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      Bekki Weston likes your comment at
      Do you know your blood type (e.g., A, AB, B, O)?
      Is there a prevalence of T1D within any particular blood type?
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      Bruce Schnitzler likes your comment at
      Do you know your blood type (e.g., A, AB, B, O)?
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    • 2 hours, 23 minutes ago
      Lawrence S. likes your comment at
      Do you know your blood type (e.g., A, AB, B, O)?
      I'm AB+, and because I was so used to needles as someone with T1D, I became a regular blood and platelet donor. I have now donated 403 times, and hope to set a new world record for most donations someday. This is a reminder to any diabetics that as long as you are feeling healthy and well, you are likely eligible to donate blood!
    • 3 hours, 42 minutes ago
      Beckett Nelson likes your comment at
      Do you know your blood type (e.g., A, AB, B, O)?
      I'm AB+, and because I was so used to needles as someone with T1D, I became a regular blood and platelet donor. I have now donated 403 times, and hope to set a new world record for most donations someday. This is a reminder to any diabetics that as long as you are feeling healthy and well, you are likely eligible to donate blood!
    • 4 hours, 8 minutes ago
      Gerald Oefelein likes your comment at
      Do you know your blood type (e.g., A, AB, B, O)?
      I'm AB+, and because I was so used to needles as someone with T1D, I became a regular blood and platelet donor. I have now donated 403 times, and hope to set a new world record for most donations someday. This is a reminder to any diabetics that as long as you are feeling healthy and well, you are likely eligible to donate blood!
    • 4 hours, 29 minutes ago
      rick phillips likes your comment at
      Do you know your blood type (e.g., A, AB, B, O)?
      Is there a prevalence of T1D within any particular blood type?
    • 17 hours, 18 minutes ago
      NANCY NECIA likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      I always keep it, and hope to never use it.
    • 23 hours, 29 minutes ago
      Dennis Dacey likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      I have not had a vial of long acting Insulin since switching to a pump from regular and NPH shots. I have had two pump failures, but got by with fast acting insulin.
    • 23 hours, 31 minutes ago
      Dennis Dacey likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      If you pick a large chain pharmacy, you can pretty easily transfer the prescription to another location (and then back, if needed). The pharmacist can do it. 😊
    • 1 day ago
      Anita Stokar likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      If you pick a large chain pharmacy, you can pretty easily transfer the prescription to another location (and then back, if needed). The pharmacist can do it. 😊
    • 1 day, 2 hours ago
      Lawrence S. likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      I do for now due to a travel incident I lived through back in 2024. What happened was I thought I had packed over a month’s worth all of my pump essentials everything but the cartridges for my Tandem pump. So arriving on the beautiful Pico Island I came to the realization that I had forgot these super important item and trying to get these was impossible. So I had no choice but to buy Lantus pen as well Humalog pen as well when my pump ran out. Fortunately after doing lots of research I can across and individual in our cycling adventure group in Cambrils Spain who worked in the pharmaceutical industry and she was able to get what I needed. It took almost a week of living the MDI thing and it was a real nightmare before being my hands on these cartridges. Hopefully I’ll never have to go through that scenario ever again and the only way is by making a list with cartridge and infusion kit being listed separately.
    • 1 day, 2 hours ago
      KSannie likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      I totally agree. I have been lulled to complacency. When my pump had failed I have used regular doses of insulin. So, to answer the question, no I don't have any long acting insulin.
    • 1 day, 2 hours ago
      KSannie likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      It seems with Medicare you are not permitted to have a prescription in your hand. According to my Endo in Florida, at least, all scripts have to be electronically sent directly to a pharmacy. Is everyone else on Medicare experiencing that? I don’t like it. I want to be able to choose my own pharmacy no matter where I am. Sometimes, one is more convenient than another, especially when traveling. And if my pump breaks over a weekend, good luck getting script. I guess my Endo has an emergency line although I think all messages say: if this is a medical emergency, call 911.
    • 1 day, 3 hours ago
      Scott Doerner likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      Yes, I think all T1D’s should know how to use insulin without their pump. They do konk out on rare occasions.
    • 1 day, 4 hours ago
      atr likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      No but I have expired pens that I would use if needed. They are only expired by a year or two.
