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    • 5 hours, 28 minutes ago
      KarenM6 likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 7 hours, 15 minutes ago
      Kristi Warmecke likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Well, since I'm waiting on pump supplies for 2 months now, my confidence is slipping.
    • 7 hours, 16 minutes ago
      Laurie B likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 7 hours, 16 minutes ago
      Kristi Warmecke likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I answered slightly. I'm absolutely certain supplies and medication will be available. However, I'm doubtful they will be affordable. If I can't afford them, I can't access them.
    • 8 hours, 15 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am confident about access to my medical needs in the immediate future. I am not a fortune teller and have no idea what my access to medical supplies will be like in a year or longer. I don't take my spoiled lifestyle for granted.
    • 8 hours, 15 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 8 hours, 16 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I answered slightly. I'm absolutely certain supplies and medication will be available. However, I'm doubtful they will be affordable. If I can't afford them, I can't access them.
    • 8 hours, 19 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am worried about the changes to Medicare making no provision for getting an immediate replacement if a pump fails. It sounds like we will have to get these from the suppliers instead of a warranty replacement from Tandem themselves (or whatever brand you use). Pumps will be rented and will have to be returned so they can verify the problem before replacing them, which is ridiculous. Meanwhile, Medicare would not pay for us to get long acting insulin as a temporary replacement for the basal.
    • 8 hours, 21 minutes ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I broke down for the first time in 25 years and bought a bottle of insulin because I think I may have thrown a bottle out with the box. Medicare wouldn’t fill the prescription because it was too early. I just didn’t want the fight and worry. I’m not sure that’s what happened but it’s the only explanation. Also, I live in Florida and the threat of losing power is always there. I should get a generator but I’m a little afraid of them and you still can’t be sure you have access to propane. If my insulin goes bad, I’m not sure I could get refills. My back up plan is to leave before hurricane or go to a hospital. But it is all just causes concern.
    • 8 hours, 35 minutes ago
      Derek West likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Very! However, I wish I could use Fiasp insulin in the Tandem pumps.
    • 11 hours, 10 minutes ago
      Bruce Schnitzler likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I broke down for the first time in 25 years and bought a bottle of insulin because I think I may have thrown a bottle out with the box. Medicare wouldn’t fill the prescription because it was too early. I just didn’t want the fight and worry. I’m not sure that’s what happened but it’s the only explanation. Also, I live in Florida and the threat of losing power is always there. I should get a generator but I’m a little afraid of them and you still can’t be sure you have access to propane. If my insulin goes bad, I’m not sure I could get refills. My back up plan is to leave before hurricane or go to a hospital. But it is all just causes concern.
    • 11 hours, 42 minutes ago
      Karen Newe likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      The most common comment: but you aren’t heavy. That’s when we get into the differences. A relative tried to tell me that insulin makes you lose weight. But when we last discussed this, one of you said it best: if it isn’t in their circle of experience, why would they know or care?
    • 11 hours, 59 minutes ago
      KSannie likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Very! However, I wish I could use Fiasp insulin in the Tandem pumps.
    • 12 hours ago
      KSannie likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 12 hours, 1 minute ago
      KSannie likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 13 hours, 28 minutes ago
      Patricia Dalrymple likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Try Uni-Solve Adhesive Remover (smith&nephew)- wipe it on wait a minute to let it work and it will come off easy. at least it works great for me and I've tried several different brands, I use it for CGM & Omnipod removal
    • 20 hours, 28 minutes ago
      Sandy Norman likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 3 hours ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      There are several conversations about this across social media. Many people chime in and vote for a new, more accurate name for type 1.. some of the popular alternatives- Pancreatic Autoimmune Disease, Beta Cell Destruction Disease, Autoimmune Diabetes, Autoimmune Insulin Failure, Autoimmune Absolute Insulin Deficiency (AAID)
    • 1 day, 3 hours ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      The most common comment: but you aren’t heavy. That’s when we get into the differences. A relative tried to tell me that insulin makes you lose weight. But when we last discussed this, one of you said it best: if it isn’t in their circle of experience, why would they know or care?
    • 1 day, 3 hours ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 6 hours ago
      Kristi Warmecke likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 8 hours ago
      Lee Tincher likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      If I could get a CGM that is consistent and predictable I'd be very happy with the Twiist or the Tandem. The weak point with pumps used to be infusion sites, but now that we are relying on poor performing technology to support potentially great algorithms itis quite frustrating.
    • 1 day, 10 hours ago
      Beckett Nelson likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 1 day, 11 hours ago
      John Barbuto likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      I have been using a insulin smart pen for the last 2 years; I find that it meets my current needs to ensure good management and results
    • 1 day, 12 hours ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
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    If you wear an insulin pump, for how many hours have you set your active insulin duration? (If you have multiple active insulin time settings throughout the day, what is your setting on a Wednesday at 12 p.m. in your time zone?)

