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    • 3 hours, 29 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 3 hours, 29 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 5 hours, 26 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 5 hours, 42 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 16 hours, 52 minutes ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 20 hours, 41 minutes ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 20 hours, 44 minutes ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 21 hours, 25 minutes ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 21 hours, 25 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 21 hours, 28 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 21 hours, 33 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 21 hours, 33 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 21 hours, 35 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 21 hours, 35 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 21 hours, 36 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 22 hours, 12 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 22 hours, 23 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 22 hours, 35 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 22 hours, 36 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 23 hours, 51 minutes ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 1 hour ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 1 day, 1 hour ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    • 1 day, 1 hour ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 1 hour ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 1 hour ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      PUMP USERS: Just in case nobody has told you, if you use a pump, Insulin is considered durable medical equipment, which can save a lot of money, even with the new price cap
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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

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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.

      2 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.

      2 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.

      2 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.

      2 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.

      2 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.

      2 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!!

      2 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.

      2 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.

      2 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!

      2 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.

      2 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.

      2 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.

      2 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.

      2 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!

      2 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.

      2 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!

      2 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.

      2 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.

      2 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?!?!

      2 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 šŸ™‚ 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.

      2 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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