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    • 11 minutes ago
      Becky Hertz likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I record some in my phone, mentally record some, and take photos of my dexcom serial numbers. It was getting confusing using multiple places. I found a workbook on Amazon that allows me to keep all records for a year in one place. It is a good backup for keeping records and taking it with on doctor appointments. Here is the link if anyone is interested: https://www.amazon.com/Diabetes-Workbook-Journal-Annual-Management/dp/B0BT72XJV8/ref=sr_1_1?crid=3QCWJHUYYFVA8&keywords=juli+publishing+diabetes&qid=1685976284&sprefix=juli+publishing+diabetes%2Caps%2C272&sr=8-1
    • 42 minutes ago
      Jubin Veera likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I note my insulin dosage, both long and short term, using the events option in my Dexcom G6 app.
    • 1 hour, 33 minutes ago
      Sue Martin likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I use an InPen. Tracts my doses and gives report just like a pump. IOB total insulin etc.
    • 2 hours, 55 minutes ago
      Kris Sykes-David likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 3 hours, 16 minutes ago
      beth nelson likes your comment at
      Multiple daily injections users: Do you use a diabetes-specific app on a smart phone to track your insulin dosing? Share what works best for you in the comments!
      I’m looking for an app that reminds me of basal doses that keeps the time static as you change time zones. For example, I recently travelled to London. My normal basal dose is at 8 PM at home but currently 1 AM in the UK. The Apple Health app reminded me to take it at 8 PM London time instead of 1 AM. I really just want an app that reminds me at the same time my body is set at without making me think about it.
    • 4 hours, 3 minutes ago
      Mick Martin likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      Echo Mick Martin. Gastroparesis? Try ondonestron (sp?) one of the 10 best medicines ever invented. Also, "a forever learning curve" and "If in doubt, pull it out."
    • 19 hours, 59 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 20 hours, 6 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 20 hours, 32 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 1 hour ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 1 hour ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 1 hour ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 1 day, 1 hour ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 1 hour ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 18 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 19 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
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    With your current T1D management tools, do you notice that your blood glucose levels are impacted if you do not eat on a certain schedule every day?

    Home > LC Polls > With your current T1D management tools, do you notice that your blood glucose levels are impacted if you do not eat on a certain schedule every day?
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    How often do you change what you eat based on your blood glucose levels?

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    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    25 Comments

    1. Lawrence S.

      I can’t think of a time when I have not eaten on schedule. Meal times may vary by and hour or two every once in a while, but I have not noticed variations in my blood glucose levels.

      8 months ago Log in to Reply
    2. Robin Melen

      Meals are generally at the same time each day, but when my levels drop, I know it’s time to eat!

      8 months ago Log in to Reply
    3. Jane Cerullo

      When I eat dictates the insulin I need not the other way around. I have never scheduled meals for certain times

      8 months ago Log in to Reply
    4. Katrina Mundinger

      I’m a musician and music teacher. My schedule does not stay the same every day. That said, on my two longer teaching days (until 7:30 or 8 in the evening), when I don’t have time for a meal break, I have been having more lows.

      8 months ago Log in to Reply
    5. eherban1

      I’ll preface this with I am a T1D and have been for 42 years. About a decade ago, I began showing signs of insulin resistance and gained about 100lbs. Last year, I started on insulin sensitizers and have lost abt 58. I find that on Victoza, I don’t feel the need to eat- sometimes for days (I do eat for nutrition) BUT THE POINT- both while on the pump, and when I switched to Tresiba, I can fast for 24 hours or more and my BG will not vary more than 20 mg/dL the whole time. Applying this to when I do eat, so long as I bolus correctly, the timing of my meals has no effect on my control.

      1
      8 months ago Log in to Reply
    6. Mick Martin

      Only very occasionally.

      I’ve setup my pump to deliver 8 or 9 different basal rates within any 24 hour period and it does a good job of keeping my blood glucose level ‘on an even keel’ whether I eat or not. This, however, doesn’t work so well for me during warmer Summer months as the heat potentiates the effects of insulin action and I sometimes lose consciousness if I don’t repeatedly check my blood glucose levels. (The main ‘problem’ here is that I also have a sleep disorder, called narcolepsy, where the sufferer falls asleep ‘at the drop of a hat’ so I don’t hear my pump alarming to inform me when my blood glucose level is falling.)

      1
      8 months ago Log in to Reply
    7. Ms Cris

      Yes, especially when I eat a later-than-normal dinner, or when I eat a later lunch with normal dinnertime.

      8 months ago Log in to Reply
    8. cynthia jaworski

      Generally, timing is something I can work around without travel. The glaring exception is when I travel to a time zone 5 hours different. The first few days I find consistent and dramatic lows right after breakfast when I visit England. My body seems to be running its own independent rhythm.

      8 months ago Log in to Reply
    9. Ahh Life

      My first reaction to “with . . . management tools” is to proffer the question, “Is T1D manageable?”

      And before the overabundance of CDE’s, MD’s, scientists, medical professionals, and the think-they-are medical professionals come crashing down with savage denials; I would gently suggest that man, machines, and algorithms all age and deteriorate. Even education materials age and deteriorate.

