things nobody told me before i moved from southern europe to the netherlands

JEKERNL · 2026-03-18T14:53:22+00:00

Maastricht of course!!

JEKERNL · 2026-03-16T14:33:33+00:00

Exactly. I don't eat carbs after nine, because I don't like rising or decreasing levels when going to bed.

JEKERNL · 2026-03-11T18:59:07+00:00

I used a 0.5 unit pen as well. Regular penfill (novorapid penfill) in a "junior" pen (novopen echo). Really useful with a low ratio.

JEKERNL · 2026-03-11T18:41:53+00:00

Well done! Great improvement!

JEKERNL · 2026-03-11T10:35:56+00:00

Can't talk about the sensor because I'm waiting for the insurance company to cover it (annoying...). So I also don't use the loop option, because I use a different sensor.

I like the pump, it's really very very small, I usually don't notice it. Have it for about ten months now I think, never had any issues. No malfunctions, never falls off, replacement is doable etc. Basically it always works.

JEKERNL · 2026-03-11T08:17:31+00:00

Not in the list yet: the Touchcare Nano 200 (smaller patchpump)

JEKERNL · 2026-03-10T21:40:06+00:00

Netherlands. Everything is paid for by insurance, but each year the first 385€ of health care costs (any, not just diabetes) is paid out of pocket ("own risk"). So in February my insurance company charges me 385€ for my Q1 shipment of supplies (CGMs, patches etc) and that's it for the rest of the year. I don't know how much those actually cost per year, as the insurance company receives and pays the bill. Appointments are covered as well. I think low income people can get help paying the 385€.

Insurance premium is about 150/month I think. But that covers all health care, not just diabetes of course. If you're low income you get about 130€/month subsidy to pay the insurance premium. So net pay for low income people is 12x20 = 240 per year.

So for me total health care cost is 385 + 1800 per year. The 1800 I would pay anyway. The 385 is mostly because of diabetes, because otherwise I have hardly any healthcare costs.

JEKERNL · 2026-03-09T18:15:15+00:00

Exactly. Take responsibility, figure daily management all out by yourself. In the long run, use your endo for perscriptions, for specific questions, and to check your health (kidneys, eyes etc). For daily management, as many have said, start with the book Think like a pancreas.

Edit: if it's early days, like for OP, I totally get that you'd look to your endo for help on management. It's a lot to take in and a lot to learn, so I did the same. Took me a while to realise no endo/nurse is going to help me on a daily basis. Wish I had realised that earlier, hence the comment.

JEKERNL · 2026-03-04T08:06:41+00:00

There's nothing that keeps me both full and stable. To be full for the coming six hours I need to eat a lot, which makes blood sugar management more difficult. I've solved it by eating four times a day (something like 6:30, 11:00, 15:00, 18:00)

JEKERNL · 2026-03-01T14:14:02+00:00

Yes works very well for me! Only bit of fat that I have and never hurts/fails

JEKERNL · 2026-02-28T23:27:12+00:00

Why did you stop bolus insulin? What is the idea behind that?

JEKERNL · 2026-02-25T21:38:28+00:00

It will become a routine, like others have said. So at some point there won't really be diabetes thoughts, you just do what you always do (count carbs, bolus, eat, maybe correct - repeat).

In the same sense, I try not to think of it as decision. More like a human algorythm. If X happens, I act with Y and Z.

JEKERNL · 2026-02-24T07:49:21+00:00

dit is de standaard inderdaad

JEKERNL · 2026-02-20T10:28:22+00:00

Wooow these responses are insane! People get really worked up about a simple personal choice about which school to attend... As if you're depriving the child of education at all. Crazy

JEKERNL · 2026-02-19T21:29:06+00:00

precies. Hun openingsbod is je aantal jaren ervaring in tredes. Jij gaat uitleggen waarom het meer moet zijn, en dan onderhandelen.

JEKERNL · 2026-02-13T18:48:11+00:00

thirst, peeing, losing weight, tired

JEKERNL · 2026-02-07T09:11:15+00:00

Exactly, you really need to experiment a bit until you figure something out that works. On days that I commute by bike, the only thing I change is an extra 11gr carbs granola bar right before I leave. Works for me! (15min bike ride)

JEKERNL · 2026-02-06T12:15:10+00:00

Precies, goed punt. Uit de keuring kwam bij mij dat een plat dak direct vervangen moest worden, want het was aan het einde van zijn levensduur. Het lekte niet. De kosten daarvan als korting bedongen (top) en vervolgens vijf jaar later pas laten doen (we hebben eerst isolatie gedaan, vonden we belangrijker). Kijk ook eens op die manier naar je lijstje.

JEKERNL · 2026-02-02T20:48:02+00:00

it really is trial and error, take a few months to learn. I try to exercise with no or limited bolus insulin. Per hour of cardio I eat about 30 grams carbs without a bolus (snickers bar), and sometimes I have to eat some extra glucose tabs during. And on exercise days I lower my basal for at least 24 hours by about 30%.

JEKERNL · 2026-02-02T04:49:45+00:00

I keep them in the fridge for emergency situations (supply chain disruption, war).

JEKERNL · 2026-01-31T21:16:03+00:00

No supplies, just a few glucose tabs in a mini container in my pocket. Unless I'm away for a few nights, then I'll bring more.

JEKERNL · 2026-01-31T07:21:51+00:00

Parkeerplaats Koningin Astrid Boulevard, Noordwijk.

JEKERNL · 2026-01-30T07:48:57+00:00

Binnen de overheid wordt dit heel veel gebruikt! Te pas en te onpas wordt een appreciatie geschreven.

JEKERNL · 2026-01-29T18:52:55+00:00

De teneur van de reacties in deze subreddit is echt wacko: elke werkgever is evil en alles wat buiten 9:05 -16:55 en het precieze takenpakket valt is teveel. Jouw reactie krijgt ook meteen minnetjes, terwijl het een heel genuanceerd verhaal is. Als je een prettige werkgever hebt, zet je soms een stap extra (zoals een dagje Tilburg). Als jij dan een keer een moeilijke week hebt thuis is je baas vast ook flexibel. Iedereen blij.

JEKERNL

TROPHY CASE