# Treatment **URL:** https://forum.fudiabetes.org/c/diabetes-tips-tech-gear/treatment/68.md?page=2 [Latest](https://forum.fudiabetes.org/latest.md) · [Categories](https://forum.fudiabetes.org/categories.md) · [Tags](https://forum.fudiabetes.org/tags.md) **Page:** 3 --- ## [ISPAD: use \*blood\* ketone meter on sick days](https://forum.fudiabetes.org/t/ispad-use-blood-ketone-meter-on-sick-days/6265)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 2\ **Last updated:** [January 25, 2019, 12:37am UTC](https://forum.fudiabetes.org/t/ispad-use-blood-ketone-meter-on-sick-days/6265 "2019-01-25T00:37:19Z")
New (summer 2018) sick day directives recently linked to by @bkh emphasize the recommendation for measuring ketones from blood: I was quite interested in this—thanks, @bkh, for posting it! This consensus article by ISP… --- ## [How do you deal with dawn phenomenon on MDI?](https://forum.fudiabetes.org/t/how-do-you-deal-with-dawn-phenomenon-on-mdi/5645)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 14\ **Last updated:** [November 29, 2018, 3:57am UTC](https://forum.fudiabetes.org/t/how-do-you-deal-with-dawn-phenomenon-on-mdi/5645 "2018-11-29T03:57:20Z")
Side question (I might have to split this :slight\_smile: ): how did you find a way to deal with dawn phenomenon on MDI? I used to set an alarm at 5:00am for that when we were on MDI (for an early treating bolus). I nev… --- ## [Postprandial spikes in late honeymoon: where do I start?](https://forum.fudiabetes.org/t/postprandial-spikes-in-late-honeymoon-where-do-i-start/5447)
**Author:** [@kpanda01](https://forum.fudiabetes.org/u/kpanda01)\ **Replies:** 14\ **Last updated:** [November 22, 2018, 1:44am UTC](https://forum.fudiabetes.org/t/postprandial-spikes-in-late-honeymoon-where-do-i-start/5447 "2018-11-22T01:44:20Z")
I can’t figure out how to ask this without it sounding ridiculous, but I’m just going to go for it… My post meal BG has been all over the place for a couple weeks. It’s spiking much higher and much faster than I’m accus… --- ## [Using a higher basal than we absolutely need: one more treatment option](https://forum.fudiabetes.org/t/using-a-higher-basal-than-we-absolutely-need-one-more-treatment-option/5422)
**Author:** [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\ **Replies:** 65\ **Last updated:** [November 16, 2018, 5:57pm UTC](https://forum.fudiabetes.org/t/using-a-higher-basal-than-we-absolutely-need-one-more-treatment-option/5422 "2018-11-16T17:57:38Z")
So this is very, very interesting to me. I have heard this before but have never really had a good conversation about it. From what I understand, you’re not supposed to use your basal to cover your food, but… why not? I… --- ## [Omnipod DASH anyone?](https://forum.fudiabetes.org/t/omnipod-dash-anyone/5479)
**Author:** [@bpollina](https://forum.fudiabetes.org/u/bpollina)\ **Replies:** 18\ **Last updated:** [November 13, 2018, 7:09am UTC](https://forum.fudiabetes.org/t/omnipod-dash-anyone/5479 "2018-11-13T07:09:22Z")
Went for my omnipod training and my trainer thought that the Dash used a Samsung S5 custom phone? They will be trained on it and agreed I could switch once out. All I hear is Q1 2019. For those on it: Is it the Samsu… --- ## [Keeping track of meal and post-meal BG: pictures](https://forum.fudiabetes.org/t/keeping-track-of-meal-and-post-meal-bg-pictures/5463)
**Author:** [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\ **Replies:** 14\ **Last updated:** [November 11, 2018, 1:52pm UTC](https://forum.fudiabetes.org/t/keeping-track-of-meal-and-post-meal-bg-pictures/5463 "2018-11-11T13:52:11Z")
One more idea for the tracking… if you have a phone you take pictures with, you could just snap a pic of your dinner and a screenshot of the time or something like that (and pic of your pump screen for the bolus?). I do… --- ## [Do carbs used for a low have the same ICR as for a meal?](https://forum.fudiabetes.org/t/do-carbs-used-for-a-low-have-the-same-icr-as-for-a-meal/5428)
**Author:** [@Kaelan](https://forum.fudiabetes.org/u/Kaelan)\ **Replies:** 12\ **Last updated:** [November 9, 2018, 2:42am UTC](https://forum.fudiabetes.org/t/do-carbs-used-for-a-low-have-the-same-icr-as-for-a-meal/5428 "2018-11-09T02:42:09Z")
I think the answer should be yes, but it rarely works that way for me, I am not sure why. Say you overdose a high by 1U. If your ICR is 1:12, should you eat 12 carbs to make that up? I think it should work that way, be… --- ## [Do you use showers for BG management?](https://forum.fudiabetes.org/t/do-you-use-showers-for-bg-management/5432)
