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    • 14 hours, 44 minutes ago
      Greg Felton likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 15 hours, 16 minutes ago
      ConnieT1D62 likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      One time I was explaining that a new pump would be too expensive at the time because my deductible had just started over.. and she asked if I had insurance and I said yes….. then she said “then it should be free with insurance.” 🤦‍♀️ She may know a little about the challenges of living with diabetes, but she knows nothing about how insurance works or how costly T1D supplies are.
    • 15 hours, 34 minutes ago
      Steve Rumble likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 16 hours, 5 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I am an RN. Been going to same doctor for about ten years. Took me six years to train him. I am very well read when it comes to my LADA. He trusts my judgement and gives me excellent parameters to make decisions. Recently had a bad case of Covid. Insulin needs changed dramatically. Getting back to normal but he made sure I had scripts to cover my ups and downs with insulin needs.
    • 16 hours, 6 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Mine acknowledges the struggles and challenges that go along with managing T1D in my daily life. She gives suggestions as to what may or may not help and has often asked me I how I handle situations so she can give suggestions to other T1D patient's.
    • 16 hours, 7 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 16 hours, 32 minutes ago
      Jubin Veera likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      The hard spots are fairly frequent with the pump infusion sets. Especially if I go past 3 days which I try to avoid! I don’t think I ever got one from injections. I try heat and massaging to treat them and they normally go away after a day or so. Once I had a large area that I had to treat with antibiotics.
    • 16 hours, 34 minutes ago
      Magnus Hiis likes your comment at
      Have you experienced any symptoms of physical sexual dysfunction as a result of having diabetes, or having diabetes-related complications?
      I’m 79. My last orgasm was springtime about 3 or 4 years ago. When I complained of ED, my PCP Rxd 3 to 5 (60-100 mg) sildenafil tablets by mouth about one hour prior to sexual activity. This alone hasn’t worked to bring me up to former sexual capacity that I had 10 years years ago. I’m still considering consulting finding a doctor who’ll prescribe a safe but effective way of administering testosterone or an anabolic steroid in a dose low enough to avoid causing cardiovascular problems but high enough to restore normal ability that I had up to my sixties. My present doctors say it can’t be done, but there are doctors who advertise otherwise. Analogs of the hormone insulin can be delivered in small safe doses, why not testosterone?
    • 1 day, 8 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      We are all so very different, and trying to say that all of us with T1 understand what it's like for another who has the same hill to climb is unproductive. Having a health care provider with T1 may often be helpful just because there's apt to be more knowledge about the specifics. How we respond to the disease is such a personal matter, that I really don't think there are any guaranteed benefits beyond the grasp of the factual. Finding a doc with the same general attitude about the disease does feel good, and sometimes that's all I hope for after working hard to make peace with the disease for 70 years. Asking my doc to "get it" used to be almost my mantra, but I've come to realize that the ones who don't just see us as unruly childrenchildren
    • 1 day, 8 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Both my endocrinologist and my nurse practitioner are great. They compliment me on the way I take care of my life and health and make aure I get all the supplies I need managing all the paperwork Medicare and insurance requires. My nurse practitioner who works with me on managing the pump has her own opinion about the pump settings based on her technical knowledge which is different than what I do with my settings based on living with them. She has thru the years learned to respect what I do and is surprised with how my settings work. So we are now at peace. Both very supportive.
    • 1 day, 11 hours ago
      pru barry likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 11 hours ago
      mojoseje likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I said yes but that refers to my nurse practitioner who sees me every other visit, if not more often. The doctor may know how hard I try but perhaps takes my efforts for granted.
    • 1 day, 14 hours ago
      Anneyun likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      How can someone without the disease really understand what it is to live with it? I have never had a doctor with T1D in 60 years.
    • 1 day, 14 hours ago
      Bruce Schnitzler likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 14 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My endo is young, very empathetic, thorough, always asks for my input, and does research. I am blessed too. have him, and the one before for over 25 yrs.
    • 1 day, 14 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 15 hours ago
      lis be likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 1 day, 15 hours ago
      Daniel Bestvater likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 15 hours ago
      TEH likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I have no clue what my T1D health care provider understands about my daily challenges and I don’t know about his daily challenges either. Not sure why I should care as long as I have access to information how to best take care of myself.
    • 1 day, 16 hours ago
      Jeff Marvel likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 16 hours ago
      Richard Wiener likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 2 days, 7 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Hi Connie, I still have my glass syringe and show it off occasionally. We boiled the needle and syringe every morning and sharpened the needle with a file. I was diagnosed at age 6 in 1963. Life is so different now! Then, my diet was extremely limited as was my exercise. Now, I am very active and eat pretty much as I please. I maintain an A1C in the low 6s (6.2 was my last).
    • 2 days, 7 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Connie and Beth, I was diagnosed in Nov 1962, age 10. During the early years I developed lumps and indentations on my upper thighs from my injections. In fact, I was able t o spot other t1 kids in my junior high school based upon the lumps in their upper arms.. (I eventually met up with them and learned that I was correct.) By the time I reached my twenties, these indentations had more or less disappeared, but I still have remnants of the lumps. I wish I could say that the layers of tissue now deposited on my legs disguises them, but they don't. I think the changes in insulin have been responsible for this improvement: the isolation and purification of animal insulins were refined, and then the various human clones were game changers in many ways.
    • 2 days, 7 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Yes in my upper arms when I was a petite and skinny child in the 1960s with T1D. In those days we used glass syringes with stainless steel 1/2 inch long heavy gauge needles. My mother would jab me in the upper arms, it hurt like the dickens, and I developed several hard nodules. I was diagnosed at age 8 in December 1962 and after the initial two months of her jabbing me in the upper arms, I took over giving my own "shots" and started self injecting via site rotation in my thighs for several years. Eventually the lipohypertrophy in my upper arms resolved and I never injected there again until many years later as an adult on MDI using disposable syringes with very short and fine gauge needle tips. Periodically I would give my tired pin cushion thighs a rest and take a break for a few months or a couple of years and rotate injections in my abdomen or upper arms. Have been using a pump for over 20 years now and rarely use MDI unless I am taking a pump break for a short period of time. Happily, I no longer have lumpy sites.
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    If you use an insulin pump that allows you to give extended boluses, on average how often do you give an extended bolus?

