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    • 3 hours, 40 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 3 hours, 40 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 5 hours, 37 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 5 hours, 53 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 beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 17 hours, 3 minutes ago
      Gerald Oefelein 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 selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 20 hours, 52 minutes ago
      Wanacure 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 the 3-4 hours is way ting on a phone
    • 20 hours, 55 minutes ago
      Wanacure 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.
    • 21 hours, 36 minutes ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 21 hours, 37 minutes ago
      August Rossano 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.
    • 21 hours, 39 minutes ago
      August Rossano 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.
    • 21 hours, 44 minutes ago
      August Rossano 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.
    • 21 hours, 45 minutes ago
      August Rossano 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!
    • 21 hours, 46 minutes ago
      August Rossano 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 selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 21 hours, 47 minutes ago
      August Rossano 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 beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 21 hours, 47 minutes ago
      August Rossano 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.
    • 22 hours, 23 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.
    • 22 hours, 34 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?)
    • 22 hours, 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
      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.
    • 22 hours, 47 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.
    • 1 day 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.
    • 1 day, 1 hour 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.
    • 1 day, 1 hour 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).
    • 1 day, 1 hour 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.
    • 1 day, 2 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.
    • 1 day, 2 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.?
      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
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    When you have unexpected high blood glucose levels, what are the most common reasons why?

    Home > LC Polls > When you have unexpected high blood glucose levels, what are the most common reasons why?
    Previous

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    Approximately how many areas of your body do you use for pump sites and/or insulin injections?

    Sarah Howard

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    48 Comments

    1. AnitaS

      I get rebound highs after lows even if I really didn’t go low. Example, I might get a rebound high (go up to 160 or more) after eating 4 grams of carbs to raise my sugar which never got lower than 75.

      4
      10 months ago Log in to Reply
    2. Randy Mees

      I’m on MDI and once in a while I’ll forget a shot before a meal. It happened just today. I maxed out at 330 before it started down.

      10 months ago Log in to Reply
    3. LizB

      I put “other” because most of the time, I have no idea why I went high. I can eat the same thing for lunch 3 days in a row, with my starting BG in the same range, and one day I’ll be fine after eating, one day I’ll go high, one day I might go low.

      9
      10 months ago Log in to Reply
    4. John McHenery

      Most annoying cause are bubbles in the tubing.

      10 months ago Log in to Reply
    5. Ahh Life

      Fascinating and somewhat expected the way answers are grouping up trying to determine “most common.” (灬º 艸º灬)

      I’d have added another answer, though, under ā€œother,ā€ such as ā€œDamned if I know?ā€

      11
      10 months ago Log in to Reply
      1. KarenM6

        LOL… I was just thinking that!… except my expletive was “hell” instead of “damn”! ;p

        10 months ago Log in to Reply
    6. Marcie Dutton

      Almost always high bgs are related to my gastroparesis issues.

      3
      10 months ago Log in to Reply
    7. Kathleen Juzenas

      I usually run higher towards the end of the 3rd day, before I change my pump infusion site. What’s unexpected is when I don’t run higher.

      1
      10 months ago Log in to Reply
      1. Amanda Barras

        Yes! I choose other and mentioned absorption issues from a flooded or over used site. This is a big one it should have definitely been on this list!

        10 months ago Log in to Reply
    8. dave hedeen

      Did not enough led time prior to eating

      4
      10 months ago Log in to Reply
    9. Trish Seidle

      I checked almost all of them because I am usually unsure of the cause.

      1
      10 months ago Log in to Reply
    10. Lawrence S.

      Seems that I forget to take my insulin a lot lately. Usually busy doing other things and forget. Also, miscalculations. My wife likes to try new recipes, and I sometimes just guess wrong. I also get sooo hungry when I have a low bg’s that I just won’t stop eating.

