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    • 14 hours, 10 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 14 hours, 11 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I am my own advocate. I read about new devices and always investigate side effects of any new medication before starting. I usually bring up but then have good discussion with Endo before making decisions.
    • 14 hours, 12 minutes ago
      ConnieT1D62 likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      With my endo, I usually have to ask. With the Diabetes Educator, she'll make the suggestion first. They're both very aware that I'm dependent on insurance covering the majority of the cost.
    • 15 hours, 26 minutes ago
      Trina Blake likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 15 hours, 31 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      No, I was the one who had diabetes
    • 15 hours, 32 minutes ago
      beth nelson 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, 32 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      Already married over forty years when I was diagnosed.
    • 15 hours, 32 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I never knew of anyone who had diabetes, type 1 or 2 before I was married. I became a T1D after I was married.
    • 15 hours, 36 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I answered “no.” I don’t think my girlfriend at diabetes children’s camp when I was 13 counts. While I think there would be a lot I would have in common with a partner with T1D, I wouldn’t want that to be what brought us together, and I don’t think it would keep us together.
    • 15 hours, 36 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      went on one date with a T1D. she had been dx'd as a child (I was dx'd at 43) so she was very old school. she ragged on me during the entire date about my menu choices, my carbs estimation for my shot and she lost her mind when I ordered a Corona! punchline is that my sugar was less than 150 when I went to sleep.
    • 15 hours, 37 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      When I was married, diabetes was not in the picture at all. All I knew was an uncle who died in 1929 because he refused injections. I developed LADA in my 40's, followed by my husband with Type 2, then my two daughters who had PCOS and Type 2, then my son with Type 2. Enough.
    • 15 hours, 37 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I am married to someone with Type 2.
    • 15 hours, 37 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 15 hours, 37 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I dated someone, but I was/am not out of the closet about having T1 so he didn’t know that I have T1
    • 15 hours, 37 minutes ago
      beth nelson likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      My husband was diagnosis at age 3 and I was diagnosed at age 4.
    • 15 hours, 58 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 15 hours, 59 minutes ago
      Janis Senungetuk likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 16 hours, 18 minutes ago
      Bonnie Lundblom likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I have been married since 1985. My wife Susan does not have either type 1 or 2 diabetes, but rather type 3 diabetes- spouse or mate of someone with T1D...:) She has been my guardian for night lows, though she has rarely had to intervene since I started CGM in 8-2006.
    • 16 hours, 27 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I may already be on the best medications and devices available to me.
    • 16 hours, 27 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I wouldn't say that my T1D healthcare provider OFTEN suggests medications or devices that they think would be beneficial to my diabetes management, but they do SOMETIMES suggest options available to me. (I was privileged to be the first person, in the area that I live, to be offered CSII (Continuous Subcutaneous Insulin Infusion, or pump technology) to help control my diabetes. This was after my endocrinologist attended a diabetes conference in the United States where a former Miss America, Nicole Johnson, was demonstrating a Medtronic/MiniMed insulin pump. He asked her for more information on how these pumps work, mentioning that I had extreme difficulty in controlling my diabetes, with me spending as much time in hospital as I was at home when I was taking multiple daily injections (MDI). On his return to the UK, he offered me the opportunity to 'trial' the pump, which I accepted. This was in 1989.)
    • 16 hours, 28 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I think my healthcare providers learn about new medications and devices at about the same time that I do. This wasn't the case when I was first diagnosed, pre-internet. Back then, I always looked forward to seeing my CDE because I knew I'd come away with something to make my life easier/better.
    • 16 hours, 28 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I had to answer “other” because I just got a new endo after my other one retired so I’ve only met with him once. Too early to discuss new technology or medications.
    • 16 hours, 28 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Generally, no, my healthcare provider does not suggest new medications or devices. However, it is not often that new meds/devices become available. Most things are dependent upon my quarterly blood tests. Recently, my Endo put me on statin drugs when my bloodwork showed high cholesterol over a six month period. Otherwise, I am usually the one who asks about new devices about which I have heard or read.
    • 16 hours, 28 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I’m almost always more informed of the reported advancements in T1 treatments than my doc. So I usually bounce ideas off the doc for his input.
    • 16 hours, 29 minutes ago
      beth nelson likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      I am on the Dexcom, I’m not on a pump though. I am LADA so I have very high insulin resistance, so I use a lot of insulin & there’s just not a pump that would be efficient for my amount of insulin. I’ve tried to get Afrezza, but every Endoc I bring it up to won’t prescribe it. Even though I bring them evidence that it doesn’t cause lung cancer when you’re not a smoker. So frustrating that we can’t agree on that course of treatment.
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    When treating a low (i.e, less than 70 mg/dl) how often do you over treat, resulting in high blood glucose levels?

