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    • 10 hours, 18 minutes ago
      KarenM6 likes your comment at
      Of the people in your life, who (if anyone) makes you feel judged or criticized for your T1D management (for example, what foods you eat, where or when you check your blood glucose, etc.)? Select all that apply to you.
      Insulin, meters, diabetic tech are not magic wands. Its usage does not guarantee only "positive" results. Negative events can and do occur, period. Non -D- typically (incorrectly) equate negative events as being total user failure, severe user errors. As diabetics we get blamed, despite having made zero mistakes on our part. We make seriously educated best guesses, despite that truth, we can and do fail anyway sometimes! Outsiders falsely need to believe inulin, our tech are complete-total cures, rather than tiny bandages at best. When confronted for using (sic. my) "drugs" in public, no matter how invisibly done... it is their self righteousness , poor assessment which is the issue. I gladly squash such insects...
    • 15 hours, 19 minutes ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      The more important question is 'how well does the clip work'. For me, the Medtronic clip worked very well, but the Tandem clip is quite ineffective and the pump falls off my belt during things like yard work or other bending movements.
    • 15 hours, 20 minutes ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      I answered never. I always use a clip -- I wear my t:slim x2 on my belt -- but not the Tandem clip. I use the black t:Holster Rotating Belt Clip. Very pleased.
    • 15 hours, 21 minutes ago
      Lawrence S. likes your comment at
      If you use an insulin pump that comes with a clip, how often do you have your pump clip attached to your pump?
      I am rough on pumps and use a Tandem X2 but dont use the Tandem clip/holster. I use a neoprene case and a pouch with a metal clip. Thenmetal clip is uncomfortable while I sleep. Looking for a different solution for wearing my pump at night.
    • 1 day, 11 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I answered that nobody wants to be screened, but I was answering based on my immediate family. I did let my deceased type-1 diabetic cousin's 35 year old son know he can be tested for his likelihood of becoming type-1 diabetic. He said he may be tested as he was always curious if he had a chance.
    • 1 day, 11 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I have T1, and when my oldest grandson got T1, the other 3 grandkids got screened. The grandson who's the brother of the one with T1, showed a strong possibility of being a future T1 diabetic. It sadly came true about a year later.
    • 1 day, 12 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I have LADA, and the idea of screening has not come up, either by me or my adult children. I guess I need to present the opportunity to them so they can make the decision.
    • 1 day, 12 hours ago
      Wanacure likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 1 day, 15 hours ago
      Samantha Walsh likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 2 days, 10 hours ago
      KarenM6 likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 12 hours ago
      Katie Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 13 hours ago
      Kate Kuhn likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 13 hours ago
      Karen DeVeaux likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      I was born in 1939 and had many childhood illnesses. Three different kinds of measles and tonsils removed before I was 5 years old, then mumps and chickenpox when I was 5. While recovering from the mumps and chickenpox, I began showing the symptoms of very high blood sugar. Three doctors examined me and they were not able to make a diagnosis. I had lost much weight, and I had stopped eating. I did not have an appetite. It was almost impossible for me to walk. A fourth doctor had my blood tested and he made the diagnosis. While receiving pork insulin I finally began to recover a few days after my sixth birthday. I did not have ant relatives with diabetes. I think the childhood diseases caused internal damage and that was the cause of my diabetes. At the present time there are still no type one diabetics among my relatives. I do not believe it is necessary for my children and grandchildren to be screened for T1D autoantibodies.
    • 2 days, 13 hours ago
      Kelly-Dayne likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 14 hours ago
      William Bennett likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      Hi Kristen, thanks so much for your feedback. We do plan to continue questions and education on T1D screening. The constantly evolving clinical trials and FDA-approved therapies that offer the potential to intervene, delay —— and hopefully some day prevent —— T1D are only effective if children are being screened for the earliest stages of T1D. Without screening, we cannot delay or prevent T1D. We do offer "No, my family members have no been screened" as an option. We appreciate your passion as a person affected by T1D and hope you enjoy our other daily questions. All the best, The T1D Exchange team
    • 2 days, 15 hours ago
      Jneticdiabetic likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 2 days, 15 hours ago
      Lawrence S. likes your comment at
      If you or someone in your family has T1D, have other members of your family been screened for T1D autoantibodies? If not, do you think your family would be willing to be screened for T1D autoantibodies?
      my siblings & parents are older (like me) and they've never expressed any interest in getting tested. my nieces and nephews have never said anything either
    • 3 days, 2 hours ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I participated in several ADA walks not long after being Dx with T1D. As Ahh Life points out large $ are rased, but where do they go? I stopped supporting ADA for that reason. I think JDF is much more open on where the funding goes.
    • 3 days, 2 hours ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      JDRF only. I like knowing that my contributions are going specifically to T1D.
    • 3 days, 2 hours ago
      Karen Newe likes your comment at
      Have you ever participated in a charity fundraising event that benefitted a diabetes organization (i.e., a walk, marathon, gala, etc.)?
      I have led a team for the JDRF OneWalk annually since the late 1990's. We have been able to raise a lot of funds for JDRF...and I have enjoyed doing it. Good cause!
    • 3 days, 7 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      Switched a long time ago to Tandem/Dexcom from Minimed because of improved and more automated control, and haven't looked back. Still wishing for a cure, but know it's not going to happen for dinosaurs like me. I'll just be glad when young people will will one day experience that magic word: cure. It's too easy to sit around and complain, but it's high time for a cure, and way past time having us depend on treatment that is pretty much a money maker for big Pharma when it seems as if there's a cure waiting in the wings. Filling up landfills with used pump supplies, etc., makes our society look nothing but incompetent and greedy. Sorry to rant.......
    • 3 days, 7 hours ago
      Joindy23 likes your comment at
      The last time you discussed adding a new device or medication to your T1D management routine with your health care provider, who initially suggested trying the new device or medication?
      They do too often. Why I ask? Well because it will help long term.... oh how do you know that it will help? It's a brand new medication, never been used by the D community, except for the shortest term study mandated in order to get it to market, and sell. Long term has never been achieved... its NEW. Let's revisit/wait a couple years... if its MAGIC medicine, sure I'll try it. But unless it's got magic properties, guarantees magic results why would I want it, until it's been used for a decent while??? Oh well... yeah, guess that does makes sense....
    • 4 days ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      Yes and for the last year and a half that is exclusively what I have been offered so I am not getting all the usual checks an in person endo visit requires. ADA and others spent 10-20 years convincing endos they needed to check patients feet and that progress has evaporated.
    • 4 days ago
      Wanacure likes your comment at
      Does your T1D health care provider currently offer the option to have virtual appointments (via phone or video call)?
      I would rather see in person. He checks my feet, BP etc. we have a chance to catch up and for me to ask questions. To me so much better face to face. We did virtual during pandemic.
    • 4 days, 7 hours ago
      Phyllis Biederman likes your comment at
      If you use an insulin pump, do you currently have a protective case on your pump or PDM?
      I’ll occasionally use the holster with clip that came with my pump or a protective case of my own when I’m wearing something without pockets. However I find these quite bulky thus usually just slip my pump in a pocket.
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    What steps would you take if you had a glucose reading of 80 mg/dL (4.4 mmol/L) before you planned on going to bed, with no bolus insulin on board?

