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    • 3 hours, 14 minutes ago
      Jeremy Hanson likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      And sometimes I dream that I’ve run out of insulin and cannot get prescription refilled.
    • 5 hours, 7 minutes ago
      ConnieT1D62 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I providee an answer of low BG. But with that said, it is usually a false alarm (compression low from Dexcom sensor) With the stable bedtime BG and a TSlim X2 pump using CIQ and Sleep Mode, I consistently sleep between about 85 and 110 every night. The key to this is going to bed with a stable BG (85-110) and not having any IOB.
    • 5 hours, 11 minutes ago
      ConnieT1D62 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      While middle-of-the-nght alerts are frustrating and irritating, I'm no longer terrified of dying from an extreme low in the middle of the night, so technology is still a win for me!
    • 6 hours, 47 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 6 hours, 49 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      The same as Carrolyn Barloco. I often get messages in the middle of the night that my blood glucose level was either high or low 2, 3, or 4 hours ago. This is a completely useless piece of information, and absolutely NO REASON to wake me up. This is nothing but an ANNOYING alert. Tandem and Medtronic, if you're listening, please remove this function from your pumps.
    • 6 hours, 49 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 6 hours, 51 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yeah. Totally agree! This is totally unnecessary and extremely annoying.
    • 6 hours, 51 minutes ago
      Janis Senungetuk likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My most frequent and favorite !!?? alarm at night is the one that tells me I had a high two hours ago! Duh!!!
    • 7 hours ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 7 hours, 1 minute ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      The same as Carrolyn Barloco. I often get messages in the middle of the night that my blood glucose level was either high or low 2, 3, or 4 hours ago. This is a completely useless piece of information, and absolutely NO REASON to wake me up. This is nothing but an ANNOYING alert. Tandem and Medtronic, if you're listening, please remove this function from your pumps.
    • 7 hours, 2 minutes ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yes, I appreciate device improvements but some are just plain annoying and make a difficult journey Worse, not better. And the main complaint is unnecessary alerts the user cannot adjust.
    • 7 hours, 3 minutes ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My most frequent and favorite !!?? alarm at night is the one that tells me I had a high two hours ago! Duh!!!
    • 7 hours, 3 minutes ago
      KarenM6 likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yeah. Totally agree! This is totally unnecessary and extremely annoying.
    • 7 hours, 8 minutes ago
      Wanacure likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Why isn't going to the bathroom not on this list?
    • 7 hours, 12 minutes ago
      Wanacure likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 7 hours, 28 minutes ago
      TEH likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My most frequent and favorite !!?? alarm at night is the one that tells me I had a high two hours ago! Duh!!!
    • 7 hours, 51 minutes ago
      Steven Gill likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      My pump, "I need to BG! I need to BG!" Such a cry baby it is!
    • 8 hours, 45 minutes ago
      Robin Melen likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 9 hours, 32 minutes ago
      Mick Martin likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 9 hours, 34 minutes ago
      Mick Martin likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      Yes, I appreciate device improvements but some are just plain annoying and make a difficult journey Worse, not better. And the main complaint is unnecessary alerts the user cannot adjust.
    • 9 hours, 59 minutes ago
      Anneyun likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 10 hours, 40 minutes ago
      Sue Martin likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I wake up with physical effects of lows. Odd thing is that if I am dreaming, I will often have the same effects within my dream. Like I will be on a plane to some exotic location and start searching for snacks! Does this happen to anyone else?
    • 11 hours, 12 minutes ago
      T1diabetic likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      I get a notice of high glucose levels that occurred several hours ago!! WHY?
    • 11 hours, 13 minutes ago
      T1diabetic likes your comment at
      When your sleep is disrupted because of T1D, what are the most common causes? Select all that apply to you.
      The same as Carrolyn Barloco. I often get messages in the middle of the night that my blood glucose level was either high or low 2, 3, or 4 hours ago. This is a completely useless piece of information, and absolutely NO REASON to wake me up. This is nothing but an ANNOYING alert. Tandem and Medtronic, if you're listening, please remove this function from your pumps.
    • 11 hours, 34 minutes ago
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      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I stopped using those sites and paid more attention to rotation of available ones.
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    On average, how many adjustment boluses would you estimate you manually give yourself in a day? For the purposes of this question, these “adjustment boluses” do not include insulin automatically dosed by an algorithm without user input, and exclude doses given when also bolusing for food.

