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    • 58 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Being on Medicare and required to see my Endo. every three months, my next appointment is made prior to departure from my Endo's office.
    • 58 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      If I were not on Medicare, it would be difficult to get an appointment within 3 months, even in an emergency. In an emergency, they would assign me a nurse practitioner to see. It is possible to contact them through their "portal." Whether I get a timely response depends on whether there is a reliable nurse to respond.
    • 1 hour, 14 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      When I saw my endo a year ago, I wasn't able to make an appointment 6 months later because all available appointments were fully booked. I have to see her CDE who has more availability in order to meet Medicare requirements for quarterly visits. Many, many healthcare providers in my area burned out and quit during Covid. I injured my knee badly last June and can't get a consult with an orthopedic surgeon until May due to the backlog of people needing help. I'm on crutches until then. My sports medicine doctor stopped practicing medicine last month. Our healthcare system is in crisis with no solution in sight.
    • 1 hour, 15 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      On hold or actually talking about the issue and calling back to ensure someone follow's up as everyone seems to be over their head. Honestly, it varies. It can take considerable time just to raise the visibility of an issue, then the follow up can take weeks/months and patience to resolve. Another problem is patients without the cognitive skills for follow-up. These days i doubt anyone pays attention to them.
    • 3 hours, 35 minutes ago
      Wanacure likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I try to make my appointment for my next appointment when I check out. The scheduler always asks maki g it easier to remember. If I was to forget there would be a wait to get back int the rotation.
    • 10 hours, 44 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 10 hours, 44 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 12 hours, 41 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 12 hours, 57 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 1 day, 3 hours ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 4 hours ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 1 day, 4 hours ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 1 day, 5 hours ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day, 7 hours ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
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    Is your insulin sensitivity factor (also called correction factor) during your sleeping hours different from your insulin sensitivity factor during your waking hours?

    Home > LC Polls > Is your insulin sensitivity factor (also called correction factor) during your sleeping hours different from your insulin sensitivity factor during your waking hours?
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    21 Comments

    1. Wanacure

      Maybe the next spread-sheet from my Dexcom 6 will answer this. If I were totally insensitive to insulin during sleep, why did I used to have severe hypoglycemic episodes? Nowadays, my monitor alerts me to low bg during sleep as well as unusual highs. My bg starts rising at 4 AM, consistent with daily hormonal cycles. So I arise, pee, turn up the thermostat, turn on the LED lights to counter SAD, and inject at least 0.5 units lispro. If 130-150 I take one unit lispro. Go back to bed till 6 AM when I inject glargine, prepare breakfast, and then inject lispro to cover meal. As I hit the gym more often, I KNOW I’ll be even more insulin sensitive. Good control will become trickier. But I trust my Dexcom and my One Touch and low carb diet to comfort me as I walk thru the valley of uncertainty.

      1 year ago Log in to Reply
    2. Ahh Life

      I answered “yes,” then went to the pump to verify. I should have answered “no.” Only the carb ratio changes during a 24 hour period.

      Modern T1D management, being the domain of utter micro-management, sometimes results in being precisely wrong to three decimal places, rather than approximately correct. Sigh!

      1
      1 year ago Log in to Reply
    3. Joan McGinnis

      i think it is different but my settings are the same as sometimes I get low at night with the same settings

      1 year ago Log in to Reply
    4. M C

      The insulin sensitivity factor, for me, varies throughout the 24 hour period. This came into play once I started using an insulin pump.

      1
      1 year ago Log in to Reply
    5. connie ker

      You are not eating food, nor are you physically active during sleep. I personally have bad dreams that I am so thankful to wake up from and this may coincide with sugar levels. I checked I don’t know about insulin sensitivity?????

      1 year ago Log in to Reply
    6. Mary Dexter

      Not only does my insulin sensitivity vary during the day, it also changes, oscillating across the year. Sometimes I need more during the day, sometimes more at night. LADA is so much fun. I keep one eye on my CGM and respond to the trends with more or less basal. After 18 years, I have gotten good at surfing variable blood sugar.

      3
      1 year ago Log in to Reply
    7. Mick Martin

      I answered “no”, but my insulin sensitivity factor does change at different points throughout the year. i.e. during hotter summer months I need to correct my insulin doses more frequently via my pump as my body does seem to become more insulin sensitive at these times.

      1
      1 year ago Log in to Reply
    8. Lawrence S.