    Home > LC Polls > What steps would you take if you had a glucose reading of 80 mg/dL (4.4 mmol/L) before you planned on going to bed, with no bolus insulin on board?
    Previous

    Many people with T1D talk about having a "stubborn high" when talking about those frustrating instances of high blood sugar that don’t seem to respond how we would like them to, however this phrase means something different to everyone. Which of the following circumstances would you consider a “stubborn high”? Select all that apply to you.

    Next

    Do you currently have unexpired ketone strips (blood or urine)?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Manager of Marketing at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    39 Comments

    1. LizB

      I would consume some carbs because right after I lay down, my BG drops. It happens every night and it’s not a compression low. It happened when I used Medtronic and it happens now with Dexcom. I have gotten out of bed to test with a meter and it always shows that I’m low. If I stay up, my BG could stay steady for hours but once I lay down in bed it will drop.

      4
      2 months ago Log in to Reply
    2. Molly Jones

      I would consume some fatty carbs with protein. If this occurs, I usually have walnuts with a small amount of ice cream.

      1
      2 months ago Log in to Reply
    3. Lawrence S.

      If I was on 80, I would take a small squeeze of honey that I keep with me at all times. Chances are that if I’m on 80 there’s a good chance I could drop lower, and the alarm on my pump would be going off constantly. I have Tandem X2, Dexcom G6 Control IQ. But, my alarm still loves going off when I start getting down toward 70.

      3
      2 months ago Log in to Reply
    4. Jane Cerullo

      I would be fine with BS of 80. But do have a dexcom that would alert me of BS below 60. Also usually wake up at least once during night and check my Apple Watch.

