always pushed me towards new tech, letting me try it and then letting me decide. When I moved from Baltimore, a better place to be sick besides NYC you probably can’t find, to Florida, I asked for an Endo recommendation. He suggested USF but that’s a 45 min drive from me, on a good traffic day. So this one is convenient but he is more interested in not being inconvenienced. We got into it the last time I was there and were pretty honest with each other and he told me my insurance was the major problem. I have Medicare and a gap, like I’m not going to use that…I paid for it! Medicare is good paying for most things but you have to fight with them to get even normal prescriptions filled, here at least. So, to drone on, we’ve cleared the air and he and his staff have worked hard this past 3 months to get me what I need. I’m grateful for that. It’s not easy being a doc.
    • 13 hours, 12 minutes ago
      Lawrence S. likes your comment at
      Does your T1D provider suggest new offerings (tech, medications, etc.) they think would be beneficial during your appointments?
      I usually bring up new options and then we discuss the pros and cons.
    • 22 hours, 18 minutes ago
      KarenM6 likes your comment at
      Do you live with depression or anxiety?
      Both. Been on medications for many years.
    • 22 hours, 18 minutes ago
      KarenM6 likes your comment at
      Do you live with depression or anxiety?
      I have both which are well managed with medication, lots of meditation and a focus on self compassion.
    • 1 day, 5 hours ago
      kilupx likes your comment at
      If you’ve used expired pump supplies (infusion sets, reservoirs, pods) in the past, did you have any issues with them?
      I don't believe I have ever used expired CGMs or pump supplies.
    • 1 day, 5 hours ago
      kilupx likes your comment at
      If you’ve used expired pump supplies (infusion sets, reservoirs, pods) in the past, did you have any issues with them?
      I have not use expired products.
    Clear All
Pages
    • T1D Exchange T1D Exchange T1D Exchange
    • Articles
    • Community
      • About
      • Insights
      • T1D Screening
        • T1D Screening How-To
        • T1D Screening Results
        • T1D Screening Resources
      • Donate
      • Join the Community
    • Quality Improvement
      • About
      • Collaborative
        • Leadership
        • Committees
      • Centers
      • Meet the Experts
      • Learning Sessions
      • Resources
        • Change Packages
        • Sick Day Guide
      • Portal
      • Health Equity
        • Heal Advisors
    • Registry
      • About
      • Recruit for the Registry
    • Research
      • About
      • Publications
      • COVID-19 Research
      • Our Initiatives
    • Partnerships
      • About
      • Previous Work
      • Academic Partnerships
      • Industry Partnerships
    • About
      • Team
      • Board of Directors
      • Culture & Careers
      • Annual Report
    • Join / Login
    • Search
    • Donate

    If you use an insulin pump, on average, how often do you bolus an amount that is different from the suggested dose from the pump’s bolus calculator? (I.e., entering a number of insulin units without using the calculator at all, editing the bolus calculator’s suggested dose to be higher or lower, etc.)

    Home > LC Polls > If you use an insulin pump, on average, how often do you bolus an amount that is different from the suggested dose from the pump’s bolus calculator? (I.e., entering a number of insulin units without using the calculator at all, editing the bolus calculator’s suggested dose to be higher or lower, etc.)
    Previous

    In the past week, how many nights was your sleep disrupted by device alerts, checking blood glucose levels, or treating a high or low?

    Next

    How often does your T1D health care provider screen for neuropathy with a monofilament, tuning fork or pin prick on your bare feet?

    Sarah Howard

    Sarah Howard 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 Marketing Manager at T1D Exchange.

    Related Stories

    Advocacy

    Sam Scott, PhD: The Science of Exercise with T1D 

    Jewels Doskicz, 4 days ago 9 min read  
    Research

    The T1D Exchange Fear of Hypoglycemia Screening Project 

    Sarah Howard, 5 days ago 6 min read  
    Lifestyle

    Menopause and T1D: Answers To Your Top Questions 

    Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCP, 2 weeks ago 6 min read  
    Lifestyle

    ‘Screening My Son for T1D’: Early Detection and the Gift of Time 

    Michael Howerton, 2 weeks ago 8 min read  
    Lifestyle

    Part 2: ‘Screening my son for T1D’: Early detection and the gift of time 

    Michael Howerton, 2 weeks ago 7 min read  
    Meet the Expert

    Meet the Expert: Healthcare Transition in Emerging Adults with T1D 

    Jewels Doskicz, 3 weeks ago 7 min read  

    26 Comments

    1. ConnieT1D62

      Occasionally in no particular pattern. After living with T1D in my body for 60 + years there are times when I know my body and how much or how little insulin I may or may not need better than the pump.

      6
      2 years ago Log in to Reply
      1. sweetcharlie

        I agree… even though I do not use a pump!!!

        1
        2 years ago Log in to Reply
    2. Ahh Life

      Every day. I love playing guessing games like sudoku, jumble, boggle brainbusters, cryptoquip, celebrity cipher, bridge, etc.

