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    • 1 hour, 44 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.
    • 11 hours, 17 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.
    • 11 hours, 17 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.....
    • 11 hours, 18 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.
    • 11 hours, 18 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.
    • 15 hours, 33 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
    • 21 hours, 51 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, 1 hour 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, 1 hour 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, 2 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, 2 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, 2 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, 2 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, 2 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, 2 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, 2 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, 2 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, 2 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, 2 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.
    • 1 day, 23 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
    • 2 days 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 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, 1 hour 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, 1 hour 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, 2 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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    In the past week, how many nights was your sleep disrupted by device alerts, checking blood glucose levels, or treating a high or low?

    Home > LC Polls > In the past week, how many nights was your sleep disrupted by device alerts, checking blood glucose levels, or treating a high or low?
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    Do you use any diabetes-related smartphone apps (e.g., glucose tracking, bolus calculations, data sharing, etc.)? Share your favorites in the comments!

    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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    " 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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    28 Comments

    1. Amy Schneider

      I turn the alarms off before I go to sleep.

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

        I usually turn my high alarm on the G6 up to 150 or 160 at night. I tend to be lower overnight anyway. Except last night! I had a dinner that really hung on…..

        4 years ago Log in to Reply
    2. Ahh Life

      Sleep? What is sleep? ╮(╯_╰)╭

      1
      4 years ago Log in to Reply
    3. connie ker

      I often get up during the night or early hours and scan the sensor before heading to the bathroom. I don’t have alarms and have candy peppermints beside the bed . If the numbers are heading up or are high, I get up and start the day with MDI. Pre-dawn syndrome is what wakes you up too.

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

      I answered “7”. But, normally, I would have probably said 1. Seven this week because my doctor had me on Prednisone. What a nightmare that was. I was taking up to 4 times the amount of insulin that I usually use. I changed my pump profiles and temp. basal rates a half-dozen times each day.

      3
      4 years ago Log in to Reply
      1. Jane Cerullo

        Been there with steroid shots in hip. Feel for you. It was a nightmare. Short time for me thankfully but I understand and sympathize.

        2
        4 years ago Log in to Reply
      2. KarenM6

        Yes, indeed! Steroids are brutal to blood sugar!

        4 years ago Log in to Reply
    5. Liz Avery

      2 times – Medtronic CGM calibration.

      1
      4 years ago Log in to Reply
    6. Jane Cerullo

      Came back from vacation and had a few nights with lows until I readjusted my Tresiba. I now take twice a day. Works better for me. I do usually get up two times to use the bathroom so I check then anyway.

      4 years ago Log in to Reply
    7. Sherolyn Newell

      I’m in one of those times when my digestion seems extra slow, so my supper carbs hit after I’m in bed, sometimes as much as 3 to 4 hours after the meal. So my number was higher than normal (4 nights).

      2
      4 years ago Log in to Reply
      1. RegMunro

        Hi I also have the slow digestion experience. I think I’ve now spotted what foods cause the delay. Then I have a second fast acting injection about 3 hours after the first. Seems to work for me, except I still don’t get it right every time.

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

        I have the same problem. The doc said that I have EPI (exocrine diabetic insufficiency), which used to be called diabetic diarrhea. Big pharma came out with a medication for EPI but I don’t take it because I think that I’m on enough meds and I’s rather used to this syndrome.

        4 years ago Log in to Reply
      3. KarenM6

        Thank you, Sherolyn, Elysse, and Reg! I _might_ have this, too. I’ve been commenting to my doctor for a few years now how my food seems to show up 2 to 4 hours after my insulin. I will take a look at other symptoms and see if this might apply.
        EPI must be different than gastroparesis, though they seem similar in the slow food symptom.

        4 years ago Log in to Reply
    8. Drina Nicole Jewell

      I had Covid last Christmas and just now doing basal testing. So I’ve been having more notifications/alerts than normal than pre covid.

      4 years ago Log in to Reply
    9. Joan Fray

      A couple times a night I get an alarm or check my bg. Have Tandem IQ but still, nights are busy…..

      4 years ago Log in to Reply
    10. Amanda Barras

      Chose 2, but it’s probably more. Sigh.

      1
      4 years ago Log in to Reply
    11. RegMunro

      All 3 on same night!

      4 years ago Log in to Reply
    12. GLORIA MILLER

      I don’t have a pump or CGM that alarms since that is what I wanted. I wake up with a low – even after 65 years T1 – so I have no need of alarms. I do wake up several times at night and check my glucose, making adjustments as needed, but nothing wakes me to do this.

      4 years ago Log in to Reply
    13. Ernie Richmann

      I got up and changed the infusion site since the corrections were not bringing down my bg high readings.

      4 years ago Log in to Reply
    14. KCR

      I have been having problems this week with false compression lows (i.e., look like compression lows but no actual compression). Gah! 🤪

      1
      4 years ago Log in to Reply
    15. Mark Schweim

      0… But I’ve been home sick for the past two weeks so not sleeping lightly enough for anything to be able to wake me up.

      4 years ago Log in to Reply
    16. Becky Hertz

      Sometimes I’m disturbed, mostly with lows sometimes with highs. If I’m lucky and fighting a stubborn high, I can deal with the alarm and roll over and go back to sleep.

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

      Because of my personnel site problems (T1D-55 years and counting.), I continue to have to change my night boluses. As I say, “oh well”, but it’s getting old!

      4 years ago Log in to Reply
    18. M C

      Using the FreeStyle Libre 2 – provides alarms – in the past week, 3 times for lows, and once for ‘sensor out of range’.

      4 years ago Log in to Reply
    19. Bekki Weston

      Was a tough week, either a high or a low every night.

      4 years ago Log in to Reply
    20. P-O Heidling

      I stated “0” as I never have issues with the values during night anymore. After switching to low crab/LCHF 12 years ago. my blood sugar is always stable during night. I also don’t use and CGM or pump so there is now alarms going off.

      I had more trouble with lows during the nights when eating the more traditional diabetic food.
      T1D since 1981, eating max 20 gr carb/day since 2010.

      4 years ago Log in to Reply
    21. Kelly Wilhelm

      I’ve tightened my alarms so I’m getting more of them right now plus if it’s not a high/low alarm there’s always a random alert like low battery or low insulin. It would be nice to not be alerted in the middle of the night when you have plenty of insulin/power to get thru the next 3 hours!!

      4 years ago Log in to Reply
    22. PamK

      Been experiencing a lot of nighttime highs lately, but am adjusting my basals to get them back down to normal!

      4 years ago Log in to Reply

    In the past week, how many nights was your sleep disrupted by device alerts, checking blood glucose levels, or treating a high or low? Cancel reply

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