      0
      2 months ago Log in to Reply
    5. mojoseje

      I would set my Medtronic 770G on a 1/2 hr temp basal, which would beep when done, waking me up. If my bg was still at 80 or below, I’d drink a mouthful of juice.

      2 months ago Log in to Reply
    6. KIMBERELY SMITH

      I would would fixed me Turkey sandwich

      1
      2 months ago Log in to Reply
    7. Carol Evans

      I would eat two jelly beans and go to sleep. Unless I had insulin on board from a bolus – then I might eat more carb to compensate. My CGM will alarm if my BG drops further.

      2 months ago Log in to Reply
    8. Marty

      I said that I would eat some carbs, but it really depends on other factors, like what I’ve eaten and when, and how my BG has been behaving previously. If I’d had a soft landing after a normal dinner and my BG was stable, I’d probably go to bed without eating anything and rely on Control IQ to manage things.

      2 months ago Log in to Reply
    9. Robin Melen

      I would have a Yasso bar frozen yogurt (best medicine in the world) and go to bed happy!

      2 months ago Log in to Reply
    10. Ahh Life

      Eat carbs.

      Unfortunately, the body keeps score, not the machine. Much more irritating are the normal BG at bedtime, then several hours later the low alert alerts—a doom loop of intense irritability. 😖

      5
      2 months ago Log in to Reply
    11. Louise Robinson

      I would eat maybe 5 to 10 grams of carb before falling asleep. That should be enough to keep me from dropping too low or spiking.

      2 months ago Log in to Reply
    12. TomH

      It depends, the context of the question is paramount: what’s my sought after level, what’s my BG been like that evening? I don’t mind being in the 80s or 90s, though when I first got started, once went below 90 I tended to continue the decline to a low. I’ve not got my pump settings tuned better and have learned from experience. I have a G6 CGM and would note the direction of travel, if on a steep decline, then treat with some carbs (10-15 max), might stay up a little longer to see if resolves; if a small decline with no carbs on board, probably a small amount of carbs (4-8?); if level or slightly increasing, probably nothing.

      2 months ago Log in to Reply
    13. Janice Bohn

      If my trend arrow on Dex was straight I would do nothing. If trend is downward treat then sleep.

      0
      2 months ago Log in to Reply
    14. Sherolyn Newell

      If the Dexcom arrow was flat, I’d just go to bed. If it was going down, I would eat one glucose tablet. A Dexcom low alarm would wake me up, so I don’t worry excessively.

      2
      2 months ago Log in to Reply
    15. Bruce Schnitzler

      I would consume carbs and set an alarm to awaken me so I could check glucose.

      2 months ago Log in to Reply
    16. kim bullock

      I would stop my insulin and eat a small carb snack.

      2 months ago Log in to Reply
    17. Cristina Jorge Schwarz

      If the profile is flat, do nothing.

      If I’m trending down, take a half carb or one carb (1g raises me 35mg/dL).

      If trending up, wait a half hour to make sure I level off under 95.

      2 months ago Log in to Reply
      1. Anneyun

        What do you eat that is only 1/2 a carb or 1 carb?

        2
        2 months ago Log in to Reply
    18. Tina Roberts

      Snack!

      2 months ago Log in to Reply
    19. Nevin Bowman

      That’s about what I aim for when going to bed.

      1
      2 months ago Log in to Reply
    20. Sue Martin

      My CGM low alarm is set at 80. So, I would eat a few carbs so that my alarm doesn’t continue to go off. Then go to sleep. If my BG gets to 80 again my CGM will alarm and I will determine what to do at that point.

      2
      2 months ago Log in to Reply
    21. Randy Molen

      I would set a temp target on my Medtronic insulin pump for 2 hours.

      1
      2 months ago Log in to Reply
    22. Karen Tay

      Now that I have the Tandem IQ I don’t worry about it anymore. 🙌

      1
      2 months ago Log in to Reply
    23. Trina Blake

      Basically I would do nothing and go to sleep. However, If my Dexcom integrated Tandem X2 with BIQ pump shows a downward trend, I might have a few glucose tabs or a 1/2 cup juice. My target bg is 80, if I have been 80 with a flatline for a while, and I have no IOB on board then off to bed I go. If I have FOB (food on board – having eaten recently), I would go to bed.

