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- 2 hours, 43 minutes ago
  
  Kate Kuhn likes your comment at
  Do you bolus insulin for “total carbs” (including fiber) or “net carbs” (total carbs minus fiber)?
  I always subtract the fiber from the carbs. I just look on the label. If it says 35 carbs, and 3grams of fiber, I dose for 32 carbs. Easy-peasy.
- 2 hours, 43 minutes ago
  
  Kate Kuhn likes your comment at
  Do you bolus insulin for “total carbs” (including fiber) or “net carbs” (total carbs minus fiber)?
  Since I'm not a cow, my body can't digest a significant amount of fiber into glucose. (If it did I'd be concerned about my intestinal biome. ) I make sure that there is 25-25 of fiber in my daily diet to move food through my gut. I ignore fiber and protein in meal boluses calculations and do any corrections later without being concerned about the cause of any elevation above expected, because their conversion rates to glucose don't have predictable short term outcomes.
- 10 hours, 1 minute ago
  
  lis be likes your comment at
  Do you bolus insulin for “total carbs” (including fiber) or “net carbs” (total carbs minus fiber)?
  If my meal includes more that 5 grams of fiber I subtract from carbs. Otherwise no.
- 22 hours, 31 minutes ago
  
  Fabio Gobeth likes your comment at
  Do you keep track of where you rotate your CGM site?
  No need to track it’s pretty obvious. Switch sides each time and try to miss any visible puncture spots
- 1 day, 3 hours ago
  
  Rafaela likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It really depends on when I catch it and how low it is. If I see it early enough I treat it and just watch it to make sure it is recovering.
- 1 day, 4 hours ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 1 day, 4 hours ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 1 day, 4 hours ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 4 hours ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It all depends on how low, where I am and what I'm doing and if I can easily eat/drink fast acting carbs to treat it. I only get anxious if it's taking a long time to bring bg level up to my target of 110 and I'm out in public.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and what I am doing. Like today I had one at work where Dexcom said low but because I could treat and had two people with them, aware of it, I was okay.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and for how long. Generally not anxious as much as sweating and foggy headed.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually get more annoyed than anxious...It typically happens when I'm in the middle of working! I work as a private clarinet instructor so it's just me and the student and it's really difficult to string words together when I'm low.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 1 day, 4 hours ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 1 day, 5 hours ago
  
  John Barbuto likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 6 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 6 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 1 day, 6 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Two Reese's Peanut Butter cups for me 😊
- 1 day, 6 hours ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
- 1 day, 6 hours ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 1 day, 6 hours ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 1 day, 6 hours ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
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Health Care Transition Practices in the T1D Exchange Quality Improvement Collaborative

T1D Exchange, 1 year ago 0 1 min read

Malik, F, Cases, J, Hillard, M, Lyons, S, Jacobsen, L, Roberts, A, Mucci, A, Agarwal, S, Demeterco-Berggren, C, Alonso, T, Ebekozien, O, Corathers, S.

Background: Implementation of a structured health care transition (HCT) process is associated with positive outcomes in population health, experience of care, and health care utilization.

Objective: To describe pediatric and adult clinic HCT practices in the T1D Exchange Quality Improvement Collaborative (T1DX-QI).

Methods: Got Transition’s Six Core Elements of HCT offer a structured approach to the phases of transition support: 1) transition and care policy, 2) tracking and monitoring, 3) transition readiness, 4) transition planning, 5) transfer of care, and 6) transfer completion. T1DX-QI institutions (n=53) were surveyed to examine the integration of the Six Core Elements into diabetes HCT practices.

Results: The survey response rate was 94.3% (n=50 clinics; 33 pediatric, 17 adult). A majority of T1DX-QI pediatric clinics (72.7%, n=24) report having a HCT policy compared to 29.4% (n=5) of adult clinics. Among pediatric institutions, 45.4% (n=15) maintain a tracking system to identify transition-aged youth, 39.4% (n=13) formally assess HCT readiness, 52% (n=17) document and update a plan of care for transition and 27.3% (n=9) have a process in place to confirm successful transfer of care completion with adult diabetes providers. Approximately two-thirds of T1DX-QI pediatric institutions (63.6%, n=21) have a formal structured HCT program and 29% (n=6) of these HCT programs report incorporating all 6 elements.

Click here to view the full abstract

Tags #Journal - Diabetes 2023 #Transition of Care

Reproductive health counseling in the T1D Exchange Quality Improvement Collaborative (T1DX-QI)

T1D Exchange