      3
      10 months ago Log in to Reply
    11. KCR

      Other reasons include occasional dawn phenomenon and also a meal higher in fat/protein than I usually eat. And as mentioned above, sometimes the third day of a pod isn’t always as effective.

      1
      10 months ago Log in to Reply
    12. kflying1@yahoo.com

      I;ve looking at my life as a T1 – keep detailed records on food, exercise, sleep. etc. Last August started using a CGM. Result – damn if I can figure out a pattern, though I have seen that exercise related hypoglycemia is followed by a spike that often exceeds the level read before exercise by up to 90 points.

      2
      10 months ago Log in to Reply
    13. Derek West

      The ‘why’ in the question is superfluous.

      5
      10 months ago Log in to Reply
    14. Amanda Barras

      Insulin absorption issues from an overused and or flooded site from too much insulin flooding an area to correct high.

      10 months ago Log in to Reply
    15. Franklin Rios

      happens with high-intensity physical activity

      10 months ago Log in to Reply
    16. Tb-well

      For me it can be a multitude of reasons. From a secondary spike from eating pizza to forgetting to bolus to hit insulin to miscalculation all of those have effected me at one time or another. Most commonly it is probably miscalculation due to not reading every single food label.

      10 months ago Log in to Reply
    17. Sparklee

      Occasionally my glucose will rise unexpectedly high when the site is less than 24 hours old. If I bolus, a time or two, above what my Tandem T-Connect pump gives me, I can eventually get the glucose down and stay within a normal range until the next site change.
      I’ve been diabetic 53 years, & using this pump about 1.5 years. In connection with the Dexcom G6 sensor, it normally works great. My time in range is 97-98% looking back 90 days.
      I wonder if this happens because I didn’t get all of the air out of the system, but really don’t know.

      1
      10 months ago Log in to Reply
      1. Steve Hornig

        If your time in range is 97%,that is an amazing fea

        10 months ago Log in to Reply
      2. Steve Hornig

        Achieving being in range 97% of the time is amazing. For me it is unbelievable, as I achieve being within range about 60% resulting in an A1c of 6.9%. I’d be curious to know what the parameters of your range are and what A1c level you have.

        10 months ago Log in to Reply
    18. Joan Fray

      Just about all of the above except problems with pump or line. Gastroparesis, miscalculating carbs, rebounding. I went along great for a month and now can’t seem to stay on target. Maybe that bottle of insulin I had stored at my son’s house and finally opened. Exp date was 10/22…….who knows? 111111

      10 months ago Log in to Reply
    19. Hieromonk Alexis

      Most of these would apply at various times, but quite often I have no idea why an unexpected high occurs. My regime does not change from day to day.

      3
      10 months ago Log in to Reply
    20. Christine Gran

      Strenuous exercise.

      10 months ago Log in to Reply
    21. Kris Sykes-David

      I answeredā€otherā€ since I can do all the things I usually do and still get some unexpected high numbers. Stress and not having a good absorption site may be the cause. (MDI)

      2
      10 months ago Log in to Reply
    22. Janis Senungetuk

      Dx 67 yrs ago this week. I could have checked most of the boxes. Too much is still a wild guess.

      5
      10 months ago Log in to Reply
    23. TEH

      First cause is missing a bolis. Second is mis calculating carbs. Third is morning phenomena. And third is end of resivor rise.

      10 months ago Log in to Reply
    24. Mark Schweim

      Sometimes inaccurate carb guessing, sometimes delayed rise, sometimes completely unknown…

      Most of the time though, it’s because my Dexcom G6 sensor indicates my glucose dropping farther or completely falsely causing the tSlim X2 with Control IQ to suspend my Insulin delivery and keep the Basal cut off too long so by the time the pump resumes Insulin delivery, my BG is already getting too high so my pump then gets stuck in a glucose chasing rollercoaster!!!