    Home > LC Polls > If you wear an insulin pump, for how many hours have you set your active insulin duration? (If you have multiple active insulin time settings throughout the day, what is your setting on a Wednesday at 12 p.m. in your time zone?)
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    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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    36 Comments

    1. Britni

      I don’t currently wear a pump. For the brief period that I did, I started with it set to 4 hours and later decreased it to 3 hours.

      4 years ago Log in to Reply
    2. Ahh Life

      With Novolog, 4 hours. If someone knows a more accurate number, please let me and others know. Thanks. ʕ•́ᴥ•̀ʔっ

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

        I think there is no ‘accurate’ number. It is all dependent on the individual’s response to the insulin they are using.

        4 years ago Log in to Reply
    3. Derek West

      Using Aspart I have mine set to 3 hrs. I tried 2.5 and 4 and it really does not seem to make a lot of difference, but 3 hours, for me, seems to give the best results. Everyone is different in their insulin response.

      1
      4 years ago Log in to Reply
    4. Nevin Bowman

      From what I was told the algorithm only uses one setting and it has nothing to do with reality???

      1
      4 years ago Log in to Reply
    5. AnitaS

      I believe my t-slim Tandem is preset for 4 hours

      4 years ago Log in to Reply
    6. Kathy Hanavan

      Tandem CIQ sets it at 5hrs as a default and you can’t change it unless you turn it off which I do sometimes. Previously, I had it set for 3.5 hrs for aspart.

      3
      4 years ago Log in to Reply
    7. Amy Jo

      Normally set at 4 hours, but throughout my pregnancies this shortens to 3 hours, then 2 hours by the end.

      4 years ago Log in to Reply
    8. Amanda Barras

      TSlim’s Constant for their Algorithim is 5 hours, I can not change this.

      2
      4 years ago Log in to Reply
    9. Jewels Doskicz

      Tandem Control IQ sets it at 5 hours, otherwise I’d have it set at 3 hours.

      2
      4 years ago Log in to Reply
    10. Denise Lyons

      There are a lot of factors involved in DIA. Is humalog or one of the ultra rapid insulins like fiasp or lyumjev? Looping or non looping? Then on top of that there’s the individual factor.

      4 years ago Log in to Reply
    11. Magnus Hiis

      I’m a DIY Loop where 6 hours duration probably is the most common

      4 years ago Log in to Reply
    12. Don (Lucky) Copps

      Using Dexcom control IQ. It is preset to 5 hours

      3
      4 years ago Log in to Reply
    13. Joan Fray

      Not sure but I think this refers to Activity on Tandem pump. On a normal day i set activity from 9 to 5. As I am very busy most of the day. My CDE told me to. Lots of gardening, walking, cleaning, carrying things, I’m also the fix- it man’s ever present assistant when he’s working. Busy busy busy

      4 years ago Log in to Reply
    14. Maureen Helinski

      I use Tandem CIQ so 5 hours, but before that used 3 hours, which worked for me.

      3
      4 years ago Log in to Reply
    15. Joan Fray

      Oh, oops. Didn’t understand the question Mine is set for 3.5. Control IQ. Humalog.

      4 years ago Log in to Reply
    16. Kevin McCue

      Not an adjustable feature when using CIQ with Tandem Insulin pumps.