**Author:** [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\ **Replies:** 14\ **Last updated:** [November 8, 2018, 4:50pm UTC](https://forum.fudiabetes.org/t/do-you-use-showers-for-bg-management/5432 "2018-11-08T16:50:02Z")
I know this is another thread, but I just wanted to say I’ve been trying to use showers to help my insulin… I can’t say it’s had any effect on my blood sugar, but I am way cleaner. :grin: --- ## [Are you insulin-resistant and slow to respond at night?](https://forum.fudiabetes.org/t/are-you-insulin-resistant-and-slow-to-respond-at-night/5267)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 21\ **Last updated:** [November 5, 2018, 7:10pm UTC](https://forum.fudiabetes.org/t/are-you-insulin-resistant-and-slow-to-respond-at-night/5267 "2018-11-05T19:10:13Z")
We have known for a long time that we (my T1D son) were slow to respond at night: from 45 minutes our response time to turning the corner goes up to 60-75 minutes. Over the past few months, we have also figured out that… --- ## [Rock steady CGM, Freestyle meter all over: puzzled!](https://forum.fudiabetes.org/t/rock-steady-cgm-freestyle-meter-all-over-puzzled/5305)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 18\ **Last updated:** [October 29, 2018, 5:05pm UTC](https://forum.fudiabetes.org/t/rock-steady-cgm-freestyle-meter-all-over-puzzled/5305 "2018-10-29T17:05:28Z")
Dexcom sensor has been on for a couple of days, right on for 36 hours. The track is solid and steady all afternoon, towards the top of the range. No sports, no special activities. Late afternoon, my son tests once, get… --- ## [Meta Study: Long-term Glycemic Variability and Risk of Adverse Outcomes](https://forum.fudiabetes.org/t/meta-study-long-term-glycemic-variability-and-risk-of-adverse-outcomes/5121)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 30\ **Last updated:** [October 25, 2018, 3:42pm UTC](https://forum.fudiabetes.org/t/meta-study-long-term-glycemic-variability-and-risk-of-adverse-outcomes/5121 "2018-10-25T15:42:46Z")
This solid meta-study does a fairly thorough review of existing evidence as of 2015 and correlates glycemic variability with complications. It is a 2015 study but I just became aware of it. Long-term Glycemic Variabilit… --- ## [New technique for us: suppressing a hormone peak with high basal](https://forum.fudiabetes.org/t/new-technique-for-us-suppressing-a-hormone-peak-with-high-basal/5271)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 3\ **Last updated:** [October 23, 2018, 4:13pm UTC](https://forum.fudiabetes.org/t/new-technique-for-us-suppressing-a-hormone-peak-with-high-basal/5271 "2018-10-23T16:13:53Z")
Today, for the first time, we were able to largely suppress a hormone peak with a very high temp basal. Over the past few weeks, we have seen many high evening hormone peaks, sometimes above 300, take several hours and … --- ## [HbA1c: do the latest BG samples count for more?](https://forum.fudiabetes.org/t/hba1c-do-the-latest-bg-samples-count-for-more/5237)
**Author:** [@oni](https://forum.fudiabetes.org/u/oni)\ **Replies:** 19\ **Last updated:** [October 19, 2018, 8:22pm UTC](https://forum.fudiabetes.org/t/hba1c-do-the-latest-bg-samples-count-for-more/5237 "2018-10-19T20:22:43Z")
As for recent weeks having more impact, I think it is the opposite, according to a paper that came out a couple months ago. The first 30 days of your last 120-day period should account for about 50% of your result. And t… --- ## [Is a lower HbA1c always better?](https://forum.fudiabetes.org/t/is-a-lower-hba1c-always-better/5224)
**Author:** [@oni](https://forum.fudiabetes.org/u/oni)\ **Replies:** 65\ **Last updated:** [October 19, 2018, 2:49pm UTC](https://forum.fudiabetes.org/t/is-a-lower-hba1c-always-better/5224 "2018-10-19T14:49:13Z")
Not to muddle the thread with another thing tangential to variability, but for those curious about the idea that “higher blood sugar is always bad, the higher the worse it is”. I’ve never found that for certain. Here’s… --- ## [How Glycemic Variability impacts HbA1c](https://forum.fudiabetes.org/t/how-glycemic-variability-impacts-hba1c/5223)