    Home > LC Polls > If you use an insulin pump that allows you to give extended boluses, on average how often do you give an extended bolus?
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    CGM sensors are only approved for specific areas of the body, but many people use other locations. If you use a CGM, do you have an area of your body where you feel you get the most accurate sensor readings? Select all that apply!

    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 Marketing Manager 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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    48 Comments

    1. Molly Jones

      I chose multiple times a month. It depends on how my BG / digestion is acting. This can be quite variable.

      7 months ago Log in to Reply
    2. MARIE

      My husband does an extended bolus every night. Otherwise a single insulin dose would peak before the carbs in his low carb/ high fat dinner were metabolized.

      1
      7 months ago Log in to Reply
    3. Ahh Life

      🪜 BG movements are like the Weeping Angels from Doctor Who—monsters that can move only when you’re not looking at them. Therefore . . . I extend the bolus several times a week. Then occasionally take a peek.

      3
      7 months ago Log in to Reply
    4. GLORIA MILLER

      The Omnipod 5 in automated mode does not allow an extended bolus. So I never have an extended bolus which means I have to tell the machine to give me more insulin in a few hours. It is unfortunate since the older models did. I assume they will fix this flaw when they come out with the next model in a few years.

      7 months ago Log in to Reply
    5. Mark Schweim

      Pumping since June 2003 and since then literally every Insulin Pump I’ve had has allowed extended Bolus options. Since 2003 I think I’ve used the Extended Bolus option a maximum of maybe 3 times in the past 19 years.

      7 months ago Log in to Reply
    6. stillarobyn

      My pump can do extended bolus, but not in automode with my CGM, so I am unable to use the feature as I would like. Instead I set reminders to split a bolus, for pizza or sugary breakfast for example.

      1
      7 months ago Log in to Reply
    7. Kathy Hanavan

      Because I eat a lot of fiber and have dark chocolate as a treat often, I use the extended wave most days. I wish it were able to go longer than 2 hours as it is hard to remember to rebolus.

      2
      7 months ago Log in to Reply
      1. Amanda Barras

        Same! My pizza hits 3-4 hours post meal! I do and extended bolus and it works great while it’s running, but after it stops I still get a spike.

        4
        7 months ago Log in to Reply
    8. Amanda Barras

      Rarely, only with pizza.

      2
      7 months ago Log in to Reply
    9. karolinamalecki7@gmail.com

      I clicked the wrong one. I accidentally clicked “never” but then saw the option for “my pump does not give extended boluses”

      7 months ago Log in to Reply
    10. Nevin Bowman

      Almost every bolus.

