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    • 3 hours, 2 minutes ago
      Daniel Bestvater likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 12 hours, 36 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 12 hours, 36 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 12 hours, 36 minutes ago
      KarenM6 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.
    • 12 hours, 37 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 16 hours, 52 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 23 hours, 10 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 1 day, 3 hours ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 1 day, 3 hours ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 1 day, 3 hours ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 1 day, 3 hours ago
      Lawrence S. 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, 3 hours ago
      Lawrence S. 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, 3 hours ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 2 days 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
    • 2 days, 1 hour 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.
    • 2 days, 1 hour 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
    • 2 days, 2 hours 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.
    • 2 days, 3 hours 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
    • 2 days, 4 hours 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
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    When you see a stranger in public wearing a CGM or insulin pump, do you approach them?

    Home > LC Polls > When you see a stranger in public wearing a CGM or insulin pump, do you approach them?
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    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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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. 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    23 Comments

    1. George Lovelace

      I try to High Five and Flash my Pump or CGM

      3
      4 years ago Log in to Reply
      1. Kris Sykes-David

        Whenever I see anyone with a Dexcom or pump I comment, usually. The best time was a new neighbor out walking her dog. We have been good friends ever since!

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

      I would probably have answered, “yes, if at all possible.” However, I think I’ve seen another person wearing an insulin pump about 2 times.

      4 years ago Log in to Reply
    3. Amanda Barras

      I say hi and flash my pump or Dex if the opportunity presents. Lately people have spotted me before I have spotted them. Or, they want to start using Dexcom but want to ask me questions about it. I’ve been spotted in the wild 3x in last 2 weeks and I think that’s a new record.

      1
      4 years ago Log in to Reply
    4. Jim Andrews

      I would approach them if I ever saw anyone with a pump.

      4 years ago Log in to Reply
    5. Sherolyn Newell

      I haven’t noticed anyone yet. A mom came up to me once with her little T1D son. He was maybe around 3 or 4. She asked if I would talk to him and I was happy to.

      3
      4 years ago Log in to Reply
    6. AnitaS

      I have stopped one person I believe. She was my waitress. I saw a woman riding her bike on a walking/biking path but she was going quickly past me so I didn’t talk to her. I really didn’t have a reason to stop her just because I saw her CGM.

      4 years ago Log in to Reply
    7. RegMunro

      I would love to share charts with fellow sufferers. Stopping ways to learn when to cheat or anticipate lows would be great

      4 years ago Log in to Reply
    8. Joan Fray

      I’ve o ly seen one person wearing a pump, and it was at a wedding. And yes, I did. It was fun to compare notes. I’ve never met anyone who’s had diabetes as long as I have. I’d like to someday.

      4 years ago Log in to Reply
    9. KCR

      People have sure stopped to ask me! And I am happy to talk with them.

      4 years ago Log in to Reply
    10. rick phillips

      Some of the best convestations occur when I spot diabetes in the wild.

      7
      4 years ago Log in to Reply
    11. M C

      I wouldn’t think to intrude on their privacy. However, a funny thing happened when going through security at an airport in Ireland a few years ago. I was being asked what the white knob on my arm was, and before I could answer, someone in line further behind me shouted out; “It’s a CGM – to monitor blood sugar levels!” Found it very amusing!

      1
      4 years ago Log in to Reply
    12. Sue Herflicker

      I had a great conversation with my waitress about our Dexcoms. I did see a lady at the beach with hers but she was walking by too fast to start up a conversation. I have had people come up to me and ask about it because they are interested in getting one or know someone who has T1D. I was approached at a county fair about my pump, the young man was thinking of switching from mini med to tandem!! I seriously don’t mind talking with people who can relate to our situations. Its fun meeting new people. Oh yeah one last thing, an elderly gent actually touched my dex while we were standing in an elevator. That I did not appreciate!

      4 years ago Log in to Reply
    13. Bea Anderson

      If it is casually possible. Usually have positive response.

      4 years ago Log in to Reply
    14. Patricia Dalrymple

      About 4 times: once a young man came running up to me when he saw me use it saying he had just gotten his. He was so excited. I loved it. Once at a conference, I sat down next to a man. We both heard an alarm and reached for our pumps at the same time. It was his. We had a laugh. Once at a gelato store, a young child. I bumped elbows with her after showing her my pump. And once at a bar but it wasn’t a good time to talk. But I love meeting others.

      4 years ago Log in to Reply
    15. Janis Senungetuk

      If at all possible I’ll attempt to introduce myself and have a conversation.

      1
      4 years ago Log in to Reply
    16. LizB

      I have never seen anyone wearing a pump or CGM in the wild. 5-6 years ago at work there was a new person who used a Dexcom. The only reason I knew was because his brother also worked there and he told me. I asked my co-worker if he also used a pump but he said he didn’t like having two things attached to his body so he gave up the pump when he started using the Dexcom.

      4 years ago Log in to Reply
    17. Marla Peaslee

      I was recently at our local recreation center and my Dexcom G6 alarm sounded. I was immediately surrounded by 3 women, of various ages, asking if I needed help. They were all Dexcom users and one woman had the same pump as I do. I didn’t need help but I was very appreciative of their caring response to my alarm going off and I meet 3 new individuals in the process.

      3
      4 years ago Log in to Reply
    18. ConnieT1D62

      Sometimes – depends on the situation. I have actually made some good heart to heart connections with people wearing a pump and CGM – in airports, on planes, in restaurants, standing in a check-out line, or at the post office. It feels like we are from the same tribe and even though we are meeting for the first time, we feel a camaraderie and totally get each other.

      1
      4 years ago Log in to Reply
    19. dgmarrero

      met a young man at my health club pool where we were both swiming laps. He wore his Dexcom on the back of his arm where I have never tried. Interesting chat!

      4 years ago Log in to Reply
    20. Lucia Maya

      it’s been rare, but I’m always super excited and happy to connect with someone with a pump! just happened on a flight, sitting next to another type one – was fun getting to chat for a bit about it, and she was younger and pregnant, and was happy to hear how long I’ve lived with it, had healthy pregnancies, etc.

      4 years ago Log in to Reply
    21. Cheryl Weaver

      No. But if they look like they are in trouble with low or high blood sugar, I would approach them to help them.

      4 years ago Log in to Reply
    22. mbulzomi@optonline.net

      In my five years as a Docent at the American Airpower Museum, Farmingdale, LI, NY, I have only met two persons waring a pump. We had a very interesting conversation when I told them I have been using a Pump for over 39 years (T1D for over 55 years) and on a CGM for over nine years. What startles them is when asked is telling them my age (77), along with all the traveling I did when I worked all over the Country/World. (FAA). I just changed my Pump time on my very long trips as I passed thru the time zones. This lessens a big insulin infusion/too small insulin infusion.

      4 years ago Log in to Reply

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