    Home > LC Polls > On average, how many adjustment boluses would you estimate you manually give yourself in a day? For the purposes of this question, these “adjustment boluses” do not include insulin automatically dosed by an algorithm without user input, and exclude doses given when also bolusing for food.
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    Have you ever accidentally given a bolus of insulin in your sleep?

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    If CGMs existed when you were diagnosed with T1D and you wanted to use one, did you have to wait to get a CGM for any reason? Select all of the below options that apply to you.

    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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    44 Comments

    1. LizB

      I chose 3-4 although some days it’s definitely more. I am my own algorithm.

      8
      9 months ago Log in to Reply
      1. Annie Wall

        I could say exactly the same thing (though I would never have come up with being my own algorithm!) you haven’t copyrighted that, have you? 😉

        2
        9 months ago Log in to Reply
    2. PamK

      Lately it’s been 3 or 4 per day, but I am adjusting my settings, again. Hopefully, we’ll get them right this time and I won’t need to bolus as often.

      9 months ago Log in to Reply
    3. Kathy Hanavan

      I have CIQ, but it is not fast nor aggressive enough, so I often supplement with little doses in addition.

      4
      9 months ago Log in to Reply
    4. Amanda Barras

      3-4, my pump isn’t aggressive enough when correcting highs. It also won’t bolus for more carbs after a carb bolus is already taken. If I decide on another serving or dessert I have to manually enter it sometimes.

      3
      9 months ago Log in to Reply
    5. Jennifer Wilson

      I have spoken with two diabetes educators and they encourage several “micro boluses” throughout the day.

      1
      9 months ago Log in to Reply
      1. Lyn McQuaid

        I do the same thing as far as “microboluses” although think of it as “bumping and nudging”, which is a phrase I picked up from the Juicebox podcast.

        3
        9 months ago Log in to Reply
    6. Paul Hanson

      Honestly, the algorithms do their best, but they just aren’t there yet. Believe this is secondary to the pharmacokinetics/pharmacodynamics of even our fastest acting injectable insulins…

      9 months ago Log in to Reply
      1. Ahh Life

        Paul Hanson: This poses the most interesting and intriguing question — Is machine perfection (algorithms) ever able to achieve biological perfection? I suspect not, but artificial intelligence (AI) may prove me wrong. ¯\_( ͡° ͜ʖ ͡°)_/¯

        9 months ago Log in to Reply
    7. KCR

      I will take a short walk or do a bit in the yard to deal with a BG spike.

      1
      9 months ago Log in to Reply
    8. Hieromonk Alexis

      I don’t keep a running record of when this happens, but some days I don’t need to do this at all, while on others it’s 3 or 4 times, so I said “2.” Unfortunately it’s impossible to predict where the blood sugars will go in response to either food or insulin. — too many surprises.

      3
      9 months ago Log in to Reply
      1. AnitaS

        I can’t say I have a typical day so setting a basal or bolus rate that will work everyday for me is impossible. Some days are zero adjustments but some days can be 3 to 4, possibly more.

        9 months ago Log in to Reply
    9. Tom Riffe

      Like others I override algorithm and manual bolus 1 or 2 unit to bring higher than I like BG down faster and allow the algorithm to turn off pump/basal if it predicts low and I don’t go low with this approach.

      1
      9 months ago Log in to Reply
    10. kristina blake

      I – like many others – am very aggressive in my T1D mgt. I also don’t tolerate bg’s above 140 very well (heartburn et al). So I mini-bolus often, pay attention to the trend arrows and at times use temp basal increases as well. I use Tandem BIQ (CIQ isn’t aggressive enough and the target is too high for me)

      2
      9 months ago Log in to Reply
    11. Daniel Bestvater

      When I am active during the day I turn CIQ off cut my basal to 50% and do manual bolusing if needed. If I move around at all during the day CIQ will over-bolus and make me severally hypoglycemic even in exercise mode. For me I can only use CIQ when doing office work and at night. CIQ needs the option to decrease basal when active otherwise it is too little too late.

