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    • 1 hour, 58 minutes ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 hour, 59 minutes ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 2 hours ago
      D-connect 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." ╰── ──╮
    • 2 hours, 48 minutes ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 2 hours, 48 minutes ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      Extremely. I have a certificate in Medical Billing & Coding.
    • 6 hours, 28 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.
    • 6 hours, 29 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." ╰── ──╮
    • 6 hours, 41 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."
    • 6 hours, 41 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!
    • 6 hours, 42 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.
    • 6 hours, 58 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." ╰── ──╮
    • 7 hours, 3 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.
    • 7 hours, 15 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." ╰── ──╮
    • 1 day, 2 hours 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.
    • 1 day, 2 hours 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.
    • 1 day, 2 hours 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, 4 hours 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, 4 hours 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, 4 hours 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, 4 hours 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, 5 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, 5 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, 5 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, 6 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, 6 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.
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    On average, how many units of basal (background) insulin do you use each day?

    Home > LC Polls > On average, how many units of basal (background) insulin do you use each day?
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    If you wear an insulin pump that requires charging the battery, do you have a particular time or activity during which you charge your pump?

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    If you are a U.S. citizen, have you ever served on a jury in a legal proceeding while living with T1D? If so, were accommodations made for you to have food/drink, carry any devices, etc.? Share your experience in the comments!

    Sarah Howard

    Sarah Howard has worked in the diabetes research field 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.

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    24 Comments

    1. Steven Gill

      In 2019 I utilized 15 units as a basal dose. As my a1C progressively rose last year, October increased the basal to 27 a day, increased the “carbs to insulin” ratio to 14 grams carbs to 1 unit (was 16 grams to a unit).

      Last year my a1C rose from 7.2, 7.4, 7.8, than 7.9. Last month was 6.7…

      4
      5 years ago Log in to Reply
    2. Dustinweisz

      I’m on 1-3 units of basal, was using 10 units until this honeymoon period kicked in. Now I struggle to keep my blood sugar up during the work day. To exercise ive practically have to eat a meal and that lasts about 10-15 min of cardio.

      1
      5 years ago Log in to Reply
      1. Lawrence Stearns

        I’m completely with you on the exercise. I run, and I have to cut my runs short, every time because my blood sugars drop like a rock. I can’t even think about running unless my blood sugars are over 200. 250 works well. But, I don’t like getting my BS’s up that high. It’s the only way I can get my workout in.

        1
        5 years ago Log in to Reply
      2. Rose Lentzke

        Lawrence, have you created an exercise basal rate? It took me numerous attempts, but I’ve finally got it down to a rate where I can cycle 20-29 miles without having my blood sugar crash. If I do trend downward, I eat a small package of Mott’s fruit snacks.

        5 years ago Log in to Reply
    3. Sherolyn Newell

      I didn’t read the question accurately. I put in 20-30, but that’s my total average.

      5 years ago Log in to Reply
    4. Marthaeg

      I use 7 units per day

      5 years ago Log in to Reply
    5. gary rind

      When diagnosed 18 years ago, I was taking 28 units of Lantus (ugh) per day. Through exercising over time, it has slowly decreased to 13 units of Tresiba (yay)!

      2
      5 years ago Log in to Reply
      1. T1DGJ

        Gary, thx for posting. I have been on Lantus for decades, couldn’t figure out if Tresiba was a true substitute. But some talk of… digestive system issues?

        5 years ago Log in to Reply
    6. Nevin Bowman

      18.45 which is 55% of my daily total.

      5 years ago Log in to Reply
    7. Daniel Smith

      I don’t really like this question. A lot of people have it in their minds that more insulin is a bad thing. You need what you need. My basal changes throughout the year from 16 to about 24.

      10
      5 years ago Log in to Reply
      1. TEH

        I totally agree Daniel. After being T1D for over 30 years now, my insulin resistance has increased. Controlling my Diet better has helped. I also knew someone who was taking 5 times more insulin per day than I was.

        1
        5 years ago Log in to Reply
      2. ConnieT1D62

        I agree that we refrain from insulin shaming! There is no “good or bad” regarding amounts of how much insulin one needs for 24 hour basal/bolus coverage. It’s all individual and it is what it is depending on your genetics, age, activity & lifestyle choices and overall heath status.

        1
        5 years ago Log in to Reply
    8. Ken Raiche

      Amazingly enough ever since I switched to the keto diet my basal rate has more or less remained the same. So I average between 16 to 20 units per day and the tandem helps me with regulating my basal rate. Love my pump and CGM…..

      1
      5 years ago Log in to Reply
    9. TEH

      After downloading my reports from Minimed, I found the the Auto Basil is between 22.8 U (33%) the week before last and 24.1 U (36%) last week. This is with a corresponding auto mode of 83% and 97% respectively.

      5 years ago Log in to Reply
    10. Ahh Life

      6.06 units per day (16% of total daily insulin) I weigh 150 lbs (68kg). 80% is food bolus. 1% is correction bolus. 3% is Control IQ auto bolus.

      5 years ago Log in to Reply
    11. cynthia jaworski

      it would gbe interesting to see if basal doses correlate with age or duration of being T1.

      1
      5 years ago Log in to Reply
      1. T1DGJ

        I have been on 19-24 units if Lantus for decades. The small fluctuation over the years seems to only correlate to my weight.

        5 years ago Log in to Reply
    12. Becky Hertz

      20-30, with eating low carb (Dr. Bernstein).

      1
      5 years ago Log in to Reply
    13. Janis Senungetuk

      My 30 day average is 11.45 u, 47.3%. Thank you Tandem and Control IQ!

      1
      5 years ago Log in to Reply
    14. Molly Jones

      My basal is currently set to 7.8 units per day, but delivers @6.7 with control IQ.
      My insulin sensitivity keeps increasing yearly and seems to have nothing to do with physical activity.
      Maybe the amount of glucose your brain uses makes an impact. It takes more energy to think as I age or I am having lots of small focal seizures. Who knows.

      5 years ago Log in to Reply
    15. Jan Masty

      I had been using 10 but , in spite of nothing else hanging but time, I now use 13

      5 years ago Log in to Reply
    16. Janice B

      I use between 12 & 14 units of basal a day a bit more than 1/2 of my daily insulin.

      5 years ago Log in to Reply
    17. Karen Milton

      I am really curious as to how lifestyle (keto diet vs. high-starch-plant-based) affect our basal dose. I am following the high-starch low-fat plant based diet, and my basal dose is 14 (about half my daily amount).

      5 years ago Log in to Reply
    18. Cheryl Seibert

      About 6.5 units of basal.

      5 years ago Log in to Reply

    On average, how many units of basal (background) insulin do you use each day? Cancel reply

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