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    • 6 hours, 25 minutes ago
      lis be likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      I chose Cost or coverage. Because if you can't afford it, the rest doesn't matter.
    • 13 hours, 50 minutes ago
      Marty likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      I would like to say accuracy, but if it’s not covered and I can’t afford it, then it’s not happening.
    • 13 hours, 50 minutes ago
      Marty likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      Hard to say only one is most important. I would not use any device that was problematic on any of these except with a minor level of discomfort/wearability. Maybe the better question is ask to rank these or ask if any are unimportant …
    • 15 hours, 19 minutes ago
      mojoseje likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      I would like to say accuracy, but if it’s not covered and I can’t afford it, then it’s not happening.
    • 15 hours, 58 minutes ago
      atr likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      Hard to say only one is most important. I would not use any device that was problematic on any of these except with a minor level of discomfort/wearability. Maybe the better question is ask to rank these or ask if any are unimportant …
    • 16 hours, 14 minutes ago
      Bonnie kenney likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      If you don’t have accuracy and reliability, none of the rest matters.
    • 16 hours, 19 minutes ago
      Bill Ervin likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      If you don’t have accuracy and reliability, none of the rest matters.
    • 16 hours, 19 minutes ago
      Bill Ervin likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      Hard to say only one is most important. I would not use any device that was problematic on any of these except with a minor level of discomfort/wearability. Maybe the better question is ask to rank these or ask if any are unimportant …
    • 16 hours, 19 minutes ago
      Bill Ervin likes your comment at
      Which of the following is the most important to you when choosing diabetes devices or supplies?
      I would like to say accuracy, but if it’s not covered and I can’t afford it, then it’s not happening.
    • 17 hours, 1 minute ago
      Jaysen LeSage likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I find the hardest thing is getting started. Diabetes doesn’t really cause issues
    • 1 day, 8 hours ago
      ChrisW likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      Funny you should ask, and I'm with Amanda Barras - dealing with the US insurance and networks system. I switched health plans, effective 1/1/26. My old plan stopped processing Rx's two weeks before (Rx's for pump and CGM supplies). With the network system in US healthcare, I can't see a doctor until September. Since I have different coverage for my supplies (including insulin) I need new Rx's. Having to check in often to see if their are open appointments from cancellations, and trying to see if a Zoom care or Urgent care will provide "bridge refills". My old health plan will not issue bridge refills. I 'spose it isn't strictly a T1D issue - but it's one that unites all of us with chronic medical conditions (and chronic poor medical service)
    • 1 day, 8 hours ago
      ChrisW likes your comment at
      What kind of diabetes-related support would be most helpful to you right now?
      For me, a “cruise director” for long-term Type 1 diabetes or chronic illness would be most beneficial — someone who looks at the whole person. General practitioners are increasingly rare, and specialists tend to work in silos, often without coordinating care, considering overlapping conditions, or cross-checking medications and prognoses. What’s needed is a knowledgeable care coordinator who understands long-term Type 1 diabetes, can help interpret conflicting specialist advice, guide patients toward the right specialist for specific symptoms (for example, whether migrating burning pain is diabetes-related or not), and maintain referral lists of providers who already understand how long-term diabetes affects their specialty.
    • 1 day, 12 hours ago
      kristina blake likes your comment at
      How often do you review your glucose data beyond quick, real-time checks?
      Monthly to quarterly. Depending on control. If I notice more highs or lows I’ll copy check for trends and make dosing adjustments to straighten myself out. I almost never wait for appts to review and make changes on my own.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      How often do you review your glucose data beyond quick, real-time checks?
      “At appointments” was the best option for me, my medical appointments are only every 6 months, so this definition really means appointments with myself! I check my bg all the time, then review trends every 2-3 months, depending on the need. I’ve been traveling quite a bit so my need to review and make pump (AID) adjustments has been more frequent.
    • 1 day, 16 hours ago
      Lawrence S. likes your comment at
      How often do you review your glucose data beyond quick, real-time checks?
      Monthly to quarterly. Depending on control. If I notice more highs or lows I’ll copy check for trends and make dosing adjustments to straighten myself out. I almost never wait for appts to review and make changes on my own.
    • 1 day, 18 hours ago
      Steve Rumble likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      Getting motivated to leave my cozy recliner!!
    • 1 day, 18 hours ago
      Steve Rumble likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      Nothing usually gets in the way of exercising besides motivation
    • 2 days, 10 hours ago
      Derek West likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I do not have a “fear” of low glucose, but a healthy awareness. So, I always have glucose tabs on hand and check blood sugars during exercise.
    • 2 days, 12 hours ago
      Daniel Bestvater likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      If I am below 100 and haven't eaten recently or I am below 100 and trending downward, I eat and suspend pump before walking my dogs. Sometimes I have to postpone walks or intentionally plan them after a meal in order to prevent a low.
    • 2 days, 12 hours ago
      Daniel Bestvater likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I do not have a “fear” of low glucose, but a healthy awareness. So, I always have glucose tabs on hand and check blood sugars during exercise.
    • 2 days, 14 hours ago
      Marty likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I do not have a “fear” of low glucose, but a healthy awareness. So, I always have glucose tabs on hand and check blood sugars during exercise.
    • 2 days, 15 hours ago
      Phyllis Biederman likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I do not have a “fear” of low glucose, but a healthy awareness. So, I always have glucose tabs on hand and check blood sugars during exercise.
    • 2 days, 15 hours ago
      Phyllis Biederman likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I find the hardest thing is getting started. Diabetes doesn’t really cause issues
    • 2 days, 16 hours ago
      Lawrence S. likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I do not have a “fear” of low glucose, but a healthy awareness. So, I always have glucose tabs on hand and check blood sugars during exercise.
    • 2 days, 16 hours ago
      Lawrence S. likes your comment at
      Which of the following can make exercising more challenging for you? (Select all that apply)
      I do not fear to practice exercise
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    How important is a strong knowledge of nutrition for T1D management?

