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    • 6 hours, 40 minutes ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 7 hours, 37 minutes ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 7 hours, 45 minutes ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 8 hours, 44 minutes ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 8 hours, 48 minutes ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 9 hours, 50 minutes ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 9 hours, 51 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    • 9 hours, 51 minutes ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 9 hours, 52 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      For Minimed, the dedicated reader is the pump.
    • 9 hours, 52 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I chose "dedicated reader". That reader is my pump, a Minimed 780G.
    • 9 hours, 53 minutes ago
      Marthaeg likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 22 hours, 24 minutes ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 22 hours, 25 minutes ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 22 hours, 26 minutes ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Here's my concern. I've used AI when meeting new clients to take notes of my meetings while I'm talking with the client. Ostensibly, this frees me up from having to jot down notes while talking - allowing me to give my full attention to the conversation. (Very good benefit of AI) Then, when reviewing the notes, AI literally fabricated scenarios that weren't discussed (AI Hallucinations are a very bad side effect). Not knowing when AI will fabricate a fact pattern gives me great concern that AI will fabricate a glucose reading and then act on that hallucination. AI has great potential, but it's not ready yet.
    • 1 day, 4 hours ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 4 hours ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 day, 4 hours ago
      D-connect likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 1 day, 5 hours ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 1 day, 5 hours ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      Extremely. I have a certificate in Medical Billing & Coding.
    • 1 day, 8 hours ago
      Kathy Hanavan likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 1 day, 8 hours ago
      atr likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 1 day, 9 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Roughly half my lows are caused by my auto correct system now. I expect AI hallucinations to make it worse. I have enough hallucinations when I'm low and need non-hallucinatory help. We all need more info on this subject to make better decisions. As my favorite 80's AI robot (Johnny 5) said, "Need input."
    • 1 day, 9 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I'm not comfortable for many reasons: 1) AI hasn't proven respects boundaries, quite the opposite, too many reports of AI tend to view its responsibilities and decisions as NOT mine; 2) the companies behind AI systems do likewise in not respecting my data as mine and jumble it in with their own; 3) AI systems haven't proven themselves as reliable parties regarding data and actions. There are many more; AI systems have a long way to go before I entrust one with dosing strategies while I'm awake, let alone while I'm asleep!
    • 1 day, 9 hours ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’ve done a large 2 week focus group through Syracuse University on AI. I’ve also been watching shows on European news about AI and medical issues. AI still has too many glitches when it comes to medical issues.
    • 1 day, 9 hours ago
      TEH likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
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    How would you rate your customer service experience with your current DME (durable medical equipment) provider?

    Home > LC Polls > How would you rate your customer service experience with your current DME (durable medical equipment) provider?
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    If you have played a competitive sport, did you take any precautions with your T1D-related devices?

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    Outside of CGM or insulin pumps, are there any other T1D related technologies that have helped you better monitor your T1D? Share in the comments what they are!

    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

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    30 Comments

    1. Trina Blake

      Got switched to Byrum about a year or so ago. They are great about sending me a text and email about time to order. I’ve had no issues, they notify me in plenty of time so I still have a few items when the new shipment arrives.

      2 years ago Log in to Reply
    2. Molly Jones

      I use the insulin pump company and pharmacy for my diabetes medical supplies. They have been keeping me happy.

      2 years ago Log in to Reply
    3. Katherine Kettig

      I just use my local pharmacy and they are great!

      1
      2 years ago Log in to Reply
    4. Annie Wall

      I use Byram for Tandem pump supplies and Us Med for Dexcom supplies. They’re both just fine.

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

      I currently use Edgepark, it varies, depending upon who I talk to. Recently, I got hooked up with a person whose command of the English language was poor. And, I was not successful. A few days later, I spoke with someone else, and was able to resolve an issue. Years ago, I used Byrum, and they almost never got my orders correct. Unfortunately, my health insurance only has Byrum and Edgepark as “participating provider,” so I don’t have other choices. I rated customer service as, “Fair.”

