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    • 4 hours, 24 minutes ago
      Lenora Ventura likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 5 hours, 59 minutes ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      same here. I was able to get a neurologist to diagnose it as that.
    • 6 hours ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      I have developed this very weird numbness and pain in my left outer thigh which I attribute to neuropathy, although there has been no official diagnosis. Of course, like every good diabetic, I did my own research and found that it is called meralgia paresthetica. It only comes on intermittently and rarely interferes with daily functions. Rest remedies it. Having lived with T1D for 56 years so far, I consider myself to be pretty lucky...so far.
    • 6 hours, 1 minute ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      I feel the same way. I'm never sure who to believe or how to get a valid assessment.
    • 6 hours, 1 minute ago
      KarenM6 likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 8 hours, 44 minutes ago
      Lawrence S. likes your comment at
      Do you live with diabetes-related neuropathy?
      Gastroparesis
    • 8 hours, 45 minutes ago
      Lawrence S. likes your comment at
      Do you live with diabetes-related neuropathy?
      In late summer of 2017 I lost all feeling in both lower extremities to my hips and both upper extremities to my shoulders. It was not all diabetic related though. Lowered the drug in my chemo regimen but didn't reverse by next treatment, so that drug was stopped. Slowly I regained feeling in my arms and legs; left with no sensation in hands & feet up to ankles & wrist. I'm thankful that my oncologist realized that it wasn't just a diabetic thing.
    • 11 hours, 34 minutes ago
      Sandra Rosborough likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 12 hours, 23 minutes ago
      KSannie likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 15 hours, 30 minutes ago
      Lee Tincher likes your comment at
      Do you live with diabetes-related neuropathy?
      My feet were killing me when I started taking insulin. Saw on another website that alpha lipoic acid (ALA) was good for neuropathy. Once I started taking it, the pain was gone within a week! Still using it 20 years later, still pain free
    • 15 hours, 30 minutes ago
      Lee Tincher likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 15 hours, 50 minutes ago
      magoo likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 15 hours, 50 minutes ago
      Mike S likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 16 hours, 3 minutes ago
      Dennis Dacey likes your comment at
      Do you live with diabetes-related neuropathy?
      I’ve been T1D for 60 years. There have been slight indications of neuropathy for a number of years. However it is not severe. Whenever I go to orthopedics, I try to stop at endocrinology first and get an accurate assessment of my current neuropathy. Whenever a non-endocrinologist doctor reads I’m T1D every problem I’m having is caused by T1D. Then the root, non-diabetic, issue is never addressed.
    • 1 day, 5 hours ago
      ConnieT1D62 likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      I spend a bit of time in my garden, yardwork , the animal shelter. Days I'm not with the Shelter my herd gets walked.
    • 1 day, 5 hours ago
      ConnieT1D62 likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Good old WALKING!
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      avid cyclist for many years now ........... OK ..... add in resident year around maintenance yard work
    • 1 day, 10 hours ago
      Lawrence S. likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Walking and hiking.
    • 1 day, 13 hours ago
      Steven Gill likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Try pausing insulin on your pump if you are below 150mg/dl.
    • 1 day, 15 hours ago
      Daniel Bestvater likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Really struggle with bouncing blood sugars and so I don’t exercise. I know this is a bad thing but really end up with so much bouncing hard to figure it out.
    • 1 day, 15 hours ago
      Dennis Dacey likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Good old WALKING!
    • 1 day, 15 hours ago
      KCR likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Good old WALKING!
    • 1 day, 15 hours ago
      KCR likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Really struggle with bouncing blood sugars and so I don’t exercise. I know this is a bad thing but really end up with so much bouncing hard to figure it out.
    • 1 day, 15 hours ago
      TEH likes your comment at
      What types of exercise do you participate in regularly? Select all that apply.
      Really struggle with bouncing blood sugars and so I don’t exercise. I know this is a bad thing but really end up with so much bouncing hard to figure it out.
    • 2 days, 12 hours ago
      Bonnie Lundblom likes your comment at
      What event(s) prompt you to calibrate your CGM? Select all that apply.
      I always do 3 successive finger sticks about 1 day after applying a new G7 sensor. I'm amazed at how much variability there is among sensors. Some are spot on, and remain so during the entire 10 days, while the worst I saw was off 100 mg/dl at the start (reading half of the actual level) (I demanded -- and got -- a replacement for that outlier, since I did't want to have to trust it for days and go through piles of strips just to see if it was as bad as it seemed). I generally also do another batch of 3 tests several days later, just to check. I care about accuracy. I've found that it is essential to do multiple sequential finger sticks to get an accurate number from strips, since they too are far more variable than I am comfortable with. If the variability in strips is too great, I do 4 tests rather than 3, and throw out one, averaging the rest. I love my CGM, but it doesn't completely replace strips.
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    When do you bolus for a big holiday meal? If you bolus more than once, select all that apply to you!

