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    • 3 minutes ago
      Lawrence S. 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.
    • 3 minutes ago
      Lawrence S. 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 diabetologist every 90 days to continue receiving pump and CGM supplies.
    • 3 minutes ago
      Lawrence S. 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!
    • 4 minutes ago
      Lawrence S. 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.
    • 4 minutes ago
      Lawrence S. 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.
    • 4 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I would prefer to see my endo twice a year. But insurance requires a visit once every 90 days to obtain an insulin pump and CGM, which is completely illogical. Insulin pump allows for better control soo....
    • 5 minutes ago
      Lawrence S. 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.
    • 5 minutes ago
      Lawrence S. likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I saw my endocrine provider 6 times this year instead of the usual four because I was having pump insertion site absorption issues so she saw me two extra times for problem solving resolution.
    • 11 hours, 18 minutes ago
      Kris Sykes-David likes your comment at
      If you’ve ever used a connected insulin pen (also known as a “smart pen”), what was your experience like? Tell us more in the comments! A “smart pen” connected insulin pens can offer extra technology with the simplicity of injections, like tracking the timing and dose of insulin, tracking insulin-on-board, and calculating insulin doses based on carbohydrate entries.
      It helped me track when and how much insulin I had injected. It also would show me how much I had on board so if I needed to take additional insulin it would help me not to stack too much at a time.
    • 11 hours, 18 minutes ago
      Kris Sykes-David likes your comment at
      If you’ve ever used a connected insulin pen (also known as a “smart pen”), what was your experience like? Tell us more in the comments! A “smart pen” connected insulin pens can offer extra technology with the simplicity of injections, like tracking the timing and dose of insulin, tracking insulin-on-board, and calculating insulin doses based on carbohydrate entries.
      I love it! Can't live without one.
    • 18 hours, 6 minutes ago
      TEH 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.
    • 18 hours, 6 minutes ago
      TEH likes your comment at
      How many times in 2023 did you have an appointment with your main T1D healthcare provider?
      I would prefer to see my endo twice a year. But insurance requires a visit once every 90 days to obtain an insulin pump and CGM, which is completely illogical. Insulin pump allows for better control soo....
    • 1 day, 9 hours ago
      Janis Senungetuk 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, 13 hours 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.
    • 1 day, 16 hours 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.
    • 1 day, 17 hours 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.
    • 1 day, 17 hours 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.
    • 1 day, 17 hours 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.
    • 1 day, 18 hours 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.
    • 1 day, 19 hours 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.
    • 1 day, 19 hours 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.
    • 1 day, 19 hours 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!
    • 1 day, 19 hours 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.
    • 1 day, 19 hours 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.
    • 1 day, 21 hours 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.
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    When treating a low (i.e, less than 70 mg/dl or 3.9 mmol/l) 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 or 3.9 mmol/l) how often do you over treat, resulting in high blood glucose levels?
    Previous

    During your last appointment with your T1D health care provider, how many minutes would you estimate you spent with your provider?

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    If you use an insulin pump, please select the option which most accurately completes the statement for you: The last time I changed my pump site, I filled my reservoir/cartridge/pod with enough insulin to last me...

    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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    26 Comments

    1. Steven Gill

      My basal shuts down when “65” is reached on my connected CGM. I get warned if my system predicts I’ll drop to that 70 within 30 minutes (Medtronic in manual) so I’ll react accordingly.

      At 70 with no arrows and idle (sitting or in bed) may suspend my basal for 30 minutes allowing levels to rise naturally, at 65 in this case sip a few ounces of a sweetened drink or a few tablets (got a Gatorade on my nightstand). If active (not excursion but like walking or being mildly busy) sip a sweetened drink or swallow a few tablets at 70. If busy with basal already decreased will suspend the basal and do a carb intake (sometimes in a panic?). Rarely go over 130-140, if I do will than correct accordingly to prevent a huge rise (again my upper alarm is 125, allowing me to prevent huge rises).

      I see higher levels (to me over 150ish, yeah saw 200 last week) but I don’t panic, I am a TYPE 1 after all. I “crush it” (a phrase from my favorite podcast) and can bring it down successfully and safely in an hour or so. And yeah I see my 60’s but so do many NONdiabetics, while they don’t inject insulin I’m learning to trust my CGM to warn me.

      Soooo… I do overdo corrections but not a lot. Often levels fall from beating up a house or cleaning after a huge damage, and while I’ve learned to decrease my basal a lot (with few mistakes), learning to plan on the fast rises from a panic correction.

      2
      12 months ago Log in to Reply
    2. Lawrence S.

      This is not something that I’ve ever measured or kept track of. Sometimes I get insatiably hungry and over eat. I like to think it’s less than half of the time that I over eat, but I’m really not sure.

      2
      12 months ago Log in to Reply
      1. TEH

        Me to!

        12 months ago Log in to Reply
    3. Ernie Richmann

      I have learned that just one glucose tablet (4g of of carbs) will raise my bg 40 points. The recommended 15 grams of carbs will send me over 200. The exception is I am exercising.

      7
      12 months ago Log in to Reply
    4. Sherolyn Newell

      Between 60 and 70, one glucose tablet will get me up around 80 to 90. 50 to 60, it takes 2 tablets, etc. I’ve learned this over time, I used to eat them per the doctor and it was too much. The only times I mess up and get too high are on the very rare occasions that I get below 40. Then I get panicky and eat way too many tablets.

      5
      12 months ago Log in to Reply
    5. cynthia jaworski

      I said that I overtreat half the time. This usually does not result in a very high glucose, just higher than I had intended.

      2
      12 months ago Log in to Reply
    6. Greg Felton

      Interesting split in the responses! I answered “about half the time.” It’s hard to avoid. Fifteen grams of carbs? Puhleeez….