      10 months ago Log in to Reply
      1. StPetie

        I have the same issue fairly reularly using the same products. Usually in the first or last 2 days of sensor life. Recently my reading was “Low” (below 40) when in fact my bg was 162 and climbing with insulin delivery halted.

        10 months ago Log in to Reply
    25. Andrew Aronoff

      My diabetes is “brittle”. My insulin requirement changes frequently and for no apparent reason. (Oh, there’s almost always an apparent reason, you say, but no, not for me.) Yesterday, for instance, I needed double the insulin for a midday snack as I did for the preceding breakfast. (Yes, I know how to adjust for the content of the meal or snack.) I needed elevated doses the rest of the day yesterday and again today. All I can do is adjust. (I’m _always_ adjusting.) When my insulin requirement remains stable, I’m on “vacation” as the diabetes becomes easy to manage. I’m rarely on vacation. Interestingly, my Levemir requirement did _not_ change last night – my blood sugar was stable. Why should the correction factor vary by a factor of two (or more) with no change to the basal requirement? I have no idea.

      10 months ago Log in to Reply
      1. AnitaS

        I find that because my physical activity is not steady as I never know how physically active I will be on a particular day, I can never have two days in a row with the same basal amounts. I just adjust by eating small increments of carbs to raise my sugar or give micro-boluses to bring down my sugars. I think diabetes is just a tough disease to keep under control as you certainly can attest.

        10 months ago Log in to Reply
    26. Drina Nicole Jewell

      Other is not nailing the pre bolus. You’d think after 20+ yrs I’d be able to do this by now buuuuut nope.

      1
      10 months ago Log in to Reply
    27. Kathy Morison

      I Hey put down all the usuals for high glucose levels but the one I face daily is insulin that won’t absorb. I have to sit there with a hot water bottle on the injection site to try to force the insulin to absorb. Some days it doesn’t matter what I do the sugars just keep going higher to the point of having to take more insulin

      10 months ago Log in to Reply
    28. Donald Cragun

      The most common reason for me going high is being too still after a meal. I usually go for a walk after a meal and that prevents unexpected highs most of the time.

      1
      10 months ago Log in to Reply
    29. KarenM6

      My answer is very similar to others…
      I rarely get the timing of insulin “right”… so, my BSes can go high after a meal, but I wouldn’t really call that “unexpected” more than just “annoying.”

      But, yes, also agree with the “hell if I know” responders! When the high is _unexpected_, because that means I had no idea it was coming. Which means I couldn’t take steps to prevent it. And, if there is more than 1 of the “35-ish Reasons Blood Sugar Goes High” happening, it’s nearly impossible to pinpoint precisely. I might be able to narrow it down to 2 or 3 reasons, but not one single factor. And, then, thinking of the 35-ish reasons and just going, “Crikey… how am I supposed to figure this out? Oh, just take insulin and move on….”

      10 months ago Log in to Reply
    30. Patricia Dalrymple

      When I go out to eat should be an option. I always over eat when I go out or to someone’s home. And, I can only enter 90 carbs because if I enter the true amount, I find I go low before I go high. Not on a sensor so afraid to just ride it out. But, like others, if I ate the same thing everyday at the same time, there still will be issues because there are just too many variables. I can go out and bolus every 2 hours and keep it in range. But when I go to bed and wake up, I will be high. If I over eat, I will go high no matter what. Except if I had a CGM perhaps, but who knows.

      10 months ago Log in to Reply
    31. Ken Raiche

      All of the above doesn’t happen often yet at some point I’ve encountered all of what’s been indicated on the list.

      10 months ago Log in to Reply
    32. Kate Kuhn

      It has to have something to do with either the insertion site and/or the pump. Often, my BG won’t come down even with a correction bolus. My next step is to go to an old fashioned direct injection. Comes down within the hour.

      10 months ago Log in to Reply
    33. Christina Trudo

      checked several and then there is the unlisted but probably popular one one “I have no idea”.

