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  • Activity
    • 2 hours, 20 minutes ago
      ConnieT1D62 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I usually take 2-3 times what I think I'll need.
    • 3 hours, 2 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I always bring extra infusion sets and CGM sensors in case of accidental tear out. With Tandem pump, a charger is also essential. I forgot mine in my last weekend away. I use a Dexcom G6, so don't need to finger stick, but always bring my meter & strips just in case, and extra lancets as sometimes my non-diabetic family members like me to check their BG. I always take a vial and syringes in case of pump failure. For overnight trips also bring juice boxes/ glucose tabs and glucagon in case for lows. Hard to travel light as a T1D, especially with those GIANT Dexcom sensor inserters! 🧳🧳🧳
    • 3 hours, 18 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I usually take 2-3 times what I think I'll need.
    • 3 hours, 19 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Just did this and brought almost all of these things. Didn’t think to pack an extra transmitter tho. But, did have 3 ways of administering insulin, plus CGM and regular meter. So, I knew I was good. I choose “loaner pump” too but really it’s an old pump that still works. I actually had to use it the week before my trip for a pump failure emergency, so glad I have it.
    • 3 hours, 35 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Having been a Boy Scout when I was young taught me to be prepared for anything. I tend to over pack for everything. So, I pack just about everything listed. However, I never considered taking one of my old insulin pumps. I'll consider it. But for a 7 day trip, I'm not sure. I guess it depend upon where I'm going.
    • 3 hours, 35 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I was in Boston in 2013 when we were all confined to our hotels while they searched for the marathon bomber. I also remember 9/11 when planes were grounded. I never assume I can easily restock supplies and always take at least double the amount I'll need of everything including my backup pump. Fingers crossed that I never need it. I hope I could be one of the ones who share live saving stuff with anyone who gets caught without it.
    • 3 hours, 36 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Ughhh the extra CGM sensor is the worst. It takes up an unnecessarily large amount of space.
    • 3 hours, 37 minutes ago
      KarenM6 likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      It is WAY TOO MUCH stuff to be prepared away from home. Generally, half my suitcase. And even more stuff if it is a two-week trip. You missed snacks and glucose tabs.
    • 4 hours, 57 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I was in Boston in 2013 when we were all confined to our hotels while they searched for the marathon bomber. I also remember 9/11 when planes were grounded. I never assume I can easily restock supplies and always take at least double the amount I'll need of everything including my backup pump. Fingers crossed that I never need it. I hope I could be one of the ones who share live saving stuff with anyone who gets caught without it.
    • 4 hours, 58 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Ughhh the extra CGM sensor is the worst. It takes up an unnecessarily large amount of space.
    • 4 hours, 59 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I'm really surprised at the low percentages of people that take extra supplies. We don't carry an extra pump and haven't used one long enough to have old extras. But even though we are, in general, very light packers, we always make sure we have extra D-supplies, in case a sensor fails or is ripped off, a bottle of insulin gets damaged, etc. But it also depends on WHERE we are going. On an overseas trip of any length we'd always take an extra transmitter. But we'd be unlikely to take one on a domestic trip unless we were going for several weeks. We always take pens even on an overnight trip ever since my husband flew to NYC on a day trip with some buddies, his pump failed, he had not brought pens for back-up and his BG soared! I see the burden of carrying extra supplies as the price to pay for insurance that nothing will actually fail.
    • 5 hours ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Glucose tabs and snacks.
    • 5 hours ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I take twice as much pods, CGM supplies as I know I will need. It is a pain to carry all that junk but necessary. We never know when a pod or sensor will fail. I also take syringes just in case my pump fails which it never has in the almost three decades I have used one. I also carry a few Baqsimi just in case I have a severe low. I carry more insulin than I know I will need since I broke a bottle once when overseas and almost ran out on another foreign trip.
