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    • 1 hour, 4 minutes ago
      Kris Sykes-David likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 1 hour, 25 minutes ago
      beth nelson likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 2 hours, 12 minutes ago
      Mick Martin likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      Echo Mick Martin. Gastroparesis? Try ondonestron (sp?) one of the 10 best medicines ever invented. Also, "a forever learning curve" and "If in doubt, pull it out."
    • 18 hours, 8 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 18 hours, 15 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 18 hours, 41 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 17 minutes ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 17 minutes ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 37 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 23 hours, 38 minutes ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 23 hours, 57 minutes ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 16 hours ago
      Wanacure 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!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 16 hours ago
      Wanacure 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!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 17 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The constant refilling and site changes...doesn't seem worth it.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Luddites just may be the most comfortable people on earth. 🙃 
    • 1 day, 18 hours ago
      Antsy likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      Holy cow! 8 to 10” bubbles? There is definitely something wrong if that is happening to you. I occasionally get 1/4” inch 10” is excessive. Have you gone in and shown your pump instructor how you’re doing it so that they can help you figure out the problem?
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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?
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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

    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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    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

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