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    • 7 hours, 1 minute ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      TCOYD one conference and Breakthrough T1D summits. I really enjoy in person events.
    • 7 hours, 12 minutes ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      Many because I am a retired RN, CDE
    • 9 hours, 17 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      BAAAAAAD WORDS. Definitely the next step for sure.... After that more grumbling, cursing and eventually the decision whether or not taking the long acting THIS late is smart idea. If NOT, then a slightly heavier dose the next day of the short acting insulin seems real likely
    • 9 hours, 18 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      OH boy, an impossible question to answer without a lot more specific details......ie name of insulin / miss an injection completely over 24 hrs or by shorter time frame / to list a few.
    • 13 hours, 56 minutes ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 13 hours, 58 minutes ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      Literal poverty prevents attending such conferences. I must survive, therefore to do so the job(s) require all that I have which remains. I would likely enjoy such conference(s), ALWAYS go for the "small" tables FIRST, their survival depends on it...
    • 15 hours, 23 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      Yes, TCOYD and maybe an ADA conference. The second conference I went to in order to check out tech. Both were in the 90s.
    • 15 hours, 27 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 15 hours, 37 minutes ago
      Kathy Hanavan likes your comment at
      Have you ever attended a diabetes-related conference?
      Before retiring I would go to our local teaching hospital/ADA conferences. They were held yearly and were a great way getting my CE's.
    • 1 day, 2 hours ago
      kilupx likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Other: I was not diagnosed with T1D at a young age.
    • 1 day, 15 hours ago
      KarenM6 likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      The word "chose" is past tense. In the present tense, "no." In the past tense, the ancient of days 1996, the answer was "yes." They even hospitalized you for 2 days. I was and am very healthy and horrified the medical staff when I walked up and down 9 flights of stairs to get something. C'est la vie 🫠
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I felt my lows when I was younger. Now after 45+ years with type 1 I feel a bit of “blurry brain function” when below 50. Thankful for CGM alerts!
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I was diagnosed at age 29. Is that considered "young"?
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The "target" is set for 100 (the lowest option with Medtronic), my alarms are 70-130. With the algorithm it's interesting with a basal that rises and falls (and the "auto-bolus") according to levels and dosing, thus my alarms (down to 2% lows this way). But... There's another setting offering different target range, I have it set 70-90 for now. Only been a few weeks so interesting to see how it goes.
    • 1 day, 15 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      On my Omnipod, both the high and the low are set at 110, the lowest it will allow. My preferred target rang is 70 to 120.
    • 1 day, 15 hours ago
      Janis Senungetuk likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Diagnosed in 1951 when I was 6 years old. I would feel terrible when glucose went low, but did not know what was wrong.
    • 1 day, 17 hours ago
      Kristi Warmecke likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Missing answer is “I felt them early in, but not it can be hard at times to physically see a low.”
    • 1 day, 17 hours ago
      Steven Gill likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      To me... (a1C has been as low as 5.2, now near 6.0 with a lot less lows). Discuss with your doc goals, read the DCCT trials (determined "multiple injections" were more beneficial than 1 or 2 shots a day (mixed). Than up to your own confidence with insulin: -how your body reacts (after dosed I notice in 30-35 minutes) it's different for everyone -confidence with understanding the glycemic scale for food (some reach the blood stream quicker, some slower) -your health-as I grow up may not hear a low alarm as quick, nor be able to react as well -and tools... I'm confident with my CGM, alarms, understanding my insulin pump A tighter or lower target can lower a1C, wasn't worth my lows. But an a1C a little closer to non-diabetic can offer a little more prevention against the damage from diabetes. We're doing this to get as old a we can and be as healthy as we can (not necessarily a brag about numbers)---read a definition of heath is to be as far from death as possible. I think that changes...
    • 1 day, 19 hours ago
      atr likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      110, which is as low as omnipod 5 allows. If I could change it, it would be 90-100.
    • 1 day, 20 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      In 1973 when I was diagnosed the hospital policy was to force a low so you knew what they felt like. Around 2000 I became severely hypo unaware.
    • 1 day, 20 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Initially, I felt lows long before they became problematic. This diminished gradually over time. Now, after 51 years, I feel nothing until BG drops to critical levels -50. Exception is when BG drops dramatically over a very short period of time.
    • 1 day, 20 hours ago
      Edward Geary likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 2 days, 12 hours ago
      kilupx likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 2 days, 13 hours ago
      Anita Stokar likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The whole "target" question is a mess. I think most of us here (T1D people who are proactive etc) define "target" as where we want to be after a meal or correction bolus has done it's job. Pump mfr's (and many Endo's) define "target" like they define an A1C goal: averaging 110 over time. Lots of "discussions" (notice the quotes) with my Endo about my targets (I don't accept the "standard goal" of 70-180, I prefer aiming for 70-140). So so answer today's question, my alert ranges are 70 and 120 for high (I correct if I have no IOB, but may have food on board). My target bg (post bolus) is 80-90.
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    When driving or riding in a car for a long period of time, do you make any changes to your typical insulin dosage? Select all that apply to you!