      My correction factor ranges from 1:30 to 1:60. It flows up and down, being 1:30 at breakfast to 1:60 just before lunch. During sleep, I range 1:40 (approaching sunrise), to 1:50. In the past, I only adjusted my basal rates and bolus rates. More recently, I’ve grasped the meaning of correction factors, and have started adjusting those, as well. Wish me luck.

      1
      1 year ago Log in to Reply
    9. Joan Fray

      I set my insulin sensitivity factor at 1:80 a couple of years ago. Carb ratio varies between 1 to 15 and 1 to 20. Usually use about 14-16 units lispro a day. Low carb diet and control IQ take care of the rest. Seems to work for me.

      1
      1 year ago Log in to Reply
    10. Sherolyn Newell

      I am assuming they meant pump settings and answered no. However, I am 99% certain that in real life, I am less sensitive to insulin when I am sleeping. I think it’s the lack of activity.

      1
      1 year ago Log in to Reply
    11. Jneticdiabetic

      I answered “no” because I have a single sensitivity setting now that I’ve switched the tandem of control IQ. Previously with my Medtronic 670g I did have multiple sensitivity settings, with adjustment overnight to avoid having hypoglycemia.

      1 year ago Log in to Reply
    12. Pauline M Reynolds

      It’s always been the same, but in the past few months, I’ve frequently been waking with BG’s below 100, so a change may be in store.

      1 year ago Log in to Reply
    13. Steve Rumble

      I am relatively new to use of a CGM and still adjusting the correction factors. The factor during my sleeping hours was different but I was having trouble getting night time BS levels within range, so with my counselor adjusted the settings.

      1 year ago Log in to Reply
    14. Patricia Dalrymple

      I adjust basil rates but not insulin sensitivity. Meeting with educator though because got new 770G pump and will discuss. My carb ratio is 1:16. Sometimes that’s too much, sometimes not enough. Sometimes I feel like it is all a crap shoot.

      1 year ago Log in to Reply
    15. Janis Senungetuk

      I posted “yes” because I wasn’t thinking about Control-IQ. The correct answer is “no”. I’m very sensitive to seasonal cycles. Need more insulin to correct a high during summer high heat and less during the winter cold.

      2
      1 year ago Log in to Reply
    16. Carol Meares

      I am wanting a straighter line overnight. My SG ranges between 70 and 130. I would like to be more like 80-110. I don’t know if I should change sensitivity or basal. In the middle of the night Control IQ handles the low range most nights but I have to bolus small amounts when I get to 130 and arrow is still climbing at an angle which the alarm wakes me for. I wish T1D exchange could have an expert write an article on how to adjust for nights obviously in general terms because everyone is different. But night time is the time where we with T1D can maximize time in a more normal range because of less variability due to food, exercise and stress and it is 1/3 of the 24 hour period. There may be an article already on this. Hopefully someone will steer me to it.

      1
      1 year ago Log in to Reply
      1. AnitaS

        This is just my opinion as I am not a medically trained professional, but I would think at least most of the time, you shouldn’t have to give yourself a correction at night time. Therefore I would say maybe your basal needs an adjustment. I would go over your cgm readings (I am assuming you have a cgm) with your endocrinologist or whoever helps you with your pump settings.

        1 year ago Log in to Reply
    17. Melinda Lipe

      Of course it is. Isn’t t everyone’s?
      I marked response ā€œI do not knowā€ because i thought it was not a valid question. I understand that some T1’s dont have their pump settings adjusted for their changing insulin needs throughout the day. I am aware. my changing needs and I thought everyone was.
      .

      1 year ago Log in to Reply
    18. Louise Robinson

      I have 2 insulin sensitivity factors both during sleep and the same factors during my awake time. From midnight to 3 am my correction factor is 100. From 3am to 7 am it is 95. From 7 am to 9:30 am it goes back to 100 and from 9:30 am to noon it is 95. I answered “No” to your question because I use both values during sleep and awake. I’m not sure that’s really what you were asking though.

      1 year ago Log in to Reply
    19. T1D5/1971

      No – given that I run sleep mode 23 hours and 43 minutes per day to maintain a target BG of 110. Works for me. Keep it simple.

      1 year ago Log in to Reply
    20. Cheryl Seibert

      For 55 years, my BGs will dip low in the middle of the night. My sensitivity factor is set to deliver a little less insulin during the sleeping hours. I have very, very few lows now during the night (unless I overbolus for my bedtime snack LOL!).

      12 months ago Log in to Reply

    Is your insulin sensitivity factor (also called correction factor) during your sleeping hours different from your insulin sensitivity factor during your waking hours? Cancel reply

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