      Same with the pump. I try (feebly) to out guess the digestive nerve. Some time I hit him right between the eyes and sometimes I miss by a mile.

      The digestive nerve has an excuse—he blames his problems on gastroparesis. Hah! A feeble excuse. 🙃

      6
      2 years ago Log in to Reply
      1. Donna Williams

        You always make me smile, thank you,

        3
        2 years ago Log in to Reply
    3. Lawrence S.

      I answered “other.” It’s something that I do but don’t really keep track of. I often change doses based upon my anticipated amount of exercise. Most often, I take correction boluses, instead of waiting for Control IQ to catch up.

      3
      2 years ago Log in to Reply
    4. TEH

      I usually adjust up when my SG is high for more insulin given the correction in Control IQ.

      2 years ago Log in to Reply
    5. Derek West

      I answered rarely, but I realized that I do adjust the bolus by adjusting the carbs up or down, from the actual amount, depending on where I am at the time.

      1
      2 years ago Log in to Reply
    6. Tod Herman

      In the “olden days” my first three pumps all had this feature of an extended bolus, which I learned to use when eating things that digest slowly (like pizza or rice). My latest pump also has that feature, but it only works when you switch it to manual mode. I prefer the automatic mode, but occasionally there are times when I want to extend the suggested bolus anyway. So the instead cut the recommended bolus in half and deliver that. Then I put a reminder on my phone’s calendar to give the other half (or portion) at a later time. Before hitting the start button I check my BG level and make adjustments if necessary. It’s not perfect but it seems to work well for me.

      2
      2 years ago Log in to Reply
    7. Bob Durstenfeld

      I like to correct more aggressively than CONTROL IQ. I also cut back on the recommended dose when I know I will be particularly active.

      4
      2 years ago Log in to Reply
    8. Lynn Smith

      Since starting to use Afrezza, I only use my pump for my basal insulin. However, I do remember adjusting what the pump suggested for my bolus quite often. So glad those days are over.

      2 years ago Log in to Reply
    9. KIMBERELY SMITH

      I need be on it and educate

      2 years ago Log in to Reply
    10. Trina Blake

      Probably every day. I figure the algorithms are based on a goal that is – ley’s say the ADA (or some other D related org) suggested goals for people with T1D, I aim for labs of the “normies” (i.e. non- T1D labs). I start from the pump recommendation, take into account (as does the pump) IOB, FOB (food probably still on board), and the trend arrows. I use Tandem BIQ because I can set the goals and I have access to temp basal as an added tool.

      2
      2 years ago Log in to Reply
    11. Amanda Barras

      2-3 times a week, sometimes daily tho. Depends on my site. Some sites work better than others so I always have to be vigilant and manually adjust dosing higher to accommodate either for poor absorption or a stubborn high. Or, if I want to eat a full snack to fix a low, sometimes it doesn’t want to calculate any insulin. But I know I’ll go high if I don’t take some insulin so I manually enter then as well. Insulin resistance is a pain.

      4
      2 years ago Log in to Reply
      1. ConnieT1D62

        I hear you, sister … it’s a crap shoot with so many variables …

        2
        2 years ago Log in to Reply
    12. Joan Benedetto

      If BG has been a bit stubborn, and/or ↗️, we will override pump by, most times, .5u.

      2 years ago Log in to Reply
    13. Janis Senungetuk

      Most of the time I go with the calculated dose. If my bg value is below the 110 standard “goal” for Control IQ I’m given the option of reducing the calculated amount. I very rarely make that choice because it’s not enough to cover what I’m eating and far too often results in an over 180 high two, two and a half hours later.

      2
      2 years ago Log in to Reply
      1. Kathy Hanavan

        Also, CIQ often has stopped basal when below 110, so if I also reduce your bolus, I will always get high.

        2 years ago Log in to Reply
    14. Becky Hertz

      Depends in what’s going on. Some weeks 0-2, some weeks more often. Stubborn highs, exercise, etc. CIQ seems to be working but sometimes needs a little help.

      3
      2 years ago Log in to Reply
    15. dave hedeen

      If hi prior to meal will add .6 insulin

      2 years ago Log in to Reply
    16. ELYSSE HELLER

      When I first started using the Omnipod 5/Dexcom AID system I was doing exactly what the controller told me to do. I was constantly going high so I went back to doing and taking the amount of insulin that life has taught me that I would need.

      2 years ago Log in to Reply
    17. Glenda Schuessler

      I do not use the bolus calculator feature. I use basal IQ, and this seems to work well for me.

      2 years ago Log in to Reply
    18. Megan S

      My current care plan has me giving a set extra 2 units when eating a high fat meal and using the dual wave bolus. This is 90% of the time I am not going off the suggested amount. The other 10% is rage bolusing when I swear the IOB will not be making the change needed as it has been hours since administering and I know it won’t complete the job. This is not ok but I am working on it.

      2 years ago Log in to Reply
    19. Cristina Jorge Schwarz

      My response to insulin is non-linear, just like almost everything in nature, it’s more a logarithmic scale. Unfortunately, pumps allow only 1 setting, which I set to the middle range for meals.
      But for high corrections, I always have to override with more insulin than suggested.