      1
      7 months ago Log in to Reply
    11. Conniekaycox

      Newish to the type 1 life will be three years for me in March. See this option on my pump don’t know what it is for how it would benefit to use it! So much to still figure out. Will see what I can learn from your comments and ask the Endo 🙂

      4
      7 months ago Log in to Reply
      1. ELYSSE HELLER

        Don’t worry about “so much to figure out”. I have been a T1D for 47 years and have been on a pump since 1983 and have never used the extended bolus or square wave option. After reading these comments I realized that extended boluses might have been beneficial to me, especially when eating pasta. I am going on the Omnipod 5 next week and am sincerely hoping that this will make my life easier.

        1
        7 months ago Log in to Reply
    12. Mike S

      Extended bolus gave me pizza and pasta back. Sure it’s just a slice/small bowl at a time, but using it prevents the future spike that invariably hits about an hour or two later (depending on what’s on the pizza/pasta of course). So thankful for the tech that makes this disease easier. (even if that same tech sometimes drives me crazy with beeps and unnecessary alerts)

      4
      7 months ago Log in to Reply
    13. Ms Cris

      Extended boluses are crucial to my management! MDI was not working well in the beginning at all. Novolog just does not last long in me, done acting in 2.5-3 hours. And especially now with my GLP1 regimen, even more crucial.

      I pre-bolus and avoid lows during each meal, bolusing for the carbs up front and extending the protein portion (at a different ratio) over 1.5 hours.

      7 months ago Log in to Reply
      1. K Ro

        You have an MD who prescribed a GLP1 ??? I’m jealous- would love to try that

        1
        7 months ago Log in to Reply
      2. Ms Cris

        @K Ro Yes! My Endo is at a research hospital. They understand that T1s can benefit greatly from off-label meds…being that the only reason they’re not approved for T1s is because “they can lower BG”. Duh, that’s the point.

        My Endo does this only for T1s who really get the math, understand the potential dangers. We stepped into it very slowly and carefully. The GLP1 has helped calm my liver (excess glucagon), replaces the effects of amylin (she’s full!), and has reduced my total insulin needs by 50%. I do so much better. Without it, my carb ratio is 1:6 and ISF 1:80 (difficult to manage!). With GLP1, I’m 1:15 and 1:90, respectively, and basal is down by 40%.
        I use less than a typical T2 dose. It’s been wonderful.

        7 months ago Log in to Reply
    14. Mick Martin

      That REALLY depends on the type of meal that I’m eating. i.e. I give extended boluses when I eat high fat content meals, such as chips [fries] or pizza, but I don’t eat these types of foods on a regular basis.

      7 months ago Log in to Reply
    15. William Bennett

      Took me until fairly recently, after many years with a pump, to discover “dual wave” bolus as an answer to the Pizza Dilemma. Before that I avoided pizza like the plague for the first 20 yrs after dx, when I was on R/N and then basal/bolus MDI. Just too difficult.

      1
      7 months ago Log in to Reply
    16. lis be

      Only when i have a slice of pizza, maybe once every 6 months.

      7 months ago Log in to Reply
    17. Bea Anderson

      It us useful for a little movie popcorn. I also use with temporary bolus often with extend bolus. Fast acting insulin is amazing, and so grateful for pumps that can help with special treats. That said, I don’t generally use for food, but unexpected highs when sick. T1 is not casually managed. I monitor bg’s more closely during these uses. I know question wasn’t about how or why, so monthly multiple times!

      7 months ago Log in to Reply
    18. George Lovelace

      On a Tandem w/CIQ, who needs that?

      7 months ago Log in to Reply
      1. Yerachmiel

        George – how do you deal with Gastro (or are you fortunate enough to have avoided it). I’d love to discuss IQ with you as has failed for me when I tried it

        1
        7 months ago Log in to Reply
      2. George Lovelace

        Yerachmiel, I have been fortunate enough to avoid Gastro and lucky enough to have such ease with the Dexcom

        7 months ago Log in to Reply
    19. Yerachmiel

      Almost every meal bolus is a dual bolus (extended and straight) due to gastroparesis.

      7 months ago Log in to Reply
    20. anj1832

      When I was pregnant I used extended boluses all the time because I was much more vigilant about having good control. Now I hardly ever use it.

      7 months ago Log in to Reply
    21. Mig Vascos

      extended bolus dont seem to work for me with my tandem pump. i always end up cancelling them and adding a bolus later on

      7 months ago Log in to Reply
    22. Sherolyn Newell

      A large number of foods hit me quite a while after eating them, so I use it often. Most of the time, it’s 25% right after I eat and the other 75% over the next 1/2 to 1 hour. With something really high in fat, like pizza, I have to wait for 1/2 hour after eating to start the bolus.

