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    • 9 hours, 19 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      It is not often that I get into discussions with people about Type 1 and type 2 diabetes. But, when I do, most people don't know that there is a difference. Those that are aware that there is a difference between type 1 and type 2 diabetes, don't know what the differences are. Generally, unless the person has the disease, is a close family member, or works in the medical profession, there is no understanding of the disease.
    • 9 hours, 19 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 9 hours, 20 minutes ago
      Kate Kuhn likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 10 hours, 34 minutes ago
      Neha Shah likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 14 hours, 7 minutes ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience people have heard of Type 2 Diabetes so if I say Type 1 that makes sense in that if there is a Type 2 there must be a Type 1 also. That is the extent of their understanding. In healthcare there is a bigger failure where "diabetes" or "type 2 diabetes" is used as a shorthand of a set of conditions often seen together. See any research paper by any cardiologist ever. This lack of precision leads to incorrect risk evaluations and incorrect treatment of people with diabetes caused by other factors including autoimmune aka Type 1.
    • 14 hours, 8 minutes ago
      lis be likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 17 hours, 32 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      I have, and I do show calcium build up and hardening of the arteries. No action has been taken yet at this time. However, I am taking Repatha for better control of my cholesterol and it has been working great.
    • 17 hours, 32 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 17 hours, 33 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Thank you. Your write up is concise, cogent, and convincing. 🎀
    • 17 hours, 33 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      After 16 stents and a new aortic valve, I've had every scan imaginable and she just keeps on tickin'.
    • 17 hours, 34 minutes ago
      KCR likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Just googled it and most insurance plans including basic Medicare do not cover it. Said cost ranges $100-400 with out-of-pocket being $100-150 (although I don’t understand that if not covered by insurance).
    • 17 hours, 58 minutes ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 17 hours, 58 minutes ago
      Patricia Dalrymple likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      What? We’re now advertising in this space? Delete this post!
    • 18 hours, 47 minutes ago
      Lynn Smith likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 21 hours, 43 minutes ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      This is a good question! but it does lead to so many other questions.
    • 21 hours, 43 minutes ago
      Lawrence S. likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      If the mystery train is your favorite form of conveyance, then you’re gonna love T1D. You may choose to be in a universe that is spiritually arid. Or you may choose to live in the harsh realities of reality. Up & down arrows and double arrows? I Love ‘em. Can and do take action immediately. 🙇‍♀️ 🙇‍♀️
    • 21 hours, 51 minutes ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      T1D & T2D are meaningless acronyms for most, nearly all, nondiabetics. Juvenile diabetes vs diabetes is the closest known pairing and that's still few.
    • 21 hours, 51 minutes ago
      Lawrence S. likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 21 hours, 54 minutes ago
      Mike S likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 21 hours, 56 minutes ago
      Lauren T likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 21 hours, 57 minutes ago
      Meerkat likes your comment at
      How often do people confuse type 1 and type 2 diabetes in your experience?
      In my experience the average person does not know the difference. It does not help that the commercials on TV just say diabetes and do not differentiate.
    • 1 day, 17 hours ago
      lis be likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, I had one done and the results were very high in the upper 400s. I have my wonderful cardiologist to thank for recommending it as even after a normal stress test that was still somewhat suspicious. He thought further testing was advisable due to my 65 years of diabetes. The complaints that I had been having for years were not terribly specific, but just overall being way more exhausted than I thought I should be for my age and a bit of shortness of breath, but no chest pain. My doctors had been just saying that I was probably out of shape and that was what was causing the symptoms but this doctor really was proactive. This test shows calcium buildup, of course, in the arteries which is somewhat different than fatty plaque buildup in the arteries that can only be seen at the Cath Lab. My next step was to go to the Cath Lab where they found four major blockages in my heart and thank goodness we found them. I eventually ended up having four stents put in during two additional procedures. The last one was very stubborn because of the amount of calcium and I had to go to the university of Washington where they were able to do a procedure to drill the calcium out of the artery before they could get in there to place the stent. Heart disease is a very real concern for those of us with long-term diabetes, and although I am a retired dietitian and have always eaten an excellent diet with yearly lipid panel results looking excellent this still happened. The procedure took less than an hour and they do put an iodine die in your vein to make everything easier to see. My Medicare Advantage Plan paid for it except for my copayment which I believe was around $300 which is similar to what I have to pay for things like an MRI. The doctor does have to justify this test by certain symptoms and other previous test results.
    • 1 day, 17 hours ago
      lis be likes your comment at
      Have you had a Coronary Artery Calcium (CAC) Scan? (The American Diabetes Association suggests this imaging tool, depending on age and years with T1D, to assess heart risk by measuring calcium buildup in your arteries.)
      Yes, and even with low cholesterol levels all my life, CT Scan show extensive calcified coronary artery disease.
    • 1 day, 19 hours ago
      Carrolyn likes your comment at
      On average, how often do you adjust insulin based on CGM trend arrows rather than your current glucose number alone?
      If the mystery train is your favorite form of conveyance, then you’re gonna love T1D. You may choose to be in a universe that is spiritually arid. Or you may choose to live in the harsh realities of reality. Up & down arrows and double arrows? I Love ‘em. Can and do take action immediately. 🙇‍♀️ 🙇‍♀️
    • 1 day, 19 hours ago
      Marty likes your comment at
      If you could reimagine your diabetes technology, what’s the one thing you would change?
      The technology is remarkable — and I’m thankful for it. Having managed T1D for a very long time, it's improved my A1C. But as we age with T1D, usability becomes critical. Larger fonts, easier interfaces, simpler navigation, and design for arthritic hands will matter more and more. We also urgently need better training in hospitals and care facilities. Too often staff are unfamiliar with pumps and CGMs, and patients are forced to disconnect from the very tools that keep them safe. With the nationwide shortage of endocrinologists, we cannot rely on specialists to fix these gaps — frontline medical staff need better training and support. Tech innovation must include accessibility and real-world medical training.
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    After you exercise for 30 minutes or more, do you notice any of the following with your blood glucose levels after? (Select all that apply)