    • 5 hours, 1 minute ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      A while back I went to the UK for a choir tour. I had just acquired a CGM, a G4 Platinum, specifically as a safety measure for the trip. I don't bring second meter any more, but this was before the Dexcom was trusted for bolusing, so I was still meter-dependent and felt I needed an extra just in case. As it turned out I DID need it, but not for myself. There was another, newly dx'd, T1 on the trip and she lost her meter when she left her bag on the bus or some such. So I was able to come to the rescue. It was possible to buy a replacement of course but European/Brit ones are calibrated in moles rather than mL so that was still a glitch--she used mine for the remainder of the trip.
    • 5 hours, 2 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Just did this and brought almost all of these things. Didn’t think to pack an extra transmitter tho. But, did have 3 ways of administering insulin, plus CGM and regular meter. So, I knew I was good. I choose “loaner pump” too but really it’s an old pump that still works. I actually had to use it the week before my trip for a pump failure emergency, so glad I have it.
    • 5 hours, 3 minutes ago
      Janis Senungetuk likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      It is WAY TOO MUCH stuff to be prepared away from home. Generally, half my suitcase. And even more stuff if it is a two-week trip. You missed snacks and glucose tabs.
    • 7 hours, 59 minutes ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Skin prep pads.
    • 7 hours, 59 minutes ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Glucose tabs and snacks.
    • 8 hours ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Additional (i.e. beyond what I usually carry with me) glucose tablets and a dose of Baqsimi.
    • 8 hours ago
      TEH likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I usually take 2-3 times what I think I'll need.
    • 8 hours, 46 minutes ago
      Flo Bachrach likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I take twice as much pods, CGM supplies as I know I will need. It is a pain to carry all that junk but necessary. We never know when a pod or sensor will fail. I also take syringes just in case my pump fails which it never has in the almost three decades I have used one. I also carry a few Baqsimi just in case I have a severe low. I carry more insulin than I know I will need since I broke a bottle once when overseas and almost ran out on another foreign trip.
    • 9 hours, 15 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      Having been a Boy Scout when I was young taught me to be prepared for anything. I tend to over pack for everything. So, I pack just about everything listed. However, I never considered taking one of my old insulin pumps. I'll consider it. But for a 7 day trip, I'm not sure. I guess it depend upon where I'm going.
    • 9 hours, 15 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I was in Boston in 2013 when we were all confined to our hotels while they searched for the marathon bomber. I also remember 9/11 when planes were grounded. I never assume I can easily restock supplies and always take at least double the amount I'll need of everything including my backup pump. Fingers crossed that I never need it. I hope I could be one of the ones who share live saving stuff with anyone who gets caught without it.
    • 9 hours, 16 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I agree that it depends on where the trip is. My decision point is how long would it take to get replacement supplies and what are the effects of a delay. I’m MDI Tresiba which lasts >24 hours, which significantly reduces the urgency to replace background insulin. For NYC, I brought nothing extra. For my trip to a third world country- I brought one, and only one, extra of each supply including a CGM receiver. Dexcom wasn’t available where I went and I worried if something happened to my phone, I wouldn’t be able to download the software if I bought a replacement phone.
    • 9 hours, 16 minutes ago
      Jeff Marvel likes your comment at
      If you were to go on a 7-day trip away from home, which of the following supplies would you bring, in addition to what you would normally use in 7 days? Select all that apply to you.
      I'm really surprised at the low percentages of people that take extra supplies. We don't carry an extra pump and haven't used one long enough to have old extras. But even though we are, in general, very light packers, we always make sure we have extra D-supplies, in case a sensor fails or is ripped off, a bottle of insulin gets damaged, etc. But it also depends on WHERE we are going. On an overseas trip of any length we'd always take an extra transmitter. But we'd be unlikely to take one on a domestic trip unless we were going for several weeks. We always take pens even on an overnight trip ever since my husband flew to NYC on a day trip with some buddies, his pump failed, he had not brought pens for back-up and his BG soared! I see the burden of carrying extra supplies as the price to pay for insurance that nothing will actually fail.
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    If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus!