    Home > LC Polls > When treating a low (i.e, less than 70 mg/dl) how often do you over treat, resulting in high blood glucose levels?
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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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    38 Comments

    1. Beth Baskett

      I’ve been T1D for over 30 years, and it used to happen entirely too often. I have it down to a science now, unless I wake up with a bad-feeling low.

      4
      2 years ago Log in to Reply
    2. Sharon Gerdik

      Many times but not always. I may cancel insulin delivery for awhile or switch to a lesser basal rate. Take a little juice and monitor my glucose levels.

      2 years ago Log in to Reply
    3. keith johnson

      Often but the pump makes corrections if I over correct.

      1
      2 years ago Log in to Reply
    4. ConnieT1D62

      Sometimes, but rarely unless I don’t catch it in time. Used to be more frequent before I was on CGM with alert alarms and self-adjusting pump.

      In the old days when still on MDI of Regular and UltraLente or Lantus my endocrinologist instructed me to take 2 to 5 units of Reg insulin after a BG < 70 to counteract a high rebound from happening. Amount of rebound insulin depended on how much below 70 the BG level got.

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

      Why I have to check my insulin on board which is wrong I make my own adjustments. Can’t do it solely on CGM except for emergency quick fix. Then must use the blood glucose monitor several times and react to what’s going on.

      2 years ago Log in to Reply
    6. connie ker

      i watch the freestyle libre numbers, but they are delayed. I treat and wait to see what the numbers are in 10-15 minutes. Sometimes I have untreated, sometimes I have overtreated. Being a T1D with fluctuations 24/7/365 is still quite a mystery. If I am going to be driving somewhere, I make sure the arrow is horizontal or going upwards.

      2 years ago Log in to Reply
    7. Beckett Nelson

      Sometimes when I treat it’s like y digestion is at a standstill or something. There’s no increase in BG, so I’ll treat again. (Sometimes multiple times). And then it’s like my body is “oh, ya…I should do something about this sugar that has been ingested” and I’ll go up (sometimes to a “good” number and sometimes way higher than I’d like)

      7
      2 years ago Log in to Reply
      1. Annie Wall

        That’s exactly what happens to me!

        1
        2 years ago Log in to Reply
    8. Ahh Life

      Often because of gastro paresis.

      Formulas, heuristics, CIQ? They’re all thrown out the window. Without at least SOME degree of digestive certainty, (and speed), you just hope like the dickens that the orange juice, apply juice, pineapple juice work some kind of a miracle and get absorbed immediately.

      This waiting for the digestive nerve to decide to act is for the birds. ¯\_( ͡🔥 益 ͡🔥)_/¯

      2
      2 years ago Log in to Reply
    9. Mary Dexter

      If it doesn’t recover in 15 minutes and I have obligations.

      2 years ago Log in to Reply
    10. Nicholas Argento

      I said rarely because I have made a continuing effort to treat with 15-20 gram of sugar as juice and wait for a response. I am not perfect, but that helps- a fast and generally predictable response. I try not to eat to correct- then I over do it. Having CGM then a control IQ system has helped, because it warns me and try to avert lows, so that when they occur, they tend to be less severe and easier to treat. None of this is perfect, but it is much better than I was doing 15-20 years ago. I started Dexcom CGM in Aug 2006. I can divide my life into 3 periods- pre diabetes (8 years), T1D pre cgm (38 years), and T1D post CGM (15 and counting)…

      1
      2 years ago Log in to Reply
    11. Tb-well

      I did better before the closed loop system. With it, I see a lot of extended lows, Ie 15 carbs wait 15 minutes, but when it is 1 am and your spouse is punching you to make it stop, you tend to wake up with a bg of 200+.

