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    • 58 minutes ago
      Kristi Warmecke 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. 😬
    • 3 hours, 31 minutes ago
      Lee Tincher likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      If I could get a CGM that is consistent and predictable I'd be very happy with the Twiist or the Tandem. The weak point with pumps used to be infusion sites, but now that we are relying on poor performing technology to support potentially great algorithms itis quite frustrating.
    • 5 hours, 25 minutes ago
      Beckett Nelson likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 6 hours, 49 minutes ago
      John Barbuto likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      I have been using a insulin smart pen for the last 2 years; I find that it meets my current needs to ensure good management and results
    • 7 hours, 33 minutes ago
      Lawrence S. 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. 😬
    • 7 hours, 34 minutes ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 8 hours, 7 minutes ago
      Gerald Oefelein 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. 😬
    • 19 hours, 57 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 19 hours, 57 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 21 hours, 11 minutes ago
      Neha Shah likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience people have heard of Type 2 Diabetes so if I say Type 1 that makes sense in that if there is a Type 2 there must be a Type 1 also. That is the extent of their understanding. In healthcare there is a bigger failure where "diabetes" or "type 2 diabetes" is used as a shorthand of a set of conditions often seen together. See any research paper by any cardiologist ever. This lack of precision leads to incorrect risk evaluations and incorrect treatment of people with diabetes caused by other factors including autoimmune aka Type 1.
    • 1 day ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      I have, and I do show calcium build up and hardening of the arteries. No action has been taken yet at this time. However, I am taking Repatha for better control of my cholesterol and it has been working great.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Thank you. Your write up is concise, cogent, and convincing. 🎀
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      After 16 stents and a new aortic valve, I've had every scan imaginable and she just keeps on tickin'.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Just googled it and most insurance plans including basic Medicare do not cover it. Said cost ranges $100-400 with out-of-pocket being $100-150 (although I don’t understand that if not covered by insurance).
    • 1 day, 4 hours ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 4 hours ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 1 day, 5 hours ago
      Lynn Smith likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 8 hours ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      This is a good question! but it does lead to so many other questions.
    • 1 day, 8 hours ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      If the mystery train is your favorite form of conveyance, then you’re gonna love T1D. You may choose to be in a universe that is spiritually arid. Or you may choose to live in the harsh realities of reality. Up & down arrows and double arrows? I Love ‘em. Can and do take action immediately. 🙇‍♀️ 🙇‍♀️
    • 1 day, 8 hours ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      T1D & T2D are meaningless acronyms for most, nearly all, nondiabetics. Juvenile diabetes vs diabetes is the closest known pairing and that's still few.
    • 1 day, 8 hours ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 8 hours ago
      Mike S likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
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    On average, how many units of insulin do you typically use in a day?

    Home > LC Polls > On average, how many units of insulin do you typically use in a day?
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    If you have worked a job while living with T1D, in your current job, which of these statements are true about your experiences with leaving for medical appointments? Select all that apply. (If you do not currently work, please answer for your most recent job.)

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    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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    32 Comments

    1. Elena Sainz

      0.3 u/kg

      4 years ago Log in to Reply
    2. Mark Schweim

      Sometimes as high as 30/day, sometimes as low as 12/day, but average TDD of 23.49 units/day according to pump history.

      1
      4 years ago Log in to Reply
    3. Dave Akers

      This question is weighted towards those pts on liquid meal time insulin. TI or Inhaled insulin requires more units vs. the “Logs” still yields phenomenal results.

      4 years ago Log in to Reply
    4. Amanda Barras

      Regular Diet: 150U/day
      Low Carb Diet: 75-85U/day
      Insulin resistance sucks!

      4 years ago Log in to Reply
    5. Patricia Kilwein

      I marked other because of having an insulin pump. I have a 300 unit reservoir. I go through the 300u every 36 hours.

      1
      4 years ago Log in to Reply
    6. Dan Heller

      this is an odd question because insulin is directly proportional to one’s weight, with the coefficient to adjust to insulin resistance (or glucose resistance for those rare individuals).

      See this paper:
      Long-term changes in insulin action and insulin secretion associated with gain, loss, regain and maintenance of body weight
      https://pubmed.ncbi.nlm.nih.gov/10663214/

      If the question had people input their daily insulin AND their weight, we’d get a sense of how much insulin resistance there is among the community.

      5
      4 years ago Log in to Reply
      1. cynthia jaworski

        insulin resistance was not the issue here.

        4 years ago Log in to Reply
      2. Louise Robinson

        Since you asked, my weight is 120 lbs (BMI 21.3) and I usually average 18 units per day. I have a high insulin sensitivity factor between 95 and 100. I follow a reduced carb diet (now 110 total carb grams per day) and exercise regularly. I’m in my early 70’s and was dx’d Type 1 in 1976. I’ve been successful in keeping my A1c in the low to mid 6’s. I have no doubt that were I to increase my carb intake and reduce my exercise (which would likely result in weight gain) that I would require more insulin.

        2
        4 years ago Log in to Reply
    7. kristina blake

      Mine TDD varies – a lot. I need to lose about 15-18 lbs and so if I am in range, and steady I don’t eat. If my bg is higher than desired (120+) I correct and don’t eat. On those days when I am hungry about 30 units a day.

      4 years ago Log in to Reply
    8. Joan Fray

      15 units a day. Weight 130 -135. How does that correlate? I eat almost zero carbs, but still need insulin.

      4 years ago Log in to Reply
      1. AnitaS

        All type 1’s need insulin, even if you eat nothing at all.

        2
        4 years ago Log in to Reply
    9. cynthia jaworski

      Thirty is my average.

      4 years ago Log in to Reply
    10. Karen Maffucci

      I average 20 units a day with OmniPod pump.

