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    • 6 hours, 57 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      There are several conversations about this across social media. Many people chime in and vote for a new, more accurate name for type 1.. some of the popular alternatives- Pancreatic Autoimmune Disease, Beta Cell Destruction Disease, Autoimmune Diabetes, Autoimmune Insulin Failure, Autoimmune Absolute Insulin Deficiency (AAID)
    • 6 hours, 57 minutes ago
      kristina blake 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.
    • 6 hours, 58 minutes ago
      kristina blake likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      The most common comment: but you aren’t heavy. That’s when we get into the differences. A relative tried to tell me that insulin makes you lose weight. But when we last discussed this, one of you said it best: if it isn’t in their circle of experience, why would they know or care?
    • 6 hours, 58 minutes ago
      kristina blake 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.
    • 9 hours, 10 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. 😬
    • 11 hours, 43 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.
    • 13 hours, 37 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.
    • 15 hours, 2 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
    • 15 hours, 45 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. 😬
    • 15 hours, 46 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.
    • 16 hours, 19 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. 😬
    • 1 day, 4 hours 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.
    • 1 day, 4 hours 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!
    • 1 day, 5 hours 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, 8 hours 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, 8 hours 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, 12 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, 12 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, 12 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, 12 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, 12 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, 12 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, 12 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, 13 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, 16 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.
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    Diabetes burnout – feeling run down and not managing your diabetes in the way you normally would – happens for many people living with T1D. Which statement best describes the way you currently feel diabetes burnout impacts you?

    Home > LC Polls > Diabetes burnout – feeling run down and not managing your diabetes in the way you normally would – happens for many people living with T1D. Which statement best describes the way you currently feel diabetes burnout impacts you?
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    In the past 12 months, have you changed medications or devices because of your health insurance?

    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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    33 Comments

    1. Jen Farley

      There are times I get tired of my life being about how many carbs I ate, how much movement I did, how warm the day is, what my stress level is at, and so on, and so on. It is every thought of most days. Pumps make dealing with diabetes easier but every once in a while, I have one of those days.

      8
      2 years ago Log in to Reply
      1. Robin Melen

        Totally agree! Those days are tough, but we hang in, don’t we?

        2
        2 years ago Log in to Reply
      2. KCR

        Yup, and we keep on plugging along.

        2
        2 years ago Log in to Reply
    2. Jeff Balbirnie

      I do not see any positive future w/ re: to T1 diabetes. Decades (5+) of T1 have taught me open despair towards diabetes. Maintenance is never cure. The current and sole approach(es) are not quality of life instead are exclusively maintenance. (ie quantity). Different creatures entirely, sadly.

      9
      2 years ago Log in to Reply
    3. Molly Jones

      I am sometimes tired of the need to count carbs or not being able to eat as friends do, but I don’t feel burnt out in comparison to my other conditions (especially preexisting depression and epilepsy).
      I would love to be perfectly healthy, but diabetes sometimes helps me focus on needed goals and gets my thoughts off worse ones.
      I also am grateful for the research both having been and being done.

      6
      2 years ago Log in to Reply
    4. KIMBERELY SMITH

      All time

      1
      2 years ago Log in to Reply
    5. Jordanhw

      My endo keeps telling me that I’m doing really well with managing my Diabetes but most days I feel like I’m “failing at it”. I get burned out very often but I try my absolute best to keep my mind and body healthy.

      5
      2 years ago Log in to Reply
    6. Amanda Barras

      Not at all. I have decent control all the time. However I do struggle with my diet. I eat what I want most times when I know I would benefit from low carb, but I can’t seem to stay on it.

      2 years ago Log in to Reply
    7. Lawrence S.