    Home > LC Polls > When driving or riding in a car for a long period of time, do you make any changes to your typical insulin dosage? Select all that apply to you!
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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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    40 Comments

    1. Stephen Woodward

      Temp basal higher than norm.

      4 years ago Log in to Reply
    2. Britni

      I don’t make any changes specifically when I’m riding in the car, but I’m very active at work so any time I’m less active (like most weekends) I increase my lantus and humalog doses.

      4 years ago Log in to Reply
    3. John Dowd

      I don’t usually make any changes. It stays pretty constant.

      2
      4 years ago Log in to Reply
    4. James Goldman

      I just consume less carbohydrate and do not adjust my insulin. Along with that, I monitor my BS constantly through my cell phone.

      4 years ago Log in to Reply
    5. Ahh Life

      Other. No changes to insulin. I do carry dried figs. Each one is about 14 carbs. Great and quick, from Costco. 💪 👍

      4 years ago Log in to Reply
    6. Elissa Macher

      I keep my pump on my lap where I can see my BS readings from my CGM. I give extra insulin or eat carbs as needed.

      4 years ago Log in to Reply
    7. GLORIA MILLER

      Sometimes I need to decrease my basal and at other times I need to increase my basal rate on my pump depending on how my glucose level is for the day.

      4 years ago Log in to Reply
    8. Kristen Clifford

      I don’t adjust my basal rates for long car rides or flights. I do, however, usually consume more carbs than usual while traveling, so I adjust my bolus accordingly, but only for the food.

      1
      4 years ago Log in to Reply
    9. Annie Wall

      I don’t make any changes when I travel. I just do what I always do: pay attention to my pump readings, let Control IQ do what it needs to do.

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

      Always test before driving, make necessary adjustments. Have candy in the console if CGM warns low.

      2
      4 years ago Log in to Reply
    11. Patricia Dalrymple

      I don’t take long driving trips that often to notice, and I work out of my home even pre-pandemic. But when I do, and especially when driving, I keep glucose tablets near and pay particular attention to how I am feeling. I am fortunate not to have to take long trips alone. I would probably alter things to go a little higher in that case and probably stop every 2-3 hours to check it. I do not use a CGM yet.

      4 years ago Log in to Reply
    12. CherylRae Bart

      I observe my BG on my watch & respond as appropriate when safe to do so.

      4 years ago Log in to Reply
    13. Randi Niemer

      I don’t change anything.

      2
      4 years ago Log in to Reply
    14. Daniel Bestvater

      I sometimes use control IQ, but find it slow to respond when driving. So I often increase basal by 50% when driving for long periods.

      4 years ago Log in to Reply
    15. Mark Hellie

      I use a DIY Loop.

      4 years ago Log in to Reply
    16. Steven Jerdee

      I don’t do anything different. I put a regular Coke in the holder incase I happen to go low. This is more of a concern than anything.

      1
      4 years ago Log in to Reply
    17. rick phillips

      I leave mine the same

      2
      4 years ago Log in to Reply
    18. Natalie Daley

      I don’t change my regimen. I’m always the driver, and long trips usually are accompanied by packing, etc, a lot of work, so although I’m going to be sitting and driving, a lot of work went into going.

      4 years ago Log in to Reply
    19. Jim Andrews

      I set a tighter range when traveling. My Tandem T:slim X2 with Control IQ takes care of any minor swings. And I always carry glucose tabs to treat lows.