      1
      2 years ago Log in to Reply
    6. Mick Martin

      I use Medtronic/MiniMed directly and seem to receive good service from them. On the odd occasion when something goes awry, I normally get a favourable [favorable] outcome from directly contacting them.

      2 years ago Log in to Reply
    7. KSannie

      I use different providers for pump supplies and for Dexcom supplies. They are normally great, but I have problems from time to time. I asked twice for my supplies to be delivered to where I was staying on vacation. Once, that happened and once they supplies were sent to my house. And I do get repeatedly pestered for the same order over and over even after I reply sometimes. But the orders have been sent with the correct contents and in a timely manner.

      2
      2 years ago Log in to Reply
    8. Tina Roberts

      My Dexcom comes from express scripts mail delivery pharmacy and my OmniPod’s come from CVS pharmacy. I’m very surprised at how well Tricare covers both.

      2 years ago Log in to Reply
    9. Stefan Perrin

      Customer service is friendly enough but their ordering system at Byram will not retain the correct address and phone number of my endocrinologist.

      1
      2 years ago Log in to Reply
    10. Joindy23

      My insurance (Tricare) considers CGMs a medical equipment benefit rather than a pharmacy benefit, so I’m forced to use a mail order DME company. Previously under different insurance I could obtain CGM supplies as a pharmacy benefit at my local pharmacy, which was SO MUCH better. I’ve used Solara for the past year (part of Adapt Health) and they’ve repeatedly overbilled me and even double billed me. I’m now searching for a different better DME company who’s in-network with Tricare. Any recommendations ?

      2 years ago Log in to Reply
    11. Edward Geary

      Reliable Respiratory is outstanding a welcome change from some of the national providers who routinely ignored re-supply guidelines resulting in running out of supplies. Reliable is the best.

      2 years ago Log in to Reply
    12. T1diabetic

      I answered excellent which is true with one of my providers. The other I would rate poor.

      2 years ago Log in to Reply
    13. TomH

      My Dexcom G6 is handled via Wellstart Medical. An actual person used to call every 30 days to verify # sensors I’ve got left, any issues, etc. (apparently a Medicare requirement?); now its a robocall, if that (I’ve had to call them the last two times to generate my next order, like they don’t care). As Tricare for Life (secondary insurance) now provides G6 and G7 thru their pharmacy, and I go thru them for Novolog and other non-urgent scripts, I may transfer Dexcom orders as well.

      2 years ago Log in to Reply
    14. George Lovelace

      DMS Diabetes Management & Supplies for 5 years and always reliable and getting Excellent. I Used Edgypark 1 time and it was so messed up I swore them off

      2 years ago Log in to Reply
    15. Marty

      I use Advanced Diabetes Supply (ADS) for DME and insulin because they’re the only insulin supplier I could find that is willing to bill insulin properly under Medicare Part B. They are usually fine but my 90-day supplies order falls between the cracks once in a while, which usually catches me by surprise when I notice I’m about to run out of something. There is no way to contact them to check on an order except by phone, which usually involves a long time on hold and then more delay to figure out what went wrong and fix it. I wish they had a website for tracking orders that didn’t require dealing with humans 🙂

      1
      2 years ago Log in to Reply
    16. Vicki Breckenridge

      Diabetes Supply and Equipment is fantastic. They can only do my Dexcom sensors. Diabetes Supply of the Midlands an Adapt health

      2 years ago Log in to Reply
    17. Becky Hertz

      I said very good but I know others that have not had the same experience with the same company.

      2 years ago Log in to Reply
    18. Maggie Morgan

      Edgepark SUCKS.

      1
      2 years ago Log in to Reply
    19. Anthony Harder

      Dexcom is good.
      Byram is terrible.
      Overall for both, fair.

