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    • 6 hours, 23 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.
    • 6 hours, 26 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
    • 7 hours, 40 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
    • 7 hours, 40 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.
    • 7 hours, 48 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.
    • 7 hours, 50 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.
    • 8 hours, 3 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.
    • 8 hours, 4 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
    • 8 hours, 25 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.
    • 8 hours, 28 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
    • 23 hours, 38 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.
    • 1 day, 6 hours 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, 8 hours 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, 8 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.
    • 2 days, 2 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.
    • 3 days, 5 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 3 days, 6 hours 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, 8 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, 8 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, 8 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, 8 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, 23 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, 18 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, 6 hours 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, 7 hours 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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    Which of the following options best describes your primary insulin delivery method (the one you use most) and your most recent A1c? (Note: 7% is equivalent to 53 mmol/mol)

    Home > LC Polls > Which of the following options best describes your primary insulin delivery method (the one you use most) and your most recent A1c? (Note: 7% is equivalent to 53 mmol/mol)
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    If you had T1D as a child, at what age did you start to manage your daily insulin doses mostly on your own? If you have a child with T1D, at what age did they start to manage their insulin doses mostly on their own?

    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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    17 Comments

    1. lis be

      not automated equates to SO MUCH WORK. I have good A1cs around 6, and sometimes stress drives me up to 7. Not the best for maintaining the long haul

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

      Tandem X2 pump, Control IQ, with Dexcom G6 sensor. A1c, last week, 5.4 🙂

      3 years ago Log in to Reply
    3. Michael Andrews

      Cequr – 2 unit – manually operated insulin patch. It’s not high-tech (no looping or automation), but it is still attached to me, and that alone helps with much more timely injections and easier corrections. I’m in sales, and I travel 50%-60% of the year (by plane and car); when I’m not traveling, I have 5 girls (currently) under the age of 7, so while using a pen isn’t difficult, it’s much easier having a low profile patch loaded with 200 units of insulin with a super easy delivery method (replacement is every 3-4 days). Just one click gives me 2 units. It’s also very lightweight with no bulk, so it’s great when I run, which I do a few times a week, and when I play with the kids or hold one or both of the babies.

      2
      3 years ago Log in to Reply
    4. Nevin Bowman

      Tandem X2 A1C 5.0

      1
      3 years ago Log in to Reply
    5. Gary Rind

      MDI and my A1C was 5.2

      3
      3 years ago Log in to Reply
    6. TEH

      Started on the T:slim X2 with Dec G6 in early February. Just had blood drawn for Endo visit next. Waiting to see what my A1c will be. Dont expect much improvement over previous A1c of 7.2 with the Algorithm getting use to my needs. April TIR has been much better 88 to 92%. I do hope next quarter’s A1c will be below 6.

      3 years ago Log in to Reply
    7. Trina Blake

      I answered insulin pump = without automated delivery, A1C below 7. My A1C’s have been consistently in the mid-5 range. I use the Tandem X2 with BIQ (not the CIQ ergo I said I didn’t have automated delivery).

      3 years ago Log in to Reply
    8. Daniel Bestvater

      Tandem X2 with CIQ
      A1c’s range from 5.8 to 6.3
      Time in range ~85 – 95%
      I have had lower A1c’s without CIQ, but too many lows!

      3 years ago Log in to Reply
    9. Mary Halverson

      Since January I’ve been using MDI and Inhalable insulin, sometimes together and someyomes not.

      3 years ago Log in to Reply
    10. Joseph Tappel

      A1c under 6 going on three yrs

      3 years ago Log in to Reply
    11. sweetcharlie

      jUST DOING WHAT i DID 70 YEARS AGO… EXCEPT USING PLASTIC INSTEAD OF GLASS.. RECENTLY SWITCHED TO pEN [AS I USED FOR MANY YEARS AGO AND BECAUSE OF AMD AND MAX COST NOW $35/ MONTH… A1C 6.3..

      3 years ago Log in to Reply
    12. Jneticdiabetic

      Wow! I’m impressed with the high percentage of folks on this poll achieving an A1C <7%!!
      I'm in the minority as a automated pump user (Tandem with CIQ) & last A1c 7.2%. CIQ did decrease my A1C a bit (previously 7.4-7.8%), but more importantly reduced my time spent in hypo range. I'll take that as a win!
      Interesting, this paper from 2022 found less than 25% of T1D adults had an A1C of 7 or less. Being older, white, having private insurance and
      having access to technology were associated with lower A1Cs.
      Are the poll responders here a miraculous bunch of overachievers, or is the high rate of A1C success a reflection of this group's demographics?

      3 years ago Log in to Reply
      1. Jneticdiabetic

        Link to paper I referred to above:
        https://diabetesjournals.org/clinical/article/41/1/76/147772/Factors-Associated-With-Improved-A1C-Among-Adults

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

        Jneticdiabetic:
        I just reviewed that study. I am astounded to see those numbers. I would have thought the A1c numbers would by much, much lower.

        3 years ago Log in to Reply
    13. PamK

      My A1c was below 7% while I was on MDI as well! If anything my A1c has been higher since starting on a pump, not lower!!

      3 years ago Log in to Reply
    14. T1D4LongTime

      I use a Tandem TSlim pump (using Control-IQ hybrid closed loop) with Dexcom G6 CGM. My A1C was 6.0, down from 6.4%. This was a couple of weeks ago. I’m not celebrating though. I have tired of the constant high BGs (stress-related), so I’m aggressively bolusing. Avg SG is 130-135, StdDev=35-40. Lots of work to go!

      3 years ago Log in to Reply
    15. Bea Anderson

      Insulin pump (not automated) – A1c below 7% . I have pump that automates, but don’t use it. A1c 5.9

      3 years ago Log in to Reply

    Which of the following options best describes your primary insulin delivery method (the one you use most) and your most recent A1c? (Note: 7% is equivalent to 53 mmol/mol) Cancel reply

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