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    • 13 hours, 43 minutes ago
      Greg Felton likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 14 hours, 15 minutes ago
      ConnieT1D62 likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      One time I was explaining that a new pump would be too expensive at the time because my deductible had just started over.. and she asked if I had insurance and I said yes….. then she said “then it should be free with insurance.” 🤦‍♀️ She may know a little about the challenges of living with diabetes, but she knows nothing about how insurance works or how costly T1D supplies are.
    • 14 hours, 33 minutes ago
      Steve Rumble likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 15 hours, 4 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I am an RN. Been going to same doctor for about ten years. Took me six years to train him. I am very well read when it comes to my LADA. He trusts my judgement and gives me excellent parameters to make decisions. Recently had a bad case of Covid. Insulin needs changed dramatically. Getting back to normal but he made sure I had scripts to cover my ups and downs with insulin needs.
    • 15 hours, 5 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Mine acknowledges the struggles and challenges that go along with managing T1D in my daily life. She gives suggestions as to what may or may not help and has often asked me I how I handle situations so she can give suggestions to other T1D patient's.
    • 15 hours, 6 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 15 hours, 31 minutes ago
      Jubin Veera likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      The hard spots are fairly frequent with the pump infusion sets. Especially if I go past 3 days which I try to avoid! I don’t think I ever got one from injections. I try heat and massaging to treat them and they normally go away after a day or so. Once I had a large area that I had to treat with antibiotics.
    • 15 hours, 33 minutes ago
      Magnus Hiis likes your comment at
      Have you experienced any symptoms of physical sexual dysfunction as a result of having diabetes, or having diabetes-related complications?
      I’m 79. My last orgasm was springtime about 3 or 4 years ago. When I complained of ED, my PCP Rxd 3 to 5 (60-100 mg) sildenafil tablets by mouth about one hour prior to sexual activity. This alone hasn’t worked to bring me up to former sexual capacity that I had 10 years years ago. I’m still considering consulting finding a doctor who’ll prescribe a safe but effective way of administering testosterone or an anabolic steroid in a dose low enough to avoid causing cardiovascular problems but high enough to restore normal ability that I had up to my sixties. My present doctors say it can’t be done, but there are doctors who advertise otherwise. Analogs of the hormone insulin can be delivered in small safe doses, why not testosterone?
    • 1 day, 7 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      We are all so very different, and trying to say that all of us with T1 understand what it's like for another who has the same hill to climb is unproductive. Having a health care provider with T1 may often be helpful just because there's apt to be more knowledge about the specifics. How we respond to the disease is such a personal matter, that I really don't think there are any guaranteed benefits beyond the grasp of the factual. Finding a doc with the same general attitude about the disease does feel good, and sometimes that's all I hope for after working hard to make peace with the disease for 70 years. Asking my doc to "get it" used to be almost my mantra, but I've come to realize that the ones who don't just see us as unruly childrenchildren
    • 1 day, 7 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Both my endocrinologist and my nurse practitioner are great. They compliment me on the way I take care of my life and health and make aure I get all the supplies I need managing all the paperwork Medicare and insurance requires. My nurse practitioner who works with me on managing the pump has her own opinion about the pump settings based on her technical knowledge which is different than what I do with my settings based on living with them. She has thru the years learned to respect what I do and is surprised with how my settings work. So we are now at peace. Both very supportive.
    • 1 day, 10 hours ago
      pru barry likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 10 hours ago
      mojoseje likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I said yes but that refers to my nurse practitioner who sees me every other visit, if not more often. The doctor may know how hard I try but perhaps takes my efforts for granted.
    • 1 day, 13 hours ago
      Anneyun likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      How can someone without the disease really understand what it is to live with it? I have never had a doctor with T1D in 60 years.
    • 1 day, 13 hours ago
      Bruce Schnitzler likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 13 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My endo is young, very empathetic, thorough, always asks for my input, and does research. I am blessed too. have him, and the one before for over 25 yrs.
    • 1 day, 13 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 13 hours ago
      lis be likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 1 day, 14 hours ago
      Daniel Bestvater likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 14 hours ago
      TEH likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I have no clue what my T1D health care provider understands about my daily challenges and I don’t know about his daily challenges either. Not sure why I should care as long as I have access to information how to best take care of myself.
    • 1 day, 15 hours ago
      Jeff Marvel likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 15 hours ago
      Richard Wiener likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Hi Connie, I still have my glass syringe and show it off occasionally. We boiled the needle and syringe every morning and sharpened the needle with a file. I was diagnosed at age 6 in 1963. Life is so different now! Then, my diet was extremely limited as was my exercise. Now, I am very active and eat pretty much as I please. I maintain an A1C in the low 6s (6.2 was my last).
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Connie and Beth, I was diagnosed in Nov 1962, age 10. During the early years I developed lumps and indentations on my upper thighs from my injections. In fact, I was able t o spot other t1 kids in my junior high school based upon the lumps in their upper arms.. (I eventually met up with them and learned that I was correct.) By the time I reached my twenties, these indentations had more or less disappeared, but I still have remnants of the lumps. I wish I could say that the layers of tissue now deposited on my legs disguises them, but they don't. I think the changes in insulin have been responsible for this improvement: the isolation and purification of animal insulins were refined, and then the various human clones were game changers in many ways.
    • 2 days, 6 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Yes in my upper arms when I was a petite and skinny child in the 1960s with T1D. In those days we used glass syringes with stainless steel 1/2 inch long heavy gauge needles. My mother would jab me in the upper arms, it hurt like the dickens, and I developed several hard nodules. I was diagnosed at age 8 in December 1962 and after the initial two months of her jabbing me in the upper arms, I took over giving my own "shots" and started self injecting via site rotation in my thighs for several years. Eventually the lipohypertrophy in my upper arms resolved and I never injected there again until many years later as an adult on MDI using disposable syringes with very short and fine gauge needle tips. Periodically I would give my tired pin cushion thighs a rest and take a break for a few months or a couple of years and rotate injections in my abdomen or upper arms. Have been using a pump for over 20 years now and rarely use MDI unless I am taking a pump break for a short period of time. Happily, I no longer have lumpy sites.
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    When traveling, does changing time zones impact your blood glucose levels? Share your tips for traveling across time zones with T1D in the comments!

