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    • 7 hours, 40 minutes ago
      KarenM6 likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 8 hours, 30 minutes ago
      Mick Martin likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 9 hours, 26 minutes ago
      Katie Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 10 hours, 9 minutes ago
      Kate Kuhn likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 10 hours, 29 minutes ago
      Karen DeVeaux likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 11 hours ago
      Kelly-Dayne likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 11 hours, 5 minutes ago
      KCR likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 11 hours, 59 minutes ago
      William Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 12 hours, 1 minute ago
      Chrisanda likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 12 hours, 30 minutes ago
      Gary Rind likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      First of all, I've said it before, and I'll say it again: stop asking questions about family screenings for antibodies!!!! This is seriously like the tenth time this question has come up. There are plenty of other questions about T1D you can ask. Second, there should be another option to the effect of "I have not discussed antibody screenings with my family," which is the category under which I fall.
    • 12 hours, 38 minutes ago
      Jneticdiabetic likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 12 hours, 43 minutes ago
      Lawrence S. likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      my siblings & parents are older (like me) and they've never expressed any interest in getting tested. my nieces and nephews have never said anything either
    • 23 hours, 59 minutes ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I participated in several ADA walks not long after being Dx with T1D. As Ahh Life points out large $ are rased, but where do they go? I stopped supporting ADA for that reason. I think JDF is much more open on where the funding goes.
    • 23 hours, 59 minutes ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      JDRF only. I like knowing that my contributions are going specifically to T1D.
    • 23 hours, 59 minutes ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 1 day, 4 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      Switched a long time ago to Tandem/Dexcom from Minimed because of improved and more automated control, and haven't looked back. Still wishing for a cure, but know it's not going to happen for dinosaurs like me. I'll just be glad when young people will will one day experience that magic word: cure. It's too easy to sit around and complain, but it's high time for a cure, and way past time having us depend on treatment that is pretty much a money maker for big Pharma when it seems as if there's a cure waiting in the wings. Filling up landfills with used pump supplies, etc., makes our society look nothing but incompetent and greedy. Sorry to rant.......
    • 1 day, 4 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      They do too often. Why I ask? Well because it will help long term.... oh how do you know that it will help? It's a brand new medication, never been used by the D community, except for the shortest term study mandated in order to get it to market, and sell. Long term has never been achieved... its NEW. Let's revisit/wait a couple years... if its MAGIC medicine, sure I'll try it. But unless it's got magic properties, guarantees magic results why would I want it, until it's been used for a decent while??? Oh well... yeah, guess that does makes sense....
    • 1 day, 21 hours ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      Yes and for the last year and a half that is exclusively what I have been offered so I am not getting all the usual checks an in person endo visit requires. ADA and others spent 10-20 years convincing endos they needed to check patients feet and that progress has evaporated.
    • 1 day, 21 hours ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      I would rather see in person. He checks my feet, BP etc. we have a chance to catch up and for me to ask questions. To me so much better face to face. We did virtual during pandemic.
    • 2 days, 5 hours ago
      Phyllis Biederman likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I’ll occasionally use the holster with clip that came with my pump or a protective case of my own when I’m wearing something without pockets. However I find these quite bulky thus usually just slip my pump in a pocket.
    • 2 days, 5 hours ago
      KarenM6 likes your comment at
      Of the people in your life, who (if anyone) makes you feel judged or criticized for your T1D management (for example, what foods you eat, where or when you check your blood glucose, etc.)? Select all that apply to you.
      Hmmm... I'd almost welcome it, another challenge to enjoy?
    • 2 days, 5 hours ago
      KarenM6 likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I am rough on insulin pumps and cracked 2 minimed pump cases. I found the bare T:slim pump too slippery. I use the MEDmax silicone case. I put that in a AGOZ case with a belp clip. But I don't like the clip. It's too sharp and too stif. Looking for a belt for night time use.
    • 2 days, 5 hours ago
      KarenM6 likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I use the Tandem provided case and added a gorilla glass screen protector. I wear it on my belt in an pouch.
    • 2 days, 7 hours ago
      lis be likes your comment at
      Of the people in your life, who (if anyone) makes you feel judged or criticized for your T1D management (for example, what foods you eat, where or when you check your blood glucose, etc.)? Select all that apply to you.
      Insulin, meters, diabetic tech are not magic wands. Its usage does not guarantee only "positive" results. Negative events can and do occur, period. Non -D- typically (incorrectly) equate negative events as being total user failure, severe user errors. As diabetics we get blamed, despite having made zero mistakes on our part. We make seriously educated best guesses, despite that truth, we can and do fail anyway sometimes! Outsiders falsely need to believe inulin, our tech are complete-total cures, rather than tiny bandages at best. When confronted for using (sic. my) "drugs" in public, no matter how invisibly done... it is their self righteousness , poor assessment which is the issue. I gladly squash such insects...
    • 2 days, 8 hours ago
      Karen Tay likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      No. I hate the clip on the case that came with my Tandem pump. I bought a couple of other cases, including Type 1 Tactical, and hate the bulk and the awful clips. I just stick the pump in my pocket and it's fine. At night I do use one of the other cases, from Type 1 Secura, because I can keep it clipped to my undies and easily slide the pump in/out if I have to look at it during the night.
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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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    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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    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.

      2 years 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
      2 years 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

      2 years 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
      2 years 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?????

      2 years 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
      2 years 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
      2 years 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
      2 years 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
      2 years 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
      2 years 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.

      2 years 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.

      2 years 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.

      2 years 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.

      2 years 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
      2 years 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
      2 years 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.

        2 years ago Log in to Reply
    17. Melinda Lipe

      Of course it is. Isn’t t everyone’s?
      I marked response “I do not know” 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.
      .

      2 years 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.

      2 years 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.

      2 years 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!).

      2 years 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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