    Home > LC Polls > If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus!
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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 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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    42 Comments

    1. Abigail Elias

      Sometimes when fat content is high and may cause a delay in the bg peak from carbs – though I don’t do that often. Must often is because I’m headed to hypoglycemia and may be over treating because I don’t have quick access to the right (small enough) amount of carbs. I may extend all or only some of the dose, and only for about 29 minutes – to avoid dropping my bg even more, but to make sure my bg doesn’t spike from the fast acting carbs.

      1
      2 years ago Log in to Reply
    2. Ahh Life

      20 minutes to up to 2 hours extend the bolus. Gastroparesis [known as “roll the dice” for when or even if your digestion is going to kick in, grrrh! (ง︡’-‘︠)ง ]. The extended bolus can even out the high or lows. However, the opposite can also occur. The insulin can stack up and hit like a sledgehammer. ⛏

      7
      2 years ago Log in to Reply
    3. Chrisanda

      I use it for high fat foods (pizza) which due to the issues with high blood sugars I rarely eat, and occasionally if I know I’m going to be “grazing,” like at a party.

      2
      2 years ago Log in to Reply
    4. Sahran Holiday

      Extended bolus too much of a wild guess. Thanks to CGM I just bolus for carbohydrates and correct later, rarely necessary.

      1
      2 years ago Log in to Reply
    5. Joan McGinnis

      I give extended if I eat a high fat and/or protein meal which is not often. When I was younger it was a bit more often, like for pizza, or lasagna. Dont eat pizza like that very often now.

      1
      2 years ago Log in to Reply
    6. Mary Dexter

      I do not use a pump, no longer trusting them to deliver insulin, and have switched back to pens, which I happily use.

      2 years ago Log in to Reply
    7. Patricia Dalrymple

      I said other because it all depends. You have to learn how your body reacts. When I go out to eat, I know I automatically have to bolus for 90 carbs. Any higher and I go low. Then about 1.5 hours later, I need to add 1.8 units of insulin. Then, I may up my basal rate. There are no hard clear answers when dealing with T1D. It’s about knowing your body and how it reacts, and even then you can be like: how/why did THAT happen?

      3
      2 years ago Log in to Reply
    8. Kristen Clifford

      My current pump, the Medtronic 550G, doesn’t have the extended bolus option, but my previous pump did. It was an Animas model, and the term they used was “combo bolus”. I used it for carb-heavy dinners: pizza, pasta, Chinese, etc. It was very helpful and the one thing I miss about that pump.

      2 years ago Log in to Reply
    9. brettsmith115

      Every time I eat pizza!

      6
      2 years ago Log in to Reply
    10. Jeff Perzan

      Because I’m on a Medtronic closed loop system, specific extended boluses aren’t necessary because of the continuous updating of my insulin based on the sensor readings. When not in auto mode and I bolus, I would dual wave (usually for two hours) since I bolus for proteins as well as carbs.

      1
      2 years ago Log in to Reply
    11. Lawrence Stearns

      Honestly, I almost never used my extended bolus, except for a rare slice of homemade, gluten free pizza, or eating dinner out at a restaurant (which is also a rarity). However, recently, I’ve used the extended bolus a few times per week (when I remember to use it) because my Endocrinologist suggested that I use it with my supper meals because of lows I have after that meal. I still forget to use the extended bolus most of the time. I also deal with the gastroparesis problem, so I never know how or when my digestive system is going to work.

      2
      2 years ago Log in to Reply
    12. George Lovelace

      Only Rarely now I’m using CIQ on my Tandem

      2 years ago Log in to Reply
    13. Gary Taylor

      With the Medtronic 770G in Auto Mode, the extended bolus option is disabled. I would use it if available. For those rare times when I am not auto Mode I do use it for pizza and kettle cooked potato chips.