    Home > LC Polls > How important is a strong knowledge of nutrition for T1D management?
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    Has your insurance company ever denied your T1D medications or supplies? Share more in the comments about how you navigated this process.

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    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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    23 Comments

    1. Molly Jones

      I consider basic digestion of carbohydrates regulated by activity and fats to be the most important understandable aspect of nutrition for T1D management.
      Most other aspects of nutrition/ biochemistry affect my health and T1D but I would leave up to my doctor to understand/ diagnose.

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

      Mom lived to 98. Dad lived to 102.

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

        May have been due to healthy diabetic exchange diet started in 1951 with my diagnosis of T1D.

        4
        2 years ago Log in to Reply
    3. fletchina

      I actually chose a career in nutrition and am a Registered Dietitian Nutritionist.

      3
      2 years ago Log in to Reply
    4. Jian

      for person with Type 1or 2 as well as providers -essential for both

      2
      2 years ago Log in to Reply
    5. Janice B

      As important as it is for anyone who wants to be sure to eat in a balanced nutritional way. No matter your choice of diet you need to make sure to have all the vitamins covered.

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

      This question is like asking if the sky is blue, or the grass is green. Managing T1D is all about knowing and using nutrition. I learned the nutritional values of fruits, and vegetables and read the labels on all packaged foods, so I know what is going into my body. Not just the carbohydrates, but the fats and proteins as well. Also, I need to know what minerals and vitamins I am getting. Yes, it is Very important to have a strong understanding of nutrition in the management of T1D.

      3
      2 years ago Log in to Reply
    7. TomH

      I put “somewhat” because I interpret it as meaning “more so than a non-T1D” and I think it’s important for all of us.

      2
      2 years ago Log in to Reply
    8. Lynn Smith

      This is a very dumb question.