    Home > LC Polls > After you exercise for 30 minutes or more, do you notice any of the following with your blood glucose levels after? (Select all that apply)
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    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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    44 Comments

    1. Bob Jackson

      If there is insulin in me it will go down. If I exercise before my insulin then it will go up.

      3
      2 years ago Log in to Reply
    2. Molly Jones

      I have only ever noticed downward trends, with severity depending on my digestion, time and exertion variabilities.

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

      Tremendous decrease in BG.

      When younger, I could walk 6 or 7 miles and hardly notice anything. Now, in my 70’s, I can drop 200 points just by sweeping the floor. What gives? Who knows. 😕

      4
      2 years ago Log in to Reply
      1. eherban1

        You may want to ask your med team about using Tresiba for basal insulin. This stuff is incredible when it comes to absorption and activation. One dose lasts 24 hours and no matter what level of physical exertion I have, my bg stays stable. I can fast from food, exercise instead of eating lunch, and my bg will not vary more than 10-20 mg/dl. I hate to sound like an advertisement for Novo Nordisk, but they’ve got something here. Good luck!

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

      I have severe drops in my blood glucose when I exercise. Most of my exercise is aerobic, running, elliptical, etc. However, I discovered that having a protein powder drink maintains a much more stable blood glucose while I am working out. However, I need to increase my insulin after my workout.

      2
      2 years ago Log in to Reply
      1. Anita Stokar

        Yep, I usually have to increase my insulin too after a workout.

        1
        2 years ago Log in to Reply
    5. Franklin Rios

      Depende da intensidade. Caso seja de baixa intensidade não há alteração, mas se for de alta intensidade e não tiver aplicado insulina, há um aumento.

      2 years ago Log in to Reply
      1. Franklin Rios

        It depends on the intensity. If it is of low intensity there is no change, but if it is of high intensity and no insulin has been applied, there is an increase.

        1
        2 years ago Log in to Reply
    6. Gordon Jones

      Having been T1D for 66 of my 83 years, I am longer able
      to exercise.