    • 1 day, 4 hours ago
      atr likes your comment at
      Insulin pump users: Do you have unexpired, long-acting insulin in case of pump failure?
      It seems with Medicare you are not permitted to have a prescription in your hand. According to my Endo in Florida, at least, all scripts have to be electronically sent directly to a pharmacy. Is everyone else on Medicare experiencing that? I don’t like it. I want to be able to choose my own pharmacy no matter where I am. Sometimes, one is more convenient than another, especially when traveling. And if my pump breaks over a weekend, good luck getting script. I guess my Endo has an emergency line although I think all messages say: if this is a medical emergency, call 911.
    • 1 day, 22 hours ago
      KSannie likes your comment at
      Insulin pump users: Have you experienced an insulin pump failure and had to use back-up long-acting insulin?
      NO. But, ... Over the years I've had three pump total failures yet I never reverted to long-acting, or a better substitute - background/basal, insulin. In each instance, I effectively managed my diabetes with rapid-acting insulin. In all situations, replacement pumps were delivered to me by 8:15 the morning after failure; one replacement that was delivered to my work office which I programmed while being driven to the airport that morning.
    • 1 day, 22 hours ago
      KSannie likes your comment at
      Insulin pump users: Have you experienced an insulin pump failure and had to use back-up long-acting insulin?
      Same. I had a replacement pump within 24 hours, but I set an alarm for every 2 hours overnight to check my blood sugar. I'm crazy dependant on my medical tech!!
    • 1 day, 22 hours ago
      KSannie likes your comment at
      Insulin pump users: Have you experienced an insulin pump failure and had to use back-up long-acting insulin?
      I had two pump failures that sent me to the ER when I was using Medtronic. Since switching to Tandem 6 years ago, I haven’t experienced any failures.
    • 2 days, 4 hours ago
      Kathy Hanavan likes your comment at
      Insulin pump users: Have you experienced an insulin pump failure and had to use back-up long-acting insulin?
      Yes. I keep a pen of Tresiba in the fridge as back-up. When it expires, my endo writes a refill RX or gives me another sample if she has one. I have used when waiting for a replacement pump or when taking a pump break.
    • 2 days, 21 hours ago
      John Henninger likes your comment at
      How many unopened, unexpired insulin pens or vials do you have?
      This is one of those questions that makes me wonder what on earth somebody hopes to learn from the answer. T1D Exchange - please explain.
    • 2 days, 21 hours ago
      ChrisW likes your comment at
      Have you ever been told you couldn’t physically do something because you live with diabetes?
      I was recruited by the CIA when I graduated from college and was well into the process when somebody asked me why my draft status was 4F. I was out the door about an hour later.
    • 2 days, 21 hours ago
      ChrisW likes your comment at
      Have you ever been told you couldn’t physically do something because you live with diabetes?
      I was diagnosed with t1 41 years ago. I was told to NOT have children. But I did not listen and had two healthy children.
    • 2 days, 22 hours ago
      ChrisW likes your comment at
      How many unopened, unexpired insulin pens or vials do you have?
      Funny you should ask right now. I had to personally buy my first-ever vial in 25 years. Thanks Medicare for all the obstacles you place in the way. Am I grateful for Medicare? Yes, I guess, but I paid in all my life and I’m still paying. But Walgreens can never get the preauth right. They don’t send it to my doc or they send the wrong form. So I had the bright idea to change pharmacy’s, Publix. I went and had a convo with them, explaining I’m on a pump, I mentioned part B, the preauth. No problem. Have your doc send the script. That’s a whole other story. Then I get a call from Publix. We don’t do part B. Wow, wish you had told me. OK, I’m just going back to Walgreens. Except Medicare won’t allow refills without doctor script. So they called my doctor and my doc declined it because they had already approved it for Publix. Now I had sent an email explaining all of this to doc. I called my doc but they don’t answer their phones. Left a detailed message but have no idea whether they got anything. So I asked Walgreens if I could buy a vial. Nope, no script from doc. So I went to Publix, explained it all and they sold me a vial for $29. It was worth it but so frustrating because I can’t get my hands on a script anymore and take it where I dam-well please. Sorry for long post. I’m angry.
    • 2 days, 22 hours ago
      ChrisW likes your comment at
      How many unopened, unexpired insulin pens or vials do you have?
      Medicare is basically not covering Tresiba in 2026 :( so I've been busy stockpiling pens. I have enough Tresiba pens in the fridge to get me through '26 without having to buy any.
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    When eating a serving of protein (i.e., chicken, fish, steak, pork), do you give extra insulin for your meal bolus? Share what works for you in the comments!

