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    • 3 hours, 10 minutes ago
      Kathy Hanavan likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 3 hours, 11 minutes ago
      atr likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 3 hours, 23 minutes ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Roughly half my lows are caused by my auto correct system now. I expect AI hallucinations to make it worse. I have enough hallucinations when I'm low and need non-hallucinatory help. We all need more info on this subject to make better decisions. As my favorite 80's AI robot (Johnny 5) said, "Need input."
    • 3 hours, 24 minutes ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I'm not comfortable for many reasons: 1) AI hasn't proven respects boundaries, quite the opposite, too many reports of AI tend to view its responsibilities and decisions as NOT mine; 2) the companies behind AI systems do likewise in not respecting my data as mine and jumble it in with their own; 3) AI systems haven't proven themselves as reliable parties regarding data and actions. There are many more; AI systems have a long way to go before I entrust one with dosing strategies while I'm awake, let alone while I'm asleep!
    • 3 hours, 24 minutes ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’ve done a large 2 week focus group through Syracuse University on AI. I’ve also been watching shows on European news about AI and medical issues. AI still has too many glitches when it comes to medical issues.
    • 3 hours, 40 minutes ago
      TEH likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 3 hours, 46 minutes ago
      Lawrence S. likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 3 hours, 57 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 23 hours, 28 minutes ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 23 hours, 30 minutes ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 23 hours, 31 minutes ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’m uncomfortable not knowing when and when it isn’t being used, but I’m not sure why really. A “singer” named Benny Rivers popped up in one of my feeds. I really liked the music, until I found out it was a total AI fabrication. Then I was uncomfortable. Why? I felt “taken”, like someone pulled a fast one on me, pulled the wool over my eyes. I liked the music less then. I didn’t like that I couldn’t find a tour date, things like that. But I was most uncomfortable not truly understanding why it made me uncomfortable. The music was still enjoyable.
    • 1 day, 1 hour ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 1 day, 1 hour ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 1 day, 1 hour ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 1 day, 1 hour ago
      Natalie Daley likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I am comfortable using AI as a helpful tool, while fully cognizant of hallucinatory tendencies. If I may paraphrase a famous writer about a week ago analyzing universities (as well as AI): “the over-intellectualized nature of academic culture—the idea that all inquiry should be depersonalized, dispassionate, data-driven, objective. Being a good person is more about having the right emotions, perceptions, and intentions toward others in the concrete circumstances of life than it is about logic-chopping games and dry dissertations.” 𐚁
    • 1 day, 2 hours ago
      Kathy Hanavan likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 1 day, 2 hours ago
      Kathy Hanavan likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 1 day, 2 hours ago
      Kathy Hanavan likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I am comfortable using AI as a helpful tool, while fully cognizant of hallucinatory tendencies. If I may paraphrase a famous writer about a week ago analyzing universities (as well as AI): “the over-intellectualized nature of academic culture—the idea that all inquiry should be depersonalized, dispassionate, data-driven, objective. Being a good person is more about having the right emotions, perceptions, and intentions toward others in the concrete circumstances of life than it is about logic-chopping games and dry dissertations.” 𐚁
    • 1 day, 2 hours ago
      John Barbuto likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 1 day, 2 hours ago
      John Barbuto likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 1 day, 2 hours ago
      John Barbuto likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      Sure, if you can call it a plan to flush with liquids and take electrolytes and insulin as needed.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      Inject. Inject. Inject. All other considerations are secondary, tertiary, or way down the list. Why would anyone ever rearrange the deck chairs on the Titanic? Might as well strike up the band to play Nearer My God to Thee!. ☹
    • 1 day, 3 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all the deliberately misleading information out there, AI cannot discriminate. And, each patient is completely different in their rate of things like food digestion or insulin absorption. AI really is not up to this. And it cannot differentiate between highs due to stress of traveling, which go down as soon as I arrive, and highs due to illness, which can stay high for days, and gradually taper to normal at some variable rate. Once I was high due to illness, got better and then worse. I am afraid of getting too much insulin. It lasts 5 hours in the blood, including the basal amount. And the AI not being able to correct fast enough.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      It would depend on the symptoms and vary.
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    On average, how many correction boluses do you give yourself in a day (excluding food boluses)?

    Home > LC Polls > On average, how many correction boluses do you give yourself in a day (excluding food boluses)?
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    How often do you “rage bolus,” giving yourself several correction doses for a stubborn high glucose?

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    Has the Department of Motor Vehicles (DMV) ever asked if you’re insulin dependent when obtaining or renewing a driver's license?

    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. 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    30 Comments

    1. Trina Blake

      I answered 7-8 a day. I have a self-determined range with 140 considered high. Sometimes, if I don’t have any IOB and I am anywhere from 110-130, I will do a correction. As an example, if I have a 120 bg, I enter a bolus for that reading. I always check the calculation to see what the correction would be with no IOB, and also take into account that I may have FOB (food on board). Most of my corrections are itty-bitty.

      1
      2 years ago Log in to Reply
    2. ConnieT1D62

      Depends on what life with T1D circumstances are for the day. Could be none or one, two, three or more. It comes down to what would my pancreas do if it had functioning beta cells? I use a Tandem X2 with CIQ so I really don’t worry about it too much because the pump algorithm has me covered.

      2
      2 years ago Log in to Reply
    3. Lawrence S.

      According to my TConnect monthly results, I take roughly 2.571428571428571 correction boluses per day. My Tandem X2 pump, with Dexcom sensor, and Control IQ do almost all of the correction boluses.

