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- 2 hours, 20 minutes ago
  
  Lawrence S. likes your comment at
  Are you using any of the following continuous glucose monitoring (CGM) systems?
  I love the Guardian G4! I am in range 96 to 98% of the time. It is so accurate. I do spot checks with my bg meter and they’re always within 2-5 pts of each other.
- 2 hours, 20 minutes ago
  
  Lawrence S. likes your comment at
  Are you using any of the following continuous glucose monitoring (CGM) systems?
  I'm on Eversense E3. One thing that I like (although, I appreciate that others do not like this) is that I calibrate it once a day so that it learns about me and stays in range. It's going to a yearly sensor next year which will be awesome for me. :)
- 2 hours, 33 minutes ago
  
  Lawrence S. likes your comment at
  Are you using any of the following continuous glucose monitoring (CGM) systems?
  I am thinking of going back to the G6. The G7 doesn’t seem to be accurate and this causes issues when using Tandem X2 Control IQ.
- 2 hours, 33 minutes ago
  
  Lawrence S. likes your comment at
  Are you using any of the following continuous glucose monitoring (CGM) systems?
  I upgraded from the G6 to the G7. I also upgraded my pump from a Medtronic 630(horrid pump) to the Tandem Slim with the lopping system. In this period my G7 has read me at a low of 40-50 and stops giving me insulin to counteract the low, when actually I’m in the very high range. The first time I went to er because it showed I was low and I couldn’t get it up. At the hospital I tested at 799. Spent the night. It’s done it a second time but I know to use my old glucometer. Dexcom hasn’t been too interested in this problem.
- 7 hours, 1 minute ago
  
  Sue Payne likes your comment at
  Are you using any of the following continuous glucose monitoring (CGM) systems?
  I upgraded from the G6 to the G7. I also upgraded my pump from a Medtronic 630(horrid pump) to the Tandem Slim with the lopping system. In this period my G7 has read me at a low of 40-50 and stops giving me insulin to counteract the low, when actually I’m in the very high range. The first time I went to er because it showed I was low and I couldn’t get it up. At the hospital I tested at 799. Spent the night. It’s done it a second time but I know to use my old glucometer. Dexcom hasn’t been too interested in this problem.
- 7 hours, 23 minutes ago
  
  Marthaeg likes your comment at
  Do you have any special plans during National Diabetes Awareness Month this November?
  I am running 100 miles during the month of November to celebrate my physical fitness at 66 years of age and living with T1D!
- 1 day, 2 hours ago
  
  KarenM6 likes your comment at
  Do you use any of the following insulin pumps right now?
  I use a Tandem t:slim x2 without activating Basal IQ or Control IQ.
- 1 day, 3 hours ago
  
  Melissa Childers likes your comment at
  Do you use any of the following insulin pumps right now?
  I am similar. Use Omni 5 some of the time and DIY loop other times. It's economics. My Omnipod 5 is too expensive on my insurance plan.
- 1 day, 8 hours ago
  
  Karington Johnston likes your comment at
  Do you use any of the following insulin pumps right now?
  Using OmniPod 5 now because I love being tubeless. Once tandem is tubeless I will switch back to that system.
- 2 days, 3 hours ago
  
  Lawrence S. likes your comment at
  Do you have any special plans during National Diabetes Awareness Month this November?
  I not only love the idea of a "Dead Pancreas Society,” I cannot wait to buy a shirt or sweatshirt and wear one to my next in-person endocrinology visit. (Most are zoom visits.) 😋👻😋
- 2 days, 8 hours ago
  
  John Barbuto likes your comment at
  Do any of your siblings have type 1 diabetes?
  Neither do any of my children or grandchildren.
- 2 days, 8 hours ago
  
  Jneticdiabetic likes your comment at
  On average, how many correction boluses (with a syringe, pen, or pump) do you give in a day?
  I’m on the 780g now, so it takes care of things. So the last 24hrs I’ve been 99% TIR. With that, it’s done some micro boluses, but every day will be different depending what I ate, and how closely the carb count was
- 2 days, 8 hours ago
  
  Jneticdiabetic likes your comment at
  On average, how many correction boluses (with a syringe, pen, or pump) do you give in a day?
  2-3. I think I've gotten in the habit of giving it a little preventative push when I see my post-prandial getting up there and relying on my C:IQ to drop my basal later if necessary. So I don't know if that's a "correction," in the standard sense, but it seems to work pretty well. Just saw my endo last week and I had 99% TIR and a 5.6 AIC.
- 2 days, 21 hours ago
  
