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    • 1 hour, 32 minutes ago
      Kristi Warmecke likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 4 hours, 5 minutes ago
      Lee Tincher likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      If I could get a CGM that is consistent and predictable I'd be very happy with the Twiist or the Tandem. The weak point with pumps used to be infusion sites, but now that we are relying on poor performing technology to support potentially great algorithms itis quite frustrating.
    • 5 hours, 59 minutes ago
      Beckett Nelson likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 7 hours, 24 minutes ago
      John Barbuto likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      I have been using a insulin smart pen for the last 2 years; I find that it meets my current needs to ensure good management and results
    • 8 hours, 7 minutes ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 8 hours, 8 minutes ago
      Lawrence S. likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      My first reaction was Very Satisfied but there is always room for improvement. I’d like a pump design that wasn’t meant to be worn on a belt just for men. To wear a dress, I have to only get those with pockets (and on both sides because opposite sides cause the CGM to lose contact) and put a button whole in each. The clip shows horribly on blouses worn out. I’ve tried the leg attachments and they never stay secure. I’m not big enough to wear it in my bra. All minor inconveniences. I’d like one that doesn’t keep alarming 20 minutes after I’ve eaten, although I get it that it is there to save my life. Again minor. Ask about CGMs (probably tomorrow’s question): lately I’ve had trouble removing the sensor from my arm without actually ripping off a strip of skin or very bad bruising. I’ve read about using baby oil for removal. That does help. I’m a rip it off fast person, but that didn’t work so well.
    • 8 hours, 41 minutes ago
      Gerald Oefelein likes your comment at
      How satisfied are you with your current insulin pump brand/model?
      Somewhat satisfied with TSlimX2. Not because of pump shortcomings, but because of the sheer insanity of trying to get routine supplies through the American health care system. My current situation, to wit: "I am experiencing extreme frustration with Medicare that, 1) has an inoperable website, and 2) has an inoperable AI phone answering service. Consequently, I can no longer acquire needed supplies to operate the tSlimX2, particularly the T:Lock TruSteel 8mm 32.” This situation has persisted for 2 months. 😬
    • 20 hours, 31 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 20 hours, 31 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 21 hours, 45 minutes ago
      Neha Shah likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day, 1 hour ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience people have heard of Type 2 Diabetes so if I say Type 1 that makes sense in that if there is a Type 2 there must be a Type 1 also. That is the extent of their understanding. In healthcare there is a bigger failure where "diabetes" or "type 2 diabetes" is used as a shorthand of a set of conditions often seen together. See any research paper by any cardiologist ever. This lack of precision leads to incorrect risk evaluations and incorrect treatment of people with diabetes caused by other factors including autoimmune aka Type 1.
    • 1 day, 1 hour ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      I have, and I do show calcium build up and hardening of the arteries. No action has been taken yet at this time. However, I am taking Repatha for better control of my cholesterol and it has been working great.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Thank you. Your write up is concise, cogent, and convincing. 🎀
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      After 16 stents and a new aortic valve, I've had every scan imaginable and she just keeps on tickin'.
    • 1 day, 4 hours ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Just googled it and most insurance plans including basic Medicare do not cover it. Said cost ranges $100-400 with out-of-pocket being $100-150 (although I don’t understand that if not covered by insurance).
    • 1 day, 5 hours ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 5 hours ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 1 day, 5 hours ago
      Lynn Smith likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 8 hours ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      This is a good question! but it does lead to so many other questions.
    • 1 day, 8 hours ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      If the mystery train is your favorite form of conveyance, then you’re gonna love T1D. You may choose to be in a universe that is spiritually arid. Or you may choose to live in the harsh realities of reality. Up & down arrows and double arrows? I Love ‘em. Can and do take action immediately. 🙇‍♀️ 🙇‍♀️
    • 1 day, 9 hours ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      T1D & T2D are meaningless acronyms for most, nearly all, nondiabetics. Juvenile diabetes vs diabetes is the closest known pairing and that's still few.
    • 1 day, 9 hours ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 9 hours ago
      Mike S likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
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    Does proximity to your T1D health care provider impact where you choose to live?

    Home > LC Polls > Does proximity to your T1D health care provider impact where you choose to live?
    Previous

    If you have ever gone through the process of getting a prescription for a GLP-1 agonist (e.g., semaglutide, exenatide, dulaglutide, liraglutide, lixisenatide, etc.), how easy or difficult was the process of getting a prescription and obtaining the medication?

    Next

    Do you currently use any of the following insulin pumps?

    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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    24 Comments

    1. ChrisW

      No but that was due to ignorance. I assumed living 30 minutes outside of a city of 220K people would provide adequate healthcare options. I was wrong. Next time I move I will absolutely be checking for endos accepting new patients.

      3
      3 years ago Log in to Reply
    2. mbulzomi@optonline.net

      NO was my answer. Living in a large Metropolitan area, many Endos to pick from. Actually, my Endo is in walking distance.

      1
      3 years ago Log in to Reply
    3. Jane Cerullo

      My T1D is under control. If I had to change Endo it would not be difficult

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

      I answered “No”. But, really, “Yes.” Where I lived most of my life was a five hours, each way, drive to my Endocrinologist. Location to employment, housing, family and healthcare all play a part. As the saying go, it’s location, location, location.