      9 months ago Log in to Reply
    12. Jeanne McMillan-Olson

      It can vary a lot from day to day, but usually have to do correction boluses every day.

      3
      9 months ago Log in to Reply
    13. pru barry

      Great question, as it brings up the need to let the algorithm do its work without a lot of human intervention. I recently had this spelled out to me by my endo, and have been trying really hard to give the pump a chance to work its magic. With 68 years of chasing blood sugars, it became second nature to bolus often, but
      now that I understand the system better, I’m trying really hard to allow the algorithm to work. This is a very recent endeavor, so wish me luck. Better understanding of how it all is supposed to work would have eliminated my having to wait for the algorithm to gain its sea legs. I hope there will be more discussion on this.

      2
      9 months ago Log in to Reply
      1. cynthia jaworski

        how does your time in range compare to before you let the machine handle it?

        1
        9 months ago Log in to Reply
      2. pru barry

        My time in range was well within the hoped for span before I started doing it in the Tandem preferred manner. Will have to wait a little while to see if there is an improvement with the recommended method. If newer questions pursue this discussion, I’ll be glad to let you know.

        9 months ago Log in to Reply
    14. Marty

      I tried to let Tandem Control IQ do its thing without interference, like my CDE wants me to, but it just wasn’t working well with my exercise routine. “Stealth” boluses brought me too low during vigorous exercise even in “exercise” mode, with its higher BG targets. Now I’m staying in “sleep” mode all day to avoid automatic “correction” boluses and bolusing corrections myself if/when needed. That’s working well so far. t:connect tells me that I’m in range (70-170) 96% of the time this way with far fewer lows. I’ve heard that Tandem is working on an option for a more vigorous exercise mode and I’d love to try that when it’s available.

      9 months ago Log in to Reply
    15. cynthia jaworski

      I was very glad this question was asked. I answered 3-5 because that is the maximum, although there are days when none is needed. Typically my time in range is 95% or better. I had been wondering if others beside me take this approach.

      1
      9 months ago Log in to Reply
    16. Lawrence S.

      I answered “one time per day”. However, that may not be accurate. I don’t pay attention to how often I manually adjust my boluses. As others have said, some days not at all, other days 3-4. It all depends on where my blood sugars are, and what I’m doing that day. I do use the Tandem Basal IQ, but often, it just does not give me enough insulin to get my BS where I want it to be.

      9 months ago Log in to Reply
      1. Lawrence S.

        I apologize. I do not use the Tandem Basal IQ; I use the Tandem Control IQ.

        9 months ago Log in to Reply
    17. Sherolyn Newell

      I don’t have a closed loop yet, so any adjustments are done by me. The number of adjustment boluses depends on what I eat and how well I guess the carbs. Lately, any fat at all in the food delays the BG rise by several hours. So I do delayed bolus. Even with that, I sometimes have to bolus again to cover something like pizza or lasagna.

      9 months ago Log in to Reply
    18. Drina Nicole Jewell

      I micro dose because I prefer my blood sugar lower than what my tandem has set. So 110 while a fabulous blood sugar I prefer lower and so I micro bolus to keep me there.

      1
      9 months ago Log in to Reply
    19. Randell Cole

      4 or 5 on ovation more, would be wonderful
      To never have too do any

      9 months ago Log in to Reply
    20. Mary Dexter

      It varies. LADA for 18 years. The amount of insulin I produce, and therefore the amount I need to inject, varies. But I note when and how much I correct, and that information determines my future basal and bolus amounts.

      9 months ago Log in to Reply
    21. Randell Cole

      4 or more some days, I believe doctors encourage higher higher numbers then they should, they are more scared by lows than highs then were are, you will never be close to normal with that approach. Yes I go low more than I like but I keep trying. I hate Any thing over 140 after a meal.

      2
      9 months ago Log in to Reply
      1. Patricia Dalrymple

        Me as well. Highs make me feel awful. Lows I just eat. They don’t bother me. I’m lucky.

