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    • 1 hour, 6 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.
    • 1 hour, 6 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.
    • 2 hours, 56 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.
    • 3 hours, 1 minute 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.
    • 3 hours, 37 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.
    • 21 hours, 31 minutes 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 ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 2 days, 1 hour 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, 3 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, 3 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, 3 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, 3 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!
    • 2 days, 18 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.
    • 3 days, 13 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, 1 hour 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, 2 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, 3 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, 3 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, 3 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.
    • 4 days, 14 hours ago
      Amanda Barras likes your comment at
      Which T1D influencers do you enjoy following?
      Currently it’s the Diabetech, Justin Easter.
    • 5 days ago
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      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
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      Share some of your favorite T1D-related podcasts in the comments:
      TCOYD Diabetes Nerd Your Best T1D Year Think Like a Pancreas
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      Share some of your favorite T1D-related podcasts in the comments:
      Take Control of Your Diabetes
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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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    On a scale of 1-5, how much does experiencing a low BG below 55 disrupt your day? (1 = the least disruptive, 5 = the most disruptive)

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    If you’re an adult with T1D, have you worked at a job that requires strenuous physical activity (ex: construction, landscaping, etc.)? Share your experiences and advice for managing T1D on the job in the comments!

    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.

      5 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
      5 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.

        5 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
      5 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
      5 years ago Log in to Reply
    5. AnitaS

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

      5 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
      5 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.

      5 years ago Log in to Reply
    8. Amanda Barras

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

      2
      5 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
      5 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.

      5 years ago Log in to Reply
    11. Magnus Hiis

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

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

      Using Dexcom control IQ. It is preset to 5 hours

      3
      5 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

      5 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
      5 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.

      5 years ago Log in to Reply
    16. Kevin McCue

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

      3
      5 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
      5 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
      5 years ago Log in to Reply
    19. Henry Renn

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

      5 years ago Log in to Reply
    20. Scott Doerner

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

      5 years ago Log in to Reply
    21. Lawrence Stearns

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

      5 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.

        5 years ago Log in to Reply
    22. Lawrence Stearns

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

      5 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
      5 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
      5 years ago Log in to Reply
    25. Sarah Berry

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

      1
      5 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!

      5 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.

      5 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.

      5 years ago Log in to Reply
    29. Sue Herflicker

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

      5 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).

      5 years ago Log in to Reply
    31. Miriam Dahan

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

      5 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.

      5 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).

      5 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

      5 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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