      2 years ago Log in to Reply
    9. cynthia jaworski

      A clear consensus agrees that understanding nutrition is important.

      Another question here might be: how much detail does one need?

      2 years ago Log in to Reply
      1. George Lovelace

        Every Detail including Timing and what response you achieve

        2 years ago Log in to Reply
    10. George Lovelace

      I answered “Very” because there wasn’t an “Extreme” Answer offered. One you know about nuntrition and Carbs and Protien and Fat you have the Basis of what your insulin dosage should be, then just factor in the Timing issues and you can get an A1c of 5.4 like me! Until I changed to Dex G7 and Tandem and I think I need to come off 24/7 Sleep mode with CIQ

      2 years ago Log in to Reply
    11. Ernie Richmann

      A strong knowledge of nutrition is important for all individuals. But only if you don’t want to be obese, have fatty liver, heart disease, a weak immune system.

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

      I was a Registered Dietitian and CDE for 30 plus years. Well worth it.

      2 years ago Log in to Reply
    13. Janis Senungetuk

      It’s essential information .

      1
      2 years ago Log in to Reply
    14. Nevin Bowman

      Important, but I was also fed a lot of very bad information from a dietician that I will pay for the rest of my life. Carb counting is one of the biggest fallacies in the diabetes field they way it is usually presented.

      2 years ago Log in to Reply
    15. Eva

      How your body uses nutrients is vital. For example, when you go low, your cells suck up potassium, salt, calcium etc. Super Important to know. Knowing how fat, protein and carbs interact with each other is vital. More important everyone can be different with regards to iron absorption.

      2
      2 years ago Log in to Reply
    16. Becky Hertz

      Very important, but as I’m finding out, you need to be the one with the strong knowledge. Physicians, etc don’t get enough education themselves. A good nutritionist helps, but it’s really up to the individual.

      3
      2 years ago Log in to Reply
    17. Phyllis Biederman

      It is absolutely essential!

      2
      2 years ago Log in to Reply
    18. Steven Gill

      Diabetes is an endocrine disorder (failed pancreas?), everything effects it. Stress, activity, and food.

      2 years ago Log in to Reply
    19. Jeff Balbirnie

      There is a BASIC fundamental knowledge all D’s MUST possess period. What food group is X food in? What is a single portion of X food? What happens to that portion size, if/when you cook X food? It is not hard once truly learned… Getting the insulin dosages “correct” in order to cover whatever food(s) we eat, that can be @#*(@ challenging math!!! Lacking foundational information about food, basic nutrition that can increase our suffering severely, and with no real need to do so…just saying

      2 years ago Log in to Reply
    20. ConnieT1D62

      I answered Very Important because a T1 PWD has to learn and master basic knowledge about selecting healthy food choices in appropriate amounts to feed oneself. As a kid with T1 diabetes in the 1960s we had to learn to eat portion sizes from the ADA exchange plan. We followed a little booklet published by the ADA as a guideline. (I bet some of you long timers remember those booklets grey/white illustrations and black.print). No color pictures of healthy plate portion sizes – it was 3 oz meat, 1/2 c veg from list A and B, 1 free food, 1/2 pc of fruit. And graham crackers and milk as after school and bedtime snack. BORING!

      Later on, as diabetes science progressed, in the early 1980s I attended a diabetes self-care program in NYC as part of the DDCT and learned to select a variety of nutritious foods by reading food content labels to determine appropriate portion sizes for carb, protein, and fat content and to choose foods with wholesome healthy ingredients. It was then I learned about the CHO/insulin ratio factor … made a world of difference in my understanding of “we are what we eat” and how to manage my diabetes.

      2 years ago Log in to Reply
    21. T1D4LongTime

      VERY important! If a diabetic is not aware of proper nutrition, they would be eating foods high in carbs or foods that would have a negative impact on their long-term health. A reasonably-sized, balanced diet is the key

      2 years ago Log in to Reply

    How important is a strong knowledge of nutrition for T1D management? Cancel reply

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