      4
      12 months ago Log in to Reply
    7. Sue Martin

      I have my low alarm at 80 so that I rarely get below 70.

      12 months ago Log in to Reply
    8. karolinamalecki7@gmail.com

      I don’t typically overtreat a low below 70, I definitely need less than 15 carbs (usually 4-8 will do the trick), aside from exercise. On the rare occasion I get below 45 or so, then I do overtreat typically. I think it would be interesting to lower this number in coming days and see if answers change below 60 , below 50, below 40, etc.

      2
      12 months ago Log in to Reply
    9. Jeff Balbirnie

      Easily lethal, making 100% certain it is not is mandatory IME.

      Zero testing, just TREAT, then , then afterwards, if, if you must Feel free.

      Treat first, stay alive
      : D

      12 months ago Log in to Reply
    10. Bill Williams

      If I’m low enough to need help, I invariably get over treated. Two swigs of juice and patience almost always gets me back to the 100-150 range.

      1
      12 months ago Log in to Reply
    11. rick phillips

      Does being on the floor of the ceral isle with two open boxes of frosted flakes yelling there great count as over eating?

      8
      12 months ago Log in to Reply
    12. Ginger Vieira

      I used to overtreat — but I broke this habit with a few little guidelines for myself, include:
      -never use food I love to treat lows
      -never use a meal to treat a legit low
      -remind myself that I have control over how much I actually eat even if my brain wants more
      -distract myself after treating with gum or a glass of ice cold water
      -remind myself that overtreating lows always creates more stress and chaos later on!

      3
      12 months ago Log in to Reply
      1. Bea Anderson

        All true.

        12 months ago Log in to Reply
    13. Philip Bunsick

      Question for everyone – if there was an easy to use Mini-Glucagon injection available to treat moderate to severe lows yourself (ie. 40-60) would this be of interest to have on the market and would you likley use it?? Think of a 1/4-1/5th dose of traditional Emergency Rescue kit dose to self-treatment for our on-going lows.

      12 months ago Log in to Reply
    14. Bea Anderson

      I said half the time, sigh. I have every tool at my disposal, yet for many episodes/failures I succumb to overtreat. So I need a smart house monitoring my blood glucose when low locks fridge and pantry, a robot to place one glucose tab in my hand and in 15 minutes decides if another tab is needed. The glucose tab robot could be an add on to my Roomba. I tried to recruit my husband but he over imagines what I need!! How hard is it to remember the rule of 15, when he is not experiencing the brain altering low? Just kidding. My husband does pretty well!

      4
      12 months ago Log in to Reply
      1. Sherolyn Newell

        🙂 🙂

        12 months ago Log in to Reply
    15. Molly Jones

      I chose other as I don’t consider myself as overtreating as I know my BG will rapidly decrease, but control-iq isn’t programmed to allow this.
      When my BG is below 60, I’ll try one glucose tablet or up to three within twenty minutes depending on a rise. It depends and probably half the time control-iq will correct for a BG of 180 that won’t last.

      12 months ago Log in to Reply
    16. Jen Farley

      I have just started a great system so we shall see. I hate glucose tablets and gels so I do old and true, 3 lifesavers and wait 15, never fails to get me to at least 65. That is happening less and less maybe once or twice a month depending on my workout schedule.

      12 months ago Log in to Reply
    17. Janis Senungetuk

      I answered about half the time, but I think the suspended Basel from Control IQ helps to push me over 200 many times. If I’m awakened at 3 AM by a low alarm it’s really easy to chomp on a couple of glucose tabs snd go back to sleep. If the alarm gets me out of bed and I go to the kitchen for apple cider I’ll probably be high when I get up for the day. I’m really not having that many lows now because Control IQ has been very helpful keeping me in range.

      12 months ago Log in to Reply
    18. M C

      I am very aware when I am ‘over treating’, but it’s often because the BG keeps plummeting, lips are turning numb, I’m sweating, and worried it won’t get turned around on time. Once the arrow on the CGM has at least gone level, I know, at that point, that the BG is turning around – and shortly thereafter I’ll compensate with insulin for a portion of what I know I’ve over-consumed, so that I won’t go ‘high’. It’s easy to preach the ‘wrongness’ of over treating – but try being in our shoes when the body is having the struggle with the severe low – it’s understandable that there are times that are just plain scary, and over treating will happen.

      12 months ago Log in to Reply
    19. Jneticdiabetic

      If it’s 70 AND dropping quickly, no food is safe from my panicked, epinephrine-induced hypo hunger. I’m usually a little gun shy I terms of insulin dosing after a low, so wait for increasing arrow. Often go high after such a low

      12 months ago Log in to Reply
    20. T1D4LongTime

      I’m finding that in the past year, carbs listed on food no longer seem accurate. I’ve tried to include fat and/or protein in the carb count, without success. Overtreating is about half the time. Supposedly, with the supply chain issues, companies are switching to high fructose sugar for sweetening. Likely some of the cause of the overcorrection.

      12 months ago Log in to Reply
    21. Marcie Dutton

      Recently I have been healing my t1d so when I drop low due to the small amount of insulin I’ve begun making I tend to have my body also treating and trying to balance bgs so it takes a totally different number of minutes for results AND for treatments to hit because I think my body is a bit confused. Lol

      12 months ago Log in to Reply
    22. Lori Smith

      I hate the feelings that Low Blood sugars bring, so I have a habit of taking more Carbs than I really need.

      10 months ago Log in to Reply
    23. Lori Smith

      Most of the time.

      10 months ago Log in to Reply

    When treating a low (i.e, less than 70 mg/dl or 3.9 mmol/l) how often do you over treat, resulting in high blood glucose levels? Cancel reply

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