      3
      4 years ago Log in to Reply
    17. Ehamilton0722

      If using tandem’s control IQ system, you’re required to use the 5 hour active time for insulin. You cannot adjust it. If you do want to adjust it, you have to turn off the control IQ feature.

      5
      4 years ago Log in to Reply
    18. Janis Senungetuk

      I’m using Control-IQ on my Tandem pump and that’s set at 5 hours. If I could adjust it I’d use a 3 hour duration.

      3
      4 years ago Log in to Reply
    19. Henry Renn

      I’d have to change my answer from 4 to 5.

      4 years ago Log in to Reply
    20. Scott Doerner

      I have it set as 5 because of control iq, but without, I use 4

      4 years ago Log in to Reply
    21. Lawrence Stearns

      I’m sorry. But, I didn’t understand the question.

      4 years ago Log in to Reply
      1. Mig Vascos

        I said 3 hours because the specific setting at 12 pm I starts at that time and then switches at 3 pm to a different setting but don’t understand the meaning it goal of this question.
        I have, like I’m sure everyone else has, different settings during the days.

        4 years ago Log in to Reply
    22. Lawrence Stearns

      Okay, now I understand. I have my insulin set at 4 hours of activity.

      4 years ago Log in to Reply
    23. Lynn Green

      5 hours, I don’t have a choice using tslim CIQ. I believe my Medtronic pump was set to 3 hours.

      3
      4 years ago Log in to Reply
    24. ConnieT1D62

      Active insulin duration set at 5 hours via Tandem CIQ pump works for me. I trust it and TIR is ~ 88 to 92%. After nearly 60 years with T1D in my body, I am pretty happy with that. Why mess with what’s working?

      1
      4 years ago Log in to Reply
    25. Sarah Berry

      I am on the t slim with CIQ. It is preset at 5 hours.

      1
      4 years ago Log in to Reply
    26. Stephen Woodward

      Wow, nothing confusing about the “Active Insulin Duration”, mixing the two Active Insulin Time and Insulin Duration Time, two different things!

      4 years ago Log in to Reply
    27. Stephen Woodward

      Insulin Action Time = “Time that the insulin will continue to lower blood glucose” Active Time

      Insulin Duration Time = “Length of time is take insulin to not impact blood glucose” Still detectable in your system.

      4 years ago Log in to Reply
    28. Bonnie Lundblom

      After reading the answers and explanations I can answer that my Tandem tslimx2 pump is set for 4 hours active insulin time.

      4 years ago Log in to Reply
    29. Sue Herflicker

      I don’t understand the question. I have Control IQ.

      4 years ago Log in to Reply
    30. Bill Marston

      Gee. Results would have more useful info if it limited type to insulin aspart Novolog or Humalog only. I know an increasing number of ppl using fiasp & other fast-acting / fast uptake insulins **in their pump**. It baffles me on how their pump’s algorithm can handle that behavior with their active CGM controlling some aspect of their pump operation (i.e. Tandem X2 C-IQ).

      4 years ago Log in to Reply
    31. Miriam Dahan

      I use Loop app algorithm, which I believe is set for 6 hour duration

      4 years ago Log in to Reply
    32. Chris Albright

      As I am sure that others have commented on, if you use the Tandem Tslim:X2 pump and you have enabled Control IQ, you are fixed at a 5 hour duration. While I understand why they fix the duration at that amount, I don’t think it is appropriate for everyone. In some cases, you have to ‘tweak’ your boluses at bit to compensate.

      4 years ago Log in to Reply
    33. Cheryl Seibert

      Tandem pump with Control IQ has a set Active Insulin time that is not customizable (5 hrs if I recall).

      4 years ago Log in to Reply
    34. James Cheairs

      When I go back to DIY loop soon, I will change from 4 hours to ~5.5

      4 years ago Log in to Reply

    If you wear an insulin pump, for how many hours have you set your active insulin duration? (If you have multiple active insulin time settings throughout the day, what is your setting on a Wednesday at 12 p.m. in your time zone?) Cancel reply

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