    Home > LC Polls > When do you bolus for a big holiday meal? If you bolus more than once, select all that apply to you!
    Previous

    Living with T1D can be frustrating and finding silver linings can be difficult, but is there anything that you’re thankful for related to T1D? Select all the options you’re grateful for and spread the positivity in the comments!

    Next

    If you celebrate Thanksgiving, do you use any special recipes that are lower carb versions of Thanksgiving dishes? Share your favorite recipes in the comments!

    Sarah Howard

    Sarah Howard 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 Marketing Manager at T1D Exchange.

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    21 Comments

    1. Steven Gill

      This year my nephew has lasagne, yeah odd but he’s fixing it. After guessing I’ll test a lot and bolus every 3 hours or so.

      5 years ago Log in to Reply
    2. Tim Lors

      I start eating the slower absorbing food first, while we do a lot of talking. By the time I get to the apple pie, my insulin is at the 1hr mark and peaking. I also do an extended bolus since it will take awhile to digest all the food.

      5 years ago Log in to Reply
    3. Molly Jones

      I do not usually eat very large meals as my my stomach will not hold them and my appetite has decreased with age. I try not to eat carbs/ Bolus to closely together as my BG is quite variable. It takes me a long time to eat and digest both. A bowl of cereal and yogurt takes at least half an hour and sometimes up to an hour. If I eat too fast, food can easily be regurgitated. This has happened since childhood and rarely happens since I have learned to eat slowly.

      5 years ago Log in to Reply
    4. Bob Durstenfeld

      It depends what we eat. This year it will be lamb shoulder roast, mashed potatoes and veggies. Cheesecake for desert. I guess we are not typical.

      5 years ago Log in to Reply
    5. Britni Steingard

      I selected 15 minutes or less because that’s what I used to do with MDI. Thanks to Covid I likely won’t have to tackle a big holiday meal with my new pump until 2021 and I’m not sure what I’ll do. My grandmother likes to serve “appetizers” for at least an hour and then clean up in between dinner and desert, so carb counting has always been tricky. Being able to bolus for each section of the meal might be helpful.

      5 years ago Log in to Reply
    6. Glen Heatherington

      If I’m cooking, my sugar is usually within range or starting to drop. I bolus before, during and after the meal.

      5 years ago Log in to Reply
    7. sara falconer

      We graze for hours, so I usually set a temporary basal of about 3 or 4 units per hour…. and then either take correction bolus after my nap, or have another piece of pie! It’s just one day and I’m thankful for cgm and advanced pump technology!!

      5 years ago Log in to Reply
    8. Sherolyn Newell

      I usually bolus when I start eating of it’s not high in fat. I digest kind of slowly. If I take it ahead, even 15 minutes, I go low before my food kicks in. If what I am eating has a higher fat content, I have to wait about 1/2 hour before the bolus and bolus extra. For Thanksgiving, if I end up eating more than planned, I will bolus again for the extra. I like the comment about adding to the basal, I never think of doing that and it sounds like a good idea.

      5 years ago Log in to Reply
    9. Mig Vascos

      It depends on what I’m eating and where my glucose is at the time. There’s not a set pattern.