  AmyM likes your comment at
  Do you have any special plans during National Diabetes Awareness Month this November?
  I always celebrate World Diabetes Day November 14. It's my birthday. This year, I got a 5.6 A1C for my birthday, well actually my endo appointment was the day before, but that counts. Lowest I've ever had since dx in 1983. I finally got to normal! Only took 41 years.
- 2 days, 22 hours ago
  
  Anita Stokar likes your comment at
  Have you updated your T1D devices to reflect daylight savings time?
  Tandem's software starts to complain if my pump and phone have times that are more than a minute different.
- 2 days, 22 hours ago
  
  Anita Stokar likes your comment at
  Have you updated your T1D devices to reflect daylight savings time?
  My devices are all updated, but I'm not sure if my internal clock has been reset.
- 3 days, 2 hours ago
  
  Janis Senungetuk likes your comment at
  Have you updated your T1D devices to reflect daylight savings time?
  My devices are all updated, but I'm not sure if my internal clock has been reset.
- 3 days, 3 hours ago
  
  Richard Wiener likes your comment at
  Have you updated your T1D devices to reflect daylight savings time?
  My devices are all updated, but I'm not sure if my internal clock has been reset.
- 3 days, 4 hours ago
  
  Becky Hertz likes your comment at
  Have you updated your T1D devices to reflect daylight savings time?
  My devices are all updated, but I'm not sure if my internal clock has been reset.
- 3 days, 21 hours ago
  
  Carl Robertson likes your comment at
  Happy World Diabetes Day from T1D Exchange! Please share your seasoned advice for someone who is newly diagnosed with T1D.
  You are your own best clinician.....if your health care person doesn't support your treatment...find one that does.
- 3 days, 21 hours ago
  
  Carl Robertson likes your comment at
  Happy World Diabetes Day from T1D Exchange! Please share your seasoned advice for someone who is newly diagnosed with T1D.
  Listen to the juicebox podcast.
- 4 days, 3 hours ago
  
  Patricia Maddix likes your comment at
  If you’ve had extra supplies from a device that you no longer use, what did you do with them? (Check all that apply)
  Insulin Pumpers does a great job of distribing extra or unused supplies.
- 4 days, 4 hours ago
  
  Louise Robinson likes your comment at
  If you’ve had extra supplies from a device that you no longer use, what did you do with them? (Check all that apply)
  Have donated to insulinpumpers in the past, but ended up throwing away some for my old pump recently which were past their use/by date. Had kept my old pump as a back up, but, in 4 1/2 years, never actually used it that way.
- 4 days, 8 hours ago
  
  Marty likes your comment at
  On average, how many correction boluses (with a syringe, pen, or pump) do you give in a day?
  2-3. I think I've gotten in the habit of giving it a little preventative push when I see my post-prandial getting up there and relying on my C:IQ to drop my basal later if necessary. So I don't know if that's a "correction," in the standard sense, but it seems to work pretty well. Just saw my endo last week and I had 99% TIR and a 5.6 AIC.
- 4 days, 16 hours ago
  
  Janis Senungetuk likes your comment at
  Do you have any special plans during National Diabetes Awareness Month this November?
  I'm housebound, but my plans are to keep on keeping on.
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2023 ADA

Advancing Quality Improvement Culture among 27 Pediatric and Adult Diabetes Centers

T1D Exchange, 1 year ago 0 1 min read

Mungmode, A, Odugbesan, O, Elisha, V, Steenkamp, D, Kamboj, M, DeSalvo, D, Sonabend, R, Neyman, A, Mathias, P, Chao, L, Ilkowitz, J, Ebekozien, O.

Background: The T1D Exchange Quality Improvement Collaborative (T1DX-QI) is a learning health system of over fifty endocrinology centers working to improve diabetes outcomes through Quality Improvement (QI). Centers join T1DX-QI with varying levels of QI culture and are assigned a QI Coach to support practice transformation. This study summarizes the results of 27 endocrinology centers involved in the T1DX-QI for over 12 months.

Method: Centers completed a 20-question self-assessment survey to measure QI culture over time in four evidence-based areas: QI Team Structure (team roles); QI Foundation (data collection and training); QI Capacity (use of QI tools); and QI Success (scaling up small tests). Data was collected in 2021 and 2022 for the same centers. The overall difference in QI Capacity was calculated using a Chi-Square test.

Results: Overall, QI Culture increased from 67% to 75% from 2021 to 2022 (p-value = 0.005). Figure 1 demonstrates that improvements were seen in three of the four evidence-based areas for both pediatric and adult centers in this time.

Click here to read the full abstract

Tags #Journal - Diabetes 2023 #T1D Exchange Quality Improvement Collaborative #T1DX-QI Overview

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Advancing Quality Improvement Culture among 27 Pediatric and Adult Diabetes Centers

Walking the Talk—Improving Use of the T1D Exchange Quality Improvement Portal Using QI Methodology

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