      1
      2 years ago Log in to Reply
    20. Kim Murphy

      I do it everyday because Carbs alone do not account for my blood sugar levels, protein and fat also affect amount of insulin needed, so the calculator is good if you are eating fruit, drinking juice, eating a potato, but not much good if you are eating an avacado, steak, chicken, nuts, nut butters etc…

      2
      2 years ago Log in to Reply
      1. AnitaS

        That is usually the reason why take a bolus dose different than what is suggested.

        2 years ago Log in to Reply
    21. T1D4LongTime

      I’ve been walking more (1+ miles every moming) to control morning rise. I’ve had to lower carb count to eliminate the low that happens. I also run Sleep Mode 24/7 on the TSlim X2, so I sometimes have to add my own correction bolus. Also happens as the cartridge drops below 30u…. seem you have to push more insulin through to keep TIR. I normally always take what the Bolus calculates, unless it ignores IOB (which it does on occasion).

      2 years ago Log in to Reply

    If you use an insulin pump, on average, how often do you bolus an amount that is different from the suggested dose from the pump’s bolus calculator? (I.e., entering a number of insulin units without using the calculator at all, editing the bolus calculator’s suggested dose to be higher or lower, etc.) Cancel reply

    You must be logged in to post a comment.




    101 Federal Street, Suite 440
    Boston, MA 02110
    Phone: 617-892-6100
    Email: admin@t1dexchange.org

    Privacy Policy

    Terms of Use

    Follow Us

    • facebook
    • twitter
    • linkedin

    © 2024 T1D Exchange.
    All Rights Reserved.

    © 2023 T1D Exchange. All Rights Reserved.
    • Login
    • Register

    Forgot Password

    Registration confirmation will be emailed to you.

    Skip Next Finish

    Account successfully created.

    Please check your inbox and verify your email in the next 24 hours.

    Your Account Type

    Please select all that apply.

    I have type 1 diabetes

    I'm a parent/guardian of a person with type 1 diabetes

    I'm interested in the diabetes community or industry

    Select Topics

    We will customize your stories feed based on what you select here.

    2019 Publications

    0 Stories Related

    2020 ADA

    10 Stories Related

    2020 ADCES

    0 Stories Related

    2020 ATTD

    0 Stories Related

    2020 EASD

    0 Stories Related

    2020 ISPAD

    8 Stories Related

    2020 Learning Session

    0 Stories Related

    2020 Publications

    14 Stories Related

    2021 ADA

    12 Stories Related

    2021 ADCES

    0 Stories Related

    2021 ATTD

    4 Stories Related

    2021 ISPAD

    9 Stories Related

    2021 Learning Session

    1 Stories Related

    2021 Publications

    23 Stories Related

    2022 ADA

    18 Stories Related

    2022 ADCES

    4 Stories Related

    2022 ATTD

    10 Stories Related

    2022 ISPAD

    3 Stories Related

    2022 Learning Session

    1 Stories Related

    2022 Publications

    30 Stories Related

    2023 ADA

    13 Stories Related

    2023 ADCES

    2 Stories Related

    2023 ATTD

    6 Stories Related

    2023 Learning Session

    1 Stories Related

    2023 Publications

    50 Stories Related

    2024 ADA

    11 Stories Related

    2024 ADCES

    3 Stories Related

    2024 ATTD

    2 Stories Related

    2024 EASD

    1 Stories Related

    2024 ISPAD

    2 Stories Related

    2024 Learning Session

    1 Stories Related

    2024 Publications

    52 Stories Related

    2025 ATTD

    1 Stories Related

    2025 Learning Session

    0 Stories Related

    2025 Publications

    4 Stories Related

    ADA

    13 Stories Related

    ADCES

    4 Stories Related

    Advocacy

    34 Stories Related

    ATTD

    13 Stories Related

    Blood Sugar

    4 Stories Related

    Conditions

    9 Stories Related

    COVID-19

    6 Stories Related

    EASD

    1 Stories Related

    General Publications

    18 Stories Related

    Get Involved

    12 Stories Related

    Insulin & Meds

    21 Stories Related

    ISPAD

    1 Stories Related

    Journal of Diabetes

    0 Stories Related

    Learning Session

    3 Stories Related

    Lifestyle

    48 Stories Related

    Lifestyles

    2 Stories Related

    Meet the Expert

    41 Stories Related

    Mental Health

    16 Stories Related

    News

    67 Stories Related

    Our team

    25 Stories Related

    Partner Content

    11 Stories Related

    Press Release

    8 Stories Related

    Question of the Day

    38 Stories Related

    Research

    103 Stories Related

    Stories

    25 Stories Related

    T2D

    5 Stories Related

    Technology

    32 Stories Related

    Uncategorized

    5 Stories Related

    We're preparing your personalized page.

    This will only take a second...

    Search and filter

    [searchandfilter slug="sort-filter-post"]