      2 years ago Log in to Reply
    7. Lyn McQuaid

      It depends on the type of exercise. I do all kinds of things (weight lifting, various forms of cardio, walking) and, surprisingly, the type of exercise that causes my blood sugar to drop the fastest is just walking. I think more difficult types of cardio (spin classes, etc.) involve a spike in adrenaline so they actually end up causing a rise in blood sugar afterwards.

      5
      2 years ago Log in to Reply
    8. Julianne

      With aerobic like dance hiit or fast walking/ hiking I trend down but with strength training I go up.

      7
      2 years ago Log in to Reply
    9. Janice B

      Starting blood sugar of 145. Set the activity setting on Omnipod 5. Eat an apple (no bolus) – still end up Hypo. Very frustrating!
      Was much better on Tslim X2 with Control IQ.

      1
      2 years ago Log in to Reply
      1. Jane Cerullo

        That’s good to know. In process of switching to tandem x2 from MDI. Did see a few articles saying tandem has a better system. Excited about Mobi. Almost tube free.

        1
        2 years ago Log in to Reply
    10. Robin Melen

      Definitely different for walking vs. weightlifting! I have a 20-ish carb snack before walking, and a 12-ish carb snack before weightlifting/working out. And I carb up high for tennis, too!

      2 years ago Log in to Reply
    11. eherban1

      After switching to Tresiba and MDI, I can exercise as long or as short as I want with no change to my glucose! In my opinion, Tresiba is a miracle therapy. It’s almost as if it has a mind for its purpose and stays on task no matter what I do physically.

      1
      2 years ago Log in to Reply
    12. lis be

      Thats a tricky question! different exercises have different results.

      2
      2 years ago Log in to Reply
    13. Hadley Horton

      My glucose will typically plummet during the exercise activity, however, it will spike shortly after.

      2 years ago Log in to Reply
    14. KIMBERELY SMITH

      Extremely high

      2 years ago Log in to Reply
    15. ricksorensonii

      After my workout I have a short rise in glucose levels which is followed by a drop the size of the drop is of course dependent on how hard the workout was.

      1
      2 years ago Log in to Reply
    16. David Hedeen

      Issue is running lowers BG while weights increases BG

      2 years ago Log in to Reply
    17. Jane Cerullo

      Depends on the exercise. Weights no change. Some cardio goes lower but other cardio raises. It’s a guessing game.

      0
      2 years ago Log in to Reply
    18. Lynn Smith

      I answered Other. It depends on what my BS was before I started. The most common reaction is a slight uptick and then a crash about 45 minutes to an hour later.

      1
      2 years ago Log in to Reply
    19. Maggie Morgan

      Depends on my insulin on board and food eaten beforehand. Also depends on the exercise. I will often spike after long runs bc I keep my insulin low during them, but I will plummet if there’s any IOB when I do any sort of activity.

      3
      2 years ago Log in to Reply
    20. Marty

      As others have said, I notice the largest effects with aerobic exercise and see little change in BG with resistance training or Pilates. The effect of aerobic exercise seems to depend on my metabolic state. If I have food in my system, aerobic exercise tends to reduce my BG in a way that’s correlated with intensity. If I’m “starving”, I often see my BG increase with exercise. I like to do my cardio workout after meals and reduce my pre-meal bolus to accommodate the expected BG drop.

      2 years ago Log in to Reply
    21. Robert Wilson

      Trends towards hypo. 30 minutes or less almost no change. But 45 minutes or more of moderate to heavy activity will cause a dramatic decrease for a bit. I try to start in the 150 to 180 range. My rule of thumb is 15g carb for every 5k of run or jog that I do but only when exceeding a 5k. 5k or less there is no need to adjust for myself.

      2 years ago Log in to Reply
    22. cynthia jaworski

      I have seen all of these happen, even with the same exercise.

      1
      2 years ago Log in to Reply
    23. Janis Senungetuk

      My exercise is limited to walking up and down two flights of stairs to do laundry, walking during grocery shopping, loading and unloading groceries from the car to our 2nd floor apartment, etc. The usual result is a hypo anywhere from 40 minutes later to 3 hours later. It’s very difficult to accurately guess when I’ll start trending down.

      2
      2 years ago Log in to Reply
    24. Donna Condi

      If I exercise for 30 minutes straight I will definitely be headed for a fall.

