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    • 22 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 33 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 45 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 46 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 2 hours, 2 minutes ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 3 hours, 53 minutes ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 3 hours, 58 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    • 3 hours, 59 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 2 minutes ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      PUMP USERS: Just in case nobody has told you, if you use a pump, Insulin is considered durable medical equipment, which can save a lot of money, even with the new price cap
    • 4 hours, 10 minutes ago
      Samantha Robinson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 4 hours, 16 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Normally, no time spent but I changed insulins so I wanted to verify everything with my insurance company before asking my endocrinologist to write a new script.
    • 4 hours, 17 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours, 18 minutes ago
      beth nelson likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 35 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I expect that we’ve all had that feeling about how stupid payers can be when it comes to T1D.
    • 4 hours, 35 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Seriously depends on when you ask. The past 3 months have only been an hour or two, but if you'd asked this same question last September it would've been over 8 as I dealt with the annual "Yes I need a Dexcom and Omnipod again" red tape with my insurance/providers/doctor's office. I am counting the time on hold as well, but still - pretty ridiculous that insurance thinks Type 1 is going to magically go away just because it's been a year. I wish!
    • 4 hours, 35 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 4 hours, 36 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 4 hours, 36 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 4 hours, 36 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 4 hours, 36 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Just spent an hour and a half on the phone with insurance the other day trying to switch to Dash pods and nothing was accomplished....
    • 4 hours, 55 minutes ago
      William Bennett likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ā€˜delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 4 hours, 55 minutes ago
      pru barry likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Eight times a year I have to spend more than eight hours to fix errors on the part of my mail order pharmacy and DME supplier. My endo doesn't keep track of when prescriptions expire or need refills so add another couple hours a year building a to-do list for the doc. I'm ready to start billing for my time.
    • 4 hours, 58 minutes ago
      pru barry likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      One of the most unnecessary and frustrating parts of being a type 1 diabetic is all the stress and time involved with insurance companies, pharmacies, durable medical equipment distributers and their need to always contact physicians.
    • 5 hours, 28 minutes ago
      Bill Williams likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Significantly less time since I switched from Byram to ADS. It has made a world of difference and saved so many headaches!!
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    When you are giving a meal bolus, how accurately do you count carbs most of the time? Select all statements that you identify with frequently.

    Home > LC Polls > When you are giving a meal bolus, how accurately do you count carbs most of the time? Select all statements that you identify with frequently.
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    20 Comments

    1. Melinda Lipe

      I’ve been on a pump and counting carbs for over 20 years, so I either know the count in most foods or can guesstimate carbs in a given meal.

      2 years ago Log in to Reply
    2. Britni Steingard

      The webpage wouldn’t let me pick more than one so I selected looking up carb counts in an app or web search. There are several that I’ve memorized, though, and I keep a cheat sheet for foods that I eat often. I do guesstimate, sometimes, though, if I don’t know the exact portion size.

      2 years ago Log in to Reply
    3. Mike S

      I chose other because there wasn’t an option to pick more than one. After so many years, some foods I just know. Some that I don’t eat as often, I may still have to look up to know for sure and sometimes, like at a restaurant, I have to make a guess and watch the CGM for adjustments.

      2 years ago Log in to Reply
    4. George Lovelace

      GRAM SCALE and Calculator are indispensable!! (and most of the other answers also)

      2 years ago Log in to Reply
    5. Tod Herman

      I selected several of the options because most of them apply. If I am cooking at home, I can calculate the carbs from each item. If I eat at a restaurant, then I have to guestimate the various items. Sometimes, it cab be nothing more than a wild ass guess.

      2 years ago Log in to Reply
    6. Sherolyn Newell

      Some things I know how many carbs to put in my pump, and it’s not always the carbs in the food. Some foods act like more or less carbs than they really are. Other stuff I look up. Some stuff I estimate by looking up and guessing how much I am eating. That’s usually at a restaurant, at home I can use a scale. If it’s a sweet at a restaurant, I go by size. I figure it’s mostly sugar, so I look at it and imagine how many teaspoons it is. Then I take a little bit and make whoever is with me eat the rest.

      2 years ago Log in to Reply
    7. David Smith

      At home, with foods I eat often, I’ve memorized the carbs and usually get it pretty close. With some foods, I use Calorie King to look them up. Eating out is the wild card. I know which kinds of foods have more carbs than others, and use that to make a guesstimate for my bolus. Then I follow my sensor and bolus more if I see my glucose headed north.

      2 years ago Log in to Reply
    8. Gene Maggard

      It’s pretty much a guestimate for me most of the time. I have to consider things like alcohol and its effect on the carbs (delays them acting), and certain carbs like pasta which metabolize over a longer period. I usually just keep a watch on my CGM reading and adjust as the day or evening wears on.

