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    • 13 hours, 22 minutes ago
      KarenM6 likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Moderately. My doctor and pharmacy are awesome, my insurance and durable medical equipment supplier, not so much. The excessive red tape of paper to get DME supplies shipped is almost always a nightmare!
    • 13 hours, 28 minutes ago
      KarenM6 likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Run, don’t walk from Edgepark! Read my response to Nevin Bowman above! (Hint: the company I was referring to in that post was Edgepark)
    • 13 hours, 28 minutes ago
      KarenM6 likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I once had a supplier withhold old pump supplies while refusing to ship the order for a new pump and I was on a 3-way call with insurance and got to listen to DME lie directly to Insurance about it and then I had the pleasure of interjecting and getting to call them a liar! I would have been more vindicated if it actually accomplished anything, but after I finally got my shipment I fired that DME and never looked back. The red tape that insurance insists on for DME is excessive for chronically ill patients!
    • 13 hours, 37 minutes ago
      kristina blake likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      After doing this weighing and measurements you get pretty good at estimating
    • 14 hours, 58 minutes ago
      Patricia Dalrymple likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 16 hours, 9 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      Been doing it for so long it's mostly estimation at this point. Every once in a while at home I'll measure out exact portions of rice, pasta, etc to remind myself just how SMALL portions should be as I tend to let them get a little bigger over time. (wishful thinking) Very helpful to have that image in mind at restaurants where portions tend to be way larger than a single serving.
    • 16 hours, 9 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      Yes, for me never weighing or measuring but actively using the Calorie King book and app for several years I have most things memorized or I can make a decent assessment.
    • 16 hours, 9 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      After doing this weighing and measurements you get pretty good at estimating
    • 16 hours, 9 minutes ago
      Kathy Hanavan likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 17 hours, 4 minutes ago
      Lawrence S. likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 17 hours, 44 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Well, since I'm waiting on pump supplies for 2 months now, my confidence is slipping.
    • 17 hours, 44 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am confident about access to my medical needs in the immediate future. I am not a fortune teller and have no idea what my access to medical supplies will be like in a year or longer. I don't take my spoiled lifestyle for granted.
    • 17 hours, 45 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 17 hours, 51 minutes ago
      Amanda Barras likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am worried about the changes to Medicare making no provision for getting an immediate replacement if a pump fails. It sounds like we will have to get these from the suppliers instead of a warranty replacement from Tandem themselves (or whatever brand you use). Pumps will be rented and will have to be returned so they can verify the problem before replacing them, which is ridiculous. Meanwhile, Medicare would not pay for us to get long acting insulin as a temporary replacement for the basal.
    • 17 hours, 58 minutes ago
      Amanda Barras likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      After doing this weighing and measurements you get pretty good at estimating
    • 18 hours, 1 minute ago
      Derek West likes your comment at
      How often do you guess or estimate carbohydrate amounts rather than calculating precisely?
      I chose "Often". If I eat something packaged with a nutrition label, I'll use the carbs listed on the label. If I eat a plate of food, at home or at a restaurant, I estimate.
    • 20 hours, 34 minutes ago
      Ahh Life likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      So far since Jan 1, ‘26, I’ve spent nearly 30 hours on the phone battling and trying to get Medicare covered diabetes supplies. Called 5 different suppliers t get what I need to use my pump.
    • 20 hours, 35 minutes ago
      Ahh Life likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      You are too modest. That hurdle is on fire and you have to juggle chainsaws as you jump over it. Congratulations and good luck making it over the next one in 90 days.
    • 1 day, 10 hours ago
      KarenM6 likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 1 day, 12 hours ago
      Kristi Warmecke likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      Well, since I'm waiting on pump supplies for 2 months now, my confidence is slipping.
    • 1 day, 12 hours ago
      Laurie B likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 1 day, 12 hours ago
      Kristi Warmecke likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I answered slightly. I'm absolutely certain supplies and medication will be available. However, I'm doubtful they will be affordable. If I can't afford them, I can't access them.
    • 1 day, 13 hours ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I am confident about access to my medical needs in the immediate future. I am not a fortune teller and have no idea what my access to medical supplies will be like in a year or longer. I don't take my spoiled lifestyle for granted.
    • 1 day, 13 hours ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I've often said that "hoarding": is a character asset for T1D people. I try to purchase (paying out of pocket) a 60-90 day supply - just in case). I have a new health plan,. effective 1/1/26. AS we know, getting an appt with an HCP isn't easy. They have to be accepting new patients, they have to be in network etc. Once I knew what my new policy would be (nov 2025) I made an appt. The earliest appt I could get was in Sept 2026. Thank goodness for my stash of device supplies. I had to go to Urgent care to get an Rx for insulin (my old HMO plan "doesn't do bridge refills"). So yeah, I worry, and plan for hiccups in the supplies process.
    • 1 day, 13 hours ago
      Lawrence S. likes your comment at
      How confident are you about having consistent access to the diabetes supplies and medication you need?
      I answered slightly. I'm absolutely certain supplies and medication will be available. However, I'm doubtful they will be affordable. If I can't afford them, I can't access them.
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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?
    Previous

    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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