      2 years ago Log in to Reply
    14. Beth Baskett

      I do it almost every time I’m bolusing more than 2 units and I’m under 90. I also do it every time the carbs might take a while to hit because of fat. So it’s almost every day, because the Tandem CIA is good, but it’s not THAT good if I’m 85 and I give 2.34u. I’ll drop like a stone.

      2
      2 years ago Log in to Reply
    15. Kayla Kelso

      I’m sure it would benefit my daughter more than not bc we have foods like: pizza/pasta/starch, etc quite a bit but I haven’t done extended boluses when dosing my daughter bc I don’t understand how to go about doing it/when to do it, etc.

      2
      2 years ago Log in to Reply
    16. Sheldon Schwartz

      Based on fat content of food

      2 years ago Log in to Reply
    17. Stacia Wohlford

      I eat steel cut oats every morning. Bolus 75% and extend 25% over 1.5 hours. Took a month to get it right!

      2
      2 years ago Log in to Reply
    18. Becky Hertz

      Following a renal diet. Rarely have enough meat and fat to warrant an extended bonus.

      2 years ago Log in to Reply
    19. Brandon Denson

      If you’re referring to a dual or square wave option for extended boluses then yes I have used this option. If I use this option it’s based on what I’ll be eating.

      2 years ago Log in to Reply
    20. Sarah Berry

      I do an extended bolus if my sugars are low at mealtime. Also of I am eating a low glycemic food like bean soup.

      1
      2 years ago Log in to Reply
    21. Janis Senungetuk

      I use the 2 hr. extended bolus if I’m eating pizza or a meal with rice. Because 2 hrs. is the longest I can extend the bolus with my Tandem pump, the Control IQ app is usually very busy adjusting the basal rate for the next 4 hours. Although I no longer eat pizza very often I do enjoy Thai and Japanese recipes and miss the longer extended bolas that was available on my Animas Vibe pump.

      2 years ago Log in to Reply
    22. Vickie Baumgartner

      Whenever I have a large meal.

      2 years ago Log in to Reply
    23. Sasha Wooldridge

      I use temp basals rather than extended boluses. Temp basals are more than enough for me and feel more manageable.

      1
      2 years ago Log in to Reply
    24. LizB

      I don’t know if I have the start of stomach issues but almost every meal I eat, no matter the fat/protein content, I have to give as a dual wave or else I’ll go low as I’m eating.

      1
      2 years ago Log in to Reply
    25. AnitaS

      Sometimes it is difficult to know when I should do an extended bolus or not, but I definitely do for obvious foods like pizza or lasagna and some fatty desserts. I also do extended boluses for eggs as they raise my blood sugar fairly quickly and my blood sugar will stay in the 160’s for hours on end unless I do an extended bolus. Because eggs do not let my blood sugars come down, I find eating an egg before exercise very beneficial.

      1
      2 years ago Log in to Reply
    26. Anita Galliher

      I use an extended bolus or temp basal and sometimes both. I use it/them for pizza and anything fatty. After dinner I almost always have some CarbSmart ice cream and take 3-4 units with 50% extended for 1-1 1/2 hours. Usually works great. I’m on an Omnipod pump and Dexcom G6 CGM.

      2 years ago Log in to Reply
    27. M C

      If I’m eating something that can cause the BG to go high, and remain high (eg. some pizza), I’ll use the extended bolus. Generally, I may use this option once a week, but there have been other times where I’ve used it more frequently… Just depends on what the meals are going to be over the week.

      2 years ago Log in to Reply
    28. Sue Herflicker

      I always use an extended bolus for pizza, and i use it when I am going to eat and my test is on the lower side. I give myself a small percent and then the rest over 1/2 hour or 45 mins, depending on what I am eating. I usually do this because if I don’t I forget to bolus and then of course go high!

