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    • 2 hours, 42 minutes ago
      Daniel Bestvater likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 12 hours, 16 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 12 hours, 16 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 12 hours, 17 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 12 hours, 17 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 16 hours, 32 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 22 hours, 50 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 1 day, 2 hours ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 1 day, 2 hours ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 2 days ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 2 days, 1 hour ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 2 days, 1 hour ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 2 days, 2 hours ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 2 days, 2 hours ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 2 days, 3 hours ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
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    When you are traveling long distance (4+ straight hours with little movement), do you make any changes to your typical insulin dosage? Select all that apply to you.

    Home > LC Polls > When you are traveling long distance (4+ straight hours with little movement), do you make any changes to your typical insulin dosage? Select all that apply to you.
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    Sarah Howard

    Sarah Howard has worked in the diabetes research field 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.

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    37 Comments

    1. RegMunro

      I watch bg more carefully and adjust insulin as needed

      4
      4 years ago Log in to Reply
    2. Molly Jones

      I am a lethargic person. I only need to make changes to my insulin with activity.

      1
      4 years ago Log in to Reply
    3. Louise Robinson

      I use a Tandem t:slim X2 with Control IQ. I trust it to make any adjustments I might need and, if I notice I am trending too high, I also initiate any extra corrective boluses I feel I need.

      2
      4 years ago Log in to Reply
    4. Lawrence S.

      I chose “other”, because I haven’t taken a long trip since 2019. I remember that I used to make adjustments for long trips. I believe that I took extra bolus, and watched my pump almost continuously during the trip, making adjustments in eating food or taking more insulin as I went. (was that a run on sentence?:-) For me long, sedentary trips require more insulin. But, the very last thing I want while I’m driving is low blood sugar. So, I go out of my way to keep checking my pump.

      4 years ago Log in to Reply
      1. mbulzomi@optonline.net

        I always have my Start Phone on, selected to Tandem or Dex Icon. I put the phone into my Weather Tech coffee cup holder. All you (Or your partner) have to do is just look down (The Diabetes information (And Alerts) are always being displayed and the phone is charging). Never put the phone in your line of sight, you could be stopped.

        1
        4 years ago Log in to Reply
    5. Mary Dexter

      I correct any highs

      4 years ago Log in to Reply
    6. Carol Meares

      I watch my Dexcom and make appropriate corrections.

      4
      4 years ago Log in to Reply
    7. Cyndi Evans

      My answer was other since I keep an eye on my cgm and make insulin decisions from that. I’ve learned no two travel days does my blood sugar act the same so staying flexible and aware works best for me.

      9
      4 years ago Log in to Reply
    8. Dennis Dacey

      I adjust as needed to maintain a level body glucose level [BGL] in a range where I’m comfortable. I do what I do every day of the year; reduce insulin flow when trending low and increase when trending above my desired level.

      4 years ago Log in to Reply
    9. GLORIA MILLER

      I use an Omnipod and take little insulin (from 6 to 12 units per 24 hours). I have to remove the pod as the plane departs due to the change in air pressure causing a little insulin to be pushed out even when turned off. Once I reach 35,000 feet I put another pod on continue as normal. Prior to starting this routine I would be in the lower 30s for the entire flight no matter how much glucose I took. (65 years T1)

      2
      4 years ago Log in to Reply
      1. Sherrie Johnson

        Good to know. Thanks

        4 years ago Log in to Reply
    10. mbulzomi@optonline.net

      Of course, my Insulin will change when I cross time zones. My Tandem X2 Pump with Control IQ changes it for me. However, I’m always the Boss.

      1
      4 years ago Log in to Reply
    11. M C

      In recent years, if I am traveling for more than 4 hours – it is generally on a flight…. and I have found that I get more insulin than I should, causing severe lows, if I don’t lower my bolus amounts. I believe it is the pressure within the plane causing more insulin to be released than expected. With this reduction in bolus amounts I seem not to have as many issues.
      (If I was driving – I would keep everything the same.)

      1
      4 years ago Log in to Reply
    12. Tod Herman

      I selected ‘other’ because if I am driving anywhere for a long period of time the most important thing I do is keep an eye on my CGM. If necessary, I will then make adjustments (if necessary) according to the planned meals or driving schedule. This is especially true if I am on a long motorcycle trip (which then requires more physical participation than does driving a car/truck).

      1
      4 years ago Log in to Reply
    13. Thomas Brady

      I change the time on my pump to that of my destination and then do boluses with meals normally as I eat.

      2
      4 years ago Log in to Reply
    14. Sherrie Johnson

      I make adjustments if necessary in most cases not.

      4 years ago Log in to Reply
    15. sdimond

      When I make the 7 hour drive from Austin to Tulsa I eat a large very low carb meal and dose with R insulin to cover the protein.