      2
      2 years ago Log in to Reply
    12. Maureen Helinski

      If I am near the kitchen and eat, it will go high. I try to just do the glucose tablets and I know how to bring it up. I also set the Dexcom CGM at a fake calibration of 85 BGs. Then it won’t alarm me again. In 15 minutes it will be 85 so that is fine.

      2 years ago Log in to Reply
    13. Becky Hertz

      I tend to over eat/treat when my bg is <60, or it doesn’t rise (by finger stick, not my Dex). I have hypo unawareness but will sometimes get symptoms-that’s when it’s hard to not overreact too.

      1
      2 years ago Log in to Reply
    14. Janis Senungetuk

      Much depends on when and where I experience or am warned of a low. Glucose tabs are much slower than a swig of regular Coke. If I’m concerned about others reaction to the CGM alarm I’ll go for the quick fix, and then pay the price of dealing with the resultant high. If I’m home I try to stick to the approved 15 g carbs/wait 15 minutes.

      2 years ago Log in to Reply
    15. Christina Trudo

      Rarely these days. Aven when it was more common I’d kick myself because I’d end up feeling sick for hours. Once the symptoms have kicked in do have to fight that sensation of panic that is part of the physiological response- even though my brain knows better.

      2 years ago Log in to Reply
    16. Natalie Daley

      Gastroparesis slows the digestive reaction. If my CGM IS SENDIBG alarms and I’m out and/ or going to be driving, I will overshoot it for safety reasons. But now — pay later safely at home.

      3
      2 years ago Log in to Reply
    17. Kevin McCue

      Depends more on activity level or stress. Treating a low while at work is different than treating a low at home.

      1
      2 years ago Log in to Reply
    18. Carol Meares

      My desired range is between 75 and 120. I consider high and will treat above 120 unless it is flat. So quite often a treatment of a low will result in what I consider to be a high. I always shoot for 100.

      2 years ago Log in to Reply
      1. Carol Meares

        Many times it will go straight up after waiting quite a while for my food correction to act at all.

        1
        2 years ago Log in to Reply
    19. BARRY HUNSINGER

      when it happens I always overtreat because I hate the shaking, sweating and all the other debilitating symptoms of hypoglycemia so much that I panic treat.

      8
      2 years ago Log in to Reply
      1. Vickie Baumgartner

        I do too. I hate the impending doom feeling.

        1
        2 years ago Log in to Reply
      2. Nicole Alexander

        Yes exactly me too

        2 years ago Log in to Reply
    20. KarenM6

      Waiting is SO hard!! =8/

      5
      2 years ago Log in to Reply
    21. Jneticdiabetic

      I said often. Often suspend basal, eat or v overeat snack/s, an gunshy to bolus until I see CGM climbing, forget and then end up high. Had 68 overnight last night and did pretty good with a temp basal of 0% for 1hr + small pouch of fruit snacks at my hubby’s insistence. Woken again by triple arrow rise alarm at 158 and bolused for half the carbs and came down to a steady 96 for c the rest of the night.

      2 years ago Log in to Reply
      1. Jneticdiabetic

        I should mention that I’m on the Medtronic 670G. I exit automode the week before my period because my BGs run higher then tend run low the few days after. My diabetes nurse advised I do so since the Medtronic algorithm adjusts based on a running average of the last 6 days, so explained these unusual days would throw off my calculations more than help. However, when I exit automode, the 670G seems to require that I manually turn the auto suspend feature back on. If I’d remembered to do that, I probably could have avoided the low mentioned above.
        I wish the 670G would default to my pre-programmed auto suspend settings when I exit or get kicked out of automode.