      4 years ago Log in to Reply
    11. Bill Williams

      ON MDI, I averaged about 50. On Omnipod, about 40.

      4 years ago Log in to Reply
    12. Natalie Daley

      I weigh 133lbs at 5’2”. I use 18-19 units of Tresciba in the morning and 12-13 units of Humologue at breakfast and dinner. I don’t eat lunch. I aim for carefully balanced meals.

      1
      4 years ago Log in to Reply
    13. Sahran Holiday

      Very variable depending on activity and sometimes inexplicably. Pod failure doesn’t help.

      1
      4 years ago Log in to Reply
    14. Thomas Cline

      This question would have been a bit more informative if you had distinguished between short and long-lasting insulins for those of us who are not on a pump. I combined both and was surprised to find myself so far above the mean at 75 total units. On the other hand, I do indulge in things like fruit every breakfast while nevertheless keeping my blood sugar where I am supposed to be at my age. I assume others also combined both kinds of insulin. If not, the data won’t be very meaningful.

      2
      4 years ago Log in to Reply
      1. AnitaS

        When I switched to a pump from multiple daily injections, my units didn’t change just because I started using only novolog instead of lantus and novolog. I just spread my 7 units of daily lantus over a 24 hour time period so the daily units stayed the same. Overall I usually use less insulin now because I can us a quarter of a unit for a correction compared to using am estimated 1/2 unit on injections. Also, there is less chance of stacking insulin.

        2
        4 years ago Log in to Reply
    15. Amy Wolk

      20-25

      4 years ago Log in to Reply
    16. Mig Vascos

      I don’t see anywhere in this question where the weight is asked for. I’m aware of the relationship between the insulin dose and the weight though, but it wasn’t asked for.
      I used and average of 19 units daily. I’ve gained about 5-6 pounds since the beginning of the pandemic because of a lower level of activity.
      I’ve decided to lose the extra pound so I’m back to exercising more and eating more protein than carbs. My aim is to use between 16 and 17 units daily. It’s just only about 2 units less but I’m still getting an average of 85% TIR In 90 days doing this. Less lows and less highs.

      4 years ago Log in to Reply
    17. Bea Anderson

      If nothing else, this question made me look at a number that, for me, let’s me know I’m using far more insulin than I prefer. Pointing to my recent over eating/no exercise. I have an ideal weight in mind, ideal carb intake, and I’ve slid down the slippery slope. Not without reason… bicycle crash on vacay with bruised ribs, at home simultaneously fracturing rt foot, lt foot sprain landing in special boots for each foot 5 weeks. Also had first Reclast infusion during that time with flulike symptoms and pain they predicted. So back to mindful low carbs and clawing my way back on treadmill we purchased at beginning of Covid!! Oh, ideal daily insulin would be 20-25u.

      4 years ago Log in to Reply
    18. Daniel Bestvater

      15-24IU a day over the last month.
      160lbs, T1D ~45yrs, ~120-180g carbs/day

      1
      4 years ago Log in to Reply
    19. Rob Kacer

      I wish Omnipod would hold at least 300 units so that it work for three days as advertised.

      4 years ago Log in to Reply
    20. Tina Roberts

      I have no idea.

      4 years ago Log in to Reply
    21. LizB

      I am very overweight but not insulin resistant at all, unless you count when first waking up. I use between 28-30 units on a typical day in my pump.

      1
      4 years ago Log in to Reply
    22. BARRY HUNSINGER

      I use 4 units per hour 6:00 am to midnight and 5 per hour midnight to 6:00 am. Then there are boluses for what I eat. Typically another 50-60 units.

      4 years ago Log in to Reply
    23. KSannie

      I have been on insulin 51 years, and whether I used one injection per day or multiple long-acting and short-acting injections per day or a pump, I have stayed at an average of 24 units per day. I only remember accurately because when I was on one injection per day and became pregnant, I was told that it was normal to 2 – 3 times as much insulin at the end of the pregnancy as before before becoming pregnant. And I went from 24 to 72, so that is easy to remember. Same happened in my second pregnancy, except I needed to change to 2 injections per day. The injections were supposed to last 24 hours and weren’t. So I took half in the morning and half later in the day. I was worried about the health of my baby the third time, because my dose only doubled, to 48 units a day.

      The exceptions to all this were right after giving birth, when I needed 10 units per day. The day after my first child was born I was given 15 units, and nearly died. Scary, but they gave me something for the low sugar and called my endocrinologist.

      4 years ago Log in to Reply
    24. Becky Hertz

      40-60

      4 years ago Log in to Reply
    25. M C

      According to my pump summaries, my average daily count of insulin is 32-33 units.

      4 years ago Log in to Reply
    26. Molly Jones

      I use around 15 units/day with my Tandem pump.
      I eat an avg of 120 carbs/day.
      My insulin sensitivity is high. I am underweight.

      4 years ago Log in to Reply
    27. TEH

      I just checked. I’m using 72 U/day, the average for the last week. This is down from over 80 U/day before going on modifed closed loop. With it I am not taking unneeded insulin particularly over night.
      T1d for 30 years. On the pump for 20 years.

      4 years ago Log in to Reply
    28. Steven Gill

      I appreciate this question actually. The few insulin dependent diabetics I know use a lot more insulin than I (they do MDI). A TYPE 1 brother is about 100 units a day BUT while is active and very healthy enjoys an ice cream for dessert and makes great pizza weekly (not heavy at all). A co-workers husband is TYPE 2, moderately poor health and eats poorly. Uses about of 150 units a day.

      So my “30” is about average.

      4 years ago Log in to Reply

    On average, how many units of insulin do you typically use in a day? Cancel reply

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