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      At T1D Exchange, we work to improve the lives of people with T1D through research. If you could ask a T1D scientist anything about research, what questions would you want answered? Share in the comments, and your question may be featured in an upcoming article!
      Why aren't there more studies on heart disease risk with only T1Ds? I have read peer reviewed medical articles that confirm that T1Ds were not studied exclusively in statin research. We were advised to be treated with statins even if our cholesterol was excellent and there were no other risk factors. I suffered from elevated A1c, weight gain, insulin resistance, extremely low cholesterol which led to vitamin D deficiency which caused respiratory problems and inability to exercise or enjoy leisure activities due to breathlessness and muscle pain. Doctors believed that any symptoms reported by patients were due to the "Nocebo effect" despite my improvement when I didn't take statins for six months when I forgot to refill my prescription! I suffered these side effects from 2002-2016 when I finally found a doctor who took me seriously. We need to be treated as individuals with T1D, not treated based on studies on the majority of T2 studies.
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      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes, my dad had T1. My diagnosi made him and my mom so sad. I tried hard to make it no big deal so they wouldn’t worry.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
    • 9 hours, 56 minutes ago
      Lenora Ventura has commented in the same post you commented in :
      At the time of your T1D diagnosis, did you already personally know anyone who had T1D?
      Yes. My dad also diagnosed when he was 9, his baby sister diagnosed w/ in 6 months of his diagnosis when she was 5, and his older brother who was diagnosed @ 33.
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    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.)
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    30 Comments

    1. Cheryl Weaver

      After I’ve had my pump on for a couple days the insulin I bolus with it doesn’t bring my blood sugar down, or prevent it from going high. I have to inject using a syringe and needle to bring it down. The insurances say to change your site every 3 days, but between that 2nd and 3rd day something seems to happen, where it isn’t being absorbed as well. So the blood sugars go up, and I have to bolus the old fashioned way, with a syringe.

      4
      9 months ago Log in to Reply
      1. LizB

        Ask your doctor to write a new prescription that says to change every 2 days instead of every 3 days. Not every insurance will go for that, but sites sometimes don’t last 3 days for everyone.

        4
        9 months ago Log in to Reply
      2. Sherolyn Newell

        I sometimes have that issue as well, but it’s not consistent. If I see the insulin not working as well, I will adjust my bolus amounts up by 0.1 or so.

        2
        9 months ago Log in to Reply
      3. Larry Martin

        You need to change your carb ratio or insulin sensitivity to fix those issues. Carb ratios and sensitivity vary widely throughout each day.

        2
        9 months ago Log in to Reply
    2. Greg Felton

      I don’t think the tandem’s calculator is aggressive enough when my BG is rising and arrows are pointing up. I will often over bolus.

      3
      9 months ago Log in to Reply
    3. Lawrence S.

      I often make adjustments for exercise, other physical activities, which works out to most days.

      2
      9 months ago Log in to Reply
    4. GLORIA MILLER

      My pump will do this but I chose not to use that function. I feel I can calculate the necessary bolus better than my pump.

      1
      9 months ago Log in to Reply
    5. Sherolyn Newell

      I sometimes have a few days or a week when the insulin seems to be less effective. When I see that happening, I will raise my bolus calculation a bit. I don’t change my settings because it always goes back to normal. Less often, the insulin seems to be supercharged and I have to back down bolus for a couple days. And it varies by time of day, sometimes lunch insulin doesn’t seem to work, other times it supper.

      1
      9 months ago Log in to Reply
    6. Mark Schweim

      I normally don’t but I’ve been fighting a combination antibiotic resistant bacterial and fungal infection in my sinuses and throat since the beginning of April and with this stubborn illness I’m having to usually increase the Bolus amount as much as double what the pump calculates I need.

      9 months ago Log in to Reply
    7. Patricia Kilwein

      If I’m struggling with an illness or on a prescription that causes high BG, my doc or edu will give me instructions on a temp setting for basal. The only time the bolus changes take place is when there’s a trend change and A1C goes up.

      1
      9 months ago Log in to Reply
    8. Maggie Morgan

      I will often give less insulin if I know that I will be working out in the next 2 hours.

      6
      9 months ago Log in to Reply
    9. Angela Pennacchia

      My Dr. Did write me a new prescription for every 2 days, as I have the same problem. I am on Medicare and they accepted it.

      9 months ago Log in to Reply
    10. Linda Zottoli

      Often, for lots of reasons. Pump doesn’t know some things that I know: what I’ve already eaten to deal with a low or otherwise without bolusing, the walk I’ve just taken or exercise I am planning, come to mind. And, for correction boluses, I have the correction amount set to work fine for some bg variations, but for readings above maybe 200, or even lower if long lasting ones, I also have to consider a decrease in sensitivity. And, sometimes, if I know what I want bolused, it’s just easier to just plug in the amount. (though can’t use info about percentage basal/bolus then).