**Author:** [@oni](https://forum.fudiabetes.org/u/oni)\ **Replies:** 10\ **Last updated:** [October 15, 2018, 11:24pm UTC](https://forum.fudiabetes.org/t/how-glycemic-variability-impacts-hba1c/5223 "2018-10-15T23:24:20Z")
Glycation: High GV has no significant effect on T2Ds. For T1Ds, its effect on Glycated Hemoglobin (HbA1c) is extremely minor the lower your mean glucose is. If your average glucose is 140mg/dL, then the difference betwee… --- ## [Should diabetes treatment optimize glycemic variability?](https://forum.fudiabetes.org/t/should-diabetes-treatment-optimize-glycemic-variability/5225)
**Author:** [@oni](https://forum.fudiabetes.org/u/oni)\ **Replies:** 10\ **Last updated:** [October 13, 2018, 11:32pm UTC](https://forum.fudiabetes.org/t/should-diabetes-treatment-optimize-glycemic-variability/5225 "2018-10-13T23:32:19Z")
--- ## [Broken wrist = +20% basal insulin](https://forum.fudiabetes.org/t/broken-wrist-20-basal-insulin/5130)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 6\ **Last updated:** [October 5, 2018, 9:11pm UTC](https://forum.fudiabetes.org/t/broken-wrist-20-basal-insulin/5130 "2018-10-05T21:11:28Z")
My son broke his wrist at school playing soccer earlier this week. His BG has been a bit everywhere since. But it looks like the direct impact to his basal after 48 hours is +20%. --- ## [Some peaks go down on their own](https://forum.fudiabetes.org/t/some-peaks-go-down-on-their-own/5122)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 1\ **Last updated:** [October 3, 2018, 10:28pm UTC](https://forum.fudiabetes.org/t/some-peaks-go-down-on-their-own/5122 "2018-10-03T22:28:07Z")
From time to time, we see a brief peak that appears to go down on its own. I have always assumed it was a CGM artifact. This time we captured one that we measured as real: We tested it manually at 140. We later verifi… --- ## [Do basal needs depend upon how much food you eat?](https://forum.fudiabetes.org/t/do-basal-needs-depend-upon-how-much-food-you-eat/5054)
**Author:** [@T1Allison](https://forum.fudiabetes.org/u/T1Allison)\ **Replies:** 7\ **Last updated:** [September 22, 2018, 11:50pm UTC](https://forum.fudiabetes.org/t/do-basal-needs-depend-upon-how-much-food-you-eat/5054 "2018-09-22T23:50:15Z")
--- ## [Experiment: basal vs bolus corrections](https://forum.fudiabetes.org/t/experiment-basal-vs-bolus-corrections/4976)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 42\ **Last updated:** [September 17, 2018, 1:53pm UTC](https://forum.fudiabetes.org/t/experiment-basal-vs-bolus-corrections/4976 "2018-09-17T13:53:21Z")
Do you have to use more insulin when using bolus vs. basal? The question is not really proper, since each serves its own purpose. But, ever since we have been involved with diabetes, we have heard the thought, never pro… --- ## [Travel surprise: dosing for sandwiches in hot weather](https://forum.fudiabetes.org/t/travel-surprise-dosing-for-sandwiches-in-hot-weather/5002)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 4\ **Last updated:** [September 17, 2018, 8:38pm UTC](https://forum.fudiabetes.org/t/travel-surprise-dosing-for-sandwiches-in-hot-weather/5002 "2018-09-17T20:38:13Z")
While traveling this summer, we encountered surprising problems in dosing for homemade sandwiches, leading to underdoses of 25-30%. When you move from place to place often (say, after 2-3 days), it is often convenient t… --- ## [The "right" way to talk about diabetes?](https://forum.fudiabetes.org/t/the-right-way-to-talk-about-diabetes/4268)
**Author:** [@TiaG](https://forum.fudiabetes.org/u/TiaG)\ **Replies:** 115\ **Last updated:** [September 12, 2018, 12:47am UTC](https://forum.fudiabetes.org/t/the-right-way-to-talk-about-diabetes/4268 "2018-09-12T00:47:39Z")
I had a Twitter exchange recently with another T1D. When someone asks her why her blood sugar is the way it is, she might say it’s because the moon was full – or because it wasn’t. I heard this a lot when Samson was fir… --- ## [Xdrip+](https://forum.fudiabetes.org/t/xdrip/4597)