      10 months ago Log in to Reply
    34. Ben Galindo

      I have a recurring problem with lag time of insulin after delivery by pump! I am using Tandem I’t:slim X2 insulin pump Control OQ with Lyumjev (In pharmacodynamic euglycemic clamp studies following a 15-unit dose, healthy subjects receiving Lyumjev and Humalog experienced an onset of action of ~17 minutes and ~22 minutes, respectively. Lyumjev subjects had a duration of action of about 6 hours.) Lag is up to 2 Hours & results in Blood Sugars of over 200. ? Any suggestions Y’all

      10 months ago Log in to Reply
      1. Steve Hornig

        Plan ahead. Unfortunately, that’s easier said than done. When you want to eat, you want to eat. You don’t want to wait for 20-30 minutes. I think this is where major improvements to A1c level can be made. All it takes is discipline! Does anyone have some extra they could lend me?

        10 months ago Log in to Reply
    35. Mig Vascos

      By tracking, tracking, tracking, I have come to the conclusion that the majority of the times my sugar goes high is because of absorption problems at the infusion site. So now if the site starts itching, feels uncomfortable in any way or if BG doesn’t respond, I immediately change the site.
      As a general practice, I do not use the control IQ during the day, unless I’m doing some exercise that will bring me down. The problem with IQ is that it cuts off the basal as soon as I’m under 110 and then later on I run short of insulin and go high.
      Another tactic I used is to give 1/2 of before the dinner bolus 15 or 20 minutes before and the other half plus adjustments for eating more than I was planning, about 1.1/2 hours after dinner. In this way I avoid going low right after dinner and high later on.
      So… the pump and the control IQ still leaves me doing a lot of work, but it’s worthy. Out of my last 90 days, I’ve been able to achieve 85 days over 80%. And.. that my friends, for me its a great success. Thanks the Lord, I have to say.

      10 months ago Log in to Reply
    36. mbulzomi@optonline.net

      Trying to stretch my Insulin to cover the 4th day in the DEX 10-day cycle and all the other issues that I marked.

      10 months ago Log in to Reply
    37. Sherolyn Newell

      Pretty much any level of fat and I get a big delay in BG rise. So if I’m under 90 when I eat, I wait until it starts to go up to take insulin. If it takes too long for that to happen, I sometimes forget until Dexcom beeps at me.

      10 months ago Log in to Reply
    38. T1D5/1971

      My most common cause of bgs that won’t come down is the Tandem reservoir just can’t be counted on with less than 25-30 units left. But I’m not willing to waste 30 units in addition to the 12 unit tube fill waste. Just override the CGM based calculations with double or triple the suggested correction.
      But – anything can be the cause at any given time.

      10 months ago Log in to Reply
    39. Cheryl Seibert

      I did NOT check “Miscalculated carbs” because many times the “Total Carb” counts on the packaged food nutrition labels is inaccurate. When you enter the correct carbs, but your BG goes up over 200 and does not fall back suddenly after eating the same serving 3 times, I conclude the nutrition label is inaccurate. There should be a study conducted on how accurate nutrition labels are….. the current focus on “Net Carbs” (I joke in my opinion) and low-carb foods makes it profitable for companies to understate their carb counts. Oh, “Sugar Free” labels are legal, but false the majority of the time.

      10 months ago Log in to Reply
    40. Jneticdiabetic

      Most common source of highs for me is forgetting to bolus pre-meal. Sometimes I program but realize hours later that I didn’t hit the last check button to deliver. Sometimes I hold off on bolusing because I’m heading low and then forget to follow-up. Sometimes I just straight forget. It is biggest ding to my time in range.

      10 months ago Log in to Reply
      1. Steve Hornig

        I share your situation as I often forget to hit the last button, thinking I had done everything I needed to do. You must have a Medtronic pump. Right?

        10 months ago Log in to Reply

    When you have unexpected high blood glucose levels, what are the most common reasons why? Cancel reply

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