    Home > LC Polls > When traveling, does changing time zones impact your blood glucose levels? Share your tips for traveling across time zones with T1D in the comments!
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    If you wear an insulin pump that has the capability to give extended boluses, on average how often do you give an extended bolus? Share in the comments how you decide when to give an extended bolus!

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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 Marketing Manager 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. Wanacure

      I don’t travel much, even within my time zone. Traveling to east coast from west coast time zone of US, or back, is easier by car or train, than by plane. I did that in my twenties and thirties but not often. A T1D friend of mine here in US Pacific Time flew to visit relatives in India. He was on insulin injections like me. He reported “no problems” going or coming back despite obviously great time differences. While traveling he consumed nutrition bars as needed from his stockpile. No refrigeration needed, cheap, healthy, great variety. I’m sure he checked his blood glucose meter frequently.

      2 years ago Log in to Reply
    2. Steven Gill

      It think timing your doses regardless of the local time should be efficient. This pump relieved stress on a 14-15 hour work day by maintaining tree BASAL (saw that called the “background dose?”) even of not near home. Counting carbs do the rest.

      2 years ago Log in to Reply
    3. Larry Martin

      Sometimes but it is not the fact that you are changing time zones. You are frequently eating food in restaurants and your anxiety levels are high.

      2 years ago Log in to Reply
    4. Julian Reeves

      I use a tandem pump and dexcom cgm. I make whatever adjustments I need to account for the new time zone.

      1
      2 years ago Log in to Reply
    5. BOB FISK

      When traveling in an automobile and changing a single time zone, no. However, when moving from coast-to-coast in a single day, or flying to Europe, yes. The effect in the latter cases seems to be due entirely to shifting meal and sleeping/activity times.

      2
      2 years ago Log in to Reply
    6. JoAnn

      If my destination is 5 or more hours different I adjust the time on my Dexcom and Omnipod

      1
      2 years ago Log in to Reply
    7. Sahran Holiday

      Agree with many of the other comments. It’s mostly the change in activity. Need to do extra blood glucose checking and if you can’t fingerstick might have to do adjustments using CGM readings.

      2 years ago Log in to Reply
    8. Mike S

      Doesn’t affect my levels, but changing the clock on my older OmniPod model is a pain. It stops giving you the insulin on board info for a few hours due to clock change. If I’m just traveling a couple time zones away, I generally leave it alone, but if I’m doing a bigger jump, I suck it up and do change the time so that my basal levels will be accurate to time of day in new location. I found doing it mid-afternoon is the least stressful since I’m often chasing down sugars in the mornings.

