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    • 7 minutes ago
      kilupx 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.
    • 4 hours, 15 minutes ago
      Phyllis Biederman likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Its a Tandem. The main issue I have with the phone is the inability to do an extended bolus.
    • 4 hours, 16 minutes ago
      Phyllis Biederman 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.
    • 4 hours, 44 minutes ago
      Amy Schneider 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." ╰── ──╮
    • 13 hours, 7 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.
    • 22 hours, 40 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.
    • 22 hours, 40 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.....
    • 22 hours, 41 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.
    • 22 hours, 41 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.
    • 1 day, 2 hours 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
    • 1 day, 9 hours 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, 13 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, 13 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, 13 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, 13 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, 13 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, 13 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, 13 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, 13 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, 13 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, 13 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, 13 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, 13 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, 10 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, 11 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.
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    Insulin pumps are only approved for use on specific areas of the body, but many people use other locations. If you use an insulin pump, do you prefer to use any areas of your body over other areas? Select all that apply!

    Home > LC Polls > Insulin pumps are only approved for use on specific areas of the body, but many people use other locations. If you use an insulin pump, do you prefer to use any areas of your body over other areas? Select all that apply!
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    When you're feeling mildly ill - like having a common cold, but still able to go about your daily routine - which of the following best describes what you notice with elevations in your blood glucose levels?

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    In honor of World Diabetes Day, what is a piece of advice you would share with someone who is newly diagnosed with T1D, or a parent of a newly diagnosed child?

    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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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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    30 Comments

    1. Donna Condi

      I have only ever used the left side of my abdomen. The right side is reserved for my Dexcom.

      4 years ago Log in to Reply
    2. Clare Fishman

      I use my upper back between my shoulder blades. My pods fit there comfortably and I sleep on my back without issues.

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

        Curious. Can you reach back there by yourself. I can’t even reach the back of my arms.

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

        Lawrence S — me neither. ¯\_(ツ)_/¯

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

      The abdomen is my preferred site. However, it is over used, so I move it around my belly and on my thighs.

      3
      4 years ago Log in to Reply
    4. Richard Vaughn

      I sleep on my sides so I cannot use the sides of my legs. I use the tops of my legs,/

      4 years ago Log in to Reply
    5. Robin Melen

      I guess because mine has the tube, there aren’t many other places than my abdomen to put it. Wish it were possible, though!

      4 years ago Log in to Reply
    6. Mig Vascos

      Only abdomen. Bring a side sleeper, i find hard to use inserting it any other place.
      Always wonder how it could be used on the arms if you’re connected to a tube unless you’re very sedentary and don’t lift your arms.
      I tried infusing at the top of my thigh and is always cumbersome. When using the restroom it tangles with the underwear.
      I don’t find it comfortable or practical anywhere else but the abdomen.

      1
      4 years ago Log in to Reply
    7. GLORIA MILLER

      I rotate four places on each side of my body with my Omnipod – upper outside of thigh, hip, stomach and upper arms. Dexcom is normally on the upper arm so I put the pod on the under side of my arm in that situation. I am slender so finding spots with enough fat is sometimes difficult.

      2
      4 years ago Log in to Reply
    8. Sherolyn Newell

      My preference is the back of my upper arms. However, I have to give that site a break now and then. Inside of thighs and outside of thighs both work. I have to be careful on outside, I have more than once pulled it off with my underwear. I have tried lower back a couple of times, but it is really hard to get it on there by yourself. Worked great though. I save abdomen for Dexcom. BTW, I have Omnipod.

      4 years ago Log in to Reply
    9. Glenda Schuessler

      I answered this question assuming that it is the infusion/pod site area. I use a Tandem pump and Varisoft or TruSteel infusion sets, 98% of the time on my abdomen. (Dex is very accurate for me on my upper thighs). I tried TruSteel on my thighs, it had good absorption but left bruises. I will probably be more adventurous with other locations for infusion sets as after 25 years of pumping I have some places on my abdomen that don’t seem to absorb as well as they used to. I do have to use a site where I am able to disconnect, so some areas of the body would be challenging for me.

      4 years ago Log in to Reply
      1. Ms Cris

        Your experience sounds similar to mine. Trusteel left bruises everywhere I used it. Varisoft brought much improvement, but I can’t properly insert it on my arms, buttocks/lower back – there I use Autosoft. Where on your thighs did you have succes? I may try.

        4 years ago Log in to Reply
    10. Ms Cris

      I use the tandem tslim. Unfortunately, my infusion sites get almost a day from arms, lower back, upper buttocks. My abdomen, upper and lower, I can usually get 1.5-2 days when I use the manual insertion (Varisoft). Never did I get 3 days on Tandem, nor Omnipod before that.

      4 years ago Log in to Reply
    11. Janice Bianchi-Lurati

      I don’t use an insulin pump

      1
      4 years ago Log in to Reply
      1. Sue Martin

        Ditto

        4 years ago Log in to Reply
    12. Melinda Lipe

      The point for pump wearers with a cgm is finding rotation sites for both devices when previous injections (for 33+ yrs) have left scarred areas.

      3
      4 years ago Log in to Reply
    13. Bonnie Lundblom

      After developing lipodystrophy on my abdomen due to multiple daily injections there for the 1st 15-20 years I learned how important it is for rotating sites. I use both outer and inner thighs, buttocks and the area just above my waist where there is enough subcutaneous tissue, and after not using my abdomen for several years I’m grateful that I can now use a few areas of it with success.

      2
      4 years ago Log in to Reply
    14. RegMunro

      I don’t use insulin pump

      4 years ago Log in to Reply
    15. Natalie Daley

      No option for so not use a pump?

      4 years ago Log in to Reply
    16. Randell Cole

      I Only use abdmin

      4 years ago Log in to Reply
    17. Randell Cole

      I Only use abdomin

      4 years ago Log in to Reply
    18. Karen DeVeaux

      I don’t use a pump

      4 years ago Log in to Reply
    19. Bob Durstenfeld

      My favorite site for my pump infusion set is my lower back. But, I carea h it, so my wife graciously inserts it for me.

      4 years ago Log in to Reply
    20. ConnieT1D62

      Lower abdomen mostly below the waistline. Never use my torso because I twist and turn and move my upper body in all kinds of ways that it does stay stable. Use the sides of upper thighs sometimes.

      4 years ago Log in to Reply
    21. Yaffa Steubinger

      They forgot to add the choice of ‘I don’t use an insulin pump.’ That would be me.

      4 years ago Log in to Reply
    22. Milly Bassett

      I don’t use an insulin pump. This answer was not in one of the selections.

      4 years ago Log in to Reply
    23. KarenM6

      I would love to use my abdomen for my pump, but I got such bad lipoatrophy, I can no longer put anything there. So, I have the less effective sites now…
      at least there’s somewhere to put it!! 🙂

      1
      4 years ago Log in to Reply
    24. Nicholas Argento

      I said abdomen, but skin is skin. Almost anywhere can work under the rigth circumstances.

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

      I have only used the Abdomen area, however the Dex G7 will be on the market soon and that’s to be used under your arm like the Libre Free Style.

      4 years ago Log in to Reply
    26. Tom Webb

      I have lots of areas that are filled with scar tissue that forces me to use other areas that I can use.

      3 years ago Log in to Reply

    Insulin pumps are only approved for use on specific areas of the body, but many people use other locations. If you use an insulin pump, do you prefer to use any areas of your body over other areas? Select all that apply! Cancel reply

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