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    • 7 hours, 33 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.
    • 7 hours, 33 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.....
    • 7 hours, 33 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.
    • 7 hours, 33 minutes ago
      KarenM6 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.
    • 7 hours, 34 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.
    • 11 hours, 49 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
    • 18 hours, 7 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.
    • 18 hours, 59 minutes ago
      Kathy Hanavan 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.
    • 22 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?
      There are certain areas on my body where the insulin is more effective than others.
    • 22 hours, 1 minute 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.
    • 22 hours, 9 minutes 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?
      There are certain areas on my body where the insulin is more effective than others.
    • 22 hours, 11 minutes 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.
    • 22 hours, 23 minutes 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.
    • 22 hours, 23 minutes 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.
    • 22 hours, 24 minutes 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.
    • 22 hours, 24 minutes 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.
    • 22 hours, 24 minutes 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
    • 22 hours, 24 minutes 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.
    • 22 hours, 28 minutes 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.
    • 22 hours, 29 minutes 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.
    • 22 hours, 30 minutes 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.
    • 22 hours, 45 minutes 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.
    • 1 day, 19 hours 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
    • 1 day, 20 hours 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.
    • 1 day, 20 hours 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
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    Although it may vary based on different circumstances for you, on a typical night, in which of these blood glucose level ranges would you most prefer to be before going to sleep?

    Home > LC Polls > Although it may vary based on different circumstances for you, on a typical night, in which of these blood glucose level ranges would you most prefer to be before going to sleep?
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    If you were diagnosed before age 26 or if you have a child with T1D who is now an adult, at what age did you or your child become financially responsible for the entire financial cost of diabetes supplies?

    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. 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    28 Comments

    1. Wanacure

      On present MDI using split dose glargine and bolus with lispro before meals, evening glargine causes bg to go lower in morning before dawn effect. So to be safe I chose 100-109.

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

      The answer is 110-119. However, I struggled with this question mightily.

      Control IQ compels a complete flat line for me from 22:00 to 05:30. I am enslaved to an algorithm regardless of what I do.

      But I have this deep-seated fear of going to bed “too low,” which compels me to enter anything up to 200. I suppose Sigmund Freud would have a field day about this subconscious compulsion.

      However, it forces me to ask, “Is this a mathematical question or a psychological question?” We are human beings, you know. We are analog, not digital, regardless of what tech mavens do. ʕT//ᴥ//T ʔ

      6
      4 years ago Log in to Reply
      1. Hark87

        @Ahh Life- I’ve been Type1 for 25 years. I will always rather err on the side of high than low. I have had the tslim for 7 months, and I am thankful to have a flatline at sleep hours. Before the pump, lantus would make me drop frequently. It was never fun waking up with lows.

        2
        4 years ago Log in to Reply
      2. Hark87

        **I concur with 110-119 🙂

        4 years ago Log in to Reply
      3. cynthia jaworski

        Definitely a psychological answer, for me. (110 to 119)

        1
        4 years ago Log in to Reply
      4. Karen Brady

        I relate to this so well! I’m on a closed-loop system and still have a huge psychological hurdle going to bed below 110.

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

        Ahhh! Freud! 😉

        1
        4 years ago Log in to Reply
    3. mbulzomi@optonline.net

      After all my years of being a T1D, my injection sites are questionable. I prefer to be a little high, so as by the time I awake it’s in a good range to start the day.

      1
      4 years ago Log in to Reply
    4. Joan Fray

      110-120 would be optimal for me. Seems like thats where Control IQ has me. Wiggle room to get out of a low and not too high. Control IQ, I love you!💕😘❤️

      3
      4 years ago Log in to Reply
    5. Sherolyn Newell

      I picked 110-119. If I paid more attention to where I started at bedtime compared to the nights I get waked up by a low alarm, I might change that.

      4 years ago Log in to Reply
    6. Patricia Dalrymple

      I said 10O-109 with my finger hovering over 90-99. I have known people totally out of control going blind, dying, having limbs cut off. It scares me more than most lows. I have been fortunate that I have never had any negative ramifications from a low, and I’ve been as low as 19 and stayed on my feet and conscious (I’m a LADA so that might have something to do with it). Perhaps I am damaging other body parts I don’t know about. But for the most part I am eliminating lows at night. Not on a CGM yet. Retiring in 2 years and then I can focus on that new item.

      2
      4 years ago Log in to Reply
    7. ELYSSE HELLER

      If my bedtime BG reading is 120 or higher, I will take a correction bolus, but I lower the suggested correction bolus by 1 unit.

      4 years ago Log in to Reply
      1. Amy Eisenhut

        My CGM/Pump has made this 90-100 range possible for me. Prior to that, when I was injecting, i would never feel comfortable with a BG under 140 at bedtime. The CGM/Pump has been a game changer.

