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    • 8 hours, 55 minutes ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 10 hours, 54 minutes ago
      Derek West likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 15 hours, 28 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 15 hours, 28 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 17 hours, 18 minutes ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 17 hours, 23 minutes ago
      atr likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 17 hours, 59 minutes ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 11 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 2 days, 14 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 2 days, 16 hours ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 2 days, 17 hours ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 3 days, 8 hours ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 4 days, 3 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 16 hours ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 16 hours ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 17 hours ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 4 days, 17 hours ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 18 hours ago
      Gary Taylor likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 5 hours ago
      Amanda Barras likes your comment at
      Which T1D influencers do you enjoy following?
      Currently it’s the Diabetech, Justin Easter.
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      ChrisW likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
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    If you use an insulin pump, when changing your pump site, do your blood glucose (BG) levels rise afterwards? If so, please share in the comments if you take any steps to adjust for the rise when changing your site.

    Home > LC Polls > If you use an insulin pump, when changing your pump site, do your blood glucose (BG) levels rise afterwards? If so, please share in the comments if you take any steps to adjust for the rise when changing your site.
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    If you have had a procedure where you had fat removed from your body (e.g., removal of fatty tissue from abdomen, thigh, buttocks, etc. through surgical or non-surgical means), did it change how your body absorbs insulin in those areas?

    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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    46 Comments

    1. AnitaS

      I have on so few occasions that I don’t make any adjustments. If the sugar rise was noticeable, I could do a correction if needed.

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

      I notice a raise in bs when there is 20 U or less left in my pump, so an early site change actually helps correct that.

      1
      3 years ago Log in to Reply
      1. Derek West

        I found the same thing when I switched to the Tandem pump. Never had that problem with a Medtronic pump. I think the Tandem pump really does not know how much insulin is left, so I too change it out early.

        3 years ago Log in to Reply
    3. Lucia Maya

      I always give a bolus/prime when I change my site, even though I use tru-steel sets and they don’t recommend it. That really helps to saturate the site and mostly prevents BG rise after.

      2
      3 years ago Log in to Reply
      1. Becky Hertz

        I do that as well. 0.7 u.

        3 years ago Log in to Reply
    4. Mark Schweim

      Not since I started filling the cannula with 0.5 units more than the infusion set instructions say to use and leaving the old site inserted until at least 4 hours after starting to use the new site. If I remove the old site right away after starting the new site, my BG almost always rises, but leaving the old site in during the first 4 – 6 hours of new site use along with the extra 0.5 units used in the “Fill Cannula” step usually prevents the site change rises.

      1
      3 years ago Log in to Reply
    5. LizB

      I do often notice a rise and some sets seem to take awhile to start absorbing properly. I always fill the cannula with 1 unit instead of .3 and I try to change it shortly before lunch so I can push a larger bolus through.

      3 years ago Log in to Reply
    6. Mick Martin

      On the contrary, I always notice a fall in BG levels after infusion site changes. I guess my antibodies are good at determining when a ‘foreign body’ is in place and it does its best to ‘reject’ that foreign body … i.e. the cannula. I already need to change my sites every 2 days due to the effects of my blood glucose levels rising within the period that I have an infusion set inserted. (Sometimes, when changing the site, I notice a ‘build-up’ of ‘gunge’ surrounding the end of the cannula which, I guess, limits the amount of insulin that’s being infused, even though my pump advises that the insulin is being delivered.

      3 years ago Log in to Reply
    7. Ron Pierce

      My BG #’s go down when it is time to change an infusion site because of clotting around the old site makes it harder for insulin to get where it needs to go, hence higher #’s. No clotting around the new site, so lower #’s.

      1
      3 years ago Log in to Reply
    8. Debra Nance

      I do a 1 unit bolus to help

      2
      3 years ago Log in to Reply
    9. Kerry Rubio

      I increase my basal rate to 200% for 2 hrs and do a .5 unit bolus after changing my site. This helps with the typical rise I get.

