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    • 51 minutes ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 2 hours, 42 minutes ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 2 hours, 47 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    • 2 hours, 48 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 2 hours, 49 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 2 hours, 51 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      PUMP USERS: Just in case nobody has told you, if you use a pump, Insulin is considered durable medical equipment, which can save a lot of money, even with the new price cap
    • 2 hours, 59 minutes ago
      Samantha Robinson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 3 hours, 5 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Normally, no time spent but I changed insulins so I wanted to verify everything with my insurance company before asking my endocrinologist to write a new script.
    • 3 hours, 6 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 3 hours, 7 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 3 hours, 24 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I expect that we’ve all had that feeling about how stupid payers can be when it comes to T1D.
    • 3 hours, 24 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Seriously depends on when you ask. The past 3 months have only been an hour or two, but if you'd asked this same question last September it would've been over 8 as I dealt with the annual "Yes I need a Dexcom and Omnipod again" red tape with my insurance/providers/doctor's office. I am counting the time on hold as well, but still - pretty ridiculous that insurance thinks Type 1 is going to magically go away just because it's been a year. I wish!
    • 3 hours, 24 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 3 hours, 25 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 3 hours, 25 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 3 hours, 25 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 3 hours, 26 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 3 hours, 44 minutes ago
      William Bennett likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 3 hours, 44 minutes ago
      pru barry likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Eight times a year I have to spend more than eight hours to fix errors on the part of my mail order pharmacy and DME supplier. My endo doesn't keep track of when prescriptions expire or need refills so add another couple hours a year building a to-do list for the doc. I'm ready to start billing for my time.
    • 3 hours, 47 minutes ago
      pru barry likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      One of the most unnecessary and frustrating parts of being a type 1 diabetic is all the stress and time involved with insurance companies, pharmacies, durable medical equipment distributers and their need to always contact physicians.
    • 4 hours, 17 minutes ago
      Bill Williams likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Significantly less time since I switched from Byram to ADS. It has made a world of difference and saved so many headaches!!
    • 4 hours, 31 minutes ago
      Janis Senungetuk likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      One of the most unnecessary and frustrating parts of being a type 1 diabetic is all the stress and time involved with insurance companies, pharmacies, durable medical equipment distributers and their need to always contact physicians.
    • 4 hours, 39 minutes ago
      Richard Wiener likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 5 to 6 hours, with maybe 20min. of that time ordering G6 sensors and tSlim supplies. The remaining time was finding Novolog I could afford.
    • 4 hours, 41 minutes ago
      Richard Wiener likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 5 hours, 5 minutes ago
      Katrina Mundinger likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      One of the most unnecessary and frustrating parts of being a type 1 diabetic is all the stress and time involved with insurance companies, pharmacies, durable medical equipment distributers and their need to always contact physicians.
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    If you wear a pump or CGM, when in your daily routine do you prefer to change your sites/sensors?

    Home > LC Polls > If you wear a pump or CGM, when in your daily routine do you prefer to change your sites/sensors?
    Previous

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    If you wear a pump or CGM, do you usually change your site or sensor around the same time of day?

    Sarah Howard

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    24 Comments

    1. Molly Jones

      I wish I could check my accuracy of CGM while sleeping or that eating did not interfere with setting up my CGM. I am grateful for it’s existence though.

      2 years ago Log in to Reply
    2. Greg Felton

      The good advice is to never change a pump site before bedtime, and if you change a CGM at the same time, never before a meal. Do I always follow this? No. I will swap out a pump site and CGM at 8 pm now and then. I have a BG meter and syringe available in case.

      2 years ago Log in to Reply
    3. Dennis Pataniczek

      I change when the device calls for it—when the insulin runs out in the case of the pump, and in the case of the CGM, when the sensor time period is up.

      2 years ago Log in to Reply
    4. Sherolyn Newell

      When I first started on pump and Dexcom, I picked a time when I am usually at home and not busy and started the first one then. That way the Omnipod/Dexcom always expires when it’s usually a good time to start another one. Doesn’t always work perfectly, but it’s been close.

      2 years ago Log in to Reply
    5. Jose Almodovar

      After a shower, Early, Mid morning, afternoon after work under the current COVID-19 environment.

      2 years ago Log in to Reply
    6. Gene Maggard

      A better question would have been “when is the worst time to change . . .” I don’t like changing an infusion set at bedtime in case the site isn’t a good one. I’ve had occasions where the cannula hits a piece of scar tissue or other impediment and the insulin doesn’t flow correctly. However, any other time of the day is fine. For the CGM, I like to change it when my blood sugar is least prone to jumps. So I don’t do the changeover right after a meal, for example.

      2 years ago Log in to Reply
    7. Tod Herman

      My CGM is changed in the morning every 10 days. The insulin pump is changed when it runs out which varies depending on a variety of circumstances.

      2 years ago Log in to Reply
    8. Alexandra Johnson

      Pump site= when insulin runs out CGM= Anytime during the day

      2 years ago Log in to Reply
    9. Diana Kasbaum

      I change both my pump reservoir and CGM whenever they run out or expire. Because the CGM is specifically timed, it’s in the evening, so that the 2 hr start is done before going to bed.

      2 years ago Log in to Reply
    10. Lynn Green

      This is a second question where you’re lumping CGM and pump sites changes together (10 days vs. 2-3 days?). The timing and preference of each type of site change is different to me. I rarely do both at the same time.