      2 years ago Log in to Reply
    9. lis be

      When at home it is easy to know carb count or google it.. But eating out or ordering in is difficult. Restaurants often add ingredients that have hidden carbs like sweaters, thickeners, or breading.

      2 years ago Log in to Reply
    10. Daniel Bestvater

      I used to measure and count carbs very accurately but found insulin timing to be far more important. I have discussed this with a number of other healthcare colleagues and many of us have found this to be the case. It seems fine to estimate the carb count then use a pre-bolus sliding time scale, anywhere from immediately before to 90 minutes before carbs depending on BG. Seems counter to what we have always thought but it may have to due with glucagon and glycogen stores in the liver.

      2 years ago Log in to Reply
    11. Sasha Wooldridge

      I don’t always think about the carbs, but rather how many units did or didn’t work last time I ate something like it. For instance, Chinese food… I just pre-bolus 10 units, then bolus another 10 when I start eating. That’ll keep me from skyrocketing, but sometimes I need another bolus later and I eyeball that depending on my BG trend. Another everyday example is my coffee in the morning. Bolus about 2 units when I start drinking it and I’m good to go.

      2 years ago Log in to Reply
    12. connie ker

      The power of Guesstimation has been good for me, as well as going by the numbers constantly and right before a meal.

      2 years ago Log in to Reply
    13. Dennis Dacey

      Breakfast $ lunch at home is very easy for me to know the exact number of carbs for meals I regularly eat. The exception to that is the apple [one of at least three fresh fruits I eat every day] at lunchtime which can range in carbs between 13 and 28 carbs depending on variety and size- experience has helped me with a good, educated quess. Supper is totally different, yet I can usually come up with an accurate estimate having lived with diabetes for over six decades, and began counting carbs in the 1970s. Restaurants, during non-pandemic times where we would eat a couple if times a week are more of a guessing game. during pandemic isolation my wife has become more creative [great for a gal well into her 80s] with supper, depending on the expanded stocks of foods our daughter has been delivering to our home. but despite this challenge, I’ve been able to maintain my TIR at +90%.

      2 years ago Log in to Reply
    14. Patricia Dalrymple

      Home is easy. Out I just do 90 grams because I can do anymore than that – will go low before I go high. Then I either increase my basal (have a high energy and low energy setting) or know within an hour I need to bolus again for about 1.8 – 2 units more. Works.

      2 years ago Log in to Reply
    15. ConnieT1D62

      I have been carb counting for so long that I ~ more or less know ~ the exact amount for certain portion size foods I eat on a regular basis; other wise I guesstimate, read labels, or look an unknown something up on an app like Calorie King.

      2 years ago Log in to Reply
    16. Janice B

      My breakfast is always the same so counting carbs is not an issue. During the week I do not eat lunch so no issue, and dinner is generally meat and vegetable so again easy. Weekend lunch when we go out to eat is more of a guessing game. After 25 years I have most items that I order down but there are always wild cards.

      2 years ago Log in to Reply
    17. Thomas Hatton

      I have made a list of carb content on my phone for the meals I eat and refer to that. Eating out (remember when we did that?) was always more difficult. I had to wait for the meal to be delivered. My wife was a dietitian and has been a tremendous help.

      2 years ago Log in to Reply
    18. Thomas Cline

      I always just guess based on experience, and then titrate subsequently based on my reaction after eating. Obviously I generally avoid foods that I know to be problematic (like Pizza) and I do eat the same things for breakfast and lunch every day. Since I seem to be quite variable (exercise is one factor having a big influence), I find this empirical approach allows me to reach my goal of staying at or below an A1c of 7. Of course during the pandemic, eating out has not been an issue — and that is always the hardest thing to manage.

      2 years ago Log in to Reply
    19. Molly Jones

      I have memorized how many carbs/g are in different types of food that I eat frequently, but I still have to weight them. When I don’t know the amount of carbs in a specific food, I google it or look it up in a food tracking app. I like the food data central from the government the best. I liked it better about five years ago before all the brands were put on. That data is on their container. Other: When eating out I it’s east to stick to chain restaurants as their nutrition is up on the internet. Otherwise I have to ask questions about whether or not sugar is added. I don’t worry about vegetables, I can roughly guess rice, potatoes, soups can be hard and sauces are are impossible.

      2 years ago Log in to Reply
    20. Pat Reynolds

      I mostly look know, or look it up., or my partner is doing the cookng and they tell me. Some things have to be guestimated because maturity and species mean that a one-size-fits-all ‘100g of this has X carb can be out, and you won’t know until its cooked (if then) – so personally I pre-bolus and leave Control–iq to deal with it..

      2 years ago Log in to Reply

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