      3 years ago Log in to Reply
    10. Lyn McQuaid

      I answered “other” because, like others have commented, I offset the rise by giving an extra 0.5 unit bolus, which stops the rise I used to see.

      3 years ago Log in to Reply
    11. Virginia Barndollar

      For years my endo has had me filling with a little more than the priming tube amount. It has worked great.

      3 years ago Log in to Reply
    12. Joan Fray

      I cange sites every three days unless there’s a problem. My
      Bg usually dips a bit after a site change. A figurred it was because the insulin was newer. Good lord, what do I know?! I just do it and adjust……hope for the best, deal with the rest…..

      6
      3 years ago Log in to Reply
      1. MT

        “Hope for the best…deal with the rest”. ❤️

        4
        3 years ago Log in to Reply
    13. KSannie

      My blood sugar plummets about 4 hours after inserting a new infusion set. This has happened to me for the entire time I have used a pump, and through 3 different pump manufacturers. I try to change the infusion set two hours before a large meal and then decrease the insulin suggested by the pump by one unit. This sometimes works, but sometimes I still go low.

      3 years ago Log in to Reply
    14. kylekk@gmail.com

      I almost always see a slight rise while the new pump is acclimating. I generally run a 35% basal increase for 2 hours and give myself 2-3 units of a bolus (depending upon what is going on when I’m changing my pump).

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

      Generally, my BG levels do not change when I change a pump site around my belly area. I prime with .7 units in the cannula (as directed).

      However, when I put the site in my thigh, my blood glucose levels almost always go up. I usually have bad luck with putting the sites in my legs. But, I don’t have many other options, so I keep using my legs.

      1
      3 years ago Log in to Reply
    16. Eva

      When changing my site, i check various things. First, i check for kinks in the cannula. Then, i check my blood sugar often as it maybe due to more fatty tissue at the site.

      3 years ago Log in to Reply
    17. beth nelson

      When I move from a very insulin-friendly site to a less fatty location, I often see a rise in BS, and it remains fairly constant, though not as much an increase as when the site is initially changed. Of course, the opposite is true when I move from lean to fatty tissue. I’m thinking I should create a separate profile on my t:slim, one named “fatty” the other “lean” and raise the basil a bit on the lean. Any thoughts on that?

      3
      3 years ago Log in to Reply
    18. Bruce Schnitzler

      I rarely notice a rise unless the new site port fails for some reason, notably an undetected bent needle. A sharp rise in BG is then observed and another port installed.

      1
      3 years ago Log in to Reply
    19. Drina Nicole Jewell

      I do a .25-.5 bolus before I change my pump site so no rise after a site change.

      3 years ago Log in to Reply
    20. Jeannie Hickey

      I gradually raised the cannula fill amount from 0.3 to 1.7u until I no longer saw the rise after changing sites. I also leave the old site in for several hours.

      2
      3 years ago Log in to Reply
      1. Becky Hertz

        Maybe we can talk about leaving the old site in at the next Pump and Sensors zoom call.

        1
        3 years ago Log in to Reply
    21. John McHenery

      I use corrective boluses and sometimes increase basal rates till the situation stabilises.

      3 years ago Log in to Reply
    22. Patricia Kilwein

      Sometimes I have a rise in bg because hitting some scar tissue. It drops after moving it again. Socks on supplies tho.

      1
      3 years ago Log in to Reply
      1. Patricia Kilwein

        Sucks on supplies. Sorry was up all night with new sensor issues….

        1
        3 years ago Log in to Reply
    23. Kayci Marr

      I only noticed this occurring this past time. Otherwise, they stay pretty steady, thankfully! 🙂

      1
      3 years ago Log in to Reply
    24. Sherrie Johnson

      I answered occasionally but most of the time it goes low that’s why I never change my pump in the evening hours always in the a.m.

      3 years ago Log in to Reply
    25. Jillmarie61

      I try to bolus before removing the old site/pod to cover me while I’m off. I used to do that when I wore a pump that couldn’t get wet too, but since switching to the OmniPod I no longer need to do that.