      2 years ago Log in to Reply
    11. Thomas Hatton

      I agree with others here. I change my pump infusion site when the insulin runs out usually. I will reload the resivor and reinstall the new infusion set before the resivor runs out if insulin would run out overnight or during a time when I can’t reset the pump, like driving. Insulin is too expensive to throw away if I can avoid it. And with my CGM sensor, i like to do it in the morning so I can get the “warmup” complete. Sensors are also too expensive to throw away.

      2 years ago Log in to Reply
    12. Maureen Helinski

      Sensor in the evening so I don’t have to worry about eating and bolusing. Site in the morning because then I can watch the effects, maybe go a little low.

      2 years ago Log in to Reply
    13. Dave Barden

      No CGM, pump only. I used to always change the canula and reservoir at the same time. When the insulin ran out. That meant the canula sometimes stayed in place a day or so longer than recommended. Lately I’ve been changing the canula site when the pump tells me to, but not the res, that I change only when empty and will refill it even, in order not to waste the 20-30 units of insulin in the tube n res, or if it will run out in the middle of the night.

      2 years ago Log in to Reply
    14. Eve Rabbiner

      Insulin site: change whenever it’s close to out. Rarely have a problem. CGM: change it in the morning since after warming up it often goes nuts and sends out non-stop alerts that would make sleeping impossible. By dinner time it straightens itself out. Dexcom support reassured my not to be concerned, this is not unusual.

      2 years ago Log in to Reply
    15. Nicholas Argento

      I agree with at least one other that grouping CGM and pump sites is not a good idea because they are on differnt schedules and serve different functions. I prefer Dexcom CGM early evening so the countdown warnings don’t awaken me. I wish I could shut those off entirely, or make them silent. For pump, I change in the AM so I can see that it is working well in the day, not at night. Bad site would escape detection longer. I see many people commenting that they change the site when the pump runs out of insulin. I am not crazy about this approach for several reasons- 1) some who do this leave them in longer than the site is still absorbing well, leaving a period of high blood sugars- I see this in downloads all the time; 2) it might run out at night, then there is a risk of delayed change and high BG levels; 3) Insulin in a reservoir can be removed if you don’t want to lose insulin, or figure out how much you need for the period you find good function (number units per day x days + number needed for priming + some extra), understanding that 20 + units is not counted in T-Slim.

      2 years ago Log in to Reply
    16. AIMEE MCGUIRE

      I change them when they expire or if close to expiration and I am not going to be home when they do expire.

      2 years ago Log in to Reply
    17. connie ker

      This question is very similar to yesterdays question. I change the 14 day Freestyle Libre when it times out, or when it becomes loose, or when it stops reading accurately, or when it quits reading and tells me to change. It is never the same time, same day, or same reason. Sometimes it goes for 14 days and I change when it prompts me to change sensors.

      2 years ago Log in to Reply
    18. Carol Meares

      I change infusion sets when I have the time, or if they pull out every 2-3 days. I change CGM when it expires or shortly thereafter, sometimes before when it is too late in the evening because I like to be receiving readings before I go to sleep.

      2 years ago Log in to Reply
    19. Ceolmhor

      I didn’t notice, when I answered this, that you seem to be asking about both sensors and infusion sets. My answers to those are very different. I tend to change sensors in late morning. I like it to be as far as possible away from bedtime, so the sensor will stabilize a bit and let me sleep. But I also want the old sensor still working while I exercise, so on sensor days I have breakfast, then exercise, then change sensors. On the other hand, I change infusion sets just before I go to bed. No special reason for that, though.

      2 years ago Log in to Reply
    20. Donald Cragun

      I change sensors two to three hours after dinner (so it is stable before I go to bed and so I can still see any changes in levels after dinner). When possible, I change infusion sets just before a meal bolus.

      2 years ago Log in to Reply
    21. Steven Gill

      Although I indicated “it doesn’t matter,” I wait until l have less than 5-6 units in my cartridge. If it’s in the morning I’ll change it than, in the evening than. If l start the day with less than 20 units will carry a prefilled cartridge, switch it out appropriately. Generally at lunch although there’s been times I’ve just taken a break and switched cartridges as needed (follow all the steps except inserting another insert). But I’m using 38 units a day, this may not work for others.

      2 years ago Log in to Reply
    22. Janis Senungetuk

      I don’t change them at the same time. My CGM expires every 10 days at approximately 10:30 am. I try to apply a new sensor at that time. I change the pump when the cartridge has less than 16 units of insulin left, but aim for early afternoon because I want time before dinner to make sure it’s working correctly. I don’t keep a riding schedule because my activities change during the week and I want it to be a convenient time for me.

      2 years ago Log in to Reply
    23. Ahh Life

      No preference. You can advise and advise and advise, but, as one person said, “When the devil calls for it . . .” Oops, sorry. When the device calls for it, you do it 😘😘

      2 years ago Log in to Reply
    24. Megan L

      Pump- whenever it either tells me it’s out of insulin (I know that’s bad; sometimes I just forget it told me there’s only 10 units left). CGM – usually in the morning so it’s done calibrating completely by the time I go to bed.

      2 years ago Log in to Reply

    If you wear a pump or CGM, when in your daily routine do you prefer to change your sites/sensors? Cancel reply

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