      1
      2 months ago Log in to Reply
    24. Janis Senungetuk

      I’d eat carbs, the amount depending on what and when I ate dinner and most importantly the direction of the G6 trend arrow. Tandem X2 Control IQ seems very quick to stop basal insulin and that often results in a a rebound high. I do my best to prevent that. Often one glucose tab (4g) will be enough to keep be at a level in range, allowing me to sleep without having to deal with alarms.

      3
      2 months ago Log in to Reply
    25. Lynn Smith

      I would eat a couple of jelly beans and go to bed.

      1
      2 months ago Log in to Reply
    26. William Bennett

      Nothing, assuming that’s a Dexcom reading not a finger stick meter. Meter reading tells you nothing about trends, so I might be more concerned, depending on what I’d had for dinner, whether I’d had to guesstimate a bolus etc. But 80mg/dL with a reasonably flat curve would be fine. Even without Control-IQ, which would be easily able to adjust my basal if I needed it.

      2 months ago Log in to Reply
    27. KSannie

      I cannot fall sleep with a BG below 110-115. I would eat about 3 Skittles. Anything more would put my BG up so high my pump would beep about the high sugar. Once woken up, it is hard to fall back to sleep. I use Tandem IQ

      2 months ago Log in to Reply
    28. Bruce Johnson

      Too many human and equipment factors are presented in this question so a factor of safety must be added.

      2 months ago Log in to Reply
    29. Patricia Maddix

      I would do nothing if my blood sugar was steady and not much or any insulin on board. With control IQ the basal rate would have been ratcheted down as the blood sugar approached 80 so there should not be a problem. Dexcom will alert me if I get below 75. I have found with experience if I were to eat even a small amount at this number, my blood sugar would then jump up higher than I want. The exception to this would be if for some reason I was quite active in the evening.

      1
      2 months ago Log in to Reply
    30. Chris Albright

      My answer was to do nothing. With the Tandem Tslim pump and sleep mode (Control IQ mode), I know that my basal insulin will be managed by the algorithm and if it starts to dip it will decrease insulin delivery and if my bg rises, it can increase insulin delivery to account. I very rarely wake up outside the range of 95-115.

      But the key for me is, you need to go to bed with no IOB and have no food onboard trying to raise you BGs.

      2 months ago Log in to Reply
    31. AnitaS

      I may watch it for a 1/2 an hour, or eat just one or two sweet tarts or jelly beans, or something super low carb with a tinge of protein, such as a jelly bean with a few nuts.

      2 months ago Log in to Reply
    32. Eva

      It depends. If I didn’t exercise then I’d just go to bed with my blood sugar at 80 assuming no insulin on board. My basal drops to .425 and lower starting at 11PM through 4AM keeping me pretty stable throughout the night.
      Assuming I exercised, then I’d eat a couple of slices of an apple with peanut butter before bed time. And, I’d check my blood sugar during the night because my muscles sure like to release stored insulin when I’m sleeping.

      0
      2 months ago Log in to Reply
    33. Maurine Bowser

      I would take a quick carb with protein- a few chocolate m&m’s then drink 2-4 oz of Glucerna as my BS usually drops despite only 5 units of basal insulin.

      2 months ago Log in to Reply
    34. Wanacure

      At bedtime, my pre dinner bolus of Humalog will have expired after 4 hours. My long acting Lantus (glargine) will keep me in normal glycemic range overnight with Dexcom 6.

      2 months ago Log in to Reply
    35. James Cheairs

      It would depend on the CGM trend and the Loop prediction curve. If steady and no prediction to go lower, I would do nothing.

      1
      2 months ago Log in to Reply
    36. Jeff Balbirnie

      Is this a “trick” question??? Why on earth would anybody save the newest, most raw beginner T1 diabetic do anything but grab a portion of carbs, if, if they were in the least bit concerned? [Sic. WHY] Any reading in that range is unworthy of ANY concern, fear, paranoia to any degree. At 80 I would/could go straight to sleep no problem at all

      2 months ago Log in to Reply
    37. T1D4LongTime

      With BG of 80, you also need to check if BG is rising/falling, consider if you’ve been moving around a lot in the hour before bedtime and your basal from bedtime till middle of the night. For stable BG of 80 with no IOB, I would breathe a sigh of relief and go to bed! 🙂

      2 months ago Log in to Reply
    38. Becky Lamont

      Sometimes it will go higher & then I go to sleep. Otherwise, I watch to see & eat if necessary.

      2 weeks ago Log in to Reply

    What steps would you take if you had a glucose reading of 80 mg/dL (4.4 mmol/L) before you planned on going to bed, with no bolus insulin on board? Cancel reply

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