      1
      2 years ago Log in to Reply
    20. Lyn McQuaid

      Edgepark is terrible, as others said. I then switched to CCS Medical, which has been OK until recently. I’ve been trying since the end of December to change my next CGM order from Dexcom G6 to G7 and have been told four different stories by four different customer service reps. They ranged from “we faxed a prescription to your endo and he refused to sign” (which did not turn out to be true) to “we don’t need a new prescription from your endo because the old one was for “Dexcom sensors” and did not specify G6 or G7” (also not true). As of yesterday, my order for the G7s still said “documentation pending” on their patient portal so I called again and was told that the prescription they had on file had just expired the day before (on Jan. 31st) so they will contact my endo for a new one. Whether that actually happens remains to be seen but I spoke to a supervisor that time and he promised it would happen. My shipment is not scheduled until Feb 20th so I had started the process back in December just to be safe and I’m glad I did. We’ll see if they actually arrive after Feb. 20th…sigh….

      2
      2 years ago Log in to Reply
    21. Bret Itskowitch

      I deal with Dexcom directly and they are fantastic. Always ready to send me a new sensor at no cost if I have a problem.

      1
      2 years ago Log in to Reply
      1. Lyn McQuaid

        I wish I could deal with Dexcom directly but my insurance requires me to use a DME company.

        1
        2 years ago Log in to Reply
    22. Russell Buckbee

      The individuals Speak to on the phone are excellent, but I feel both of us are caught in giantic system. It’s controlled by Medicare( Health ins.) Also by electronic systems. Often this works well if all the pieces fit, if the Dr’s orders are OK, if the calendar fits with the rules, if there are no delivery delays. Then I get what I need on time. A few times they are late and a few times inexplicably they send me too many supplies.

      2 years ago Log in to Reply
    23. ConnieT1D62

      I have been using Byram for Dexcom CGM and Tandem pump supplies with my Medicare Advantage plan coverage. Reorder and delivery service has been pretty good since I get a three month supply four times a year. When I need a Dexcom replacement for whatever sensor failure reason I just call Dexcom and they send a replacement. Have never had customer service order or delivery issues with Tandem pump supplies.

      2 years ago Log in to Reply
    24. Kathryn Keller

      It was so bad I actually switched insurance and pay more now because it was so stressful. For the longest time, we were fine with Byram and then it was a nightmare. It took 30 days to get cgm supplies and nothing had changed. I thought that was bad and then after calling them almost every other day the next time it was 60 days and eventually, I just asked if they were going to fill the order and a person just told me no. So then had to go getting a new dme approved, which also took way too long.

      1
      2 years ago Log in to Reply
    25. Anita Stokar

      I always hear about so many people having a terrible time with Edgepark, but I have used them for 5 years and have always had very good service.

      2 years ago Log in to Reply
    26. Janis Senungetuk

      In November I started using Byram for Dexcom CGM and Tandem pump supplies after a very difficult five years with Edwards. So far I’ve received a Dexcom shipment and Tandem pump supplies. The pump supply order arrived with half of the supplies missing. The shipping box wasn’t damaged, just the insulin cartridges and syringes not included. I immediately called and reported the error. It was just before New Years. I received th remainder of the order January 3rd. All I can hope is that service will be reliable with accurate billing.

      2 years ago Log in to Reply
    27. Lisa Vaas

      Generally I’d say Tandem does an excellent job. There’s one exception to that rule, though: an Android phone operating system update (maybe it’s an IOS issue as well; I dunno) has rendered the t:connect mobile app incapable of delivering mobile boluses. This is aggravating as hell: It’s been 4 months now.

      2 years ago Log in to Reply
    28. ChrisW

      If Dante was writing Inferno today the first circle of hell would be a DME call center.

      2 years ago Log in to Reply
    29. T1D4LongTime

      I use Edgepark and they are marvelous! Customer service is very, very professional and pleasant. Even with a tricky issue with a claim, they resolved the problem. Orders are generally effortless and arrive in 24-48 hours.

      2 years ago Log in to Reply

    How would you rate your customer service experience with your current DME (durable medical equipment) provider? Cancel reply

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