      4 years ago Log in to Reply
    16. Anneyun

      I really like that with the Dexcom CGM, while driving I can ask Siri what my blood sugar is, or can use the CarPlay feature in my car to do the same, all hands free.

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

        The wonders of being IT savvy!

        4 years ago Log in to Reply
    17. Natalie Daley

      If I’m sitting an unusual length of time for travel, I’m either flying, which was a lot of work with iffy food, or I’m driving, which means cleaning and packing, plus a lot of work, so I monitor more frequently when those circumstances apply and adjust accordingly.

      4 years ago Log in to Reply
    18. PamK

      I do adjust the time on my pump, but I don’t make any other changes.

      4 years ago Log in to Reply
    19. Daniel Bestvater

      If I’m on a long driving trip or airplane flight I increase my basal by 25-50% about one hour before departure. I also increase my carb bolus by 25-50% depending on how much I am able to move around. It seems if I don’t move my insulin doesn’t get absorbed properly!! (T1D 45yrs)

      2
      4 years ago Log in to Reply
    20. kristina blake

      Like many, I keep an eye on my CGM, and make adjustments as needed to basal rates as well as make corrections. I am not much of an eater (I wish there was a pill I could take to get my nutritional needs met – I’d skip food altogether!)., so while traveling I don’t eat. I do disconnect my pump (at the site) during takeoff and landing. I have had a surprise bolus – perhaps due to change in cabin pressure – and don’t want to go through that again (especially in an airport that is new to me).

      4 years ago Log in to Reply
    21. Steven Gill

      Me “day setting” he set for a more active day, when riding more than an hour away I have to do mini bonuses on my pump (according to the CGM). And likewise if the scheduled job is more physically demanding about 20 minutes before arriving I cut back the back at least 50% (at the job I’ve frequently completely suspended it to prevent hypo~ reactions).

      Since more closely monitoring I’ve not traveled more than an hour or 90 minutes. I’m more consistently under “120” this way.

      4 years ago Log in to Reply
    22. Patricia Maddix

      Different kinds of travel seem to affect me differently. A car trip on roads that curve a lot cause a passenger to move about quite a bit and tend to cause my blood sugars to go lower. A car trip on a straight freeway does not have this effect. With my old Medtronic pump when I would fly I would usually increase my basal rate by 20 to 25% but sometimes this was not needed if a lot of walking was done in the airport prior to boarding. Now that I have control IQ it seems to do a pretty good job of adjusting up or down so just keep my eye on things and make corrections as needed.

      1
      4 years ago Log in to Reply
    23. Ernie Richmann

      I almost always consume less carbs when traveling for more than a few hours.

      4 years ago Log in to Reply
    24. Amanda Barras

      I don’t make changes except for check for the need for correction boluses more frequently.

      1
      4 years ago Log in to Reply
    25. Joan Fray

      Really depends on mode of travel, amount of food consumed, stress level, time od day or night. Too many variables to generalize.

      1
      4 years ago Log in to Reply
    26. Mick Martin

      Not Applicable as I don’t ever travel for more than 4+ hours with little movement.

      4 years ago Log in to Reply
    27. Donald Cragun

      I watch my CGM and adjust as needed.

      4 years ago Log in to Reply
    28. TEH

      No I don’t. I let closed loop control handle it.

      1
      4 years ago Log in to Reply
    29. AnitaS

      I increase my basal some and increase my boluses. Since I wear a cgm, I also keep track of my sugar level and make adjustments as necessary.

      4 years ago Log in to Reply
    30. John McHenery

      I check and do correction boluses as required.

      4 years ago Log in to Reply
    31. Jneticdiabetic

      I do not travel long distance frequently enough to pick up on any reliable trends, so I watch my CGM and correct rather than predict.

      1
      4 years ago Log in to Reply
    32. Amy Jo

      I said that I don’t make any changes, but if I didn’t have control IQ I probably would increase my basal.

      1
      4 years ago Log in to Reply
    33. Wanacure

      I don’t think I’ve ever flown more than 4 hours. I like trains because I can get up, move around. Sitting more than a couple hours is hazardous! No matter how I travel, I always carry food with me. Flights can be delayed, airports snowed in, etc. Airport vending machines and restaurants can run out of food due to landslides, floods, earthquakes…and now add “supply chain issues” thanks to globalized “free” trade. Proud to have participated in Seattle anti WTO demonstrations advocating for “fair trade” w/ labor unions, religious communities, & environmental groups like GreenPeace.

      4 years ago Log in to Reply
    34. Moe Giguere

      Take my normal lantus dose am & pm and simply monitor my Dexcom readings after supplementing with Humalog depending on what I’m. eating.

      4 years ago Log in to Reply

    When you are traveling long distance (4+ straight hours with little movement), do you make any changes to your typical insulin dosage? Select all that apply to you. Cancel reply

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