      2 years ago Log in to Reply
    29. Leona Hanson

      I don’t use the extended bolus on mine because I don’t know how to use it or I probably will use it just don’t know when to use it

      2 years ago Log in to Reply
    30. Jneticdiabetic

      Dual wave boluses definitely comes in handy for pizza and burger/fries. I miss it when I’m in automode with my Medtronic 670G.

      2
      2 years ago Log in to Reply
    31. ellencherry

      I do it almost every meal for protein because it usually the highest macro for me. I have a formula in a spreadsheet that has fat and protein as inputs and it tells me how much insulin (in addition to the bolus for carbs) over how many hours. Tonight it was .8 over 3.5 hours.

      2 years ago Log in to Reply
    32. Marvin Shotkin

      I have stopped using extended boluses, since my boluses don’t impact my BG for 2 or 3 hours anyway.

      2 years ago Log in to Reply
    33. Nicholas Argento

      Multiple times per week with higher fat foods like pizza or lasagna, or where the food will raise the BG but not based on carbs- like cheese + chicken as main part of meal- few carbs but raises BG slowly.

      1
      2 years ago Log in to Reply
      1. Nicholas Argento

        I also do a lot of split boluses- for pizza, 70% now 30% in 2 hours to prevent a delayed otherwise inevitable spike-rise

        2
        2 years ago Log in to Reply
    34. Antsy

      I definitely use dual wave for pizza or restaurant meals, which means I must disable Auto-Mode. I hope future Medtronic pumps will have an option to combine the two, rather than having to choose one or the other. My endocrinologist stated that future hybrid closed-loop pumps will check sensor glucose every minute instead of every five, so maybe we won’t even need to use extended boluses. I hope she is right!

      2
      2 years ago Log in to Reply
    35. Marsha Miller

      Pizza & anything else with high fat content.

      1
      2 years ago Log in to Reply
    36. Bonnie Lundblom

      Always if eating pizza and frequently for my breakfast high protein meal to prevent a spike several hours later.

      2 years ago Log in to Reply
    37. ConnieT1D62

      Depends on my BG and what I am eating. Similar to what Dr Nick and others have shared I use it for pizza and pasta with cheese meals, and with rice, veggie and protein combo meals. Based on experience gained from experiments with how my body processes and digests various foods, I may use a 25/75, 70/30, 60/40 or a 50/50 extended bolus.

      2 years ago Log in to Reply
    38. Sadie Robinson

      Depends on if eating a large amount of carbs

      2 years ago Log in to Reply
    39. Janet Wilson

      Since Control IQ, we don’t extend boluses for my daughter anymore. CIQ seems to work better if we DON’T. On Medtronic (minus any of their CGMs) and Basal IQ, we used extended boluses quite often; whenever she ate a high carb/high fat meal like pizza or mac & cheese. Control IQ has made it so that the micromanaging that we used to do isn’t necessary anymore. CIQ keeps her in excellent control – as long as the settings are tweaked to suit her needs.

      2 years ago Log in to Reply
    40. Cheryl Seibert

      I LOVE Extended Bolus!! I selected “Multiple times per day”, but it really depends on my carb input and current BG. If BG is low or dropping rapidly, I do an extended bolus with carbs over a 15 or 30 min period. For pizza, its 50% now 50% over 45min or 1 hr. Complex carbs is a good use for the “dual bolus (Medtronic term)” – some now some later. Extended bolus is extremely valuable to correct extreme (< 60 pts) lows so the insulin takes effect after the BG is rising.

      2 years ago Log in to Reply
    41. Sparklee

      I use the extended bolus primarily when eating a meal that includes higher fat content because the fat slows down the digestion process. (I am on a modified keto diet, so this occurs fairly frequently.)
      I also use the extended bolus when my blood sugar is really too low to bolus for my carbs at the time, but I don’t want to forget to bolus later on.

      2 years ago Log in to Reply

    If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus! Cancel reply

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