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    • 3 hours, 14 minutes ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      In July, I went on the only Medicare plan in my area that covered Afrezza. For 2024, no one is covering it. Like others, hate these formulary decisions by the Insurance providers.
    • 6 hours, 5 minutes ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 6 hours, 31 minutes ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 6 hours, 32 minutes ago
      Bekki Weston likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I answered NO for 2023 but in 2024 I will have to switch from Humalog to Novolog.
    • 7 hours, 3 minutes ago
      Bill Williams likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 8 hours, 12 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      With Medicare's change to the cost of insulin, my Part D plan dropped Novolog. $35 "limit" only works if insurers have your medication on their formulary.
    • 8 hours, 25 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 8 hours, 26 minutes ago
      Kristi Warmecke likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Lispro, aspart, and glulisine are also FDA-approved for pump use (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695255/). These are the generic versions of Humalog, Novolog and Apidra, respectively.
    • 8 hours, 42 minutes ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      This past year my doctor appts were my new social life!
    • 8 hours, 43 minutes ago
      jo likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Schush! I know it's supposed to be 4 but since my Endo follows my Dex and I hit an A1c of 5.4 with 0 Hypos I'm happy. Just lost my wife and will be moving further from my Endo and hope TeleVisits will do as I will also start visiting a Gerontologist.
    • 9 hours, 7 minutes ago
      Ahh Life likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Four, because Medicare. I was fine going 2x/yr for decades before that. But Medicare doesn't care what your Dr thinks. Rules is rules.
    • 10 hours, 35 minutes ago
      Bruce Schnitzler likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      @George Lovelace. {{{{{Hugs}}}}} to you, sir. Are you getting support after the loss of your wife? I do hope so.
    • 11 hours, 9 minutes ago
      Mick Martin likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 11 hours, 54 minutes ago
      Marty likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I am required to see my Endo every three months by Medicare. Otherwise, I'd probably go 2 times per year.
    • 11 hours, 54 minutes ago
      Marty likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      Medicare requires me to see my endo every 90 days if I want them to approve my insulin pump supplies....despite my very good control. Otherwise, my endo would be happy to see me twice a year. An example of Medicare being "penny-wise and pound-foolish" by paying for "medically-unnecessary" office visit costs.
    • 1 day, 2 hours ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 2 hours ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 2 hours ago
      KarenM6 likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I didn't have to change but I couldn't get a new one from Caremark because it wasn't on the formulary. I used an AARP pharmacy card and got a $44 Rx for $18. Like Bob, I hate formulary!
    • 1 day, 5 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Long-acting insulin changed from basaglar to lantus for the upcoming year. Not a big deal since she moved to a pump this past year.
    • 1 day, 5 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 5 hours ago
      Mick Martin likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I have to change my insurance company now for 2024 so that i can continue to afford humalog. (or I have to switch to Lyumjev if I keep my current plan) I was startled to see that on my current plan, humalog would cost 16,000 next year (for the full year). Everyone, check your plans!
    • 1 day, 10 hours ago
      lis be likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 10 hours ago
      lis be likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      I was with Caremark now with Optimum and not a fan but was not a fan of Caremark in the beginning. Not a fan of mail order insulin! Opimum (still not sure it is spelled right) made me change from Novalog to Humalog. Both are the same, sure, but why should a RX company say what insulin I should be taking. Is that not my endocrinologist job? Would they not know what is best for me? Kind of burns me up how healthcare has gone in the past 5 to 10 years, miss the old days of knowing your pharmacist by first name and talking to them about the latest advancements in diabetic care at the conner pharmacy. Patient is no longer a factor in the equation. sorry for the rant.
    • 1 day, 11 hours ago
      TEH likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
    • 1 day, 12 hours ago
      Lawrence S. likes your comment at
      In the past year, have you been required to change medications because of your health insurance?
      Yes, I HATE FORMULARIES and how they control what medications I take, as opposed to what my doctors prescribed.
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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 (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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    40 Comments

    1. Stephen Woodward

      Temp basal higher than norm.

      2 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.

      2 years ago Log in to Reply
    3. John Dowd

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

      2
      2 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.

      2 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. 💪 👍

      2 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.

      2 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.

      2 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
      2 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
      2 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
      2 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.

      2 years ago Log in to Reply
    12. CherylRae Bart

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

      2 years ago Log in to Reply
    13. Randi Niemer

      I don’t change anything.

      2
      2 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.

      2 years ago Log in to Reply
    15. Mark Hellie

      I use a DIY Loop.

      2 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
      2 years ago Log in to Reply
    17. rick phillips

      I leave mine the same

      2
      2 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.

      2 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.

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

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

      1
      2 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.

      2 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.

      2 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.

      2 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
      2 years ago Log in to Reply
    26. 102162

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

      1
      2 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.

      2 years ago Log in to Reply
    28. Amanda Barras

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

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

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

      2 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.)

      2 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
      2 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
      2 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.

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

      I make no changes to my regular basal rates

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

      I do not make any changes.

      1
      2 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.

      2 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
      2 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.

      2 years ago Log in to Reply

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