        2 years ago Log in to Reply
    22. AnitaS

      If I am not being active, I many times just take one glucose tab (4 grams of carbs) as 15 carbs will shoot my sugar way too high if am not currently exercising. I wait at least 30 minutes instead of the 15 minutes if not exercising because sometimes it takes a little longer for the sugar to rise but if I take another glucose tab after the first 15 minutes then the sugar will be too high as the first glucose tab kicks in and because the basal rate was suspended for awhile which causes the sugar to rise.

      2 years ago Log in to Reply
    23. Amanda Barras

      I have learned that it takes very little to correct a low because I’m very sensitive to carbs. I treat with a glass of milk, or only 6-8 skittles if I’m away from home. Sometimes I don’t treat at all and just let me pump suspension treat it before I go low and so t have to worry about lows as much.

      2 years ago Log in to Reply
    24. William Schaffer

      I don’t treat until it’s <60. I don't really feel symptoms until <50. Part of that is my 45+ years as Type 1 and part of it is my low A1c, <6, and part of it is my lack of concern for hypo until I sometimes have symptoms. Then when I do, I sometimes overtreat – mainly because I have some gastroparesis, which means that digestion of even simple carbs is slower than it used to be.
      Sometimes I feel that I just can't "get it right".

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

      It’s incredibly disconcerting when the BG continues on a downward trajectory… so, when it’s below 70, I will often take more glucose than the regularly suggested 15 mg. Once the BG levels out, and I know the BG is finally turning around and heading upwards, I will take sufficient insulin to cover the excess glucose taken. Rarely does my BG go high afterward. (The benefits of using a pump and a CGM)

      2
      2 years ago Log in to Reply
    26. William Bennett

      Years ago I hit upon a handy tip for dealing with an attack of the Hyposaurus Rex. It was one of those 3am ones. I hate glucose tabs, so a shakily made my way into the kitchen to see if I could find something more palatable. I mean, might as well take the opportunity, right? There was some honey in the pantry, right next to a jar of peanut butter. A lightbulb went off in my hypo-befuddled head. Cuz the problem is the terrible impulse to keep eating SOMETHING even though you know you’ve had enough. And here’s the thing: PB is pretty low carb, goes great with a dollop of honey (high carb obvsly) on top, and it’s bulky and pasty and resists being eaten very quickly. So it slows you down and satisfies the urge to keep shoving food in your mouth long enough for the honey to work.

      2
      2 years ago Log in to Reply
      1. NAK Marshall

        Brilliant! Thanks for the idea!

        2 years ago Log in to Reply
    27. Mary Ann Sayers

      I consider iob, how low bg is and the direction it’s been and where it’s heading (via pump➡️)but some times I miscalculate.😥

      2 years ago Log in to Reply
    28. Molly Jones

      I chose often, because control iq often corrects my treatments now. My BG may be low, going low or crashing and I will have some soda or tablets and then ten-twenty minutes later my pump is delivering insulin for a sugar high above 180 that is going to disappear on its own quickly.

      2 years ago Log in to Reply
    29. Nicole Alexander

      I tend to overeat a lot when I get low, I’m hungry and I just keep eating until the low symptoms go away

      1
      2 years ago Log in to Reply
    30. PamK

      In recent years I have been following the recommended 15 – 15. However, 15 grams is often too many carbs and I end up with a high blood glucose reading afterwards.

      2 years ago Log in to Reply
    31. NAK Marshall

      Like others, it depends how low I’m heading and how panicky I feel. I’ve had times when I couldn’t stop myself, knew I was over-treating & took extra insulin shortly after!

      2 years ago Log in to Reply
    32. Cheryl Seibert

      My days are consumed with caregiving an elderly relative, talking to doctors and hospitals (for my husband, myself and my relative). I often over-correct in trying to get my BG quickly back to normal so as to not make mistakes in care decisions. I just add a correction bolus to cover the ‘mistake’.

      2 years ago Log in to Reply

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