      I eat what I want, when I want, and in the quantity, texture, and temperature that I want. The 75-year old digestive nerve, however is not the same as the 65-year old digestive nerve, nor the 55-year old digestive nerve, nor the 45-year old digestive nerve. Therefore, I keep plugging along with the best scientific guesswork available.

      5
      8 months ago Log in to Reply
      1. Carol Meares

        Ha! Spot on

        1
        8 months ago Log in to Reply
    10. Jneticdiabetic

      I answered “other”. I have never eaten on a certain schedule everyday. Especially now with work and parenting, my meals are whenever I can squeeze them in. Haven’t tested it specifically but I assume like all variables this makes my BG harder to predict and manage.

      1
      8 months ago Log in to Reply
    11. Lauren Carey

      I’ve never really eaten on a schedule as I eat when I am hungry. I will sometimes notice an impact and I also know when these changes typically happen and can be prepared.

      8 months ago Log in to Reply
    12. Janice Bohn

      The beauty of the pump is no longer eating on a schedule. I can even fast without difficulty.

      4
      8 months ago Log in to Reply
    13. kflying1@yahoo.com

      What schedule? This disease has it’s own schedule, and after 15 years I can’t figure it out, The endo practice at OHSU is no help – they still refuse to accept the reality that protein affects BG.

      4
      8 months ago Log in to Reply
    14. Ernie Richmann

      One thing I have learned is that there are multiple variables that effect blood glucose levels. Sometimes I just can’t determine the reason for a high or low reading.

      9
      8 months ago Log in to Reply
    15. Joan McGinnis

      ON a pump and don’t eat on a schedule ever since. all good

      2
      8 months ago Log in to Reply
    16. Jillmarie61

      My glucose levels are pretty much perfect on the days I don’t eat for any reason, as they should be, because I’m just receiving basal insulin on those days. Those days usually for reasons like a colonoscopy or pre/post surgery.

      1
      8 months ago Log in to Reply
    17. Patricia Maddix

      I use a tandem pump with control IQ and find that I can pretty much eat meals at any time except close to bedtime and even skip meals without any negative affect on blood sugars. I was also able to do this to a bit of a lesser degree with my old Medtronic pump which had no automated delivery system. Alterations in sleep schedule however make a huge difference in my blood sugars.

      8 months ago Log in to Reply
    18. Carol Meares

      I never eat on a certain schedule. I always bolus for food when I will be eating hopefully prior about 20 minutes. Prebolusing is my most difficult task but I try.

      8 months ago Log in to Reply
    19. KarenM6

      I had to say “yes, always” because I haven’t “fixed” my basal rates yet… both of my 4s (4pm and 4am) run low. So, if I don’t eat dinner or pay attention to 4pm, then I will go low. Also, if I don’t have my blood sugars at a certain level when I go to bed, I will get those lovely alarms in the middle of the night.
      I thought I had my 4am fixed earlier this year, but for whatever reason, it’s back to going low. *sigh (Possibly _what_ I’m eating at dinner is the culprit, now.)

      8 months ago Log in to Reply
    20. Patricia Dalrymple

      I said sometimes. Mostly I notice if I eat breakfast later than normal. During the week I eat at 6am. On Saturdays, sometimes I have to work and I do it early, and by the time I check prior to bolus, I’m high. Reading others, not eating doesn’t seem to affect them. If I eat lightly the night before, then I will definitely go low on basal alone. I notice when I fast for blood work, I will usually go low unless I turn my pump off, and then when I don’t eat breakfast, I will be high by the time my blood work is done. So now I bolus slightly before I go. I guess because I’m LADA , I still produce some insulin? And I don’t use CGM.

      8 months ago Log in to Reply
    21. AnitaS

      My activity is so different every day that I many times need to tweak my insulin by giving a correction bolus or by eating something small to raise the blood sugar. CGMs are very helpful to help keep sugars from going too low or high throughout the day.

      1
      8 months ago Log in to Reply
    22. Wanacure

      I can’t afford a pump, so I try to keep the same meal times, same bedtimes, to eliminate at least some variables. The CGM is very helpful. If the CGM says I’m trending high, and if it’s at least 2 hours (preferably 4 hours) after my last lispro (Humalog) bolus, then I inject at least 0.5 units lispro via syringe. Stress definitely raises my blood glucose levels, but how to quantity stress? I try to minimize stress by journaling, exercise, meditation, yoga, avoiding “shoulda, woulda, coulda” self-talk, finding something for which to be grateful every day, and permitting my self to just goof off or to procrastinate. Delaying a meal results in a low bg. After eating a delayed meal my bg will go high. Skipping meals is a no-no for me.

      8 months ago Log in to Reply
    23. Keira Thurheimer

      If I dont eat breakfast and bolus within 40 minutes of getting up in the morning, my blood glucose level starts to climb and will continue until a correction bolus is needed.

      8 months ago Log in to Reply
    24. ellencherry

      I said sometimes. Dinner is the big one for me. I don’t have to eat at a specific time, but if it’s going to be 8:00 I’ll have to have a snack of a few carbs (a handful of nuts, a small cookie) to stay above 70 until dinner.

      8 months ago Log in to Reply

    With your current T1D management tools, do you notice that your blood glucose levels are impacted if you do not eat on a certain schedule every day? Cancel reply

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