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    • 8 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 9 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my diabetologist every 90 days to continue receiving pump and CGM supplies.
    • 9 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      This past year my doctor appts were my new social life!
    • 9 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      @George Lovelace. {{{{{Hugs}}}}} to you, sir. Are you getting support after the loss of your wife? I do hope so.
    • 9 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 10 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I would prefer to see my endo twice a year. But insurance requires a visit once every 90 days to obtain an insulin pump and CGM, which is completely illogical. Insulin pump allows for better control soo....
    • 10 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 11 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I saw my endocrine provider 6 times this year instead of the usual four because I was having pump insertion site absorption issues so she saw me two extra times for problem solving resolution.
    • 11 hours, 23 minutes ago
      Kris Sykes-David likes your comment at
      If you’ve ever used a connected insulin pen (also known as a “smart pen”), what was your experience like? Tell us more in the comments! A “smart pen” connected insulin pens can offer extra technology with the simplicity of injections, like tracking the timing and dose of insulin, tracking insulin-on-board, and calculating insulin doses based on carbohydrate entries.
      It helped me track when and how much insulin I had injected. It also would show me how much I had on board so if I needed to take additional insulin it would help me not to stack too much at a time.
    • 11 hours, 23 minutes ago
      Kris Sykes-David likes your comment at
      If you’ve ever used a connected insulin pen (also known as a “smart pen”), what was your experience like? Tell us more in the comments! A “smart pen” connected insulin pens can offer extra technology with the simplicity of injections, like tracking the timing and dose of insulin, tracking insulin-on-board, and calculating insulin doses based on carbohydrate entries.
      I love it! Can't live without one.
    • 18 hours, 11 minutes ago
      TEH likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 18 hours, 12 minutes ago
      TEH likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I would prefer to see my endo twice a year. But insurance requires a visit once every 90 days to obtain an insulin pump and CGM, which is completely illogical. Insulin pump allows for better control soo....
    • 1 day, 9 hours ago
      Janis Senungetuk likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 1 day, 14 hours ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      In July, I went on the only Medicare plan in my area that covered Afrezza. For 2024, no one is covering it. Like others, hate these formulary decisions by the Insurance providers.
    • 1 day, 16 hours ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 1 day, 17 hours ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 17 hours ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I answered NO for 2023 but in 2024 I will have to switch from Humalog to Novolog.
    • 1 day, 17 hours ago
      Bill Williams likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 1 day, 19 hours ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      With Medicare's change to the cost of insulin, my Part D plan dropped Novolog. $35 "limit" only works if insurers have your medication on their formulary.
    • 1 day, 19 hours ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 19 hours ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Lispro, aspart, and glulisine are also FDA-approved for pump use (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695255/). These are the generic versions of Humalog, Novolog and Apidra, respectively.
    • 1 day, 19 hours ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      This past year my doctor appts were my new social life!
    • 1 day, 19 hours ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 1 day, 19 hours ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 1 day, 21 hours ago
      Mick Martin likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
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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 (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 Manager of Marketing 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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    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.

      2 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
      2 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.

        2 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
      2 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
      2 years ago Log in to Reply
    5. AnitaS

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

      2 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
      2 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.

      2 years ago Log in to Reply
    8. Amanda Barras

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

      2
      2 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
      2 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.

      2 years ago Log in to Reply
    11. Magnus Hiis

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

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

      Using Dexcom control IQ. It is preset to 5 hours

      3
      2 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

      2 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
      2 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.

      2 years ago Log in to Reply
    16. Kevin McCue

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

      3
      2 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
      2 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
      2 years ago Log in to Reply
    19. Henry Renn

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

      2 years ago Log in to Reply
    20. Scott Doerner

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

      2 years ago Log in to Reply
    21. Lawrence Stearns

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

      2 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.

        2 years ago Log in to Reply
    22. Lawrence Stearns

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

      2 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
      2 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
      2 years ago Log in to Reply
    25. Sarah Berry

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

      1
      2 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!

      2 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.

      2 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.

      2 years ago Log in to Reply
    29. Sue Herflicker

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

      2 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).

      2 years ago Log in to Reply
    31. Miriam Dahan

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

      2 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.

      2 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).

      2 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

      2 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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