    Home > LC Polls > When eating a serving of protein (i.e., chicken, fish, steak, pork), do you give extra insulin for your meal bolus? Share what works for you in the comments!
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    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    28 Comments

    1. kristina blake

      If my meal is weighted towards the protein/fat side of things, I will dose for protein grams at 1/2 the dose I would for the same number of carb grams. I also use extended bolus – maybe 45 minutes or so.

      3
      2 years ago Log in to Reply
    2. Patricia Kilwein

      Yes I have to add extra insulin for protein to my mealtime bolus. Still wrapping my head around having to. It’s also a guessing game at this point because of no way to measure carbs in meat…..

      1
      2 years ago Log in to Reply
    3. Kathy Hanavan

      My protein intake is not that high, so no. I am thinking of eating more protein however and will have to see how that plays out.

      2 years ago Log in to Reply
    4. Beckett Nelson

      It all depends on how much meat I am eating. If eating a bunch of meat, I’ll add insulin (like the equivalent of 10-15g of carb depending on how much meat I’ve eated

      1
      2 years ago Log in to Reply
    5. Don P

      one can discuss this until the cows come home, therefore trial-n-error is the only way to ascertain as each meat varies. As an example, take a chicken leg, it can be cooked a half dozen different ways, each leg will contain a different glucose level.

      1
      2 years ago Log in to Reply
    6. mojoseje

      Other because I do t bolus for protein at dinner time, but I do bolus 2 to 4 hours later, when the proteins and fats hit my bloodstream.

      1
      2 years ago Log in to Reply
      1. cynthia jaworski

        that sums it up for me, too

        2 years ago Log in to Reply
    7. CindyGoddard

      Yes I give 1 unit of insulin for every once of protein spread out for two hours

      1
      2 years ago Log in to Reply
    8. Becky Hertz

      When I are very more carb I did bonus for protein/meat. I no longer do.

      2 years ago Log in to Reply
    9. Ceolmhor

      I said “other”. I don’t immediatly bolus extra, which would likely drive me low. I switch to an extended bolus. I often get BG increase that’s delayed as much as 4-5 hours after the meal. I wish my (Tandem) pump didn’t limited extended boluses to 2 hours.

      2
      2 years ago Log in to Reply
    10. Vicki Andersen

      It depends on the fat content of the meat. Fatty beef …yes.

      1
      2 years ago Log in to Reply
    11. Bruce Schnitzler

      Rarely does one eat just protein. The bolus will depend on how much carbohydrate is consumed along with the protein.

      2 years ago Log in to Reply
    12. mlettinga

      I picked other as in the morning when I drink a protein shake (elite protein by fairlife 42gprotein) in the morning I give extra insulin as it makes my sugar go up but if I drink it later in the day I don’t need to. It’s only in mornings I need to bolus extra.

      2 years ago Log in to Reply
    13. Bea Anderson

      Most often. The amount varies for serving size, how the protein is prepared, IOB, time of day, etc.

      1
      2 years ago Log in to Reply
    14. Lawrence S.

      I do not take extra insulin for proteins. If my blood sugar goes up, I will take extra insulin.

      2
      2 years ago Log in to Reply
    15. Eva

      For a 2 oz serving of lean protein (turkey, chicken, fish), I don’t bolus. I tend to eat about 2 oz of lean protein every 4 hours.
      If fatty protein, then I use my extended bolus over 4 hours.

      2 years ago Log in to Reply
    16. Nevin Bowman

      Yes. Extra protein does not get stored. Instead, excess amino acids get converted to carbohydrate or fat

      2 years ago Log in to Reply
    17. john36m

      I often give extra insulin, but not with my meal bolus. I will give it later 2-4 hours depending on many things.

      0
      2 years ago Log in to Reply
    18. John McHenery

      I don’t but know I should.

      2 years ago Log in to Reply
    19. KCR

      Only if I am having a larger portion or very fatty protein, and then I do an additional bolus as needed after eating.

      2 years ago Log in to Reply
    20. Kristin Sykes-David

      I mostly eat a vegetarian diet, (~ 100 carbs of carbs/day), but will have fish or chicken once or twice per week. The protein hits me later, sometimes four hours later. I give a correction dose to cover said protein.

      1
      2 years ago Log in to Reply
    21. Anita Stokar

      I tend to bolus extra for protein, but usually just when when protein size is larger

      1
      2 years ago Log in to Reply
    22. Kristi Warmecke

      It depends on how it made. If it’s heavily breaded, I count the breading. No need to if it’s not. For myself, at least.

      2 years ago Log in to Reply
    23. Chris Albright

      I do but it is usually an extended bolus after meal is complete.

      2 years ago Log in to Reply
    24. Abigail Elias

      I recently learned about the Warsaw Method, and have experimented a couple of times with an added, extended bolus (using their formula) when I’ve eaten a relatively high fat meal. But I’ve ignored the protein part of the formula (my source suggested ignoring the protein part). So far so good.

      2 years ago Log in to Reply
    25. PamK

      It depends. If I am eating a salad with a meat source and nothing else, then yes, I do bolus for it. If I am eating a meal with meat, carbs, etc. then no, I do not bolus for the meat.

      2 years ago Log in to Reply
    26. Lindsey Whitnell

      Depends how much protein there is compared to fats and carbs. Child usually doesn’t eat enough protein in a meal to make much of a difference.

      1 year ago Log in to Reply
    27. Melinda Gonzalez

      I extend a bolus when in manual or give myself more insulin about an hour later.

      1 year ago Log in to Reply

    When eating a serving of protein (i.e., chicken, fish, steak, pork), do you give extra insulin for your meal bolus? Share what works for you in the comments! Cancel reply

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