      1
      3 years ago Log in to Reply
    5. Lori Lehnen

      With telemedicine, there’s a lot more options for finding an endocrinologist that’s a good fit.

      1
      3 years ago Log in to Reply
    6. beth nelson

      Yes, I wouldn’t move to a small town if there wasn’t a great endo I could easily relate to nearby. And with the amazing endo team I have now, I’d prefer to stay close to them. If I was to look for a new house, it would be within a 20 minute drive to my team!

      1
      3 years ago Log in to Reply
    7. Jen Farley

      My husband and I had conversations of when we retired moving to a Caribbean island. After looking at pharmacies and doctors we decided that would not be an option. A diabetic has to have healthcare nearby or it maybe a challenge.

      1
      3 years ago Log in to Reply
    8. Henry Renn

      I answered “no” bc we live in portion of PA where medical services are highly competitive. Availability of medical services for Type 1’s would be a consideration in the unlikely event that we would move.

      3 years ago Log in to Reply
    9. Trina Blake

      I’m a big city girl (an urban rat I guess) have been all my life. As has been said above – lots of Endo’s to choose from. Of course knowing who the good Endo’s are (and who the Endorks are) is important. When I’ve moved it’s been an arduous search. I’m doing well with my T1D mgt (great A1C – in the normal range, and high TIR, so telehealth works very well for me. If we didn’t need Rx’s for insulin and the prior authroization for just about everything, distance wouldn’t be the issue it is for many of us with T1D.

      0
      3 years ago Log in to Reply
    10. Marthaeg

      I said no because I moved from CT to Dallas a year ago. Unfortunately, I still haven’t found an endo in Dallas. Anyone have any recommendations? My endo back east is wonderful and I’ve been traveling back to see her quarterly but I really need to find someone in the Dallas area.

      3 years ago Log in to Reply
    11. Eva

      With zoom, it doesn’t as much. However, I do travel to see my endo. I just don’t trust anyone else. And, after 30 years, I know no one cares as much as his office about maintain and improving my health.

      1
      3 years ago Log in to Reply
    12. Becky Hertz

      It hasn’t in the past, but I’ve always lived in the suburbs close to abundant healthcare.

      0
      3 years ago Log in to Reply
    13. terrih57@msn.com

      I would not move to be close to my endo. I live in a rural area so it was years before I found one close. So I only saw my primary and my diabetes educator nurse until I found my current endo. I still have to drive a bit but it’s worth it and happy to have one in the ‘area’!

      1
      3 years ago Log in to Reply
    14. KIMBERELY SMITH

      She make sure Dietetic is on track

      3 years ago Log in to Reply
    15. Sue Martin

      We were considering moving from the Puget Sound to a warmer state. Proximity to health care was in the top three items of consideration. We decided not to move yet. I have excellent care at the University of Washington Medical Center and its clinics and would need that world-class care anywhere I might move to later. Besides T1D, I have had a kidney transplant, and have had a brain tumor removed. I would need care for all those aspects of my health.

      1
      3 years ago Log in to Reply
    16. Bob Durstenfeld

      I live 20 miles from my endo’s office. If I moved, I would want equivalent access to my doctor and other specialists.

      3 years ago Log in to Reply
      1. Stuart Pelcyger

        I am considering moving over 2 hours away from my Endo. Will travel to keep seeing her.

        1
        3 years ago Log in to Reply
    17. Sheri Marcus

      I have to drive an hour there and an hour back every three months because there is not one available in my area, Seneca, SC.

      3 years ago Log in to Reply
    18. NANCY NECIA

      My biggest consideration in deciding to move from a large urban area to a small city/rural area is availability of diabetes care. We have a second home two plus hours from my diabetes clinic. There is no diabetes clinics nor endos closer. Gives me pause to think of moving here full time.

      3 years ago Log in to Reply
    19. T1diabetic

      I have lived in rural areas most of the 51 years I have been T1D.
      I have never had optimal diabetes care due to there being no such thing as an endocrinologist or none close enough or none taking new patients.
      So I just do the best I can with my Primary Care Physician and my own research.

      1
      3 years ago Log in to Reply
    20. Janis Senungetuk

      I chose “no” because it hasn’t in the past…but, the times are changing. As my spouse and I age our dependence on healthcare has definitely increased. We live in an urban environment that includes several large medical/research centers with clinics. Even with the number of endos, finding one accepting new patients is now very difficult. If I had to rely on my GP, I’d be basically on my own with any pump/glucose management questions. So…it will be a consideration with our next move.

      3 years ago Log in to Reply
    21. Kristine Warmecke

      They somewhat do. While working as a travel nurse, I couldn’t find an endocrinologist who worked with insulin pumps in the good size city I was in. So I drove back to St. Louis, MO to see mine. After that I made sure that there would be one who worked with pumps before accepting an out of state assignment. This was 2015, so there should have been.

      3 years ago Log in to Reply
    22. AnitaS

      The opposite is true for me. I choose an endo who is relatively close to where I live. Will this be the case in the future? I really don’t know.

      1
      3 years ago Log in to Reply
    23. T1D4LongTime

      I answered “Other”. I was blessed that when I moved away from home after college, I married and moved to a city that had one of the top endocrinologists in the region. I’ve lived the same place for over 40 years. Proximity to a new healthcare provider would be a factor in choosing a retirement location.

      3 years ago Log in to Reply

    Does proximity to your T1D health care provider impact where you choose to live? Cancel reply

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