      3 years ago Log in to Reply
    26. Don (Lucky) Copps

      Only when I hit scar tissue.

      3 years ago Log in to Reply
    27. Becky Hertz

      My body is not an insulin absorption machine. Usually if there is a rise in bg’s after a site change, it’s due to a poor site.

      3 years ago Log in to Reply
    28. Jeanne McMillan-Olson

      Since I have been using my Tandem T slim X2 pump I have rises after site changes. Never noticed this with my older Medtronic Paradigm pump.

      3 years ago Log in to Reply
    29. csreineke

      I set Loop to my custom “site change” override, telling the AID system that I need 130% insulin for 3 hours.

      3 years ago Log in to Reply
    30. Stephen Woodward

      Whenever a new site is put in the old site should stay in for a few hours to absorb the insulin, the cannula should be filled, and the site should be primed to get the insulin to start being used as soon as possible. The priming is done to get the infusion site to absorb insulin asap, the insulin needs to break up the clumps, the form that keeps it stable in the vial, and then the insulin comes in contact with more fatty tissue sooner than if no priming is done. Yes it is a hack never taught, and that’s a shame.

      For me for the last 30 yrs I’ve used 1u to fill my cannula and 1u to prime the site, using soft XC sets.

      The exact amount will vary from person to person and from site set to site set.

      This should be taught to everyone who uses a pump, as I was 31 yrs ago.

      3 years ago Log in to Reply
    31. George Lovelace

      I use a Teflon Cannula Set so instead of the Standard Prime of 0.7 U I always Prime a Full Unit, it all evens out

      1
      3 years ago Log in to Reply
    32. ELYSSE HELLER

      I often go low after a pod change, not high.

      3 years ago Log in to Reply
    33. Adam Heath

      We often give Adam a corrective SQ injection while waiting for the new site to work completely. The endocrinologist suggested trying inhaled insulin for these corrections, saying there would be less risk of rebound lows/stacked doses. Adam has Down syndrome and he is not great with the inhaler despite practice so I’m never sure how much insulin he’s getting. Other suggestions?

      3 years ago Log in to Reply
    34. C B

      I always bolus for a site/pod change to avoid the rise

      3 years ago Log in to Reply
    35. Linda Zottoli

      I use 0.8 instead of the directed 0.7 for the cannula fill, and also bolus in the next few minutes — for food (or occasionally correction), whether I had intended to eat or not (usually I’m changing the site before breakfast, so it isn’t an issue). In the past, when I’ve noticed a problem with a rise after putting in a new set, it’s always been when I didn’t bolus for a while.

      3 years ago Log in to Reply
    36. PamK

      I have noticed a slight rise in my blood sugar levels an hour or two after a site change. I adjusted my cannula fill setting from 0.5 to 0.7 units. This seems to take care of it!

      3 years ago Log in to Reply
    37. Kristen Clifford

      More often, I have a drop in my BGs after changing sites.

      3 years ago Log in to Reply
    38. Leona Hanson

      I’ve never noticed a big rose when changing my tubing it takes me only maybe 2 min. To change my tubing really not much of aa rise there is

      3 years ago Log in to Reply
    39. Katie Craft

      I always experience a rise after a site change, and have started using Afrezza inhaled insulin to combat this once my bg reaches 200 after a site change. Brings it right down. Cannot take it before reaching 200 or I go low.

      3 years ago Log in to Reply
    40. Andrea Hultman

      Usually experience a decline in sensor glucose after a site change. If it rises, that most often indicates a bad site, and lo and behold, a bent cannula.

      3 years ago Log in to Reply
    41. James Cheairs

      With the release of DIY Loop 3.0, I can customize how much insulin is injected as part of the Omnipod pod change.

      3 years ago Log in to Reply

    If you use an insulin pump, when changing your pump site, do your blood glucose (BG) levels rise afterwards? If so, please share in the comments if you take any steps to adjust for the rise when changing your site. Cancel reply

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