**Author:** [@bpollina](https://forum.fudiabetes.org/u/bpollina)\ **Replies:** 5\ **Last updated:** [July 30, 2018, 12:52pm UTC](https://forum.fudiabetes.org/t/xdrip/4597 "2018-07-30T12:52:40Z")
I have the Dexcom G5 and a Samsung Galaxy S8+. I deleted the Dexcom app and tried the latest nightly Xdrip but went back for 3 reasons. Please help me and I may go back to Xdrip: My doc needs the Dexcom reports. I cou… --- ## [What are your preferred Dexcom alarm sounds?](https://forum.fudiabetes.org/t/what-are-your-preferred-dexcom-alarm-sounds/4586)
**Author:** [@T1Allison](https://forum.fudiabetes.org/u/T1Allison)\ **Replies:** 5\ **Last updated:** [July 27, 2018, 1:03am UTC](https://forum.fudiabetes.org/t/what-are-your-preferred-dexcom-alarm-sounds/4586 "2018-07-27T01:03:07Z")
I just selected a new alert sound for my Dexcom “fall rate” alert. The default fall rate alert stresses me out no matter what bg I’m actually at…and it makes me want to immediately down 5 juice boxes. I just simultaneous… --- ## [Am I Too Insulated?](https://forum.fudiabetes.org/t/am-i-too-insulated/4273)
**Author:** [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\ **Replies:** 14\ **Last updated:** [July 5, 2018, 9:07pm UTC](https://forum.fudiabetes.org/t/am-i-too-insulated/4273 "2018-07-05T21:07:54Z")
I am currently in an argument on another unrelated site about drug abuse that contained this quote from an NIDH article: For instance, Type I Diabetics fail to take medication as prescribed or don’t follow diet and exer… --- ## [Quick sugars for travel: glucose powder](https://forum.fudiabetes.org/t/quick-sugars-for-travel-glucose-powder/4393)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 0\ **Last updated:** [July 4, 2018, 11:26am UTC](https://forum.fudiabetes.org/t/quick-sugars-for-travel-glucose-powder/4393 "2018-07-04T11:26:27Z")
We normally use corn syrup when needing quick sugars at home, in a deep low at night for instance. But we have discovered this to be very difficult to find in Europe. It is also messy if you travel all the time: what if … --- ## [Insulin Activation Time: awake vs asleep](https://forum.fudiabetes.org/t/insulin-activation-time-awake-vs-asleep/4297)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 10\ **Last updated:** [June 27, 2018, 9:29pm UTC](https://forum.fudiabetes.org/t/insulin-activation-time-awake-vs-asleep/4297 "2018-06-27T21:29:20Z")
In the past few months we have had to deal with a lot of night peaks. We are very aggressive on peaks and stack quickly, based on our known Insulin Activation Time. But we got caught several times overstacking at night:… --- ## [Expired glucagon](https://forum.fudiabetes.org/t/expired-glucagon/1417)
**Author:** [@John58](https://forum.fudiabetes.org/u/John58)\ **Replies:** 51\ **Last updated:** [May 12, 2018, 6:09pm UTC](https://forum.fudiabetes.org/t/expired-glucagon/1417 "2018-05-12T18:09:48Z")
I have a "Lilly 1mg Glucagon Emergency kit" that expired April 2017. Visually it appears OK, the powder in the bottle is still dry, the fluid in the plunger is still clear. Is this kit 100% useless or, in a pinch, would … --- ## [For those who carry glucagon](https://forum.fudiabetes.org/t/for-those-who-carry-glucagon/3827)
**Author:** [@Jen](https://forum.fudiabetes.org/u/Jen)\ **Replies:** 24\ **Last updated:** [April 7, 2018, 10:10pm UTC](https://forum.fudiabetes.org/t/for-those-who-carry-glucagon/3827 "2018-04-07T22:10:07Z")
I keep glucagon around mostly in case I want to mini dose it. Which I’ve never done as of yet. Long story short, I was fiddling with a glucagon kit and a 30 unit syringe, and I discovered the syringe lies nicely beside … --- ## [Transient peaks after glucose intake?](https://forum.fudiabetes.org/t/transient-peaks-after-glucose-intake/3786)
**Author:** [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Replies:** 11\ **Last updated:** [March 27, 2018, 5:52pm UTC](https://forum.fudiabetes.org/t/transient-peaks-after-glucose-intake/3786 "2018-03-27T17:52:49Z")
Last night we got trapped again by dosing a transient peak that we sometimes see after glucose intake. My son had slightly overcompensated for a low after dinner. His CGM was at 139. He fingerpoked and got a 156, then a… [Previous page](https://forum.fudiabetes.org/c/diabetes-tips-tech-gear/treatment/68.md?page=1) [Next page](https://forum.fudiabetes.org/c/diabetes-tips-tech-gear/treatment/68.md?page=3)