        1
        4 years ago Log in to Reply
    8. Carol Meares

      I always shoot for 100. Anywhere from 80-100 will be generally ok if I have not had a glass of wine with dinner. Some dinners can change things as well as other variables.

      1
      4 years ago Log in to Reply
    9. Becky Hertz

      Currently, I like to go to bed between 120-129 because I drop in the wee hours. Still working in basal rates to get it to where I can go to bed between 90-110 and be good for the night.

      1
      4 years ago Log in to Reply
    10. Hieromonk Alexis

      I have had too many episodes at night, so I’m quite comfortable to be over 160 before bed. If the level is still high in the early morning, I can always lower it for breakfast.

      2
      4 years ago Log in to Reply
    11. Patricia Maddix

      I like to aim for around 100 at bedtime as well as before meals. Since starting control IQ a couple of months ago any hypoglycemia is extremely rare due to the pumps ability to lower basal rates and stop insulin delivery as needed. It’s really Great to be able to sleep again without worry and being awoken by alarms.

      1
      4 years ago Log in to Reply
    12. KSannie

      I actually cannot get to sleep unless my BG is about 119 or higher. I would prefer to aim lower, but cannot. Somehow no matter how tired I am I cannot sleep. Unless I am on an airplane. Once I am asleep, if I wake up to go to the bathroom, sometimes my BG has fallen below 100, but I have to have some glucose to get back to sleep. When I was younger, I had nightmares that would wake me up when my BG went below 50 or 60, but I have hypoglycemic unawareness now, so I rely on the Dexcom to wake me up instead. It can take a couple hours to get my sugar back up high enough before falling back to sleep. Normally, I do sleep just fine and low sugars do not wake me up. But sometimes I think I must underestimate the effect of some late activity, say doing laundry or packing a suitcase, and that pushes me low at night.

      2
      4 years ago Log in to Reply
      1. kflying1@yahoo.com

        Another good example how this disease trats us all differently and that there are no hard and fast rules in dealing with it.

        4 years ago Log in to Reply
      2. Mig Vascos

        I also had nightmares that I was lost and couldn’t find my way back home or couldn’t figure the answer to something during my first few years when my sugar was low during the night. It’s interesting how we all had the same experiences but thought it was weird before we had the means like now to know what others experienced.

        4 years ago Log in to Reply
    13. AnitaS

      It was very difficult for me to answer. As was mentioned in the question, there are so many variables that can affect what your blood sugar does over night. Control IQ is very effective. Even if I start out a little high (125), I will usually wake up between 95 and 108.

      2
      4 years ago Log in to Reply
    14. Karen Brady

      T1D for over 30 years, I’ve been on a closed-loop system which does a decent job eliminating both overnight highs and lows – 90% of the time I’m flat all night. Still such a mental hurdle for me going to bed hovering anywhere near 100. Probably so many memories of waking up drenched in sweat with a BG of 40-50 make me reluctant! I also have a hard time falling back to sleep (regardless of why I wake up) so that’s part of it too.

      4 years ago Log in to Reply
      1. Mig Vascos

        Same thing happens to me. Very difficult going back to sleep. Anything can ruin my night, but the control IQ works quite well for me during the night.

        4 years ago Log in to Reply
    15. Bonnie Lundblom

      100-109 works well for me, but if the range shown was 100-120 I’d have selected that range!

      4 years ago Log in to Reply
    16. Mig Vascos

      Anywhere between 110 and 140 is ok. Sounds like we all have the deep fear of the lows during the night it doesn’t matter what. Not pleasant waking up drenched in swear and confused. Have to grant it to Control IQ has improved my nights Tremendously tough.
      It just doesn’t work well for me during the day.

      4 years ago Log in to Reply
    17. Leigh French

      I use tandem IQ so I just want to be in the 70-180 range. IQ will help keep me there.

      4 years ago Log in to Reply
    18. Wanacure

      Drastically lowering carbohydrates resulted in no need for industrial size insulin doses and no more terrible nighttime hypoglycemic episodes. The less insulin, the better. I’m still on MDI. Dexcom 6 is very helpful 24/7.

      4 years ago Log in to Reply
    19. Cheryl Seibert

      My selection was 120-129 mg/dL. I am a brittle diabetic and have always quickly dropped low about 3am. The 110 lower range is too low for a drop. My Tandem pump in Sleep Mode keeps me right at 120-129 all night providing I don’t load up on carbs or have a dropping BG before bed. LOL!

      4 years ago Log in to Reply

    Although it may vary based on different circumstances for you, on a typical night, in which of these blood glucose level ranges would you most prefer to be before going to sleep? Cancel reply

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