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    • 10 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 13 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I had ketones thrn I am sick. If mid to large I wd call my endo or if also vomiting or dehydrated from diarrhea. I wd go to the ER
    • 1 hour, 27 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 1 hour, 27 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 1 hour, 35 minutes ago
      KSannie likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 1 hour, 37 minutes ago
      Patricia Dalrymple likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 1 hour, 50 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I increase my basal and insulin ratios if I eat until I show no longer test positive. I do only test if I have been high for a longer than usual time.
    • 1 hour, 51 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 2 hours, 13 minutes ago
      Judith Halterman likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 2 hours, 15 minutes ago
      Derek West likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 17 hours, 25 minutes ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 23 hours, 58 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 1 day, 1 hour ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 2 hours ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 20 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 2 days, 23 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 3 days ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 3 days, 2 hours ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 3 days, 17 hours ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 4 days, 11 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 1 hour ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
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    When you travel for an extended period of time away from your house, do you keep your spare insulin in a unique case to keep it cool?

    Home > LC Polls > When you travel for an extended period of time away from your house, do you keep your spare insulin in a unique case to keep it cool?
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    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    30 Comments

    1. Larry Martin

      Insulin is safe at room temperature for 1 month. Mine is used up in 3 weeks so never needs to be cool, just not sitting in the sun.

      3
      5 years ago Log in to Reply
    2. Retired and glad

      I was told years ago by my pharmacist that the insulin shipped to his store was not refrigerated in transit. I also know that when I put my insulin in my pump it sits there for up to four days with no cooling provided. Now that I’m retired, if we plan to go on a multiweek vacation, I’ll probably ensure my hotel or cruise cabin has a refrigerator. For shorter periods, I’m not worried.

      4
      5 years ago Log in to Reply
      1. GLORIA MILLER

        I have traveled for up to three weeks at a time which meant many insulin changes in my pump. I have never refrigerated the insulin while traveling and never had any problem with it working properly.

        2
        5 years ago Log in to Reply
    3. Marthaeg

      I put it in a lunchbox with an icepack when I go on day- long bike rides.

      5 years ago Log in to Reply
    4. Janice B

      Some times frio and some times insulin case with cooling pack

      1
      5 years ago Log in to Reply
    5. Steve Gold

      for a long period of time I will carry two sets, one set that I leave where it can be refrigerated and another that I take with me. That way I always have an emergency backup in case I need to have it replaced. With the way the patient/insurance company interactions work these days it can take F-O-R-E-V-E-R (a week or two) and the support people that need to approve the replacement are not trained well enough to understand that type 1 diabetics need insulin to survive. Otherwise….

      1
      5 years ago Log in to Reply
    6. Amanda Barras

      Insulin is fine at room temperature for up to 30 days. So I don’t worry about it when it’s with me.

      2
      5 years ago Log in to Reply
    7. Eve Rabbiner

      Always try to find lodging with a fridge. Cooler with icepack, stored between suitcases for insulation for summer. Traveling in Iceland was really easy. Always cool, so I didn’t have to worry about the insulin heating up in the car.

      5 years ago Log in to Reply
    8. Keira Thurheimer

      I use a Frio pack when traveling.

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

      Vial currently using doesn’t need refigeration. Backup does if gone for extended time or as a backup. Carry that in a cooler with a cold pack from freezer.

      2
      5 years ago Log in to Reply
    10. Henry Renn

      No, but I do not let my supply bag in hot environments nor sitting in sun even if ambient temp is cool.

      5 years ago Log in to Reply
    11. Nicholas Argento

      Room temperature is good enough for insulin on any trip under 1 month, and I don’t take those.

      2
      5 years ago Log in to Reply
    12. Trisha Oldenkamp

      I put my extra insulin in a Frio gel bag. It stays cool with just water. I’ve had hotel refrigerators that freeze the contents so I stay away from them. I’ve traveled to Africa where My lodging didn’t have full time electricity let alone a refrigerator. My insulin has always been fine.

      1
      5 years ago Log in to Reply
    13. Chrisanda

      I have always used a Frio to carry my insulin on trips (Novolog), as I was told it needed to stay cool. But as other people noted, I have been recently told by a pharmacist it doesn’t need to be refrigerated for up to 20 days. Then the logical idea that it’s attached to my warm body in a pump for days. I may get brave and not worry about it staying cool. However, the Frio does protect the glass bottles :). It is shipped to me in a cooled container. I do always request a fridge in hotels.

      5 years ago Log in to Reply
    14. ConnieT1D62

      I use a Frio when I travel on extended trips away from home. That hasn’t been happening lately for me due to the pandemic.

      5 years ago Log in to Reply
    15. Meerkat

      If a small ice chest is a unique case then I would answer yes.

      5 years ago Log in to Reply
    16. Bob Durstenfeld

      I use a FRIO evaporative cooler pouch.

      5 years ago Log in to Reply
    17. Mary Dexter

      Frio

      5 years ago Log in to Reply
    18. Janis Senungetuk

      I put an extra vial in a FRIO for backup.

      5 years ago Log in to Reply
    19. Beverly Crosby

      When traveling for a few days I always carry my insulin in my purse. It’s going to be with me and I’m going to be in a cool place.

      5 years ago Log in to Reply
    20. Kevin McCue

      Unique like a cooler maybe

      1
      5 years ago Log in to Reply
    21. Thomas Cline

      Everything goes into a Frio when the temperature goes above 86 F on a trip. I try to avoid trips to particularly hot climates.

      5 years ago Log in to Reply
    22. rick phillips

      I use a Frio. Works perfectly.

      1
      5 years ago Log in to Reply
    23. Vickie Baumgartner

      I have a Frio case. It works GREAT!!!

      1
      5 years ago Log in to Reply
    24. Sjoymex

      I rarely go where there won’t be an easily accessible refrigerator. Until I get there, my insulin is usually kept in my purse (never in the trunk of the car). The rare times I go somewhere without a fridge, I’ve kept it in a lunch bag with some ice packs seperated by a washcloth so it doesn’t freeze.

      5 years ago Log in to Reply
    25. Carol Meares

      Frio for over night. I have a small electric cooler for longer. Goes in car and hotel. I have had insulin freeze in hotel refrigerators. I have also used a small yeti. The costs of being diabetic that isn’t counted.

      1
      5 years ago Log in to Reply
    26. Chris Deutsch

      I use a Frio bag until we reach out destination. Then I put it in a refrigerator if possible.

      1
      5 years ago Log in to Reply
    27. Arlie Peck

      I keep it in a waterproof case and try to keep it in a cooler or refrigerator when possible on the road or traveling.

      5 years ago Log in to Reply
    28. Molly Jones

      I wasn’t sure what cool meant, so I chose other.
      I do not keep it with an ice pack where it would last more than 28 days, but it is kept in an insulated container that keeps it safe not to rise above room temperature or freeze.
      We often travel internationally and I find it easier to pack prefilled cartridges along with bringing my vial of insulin.

      5 years ago Log in to Reply
    29. Brianna Lyons

      If I don’t have access to a fridge (road trip, in between hotels, during flights) I love using a Frio bag, it provides a ton of peace of mind

      5 years ago Log in to Reply

    When you travel for an extended period of time away from your house, do you keep your spare insulin in a unique case to keep it cool? Cancel reply

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