      5 years ago Log in to Reply
    10. Patricia Dalrymple

      Not having TG this year because I have an 88 year-young father and local nieces and nephews who are travelling the country and don’t think about him (do I sound annoyed?). In a normal year, I’m afraid to bolus early because something usually interferes with the start of the meal: someone is usually late or something didn’t get done on time. I, too, forget I can increase my basal, although I decrease it quite often, especially when I am vacuuming (always go low when doing that) or exercising or when I have just changed my reservoir with fresh insulin. Stay safe and well everyone!

      5 years ago Log in to Reply
    11. Kristine Warmecke

      For a typical big holiday meal I start my extended bolus 15 to 30 minutes beforehand, because there has been appetizers sitting out since everyone arrived. We are a slow eating bunch, so 2 to 4 hours later when dessert time rolls around, I look at tSlim Control IQ again agin & see if I need another bolus or if I’m doing okay number and IOB wise. This year we had planned on just the 8 of us – immediate family. Three are currently in quarantine.

      5 years ago Log in to Reply
    12. MARIE PEELER

      Because even for festive meals, my husband avoids grains, starches, and other ‘fast’ carbs, he’ll set a 50/50 three hour extended bolus which gives him 50% of the dose immediately and spreads the remaining 50% over the next three hours. He has to be careful not to take the first bolus too much before his first bite otherwise the insulin will kick in before the carbs do, and he’ll go a bit low.

      5 years ago Log in to Reply
    13. George Hamilton

      I enter the bolus just before the meal begins in order to prevent the insulin from dropping my BG before the food really starts to digest. Later I watch for BG trend and add a correction about two hours later if it rises too fast. I use Control IQ with my Tandem pump. That system is likely to correct any high BG before I get there.

      5 years ago Log in to Reply
    14. Paul Madden

      I am typically on a lower carb meal plan. First I have to know what my blood sugar is approx. 30 minutes before the meal and whether my blood sugar is stable, going up or down and how fast it is going up or down; thank you CGMS. As I use Afrezza (orally inhalable insulin) which starts to work in 90 seconds I have wonderful spontaneity with time of dosing. I inhale approx. 15-30 minutes before meal if blood sugar is high or if it is going up above normal. Otherwise I inhale my insulin for the meal as I am beginning to eat unless I am hypoglycemic. IF I have a low blood sugar I wait until my blood sugar is back in the normal range before I inhale my Afrezza.

      5 years ago Log in to Reply
    15. NAK Marshall

      If I’m hosting I know when the meal is actually ready so that helps! I usually bolus for the appetizers, then more for the actual dinner, then again for dessert because it’s worth for a carb splurge on holidays!

      5 years ago Log in to Reply
    16. Clare Fishman

      I tell Loop what I am eating and let it time the bolus appropriately which it does based upon the speed with which the carbs will hit my system. Fast carbs are 2 hours – potatoes, fruit etc and what my blood sugar is before the meal.

      5 years ago Log in to Reply
    17. Jodi Greenfield

      I bolus at the end of the meal because I never know how much I am going to eat. I don’t care for mashed potatoes or green bean casserole, and I scrape the sugary top off the yams. I never know if the rolls are going to call to me or not!

      5 years ago Log in to Reply
    18. connie ker

      For me, everything depends on numbers. If low, I may wait to take injection, if high I would take 30 min. before, if in range right before sitting down to eat. Following the meal, a correction dose might be necessary. But the important factor in this equation is to enjoy the day and have a thankful spirit. Thankgiving should turn into Thanksliving.

      5 years ago Log in to Reply
    19. Kathy Krapohl

      All depends on numbers, 10 – 15 minutes before the meal and then again while after meal. I test often and correct when needed.

      5 years ago Log in to Reply
    20. Linda Fast

      I’m surprised that there was not an option for “it depends on BG before meal”. Who wouldn’t pay attention to this important detail?!?!

      5 years ago Log in to Reply
    21. Cheryl Seibert

      I marked Before, during and after. Tandem’s Extended Bolus is my weapon of choice! It does all 3 things in one bolus event 🙂 You take some before the meal and then depending on the content of the meal (like breads or other complex carbs), then spread the remainder of the bolus over 30-90 minutes depending on the meal.

      5 years ago Log in to Reply

    When do you bolus for a big holiday meal? If you bolus more than once, select all that apply to you! Cancel reply

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