      None of the responses are correct for me. I chose “Not at all/Very Little:.” However, that is not accurate either. I occasionally, to often, feel overwhelmed and down about managing my diabetes. I notice it when I have low blood glucose while I’m trying to get work done (which is daily). Sometimes the daily maintenance overwhelms me. Diabetes takes a lot of time out of my life, when I have other things that I want to do. I get frustrated because diabetes always gets in my way. For example, I would love to get up early in the morning and go for a 5 or 10 mile run. But, I have to eat and have a protein drink and then wait 2 hours for my blood glucose to rise high enough to run. Then, after 4 miles, I have to stop because my BG drops on me. I can’t just get up and go do something as other, non diabetic, people might do. I have to check my blood sugar, and take time to make sure that I have enough glucose in my blood before I take on any activity. There are many, many frustrations.

      Having said that, there have never been times when when I don’t handle my management as I would normally want to. I continue to do my self-maintenance, and push through the frustration, and feelings of being overwhelmed. I just force myself to keep going. I don’t allow myself to “not manage” my diabetes.

      12
      2 years ago Log in to Reply
      1. Shannon Stefan

        Agreed, you said exactly what I am feeling. I always take care of myself, but I am constantly frustrated when I have to wait to walk the dog because I need my blood sugar to rise. Or if out with friends and I have to excuse myself to deal with a pump issue. There are some days I wish I could take a break from the stress of diabetes maintenance, from all the devices beeping at me throughout the day, and having to think about my blood sugar or what I have eaten or not eaten…argh!!!!

        7
        2 years ago Log in to Reply
      2. Wanacure

        Hey, Lawrence S., years ago BEFORE CGMs, T1Ds were climbing Mt Everest and swimming in the Olympics! This involved training days hours long, 6 days/week, to point of exhaustion. Olympic Swimmer Gary Hall tested his bg 25x/day of training. https://www.chop.edu/video/gary-hall-Jr-life-athlete-diabetes

        1
        2 years ago Log in to Reply
      3. Lawrence S.

        Yes, Wanacure, I remember watching Gary Hall in the Olympics. He was one of my heroes.

        2 years ago Log in to Reply
    8. eherban1

      I am feeling burn-out but am trudging through like with everything. I kind of feel like Sisyphos for the exact same reasons- I’ve cheated death when I was 11 years old, in exchange I’ve been condemned to forever be enslaved to the mundane but Herculean task of trying to keep my glucose in a neat flat line (and the furies push it out of whack forcing me to start the task over and over again.) If that doesn’t explain T1D burnout, I don’t know what does. T1red!

      5
      2 years ago Log in to Reply
      1. Ahh Life

        To elaborate, Sisyphus should be named as the patron saint of T1D. He had to roll a huge bolder to the top of a large hill only to have it roll right back down to ground level. Then he had to start rolling it up again. He had to do it for eternity which we mortals can define as our life span. If Sisyphus isn’t the patron saint, who is? 🙈🙉🙊

        8
        2 years ago Log in to Reply
      2. eherban1

        I think another neat fact is that he was condemned to perform that task for eternity because he cheated death (twice). In a way, we each cheated death when we were diagnosed and treated with insulin. The zinger is our “mundane Herculean task” is taking insulin every day- the thing we cheated death with!

        2 years ago Log in to Reply
    9. Sue Martin

      I have burnout about once a year where I really really dislike having to manage this lifestyle. I’m doing ok right now.

      2 years ago Log in to Reply
    10. MT

      Anyone who answered not at all hasn’t turned 50 yet.

      5
      2 years ago Log in to Reply
      1. Jeanne McMillan-Olson

        It says not at all or only a little. I am only a little and I will be 78 in November. Have had it for 68 years. Became a Certified Diabetes Educator and Dietitian which has made a world of difference. I believe a better education can give you a better outcome.

        3
        2 years ago Log in to Reply
      2. Ernie Richmann

        I’m 74 and I answered not at all/very little. I did not have diabetes until age 57. I am type 1. It did say everyday is not perfect.

        1
        2 years ago Log in to Reply
      3. Jim Andrews

        I’m 70 and have had T1D for 56 years. I do not suffer from burnout at all. Yes I get annoyed at the surprise highs and lows and associated alarms but after this long it’s just a part of life. I deal with it and move on.

        4
        2 years ago Log in to Reply
      4. ConnieT1D62

        I am nearly 70 and have lived with T1D in my body and in my self awareness consciousness since I was 8 years old. I have mastered dealing with it everyday because that is what I must deal with everyday.