      2 years ago Log in to Reply
    9. Donna Condi

      I will adjust the time on my Tandem pump and Dexcom and a one hour adjustment is no big deal. But when I went from Indiana to Hawaii for ten days it was a different matter. The four hour difference never straightened out and I remained high most of the time I was there. Even after changing the time on my Omnipod.

      2 years ago Log in to Reply
    10. gary rind

      within the US, not so much. when I travel internationally, I keep T1D on “Houston time” (my home). so if I’m 6 hours ahead of home, I’ll take my Tresiba at noon local time to keep it at 6 am Houston time. also will let my BS run higher (150-ish) since I never really know what I’ll be doing.

      2 years ago Log in to Reply
    11. William Bennett

      Depends on the distance. Not noticeable for a single time zone, but travel to the other coast (3 zones) yes, and overseas (UK, Europe) absolutely.

      2 years ago Log in to Reply
    12. Retired and glad

      Before I retired I traveled all over the US and often to Europe, South America and Asia. If I hadn’t had my pump I’m sure I would have never survived. The pump removed me from any reliance on time zones as I would have a normal basal rate that constantly maintained my sugars when I wasn’t eating, and I would give myself a bolus whenever I did eat. My CGM was a late arrival, just in the last three years of my traveling, but it further enhanced my ability to maintain proper control regardless of where I happened to be.

      2
      2 years ago Log in to Reply
    13. Donald Cragun

      When going across more than two time zones, I just reset the clock on my t:slim X2 and (although I may be tired for a day) everything else settles pretty quickly. When shifting one or two time zones (for travel or for daylight saving time shifts), everything is off for about a week.

      2 years ago Log in to Reply
    14. TEH

      I didn’t have CGM when I was traveling extensively by air. But now I only travel by car or motorhome so only cross one time zone at a time and don’t notice any impacts.

      2 years ago Log in to Reply
    15. betsy valian

      I just continue my insulins using the home time zone until I have a day or two to spend adjusting to the new time zone, not when traveling. Easier that way.

      1
      2 years ago Log in to Reply
    16. Natalie Daley

      Flying across time zones involves a lot of hurry up and wait, plus interminable sitting. Airport food defines the fact that you’re not home, and tiny pretzels aren’t a meal. I carry nuts. I gradually adjust my Tresiba. I try to mimic meals and foods I would normally eat. Traveling isn’t a license to go off the wagon. Highs and lows can be more difficult to control. On a cruise, it’s a three block walk to the dining room, and often a long wait for food t arrive. That lovely basket of carbs — rolls — isn’t a great option.

      2 years ago Log in to Reply
    17. Maitee Rossoukhi

      When traveling to a time zone that is 10+ hours difference, I notice that I tend to go low. It may also be attributed to the amount of energy, excitement, and activity that occurs when traveling as well.

      2 years ago Log in to Reply
    18. Pauline M Reynolds

      What changes is the length of the day. East to West, I have four meals and West to East, I have two. But I deal with it by keepig my glucometer set at the departure point and following that. One overnight gets me back to routine.

      2 years ago Log in to Reply
    19. Maureen Helinski

      This was a while ago that I traveled from Hong Kong to Guam on the way back to US. Did not realize it was the same day and the meal times were all changed. Then I used a Medtronic pump with Enlite and really had to check BG every few hours. All the problems were just meal time changes and needed boluses.

      2 years ago Log in to Reply
    20. Tina Roberts

      Yes. I have to eat earlier or later depending on what zone I’m in. My body still wants food at the same time.

      2 years ago Log in to Reply
    21. Henry Renn

      Not sure. Have relied on glucose readings & covering carbs.

      1
      2 years ago Log in to Reply
    22. Jan Masty

      My long acting insulin needs go down for some odd reason

      2 years ago Log in to Reply
    23. Brandon Denson

      This is a really great question. I recently traveled to Michigan from California and stayed from July 22nd, 2021 – July 30th, 2021. I could tell a huge difference in my sugar levels (blood glucose).

      While I’m not a trained, licensed medical professional and only a Subject Matter Expert, the best thing for me was to adjust my insulin pumps time setting. This helped me out tremendously.

      If you’re passing through time zones, it may not make a huge difference, but it most certainly will if you’ll be staying in a different time zone for an extending period of time.

      Peace, Love, and Happiness!!!