      7 months ago Log in to Reply
    23. Gary Taylor

      I said never. I use the Medtronic 770 with the sensor 3. When I use the “Auto Mode” extended boluses are not an option. On the rare occasion when I’m not in Auto Mode, then extended boluses are an option. I wish Medtronic would allow extended boluses with Auto Mode.

      7 months ago Log in to Reply
    24. Katrina Mundinger

      When I used Medtronic, and when not on Auto Mode, I would _always_ used dual wave for pizza. In my experience pizza hits my BGs about 6 hours after eating. Worked a charm except for the Auto Mode business. Didn’t like that at all.

      Now I’m on the Tandem and while I really love the possibility of adding an extended bolus, I do _not_ like the limit to 2 hours! 😉

      7 months ago Log in to Reply
    25. Janis Senungetuk

      I use an extended bolus several times a week to help with pasta/cream sauces and fried rice dinners. I would extend the bolus longer than 2 hours if I could. Since the extra time isn’t allowed by my pump I almost always need a correction bolus 4 house later.

      7 months ago Log in to Reply
      1. Janis Senungetuk

        hours later

        7 months ago Log in to Reply
    26. Pauline M Reynolds

      Multiple times per week because I have mile gastroparesis and I sometimes can get ahead of it using extended boluses, especially midday.

      2
      7 months ago Log in to Reply
    27. Lawrence S.

      Rarely for me. I use extended bolus for high fat foods. I don’t eat a high fat diet.

      7 months ago Log in to Reply
    28. Bob Durstenfeld

      I use extended bolus for pizza and Indian food. Both of which spike me hours after eating.

      1
      7 months ago Log in to Reply
    29. Eve Rabbiner

      I use a temporary basal rate instead of extended bolus. Works pretty much the same way.

      1
      7 months ago Log in to Reply
    30. LizB

      I have Medtronic and use manual mode. I am very sensitive to insulin later in the day and no matter what I eat for dinner I absolutely need a dual wave bolus or else I will crash. I use it when I eat out every time. I think Tandem is the only algorithm that allows an extended bolus and I would love to be able to try that pump.

      7 months ago Log in to Reply
    31. Judy U

      I use the extended bolus almost always at dinner, and especially if my pre-dinner BG is below 100. I decide on the percentage of immediate bolus on the basis of that BG. The lower the BG the lower the percent of total bolus. I, too wish I could extend for longer than 2 hours.

      1
      7 months ago Log in to Reply
    32. ellencherry

      I use extended bolus a few times each week in several instances. 1) If my blood sugar is low-ish before I eat, I’ll extend some of the bolus over 30 minutes to alleviate the potential low. 2) If my bolus is going to be over 3 units, I’ll extend over 30 minutes to prevent leaking / tunneling which happens to me with bigger boluses. 3) High protein meals, which for me is dinner most nights. I use the Warsaw method to figure out the dose and duration and extend for 4-5 hours to prevent a protein / fat rise.

      1
      7 months ago Log in to Reply
      1. Velika Peterson

        What is the Warsaw method?

        7 months ago Log in to Reply
    33. Jen Farley

      Only for Pizza.

      7 months ago Log in to Reply
    34. Bruce Johnson

      Not currently using a pump

      7 months ago Log in to Reply
    35. Bruce Johnson

      Not currently on a pump

      7 months ago Log in to Reply
    36. Velika Peterson

      Only for pizza (which only happens 1-2 times a month) and other fried food (which is also rare). I use increased temp basal after a meal with more success. I wish extended boluses could be extended for more than 2 hours as my daughter peaks 4-5 hours later.

      1
      7 months ago Log in to Reply
    37. Marissa Machado

      I haven’t started using my insulin pumps yet

      7 months ago Log in to Reply
    38. Fernando Cuneo

      Depending what I eat is what determines if I do extended bolus or not

      7 months ago Log in to Reply
    39. Randell Cole

      Have never tried it, enough to deal with already

      7 months ago Log in to Reply
    40. T1D4LongTime

      Nearly every bolus is Extended. I have a lot of scar tissue and very little fatty tissue, so infusion sites give me problems. Medtronic had a ‘slow delivery’ option that helped, but Tandem shoots the insulin into the site in ‘spurts’. I’ve found the Extended bolus over 15 mins (the minimum time) emulates the ‘slow delivery’ option and has increased my TIR and site comfort.

      7 months ago Log in to Reply

    If you use an insulin pump that allows you to give extended boluses, on average how often do you give an extended bolus? Cancel reply

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