      4
      9 months ago Log in to Reply
    11. AnitaS

      I do at least a few times a week as sometimes my insulin isn’t working because of the infusion site may not be as responsive to insulin as other sites. I may not plan on exercising as I usually do at a certain time. I may bolus more for high fat foods or bolus less for an activity that I am about to do. The reasons are endless.

      1
      9 months ago Log in to Reply
    12. kristina blake

      I am very aggressive in my T1D mgt. For meal boluses, I take into account any FOB (food on board – as best I can guess), I also pay attention to trend arrows. As another response said, only I know what is ahead for the next couple hours. While I do have different settings for about 9 different time zones throughout the day, I also titrate up (or down) based on the bg reading (if bg is under 130, I use the correction setting in my pump, if I am between 130-160, I increase by 10%, etc). I also have this “lovely” symptom of rising bg (lovely, because it comes in handy) – I get heartburn as my bg rises. I use what I can!

      9 months ago Log in to Reply
      1. Patricia Dalrymple

        OMG: I have just started experiencing this when I am high. It feels like I need to burp. It can’t.

        9 months ago Log in to Reply
    13. Bea Anderson

      The pump wizard does not know if I’m exercising or factor in other life issues.

      3
      9 months ago Log in to Reply
      1. Karen Brady

        my system doesn’t have an exercise setting/profile either, so I have to adjust manually for this (or even if I’m at work where I’m active and walking around, vs sitting on the couch at home)

        8 months ago Log in to Reply
    14. dave hedeen

      I add fat ‘carbs’, if eating food high in fat, pizza or pumpkin pie

      1
      9 months ago Log in to Reply
    15. Leon Ullrich

      My pump does a good enough job estimating with all the factors included in the pump. If the factors are wrong they are reviewed with my doctor.

      1
      9 months ago Log in to Reply
    16. William Bennett

      Some stuff you just get a pretty good sense of after you’ve been at this long enough. Things I eat frequently I rarely bother with the Wizard for, and stuff that’s unusual or hard to estimate b/c of fat content I’ve just built up a routine of my own for (pizza, Chinese). Of course it was very different before CGM, when it was much riskier to guesstimate things.

      2
      9 months ago Log in to Reply
    17. Janis Senungetuk

      Since my pump doesn’t read minds or calendars I often need to change the suggested bolus amount.

      2
      9 months ago Log in to Reply
    18. Carol Meares

      I don’t really count carbs. It is difficult when eating low carb. I have my carb to insulin ratio set at 10 to be able to easily calculate insulin I need for a meal due to protein, fat for resistance and yes, some carbs, type of activity level, stress, health condition, etc. The estimate I give may need to be corrected later or maybe not.

      9 months ago Log in to Reply
    19. Carrolyn Barloco

      I respond to upward trend arrows by taking a 1-2 unit bolus

      1
      9 months ago Log in to Reply
    20. TEH

      I adjust the carb estimat based on the fat content and my experience with certain meals. Must dinners average 50 g of carbs…

      9 months ago Log in to Reply
    21. Patricia Dalrymple

      I lower it sometimes with fresh insulin but have started lowering my basal for that because it is very consistent. Every Sunday I visit my dad. Even though I eat the same thing most mornings, when I go there my BG always goes low so I have been lowering my bolus a couple points.

      9 months ago Log in to Reply
    22. mbulzomi@optonline.net

      Except when I’m sleeping, I always self-Bolus. Control IQ is too slow to react. I have no patience with Control IQ. Some time when I used it, it would take 4 hours to bring down my numbers. Good for new kids, not me.

      1
      9 months ago Log in to Reply
      1. mbulzomi@optonline.net

        After reading some comments it evident that we use different Insulin pumps. and delivery systems. Most likely we cannot compare their action.

        9 months ago Log in to Reply
    23. PamK

      I chose 2-3 times/month because I only recently started doing this. I have found that when my BG is over 250mg/dl the calculator doesn’t deliver enough insulin to bring me down.

      8 months ago Log in to Reply
    24. Cheryl Seibert

      There are specific situations where I override a bolus calculation or enter a manual insulin-only bolus.
      1. My Tandem pump will occasionally ignore the IOB in the calculation. If my BG is NOT high, I will override the suggested bolus to the ‘correction calculation.
      2. Manual extended bolus if the site is getting bad and I cannot immediately change it. Extended bolus will act like an aggressive basal rate and absorb better.
      3. Intended exercise after a bolus….. I often reduce the meal bolus if the exercise will be moderate, heavy or of a long duration.

      8 months 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

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