      2 years ago Log in to Reply
    4. Sherolyn Newell

      I picked other because it depends on what I eat and how fast it digests. If I eat something like pizza, I do and extended bolus and still have to do several corrections over the next 4 to 6 hours.

      1
      2 years ago Log in to Reply
    5. Bill Kast

      I am using a closed loop system and there are constant adjustments to my basal delivery; sometimes extra insulin if I am high, other times no insulin delivery if I am low. This works pretty well for me but it is not perfect. For two years I used the Loop software that is not FDA approved (“home built”) and now I am using Omnipod 5.

      2 years ago Log in to Reply
    6. Patricia Dalrymple

      It all depends on the meal and I don’t eat the same things everyday, especially now that I am retired. If I eat what I want I take 3-4. If I eat like I should, 1-2.

      2 years ago Log in to Reply
    7. mojoseje

      When I’m in Automode, square and dual modes aren’t available so I bolus before eating for carbs and then two hours later for fats and proteins.

      2 years ago Log in to Reply
    8. Anne Blayney

      I have gastroparesis, so even though I have my doses dialed in pretty well, I have to bolus conservatively for food and then add corrections because my digestion is so unpredictable. CIQ does help but not enough to handle the gastroparesis-induced delays.

      1
      2 years ago Log in to Reply
    9. Edward Geary

      Good timing, I happen to seeing my endo later today and this issue is at the top of my list. My carb ratio seems to vary day to day.

      1
      2 years ago Log in to Reply
    10. Daniel Bestvater

      I use CIQ but still average about 4 boluses a day. I also need to use small quantities of carbohydrate 2-3 times per day if I move around at all. CIQ does a good job if I sit at my desk all day, eat lightly and don’t move around too much. With CIQ even a 10-15 minute light walk will make me hypoglycaemic without some form of carbohydrate.

      2 years ago Log in to Reply
    11. Kristen Clifford

      My pump and CGM have an auto-correct feature that dispenses insulin when my CGM senses that my sugar is getting high.

      2 years ago Log in to Reply
    12. mlettinga

      My Dexcom control Q is constantly adjusting during the day from giving bolus to stopping Basel. I counted one day and it was over 10.

      2 years ago Log in to Reply
    13. Mary Boudousquie

      Now that I am using an iLet Beta Bionic pump, I am unable to do correction boluses as the pump does it automatically. When I was on another pump I gave myself 2-3 corrections per day.

      2 years ago Log in to Reply
    14. Janice B

      All depends- there are many days with no corrections and then others that may have 1 or 2. Hard to give a definitive answer.

      2 years ago Log in to Reply
    15. Stephen Woodward

      Running Tandem CIQ in Sleep mode requires attention to and dosing for corrections.

      2
      2 years ago Log in to Reply
    16. Amanda Barras

      I rage bolus as needed throughout the day due to insulin resistance. But chose 3-4 for an average. But on bad days 6+.

      2
      2 years ago Log in to Reply
      1. Mary Coleman

        me too.

        2 years ago Log in to Reply
    17. Janis Senungetuk

      I picked 3 to 4, but that’s not including the multiple mini doses the CIQ app on my pump makes during the day. It definitely varies by what I’m eating and my activities.

      2 years ago Log in to Reply
    18. Steven Gill

      My “in range” is 70-130 (compared to the manufacturer’s suggestion 70-180 that’s becoming accepted by many physicians). I don’t need to do many corrections through the day, if I were comfortable to be in that range 70% of the time (the goal?) wouldn’t need to do any. Even if Medtronic’s algorithm does well, I’m more confident in my own experience.

      2 years ago Log in to Reply
    19. Sheri Marcus

      I chose other because i started on the iLet Bionic Pancreas a couple months ago. Yay! My A1C dropped from 10.9 end of December 2023 to yesterday March 5th – 7.5.
      Whooo hooo! But you do not do any correction boluses it is automatic.

      2 years ago Log in to Reply
    20. Sherrie Johnson

      So many variables this is kind of a nothing question

      2
      2 years ago Log in to Reply
    21. Russell Buckbee

      I suspect that we would not have to give so many correction boluses,if the pumps were able to use their full algorithm. I understand that they give automatically 60% of what the algorithm indicates. I suspect that the lawyers advise them not to use the 100%.

      2 years ago Log in to Reply
    22. Becky Hertz

      I said 1-2, but it really depends on the day. Cause like every thing else diabetes, it’s never the same.

      2 years ago Log in to Reply
    23. KCR

      Some weeks, none; others, 1-2. Weird!

      2 years ago Log in to Reply
    24. James Cheairs

      Since I am on an AID system – Loop – and have that set to autobolus for corrections, this question is not relevant for me.

      2 years ago Log in to Reply
    25. Mick Martin

      On most occasions, my pump, coupled with my CGMS delivers any correction boluses that may be required.

      Rarely, if my insulin infusion set becomes detached or, indeed, blocked, I will give myself a correction bolus of injectible insulin, then allow the pump and CGMS to ‘take back over’.

      2 years ago Log in to Reply
    26. Anita Stokar

      I put other as the answer may be 0 or it may be 6. Just depends how my sugar levels are on a particular day.

      2 years ago Log in to Reply
    27. mbulzomi@optonline.net

      As I stated in the last question, Tandem X2, Control IQ is far too slow!

      2 years ago Log in to Reply
    28. Thomas Emge

      The AID system does it for me.

      2 years ago Log in to Reply
    29. T1D4LongTime

      I run Tandem’s Sleep Mode 24/7 so the pump’s auto-correction is not active. I have to manually do corrections. About 1-2 per day.

      2 years ago Log in to Reply

    On average, how many correction boluses do you give yourself in a day (excluding food boluses)? Cancel reply

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