Elle Hamann – T1D Exchange

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- 11 months, 3 weeks ago
  
  cynthia jaworski likes your comment at
  How often do you typically change your insulin dosage settings outside of T1D-related appointments (e.g. basal rates, insulin-to-carb ratios, etc.)?
  I answered once a month, but the real answer is "however often it needs done." My son has grown 10" over the last couple years and he needed weekly adjustments for most of that. He's slowed down a lot in his growth but still experiences growth hormone related InsulIn resistance sometimes and also the fact that he's bigger now means he needs more. We've been adjusting on our own since the beginning, first with the help of his CDE and now with my knowledge.
- 11 months, 3 weeks ago
  
  Dennis Dacey likes your comment at
  How often do you typically change your insulin dosage settings outside of T1D-related appointments (e.g. basal rates, insulin-to-carb ratios, etc.)?
  I answered once a month, but the real answer is "however often it needs done." My son has grown 10" over the last couple years and he needed weekly adjustments for most of that. He's slowed down a lot in his growth but still experiences growth hormone related InsulIn resistance sometimes and also the fact that he's bigger now means he needs more. We've been adjusting on our own since the beginning, first with the help of his CDE and now with my knowledge.
- 1 year, 4 months ago
  
  Jim Cobbe has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Basal, never, but not for reason given as I'd interpret it; I don't change it at my quarterly appointments either without detailed discussion and agreement with my endo -- and as often as not, I've not gone along with his initial suggestion; I know better than him how things turn out in my body. He generally accepts my decisions after I state my reasons, albeit sometimes begrudgingly. Lately, somewhat to my surprise, he has seemed more willing to accept things as they are and just tell me to keep doing what I'm doing, and he hopes to keep 'taking care' of me for another decade (I'm 76 now with 47 years T1)!
- 1 year, 4 months ago
  
  M C has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I change it when necessary. If I see a pattern forming (eg. going lower than normal, or higher) over a certain period of the day, I'll make the adjustment accordingly to correct the changed pattern.
- 1 year, 4 months ago
  
  George Lovelace has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  So fine tuned with CIQ but my Endo still follows my G6 and advises me of any change needed.
- 1 year, 4 months ago
  
  Kathy Morison has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I take a basal injections twice a day. The morning dose stays mostly the same unless I have to be fasting or Im sick. The night time dose runs according to what my bedtime sugar is. I will decrease it if its running on the low side.
- 1 year, 4 months ago
  
  Juha Kankaanpaa has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I change the basal rate when needed. There is no time frame how often this happens.
- 1 year, 4 months ago
  
  Clearblueskynm has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Whenever I need to…unless pretty new to diabetes and insulin, everyone should feel comfortable with changing their basal as necessary as it is your life, your body, and no physician is available 24/7
- 1 year, 4 months ago
  
  Becky Hertz has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Not sure exactly what this question is asking. I do temp basals on an ad needed basis, stubborn highs or lows. I also adjust my basal profile when needed.
- 1 year, 4 months ago
  
  Mary Ann Sayers has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  When my bgs show a constant low at a given time I adjust the basal to avoid the lows.
- 1 year, 4 months ago
  
  Ms Cris has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Oh, and for activity/exercise! Different temp rates for different activities.
- 1 year, 4 months ago
  
  Ms Cris has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Each site absorbs differently on my body, and so by rotating I also change my basal absorption (arms vs belly vs lower back, vs thigh). My semaglutide 1X/week injection has a curve of strength, with days 3-5 the strongest. Then my menstrual cycle is thrown in, with week one needing the least, and so on. I am way sensitive...
- 1 year, 4 months ago
  
  Trina Blake has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  If the question includes temp basal rates - then often. I hae 9 different time zones for my pump settings (all of them: basal, ISF for corrections and carb:insulin for when I eat). I have BIQ (te CIQ target is too high for me) and will avail myself of temp basal when needed. I also have different profiles based on where I place my infusion set.
- 1 year, 4 months ago
  
  sdimond has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  For the last several years I have injected 7 units of Tresiba in the morning and 13 units at bed time. I cover my low carb meals with Novilin-R and a couple of units of Humalog. A1C is 4.7 and standard deviation about 12.
- 1 year, 4 months ago
  
  Thomas Cline has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  On MDI, I use changes in my basal insulin (Levemir) not just for basal needs, but also to adjust for the longer-lasting effects on blood sugar of food that my fast-acting insulin (Fiasp) would not completely cover. Hence I may change several times a week, depending on diet and time of consumption.
- 1 year, 4 months ago
  
  Beckett Nelson has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Sometimes a couple times a year, sometimes once a year…it all depends what my body needs
- 1 year, 4 months ago
  
  Abigail Elias has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I have 6 pre-programmed basal rate profiles (each of which has different rates for multiple different times of day). I will switch among them depending on my activities, but I don’t reprogram them unless my endocrinologist sees a pattern of high or low blood sugars and suggests I adjust a rate for a particular time of day for one or more of the profiles.
- 1 year, 4 months ago
  
  Ernie Richmann has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I do activate a profile with 50% of my normal basal rate for longer bike rides and walks.
- 1 year, 4 months ago
  
  Sue Martin has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I use injected insulin, so I change my "rate" on the fly, so to speak.
- 1 year, 4 months ago
  
  Jeff Balbirnie has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Whenever necessary, zero use for white coats “sanctioning” whatever I do… EVER.
- 1 year, 4 months ago
  
  Kayci Marr has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Multiple times per month if we aren’t counting temp basal for exercise or long car rides
- 1 year, 4 months ago
  
  Steve Rumble has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I very rarely adjust my basal insulin (Lantus) rates, but more frequently adjust the correction factor for boluses (Novolog).
- 1 year, 4 months ago
  
  cynthia jaworski has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  of course!
- 1 year, 4 months ago
  
  cynthia jaworski likes your comment at
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  Whenever it needs adjusted, we adjust it.
- 1 year, 4 months ago
  
  Annie Simon has commented in the same post you commented in :
  How often do you typically change your basal insulin rates outside of appointments with your T1D health care provider?
  I see my endocrinologist every 4 months and we review my data on my phone app as I have a CGM (sensor). He either keeps it the same or adjusts the pre meal insukin (ADMELOG) also is Tresiba and administer it at breakfast which last me 24 hours. It’s usually the same a slight change of 1-2 units at breakfast or dinner as now I’m not taking any pre lunch l.
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Elle Hamann

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