      1
      2 years ago Log in to Reply
    25. Anthony Harder

      During exercise I have a moderate to rather sharp drop in my glucose reading. Afterwards, it will rebound to where it was and beyond at a moderate or rather sharp rate of increase.

      2
      2 years ago Log in to Reply
    26. JeremyW

      Depends on the type of exercise. High intensity equals high bg. Low intensity equals low bg.

      2 years ago Log in to Reply
    27. Ceolmhor

      I don’t know how to answer this question as posed. After 30 minutes of exercise, but while I’m still exercising, my blood glucose will be falling, sometimes requiring me to add carbs. A few minutes after I stop the exercise, I’ll get a rebound, which can vary in size, sometimes taking me all the way to hyperglycemia.

      2
      2 years ago Log in to Reply
      1. Anita Stokar

        Exactly me too.

        2 years ago Log in to Reply
    28. Chrisanda

      Depends on exercise. Moderate walking makes me go down, high intensity I go up, but then go down. I just keep checking my CGM.

      2
      2 years ago Log in to Reply
    29. Pauline M Reynolds

      At 84, I don’t exercise for 30 minutes at a time. But since not exercising regularly, I find my BG’s are very unstable. Just showering or dressing can lower it quickly. I have to take my activities into account all the time.

      1
      2 years ago Log in to Reply
    30. PatC

      At my age, food or activity seems to be taking much longer to have any impact.

      2
      2 years ago Log in to Reply
    31. Becky Hertz

      Soooo many variables here. Depends on how I did during my ride with nutrition, level of the ride, length of the ride, day of the week, phase of the moon, relative humidity, cloud cover, etc. I have had all the scenarios above.

      2 years ago Log in to Reply
    32. kim bullock

      It really depends on the time I exercise and what my sugars where b4 i exercised and what kind of exercise.

      2 years ago Log in to Reply
    33. Vicki Breckenridge

      When I do 30 minutes of cardio, if I hadn’t reduced my basal, I always bottom out.

      1
      2 years ago Log in to Reply
    34. mlettinga

      I use the exercise mode plus have a special workout setting of only 25% of my normal Basel as I really crash I I don’t.

      2 years ago Log in to Reply
    35. Jordan Harshman

      Heavily depends on whether we’re doing strength training (hyper) or cardio (hypo).

      2 years ago Log in to Reply
    36. Eva

      Good question and hard to answer. Rise or fall in BG during exercise depends on the following factors: 1) my insulin on board; 2) how much fat or protein in the meal prior to exercise; 3) whether the exercise is anaerobic or aerobic. During a match, my electrolytes are really important. So, I bring two different kinds of drinks with me. One for if my blood glucose goes high (>140) and one for if it gets low (<140). My goal is to have my BG between 140 – 160 during matches.
      If I do cardio at the gym, it usually drops.
      If I do weights at the gym, it usually stays steady or increases.

      1
      2 years ago Log in to Reply
    37. Mick Martin

      Dependent on the type of exercise I, initially, see a rise in blood glucose levels, followed up about 1.5 to 2 hours later a fall in blood glucose levels.

      2 years ago Log in to Reply
    38. Anita Stokar

      I definitely spike for the most part after I exercise. It happens more with evening exercise than exercise than during the day, but even after afternoon exercise, I usually have to give myself extra insulin. And this is with aerobic exercise which usually makes me go low during the exercise time. I think part of the problem is that the activity mode slows down the amount of insulin I get while exercising so after I am finished exercising, the lower amounts of insulin in my system cause the spike. Very frustrating. I feel exercise is my hardest thing to account for in my quest for as little variation in my blood sugar levels.

      2 years ago Log in to Reply
    39. qachemist

      My answer depends on the type of exercise. 30 minutes of aerobic work (elliptical, walking) results in small decrease in blood glucose. However, I do weight work/cross training after 30 minutes of aerobic. My blood glucose after that goes up drastically. And when I do 60 minutes of training with my personal trainer, BG increase is dramatic and sustained.

      2 years ago Log in to Reply

    After you exercise for 30 minutes or more, do you notice any of the following with your blood glucose levels after? (Select all that apply) Cancel reply

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