      4 years ago Log in to Reply
    20. Brandon Denson

      I typically tend to make no adjustments unless needed. Long car rides really don’t affect me unless my sleeping and eating schedule is thrown way off.

      2
      4 years ago Log in to Reply
    21. Becky Hertz

      I don’t make any changes. Follow my Dex reading adjust accordingly if needed.

      1
      4 years ago Log in to Reply
    22. John McHenery

      Make no changes but check before starting and stop at least every two hours and check, as required in the UK.

      4 years ago Log in to Reply
    23. Pauline M Reynolds

      I have never noticed a change in my insulin needs either riding or driving for a long time.

      4 years ago Log in to Reply
    24. BARRY HUNSINGER

      I don’t male any changes. I am on a pump and I can make changes on the fly. I also always have glucose tablets in my car in case of emergency.

      4 years ago Log in to Reply
    25. Jeff Perzan

      No changes as I’m on a closed loop system, which should adjust to whatever readings my CGM sensor is reading.

      1
      4 years ago Log in to Reply
    26. 102162

      I don’t make any changes. Not even time changes when crossing into time zones.

      1
      4 years ago Log in to Reply
    27. Carol Meares

      I check my Dexcom. If it looks good and I feel good, I go. If there is any rollercoaster or any question I do a finger stick.

      4 years ago Log in to Reply
    28. Amanda Barras

      If I see my bloodsugar trending high I just correct as needed.

      1
      4 years ago Log in to Reply
    29. Sue Herflicker

      I do corrections as needed and try to eat low carb!

      4 years ago Log in to Reply
    30. KarenM6

      As a person with hypoglycemia unawareness, I’m always careful when driving. So, driving with easy access to glucose tabs, having my Dexcom out and available to look at regularly. Making sure my blood sugar is slightly above goal so that I have time to manage all of that while also driving safely (and pulling over when necessary.)

      4 years ago Log in to Reply
    31. Eileen Wagner

      I just keep an extra eye on my bs levels and bolus extra as needed. I also bring extra snacks and low treatments on any trip I go on.

      1
      4 years ago Log in to Reply
    32. Thomas Emge

      No explicit changes, I am on a loop system and maybe I am paying more attention to numbers and will correct a little sooner but it is pretty much a regular situation.

      1
      4 years ago Log in to Reply
    33. ConnieT1D62

      Other. With Tandem X2 and CQI typically I don’t do anything to change my insulin dosage because CIQ does it for me. I do check the numbers on the pump screen or my phone periodically as needed, especially if I get an alarm or when at a rest stop, in case I need to eat or drink something with carbs.

      4 years ago Log in to Reply
    34. Donald Cragun

      When driving or riding in a car for a long period of time, I do not make any changes to your typical insulin dosage.
      I always carry glucose tablets and check my CGM regularly (adjusting if needed) whether or not I’m driving or riding.

      1
      4 years ago Log in to Reply
    35. Molly Jones

      It would have been nice if “no” was a choice.
      I chose other as I make no changes. I keep glucose tablets with me always, not that sitting in a car for long periods cause hypoglycemia for me.

      2
      4 years ago Log in to Reply
    36. Janice B

      I make no changes to my regular basal rates

      1
      4 years ago Log in to Reply
    37. Lynn Green

      I do not make any changes.

      1
      4 years ago Log in to Reply
    38. David Smith

      I don’t make any changes, but I monitor my glucose levels more closely so I can take early action if necessary.

      4 years ago Log in to Reply
    39. Philip Bunsick

      I cannot understand why “do nothing differently” is not an answer. That said I certainly do not understand why anyone would give themselves MORE insulin than usual while they are driving a long distance. Maybe I am missing something but increasing the possibility of going low while driving does not sound like a good idea. I would really love to hear why anyone would increase while driving

      1
      4 years ago Log in to Reply
    40. MikeeB.

      I drive with my Smart Phone, Dex or T-slim program always on , but the phone out of view of the road. (You can be stopped by the police, if they see it up in the windshield or hanging front the left side of the front window.)
      I use a Weather Tech phone holder.

      4 years ago Log in to Reply

    When driving or riding in a car for a long period of time, do you make any changes to your typical insulin dosage? Select all that apply to you! Cancel reply

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