      1
      2 years ago Log in to Reply
    24. Abraham Remson

      I have what they used term as Brittle. So traveling or not makes little difference in my control. I never did a great deal of traveling and now retired for a number of years. Traveling is out of the equation

      2 years ago Log in to Reply
    25. Mig Vascos

      There are many variables when traveling so it’s hard to know what is actually affecting you BG levels.

      3
      2 years ago Log in to Reply
    26. Bob Durstenfeld

      I change to the arrival time zone on departure. I always seem to go low on airplanes. So I have an airplane basal profile on my Tandem pump. CGM has made the transition MUCH easier.

      1
      2 years ago Log in to Reply
    27. M C

      For me it is a yes/no answer – In general, the time change does little, as I am able to adjust the time on the insulin pump, and all continues as is. On the other hand, I find the pressure in the plane often causes more insulin to be released than registered – In the past, particularly on longer flights, I sometimes struggled with severe lows. Now, when I travel, with a CGM and making adjustments to my insulin output, the problem of experiencing severe lows are mostly eliminated).

      1
      2 years ago Log in to Reply
    28. Anthony Harder

      When traveling, my “internal clock” does not adjust instantly. I am hungry, wanting a meal when no one else is eating. This is challenging. I live in the central time zone in the United States. Traveling to eastern time is not so difficult. Eastern starts workday at 9, lunch at 1, supper at 7-8. Central start at 8, lunch at noon, supper 6-7. My internal clock doesn’t need to adjust going one time zone to the east.

      2 years ago Log in to Reply
    29. Molly Jones

      I notice low BG when I travel by air more than five time zones. If shorter distance or by other means, nothing is noticed.
      My pump delivers almost half as much basal while I sleep than while I am awake. It worked best for me to use a lower basal rate when we travel east or west. This was before Control-IQ, which I assume will help once travel starts once more.

      2 years ago Log in to Reply
    30. KarenM6

      Hard to know if it is the time zone change or multiple other factors, but my BS always skyrockets. I am an admitted (and lifelong) very bad traveler. I get motion sick at the drop of a hat (make sure I travel with my own “barf bag” just in case) and I’m also on Dramamine for the travel.
      I love being in the new place, but the travel to get there can be difficult!!

      2 years ago Log in to Reply
    31. Bridget Riegsecker

      No. Travelling diet changes my bg

      2 years ago Log in to Reply
    32. Barbara green

      It depends on how many time zones. In the US only, no problem except possibly Hawaii. More than that, definitely

      2 years ago Log in to Reply
    33. Elizabeth T.

      It depends on how many hours the time difference is. One hour doesn’t make much difference but it is harder with international travel with a five or six hour time difference.

      1
      2 years ago Log in to Reply
    34. Abigail Elias

      Usually mid-flight I adjust the time in my pump so my basal rates are adjusted ahead of time to my destination time zone. I also increase my basal rate about 10% (or pick a profile on my pump with vassal rates that are a bit more aggressive for the period of time I’m at higher altitude in the plane.

      2 years ago Log in to Reply
    35. Nicholas Argento

      I change the time on pump when I land at the destination airport, and back with home airport. Otherwise the timed settings- change basal or CR, and sleep mode in CIQ, will be incorrectly timed. If 1 hr, likely not needed

      1
      2 years ago Log in to Reply
    36. kathy scott

      Because of my Tandem tslim x2 pump, I can and do change the time of day if I will be staying more than 1 day in the different time zone.

      2 years ago Log in to Reply
    37. clhefner

      If I travel more than 2 hours difference, I change it. Also if I’m staying longer than 48 hours in time zone change, then I change it. My body gets used to the change in eating and activity, so the change is needed.

      2 years ago Log in to Reply
    38. Cheryl Seibert

      I marked No. I adjust my time/date on the pump so the basal profile matches my current location’s time zone. My body could care less about time zones, so I stay on my default basal pattern until I arrive. Depending on the number and direction of time zones crossed, I may have to skip or add a meal to adjust to the time difference.

      2 years ago Log in to Reply
    39. Velika Peterson

      We have changed time zones twice in the last month and a half. The first time was 16 hours, which was a nightmare with the pump! Our daughter kept crashing. The second time was only 3 hours and it was a little better but I still waited to change the time on the pump, so the settings don’t make her crash at night. Just be very careful for lows.

      2 years ago Log in to Reply
    40. Abraham Remson

      I have only used the extended boles if we were invited to a wedding or some other affair

      2 years ago Log in to Reply

    When traveling, does changing time zones impact your blood glucose levels? Share your tips for traveling across time zones with T1D in the comments! Cancel reply

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