        9 months ago Log in to Reply
      2. Lawrence S.

        I’m with you on that. However, my doctors have told me that the word has been given to medical folks about the dangers of low blood sugars because of diabetics getting into car crashes. So, to counter that, I always check my blood glucose before I drive, and I keep a constant eye on my BG while I am driving.

        9 months ago Log in to Reply
    22. Stephen Woodward

      I run T:slim in Sleep 24/7 so I do my own adjustment boluses throughout the day.

      9 months ago Log in to Reply
    23. Anneyun

      How much time do you all wait before giving a bolus? They say to wait 2 hours before “correcting”, but I don’t always wait. But then I sometimes go too low.

      9 months ago Log in to Reply
      1. Patricia Dalrymple

        Hi anneyun: I wait 2.5 hours so everything is mostly digested. I know I will need more but if I bolus too early, I will go low.

        1
        9 months ago Log in to Reply
      2. Robert Brooks

        Exactly. Hard to wait when a high is stubborn.

        2
        9 months ago Log in to Reply
      3. Lawrence S.

        I expect my blood sugars to go up somewhat after I eat. But, if it goes up too much, I go to the bolus screen, without waiting, and let the pump algorithms figure out how much more I need, or on some occasions, make an educated guess.

        9 months ago Log in to Reply
      4. Steven Gill

        Used to wait several hours until I learned confidence in my CGM. My “upper” alert is now set for 130 , the alarm goes off at 125. If there are arrows will add at least 1/2 unit, 3 arrows maybe 1-2 regardless of the timing. My levels are practically straight just after meals now (I bolus 20-25 minutes before eating lunch, 15-20 minutes before dinner) so if they rise I try to stop that rise.

        ie: Bought a huge lunch yesterday, maybe 30 minutes after eating the alarm went off 126 – 2 arrows, took 1 unit. Another alarm at 144 maybe45 minutes later? another unit, stabilized close to 120. ( After 20 years in mid 6-low 7 my 30 average on my CGM reads 112, my glucose meter 117. Possible a1C at mid to high 5 with fewer hypo episodes +lowered basal as well).

        1
        9 months ago Log in to Reply
    24. Becky Hertz

      Wasn’t quite sure how to answer this question. I override suggested boluses/corrections depending on the arrow of the CGM, if I’m eating foods that I know require less/more, trying to bring down a stubborn high, etc.

      1
      9 months ago Log in to Reply
      1. Becky Hertz

        I also don’t use either BIQ or CIQ.

        9 months ago Log in to Reply
      2. kflying1@yahoo.com

        If you’re referring to the arrows on a DEXCOM CGM – don’t. Being kinda crippled, I’ve had the time and inclination to track by every 5 minute reading, the numbers and arrows – they numbers are accurate, the arrows fluctuate all over the place. I’ve tracked the numbers staying the same for 3 readings – all with 45 degree down arrows. Vertical up or down arrows while the numbers change by 3 or 4 and more. That’s watching the display closely for over 6 months. Hundreds of examples. Trust the numbers and the chart.

        9 months ago Log in to Reply
    25. Robert Wilson

      Not using a pump so I manually adjust everything.

      9 months ago Log in to Reply
    26. stillarobyn

      I’d say anywhere between 1 and 3 a day, but usually i leave it to automode

      9 months ago Log in to Reply
      1. mbulzomi@optonline.net

        Can you tell us what brand of pump you are using?

        9 months ago Log in to Reply
    27. mbulzomi@optonline.net

      I answered Two (2). I find my Tandem Control IQ is too slow, so I give myself a correction Bolus. most of the time I’m right on target!!

      9 months ago Log in to Reply
    28. Bea Anderson

      Wish I didn’t have to, but glad the option is there. Blood sugars have been wonky. Two wks ago all was golden. Now that previously great basal rate needs 150% temp. Or higher/lower.

      9 months ago Log in to Reply

    On average, how many adjustment boluses would you estimate you manually give yourself in a day? For the purposes of this question, these “adjustment boluses” do not include insulin automatically dosed by an algorithm without user input, and exclude doses given when also bolusing for food. Cancel reply

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