        2 years ago Log in to Reply
    11. Jane Cerullo

      My T1D is usually under tight control. Now I seem to be dealing with some gastroparesis. Stomach aches and corresponding blood sugar rise during night. Plan is to change diet especially dinner. I already eat early. But now need to change diet. Again

      1
      2 years ago Log in to Reply
    12. Jneticdiabetic

      I selected very little. I’m rarely burnout to the point where I neglect myself, but I am frequently annoyed! Sometimes the combination of work, life, and T1D is A LOT. Have been known to mutter “shut up, I hate you!” and repeatedly snooze CGM alarms overnight. . l don’t carry guilt about my wonky BGs just try to learn from them and do the best I can. I have A1c of 7.2% and no severe lows for a while, so I call that a win.
      Remember, for “normies” balancing blood sugars takes a million functioning islets and hundred of intricate molecular signals and feedback loops. I think everybody here deserves a trophy for keeping ourselves alive & managing our own sugars with insulin, devices, brain power, and perseverance. 🏆🙌

      8
      2 years ago Log in to Reply
    13. KarenM6

      I’m too tired to answer this question the way I would like to. But, that “tired” (related to deficient B12) also affects how I feel about diabetes.
      It is quite the tangled web we weave (and walk through)!!

      2
      2 years ago Log in to Reply
    14. Wanacure

      I was feeling overwhelmed by EVERYTHING, not just T1D. So I am feeling much better now about EVERYTHING after telling my PCP I felt depressed and this resulted in 1) getting referred to a counselor 2) an online coach 3) an online app for cognitive behavioral health 4) and a different antidepressant that seems to energize me more. Getting my mojo back now. Every 4 to 5 years I seem to need a tune-up to prevent burnout. BTW I’m setting aside time each day to play for 30-60 minutes, e.g., playing online Klondike solitaire or doing crossword puzzles or word games.

      1
      2 years ago Log in to Reply
    15. Tina Roberts

      I’ve been burned out for a very long time.

      1
      2 years ago Log in to Reply
    16. lis be

      When I was diagnosed at age 8 my endocrinologist said that I likely wouldn’t live past my teenage years. I’ve been a bit stressed ever since, feeling like the diabetes was waiting around the corner to come get me. Maybe it is the anxiety that type 1 causes that really wears me out sometimes.

      2
      2 years ago Log in to Reply
      1. Lawrence S.

        Lis, I was given 10 years of life by my doctor when I was 23 years old. I’m 70 years young now and still kicking. Forget about what that endo said when you were 8.

        1
        2 years ago Log in to Reply
    17. Wanacure

      You want diabetes burnout? Watch this inspiring brief set of videos from 1996 Olympic Swimmer BEFORE CGMs: https://www.chop.,edu/video/gary=hall-jr-life-athlete-diabetes

      2 years ago Log in to Reply
    18. Mary Thomson

      How could you not have burn out. We fight with our bodies every hour of every day attempting to stay as healthy as you can.

      2
      2 years ago Log in to Reply
    19. ConnieT1D62

      I answered Not at All/Very Little because I have a handle on my diabetes after living with it for nearly 70 years. IMHO what causes Diabetes Burnout is dealing with TID cluelessness from insurance companies and lack of T1D awareness from clueless health care providers.

      1
      2 years ago Log in to Reply
    20. Brad Larson

      Burnout only affects me it seems if I am sleep-deprived, or out of control (before CGMs)

      2 years ago Log in to Reply
    21. T1D4LongTime

      I answered “a lot”. T1D 56 years, pump for 23 years. My diabetes management challenges are due to outside stress I’m under due to multiple family members with severe health problems. I am struggling to be a caregiver to 2 people in addition to myself.

      2 years ago Log in to Reply

    Diabetes burnout – feeling run down and not managing your diabetes in the way you normally would – happens for many people living with T1D. Which statement best describes the way you currently feel diabetes burnout impacts you? Cancel reply

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