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    • 48 minutes ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 2 hours, 46 minutes ago
      Derek West likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 7 hours, 20 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 7 hours, 21 minutes ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 9 hours, 10 minutes ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 9 hours, 15 minutes ago
      atr likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I test when I have unexpected, or stubbornly high blood glucose that just won't go down. I also test when I feel sick. Testing, for me, involves putting urine on a strip, either by peeing directly or dipping the strip into urine. I may use about 2 or 3 strips in a year. When I test positive, I increase my insulin dosage to a "sick day" level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out.
    • 9 hours, 52 minutes ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 3 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 2 days, 6 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 2 days, 8 hours ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 2 days, 9 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 2 days, 9 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 2 days, 9 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 2 days, 9 hours ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 3 days ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 3 days, 19 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 7 hours ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 8 hours ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 9 hours ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 4 days, 9 hours ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 10 hours ago
      Gary Taylor likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 4 days, 21 hours ago
      Amanda Barras likes your comment at
      Which T1D influencers do you enjoy following?
      Currently it’s the Diabetech, Justin Easter.
    • 5 days, 6 hours ago
      ChrisW likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 5 days, 6 hours ago
      Kathy Hanavan likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      TCOYD Diabetes Nerd Your Best T1D Year Think Like a Pancreas
    • 5 days, 6 hours ago
      Kathy Hanavan likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      Take Control of Your Diabetes
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    Did you add, remove, or change T1D devices in 2022? Select all that apply!

    Home > LC Polls > Did you add, remove, or change T1D devices in 2022? Select all that apply!
    Previous

    Happy New Year! Do you have any diabetes-related goals for 2023? Tell us in the comments!

    Next

    For those who have gone through the process of getting a CGM: Last time you started using a new CGM, how easy or difficult was it for you to get the brand and model you most wanted to use?

    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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    37 Comments

    1. Jen Farley

      Tandem and Dexcom, hope to upgrade to the new Dexcom model this coming year.

      4
      3 years ago Log in to Reply
      1. AnitaS

        My Tandem T-slim 2x is running out of warranty in 2023. I am not sure if which new model of Tandem is coming out: The mobi or the T-slim3. My warranty expires in August so I hope to know by then which model is coming out and I hope to make a decision then.

        1
        3 years ago Log in to Reply
    2. TEH

      I have used 5 different Minimed pumps. I have grown tired of all the inappropriate alarms waking me up at night with the 670G and the tangles with the tubing. Just got Medicare approval to go to the Omninpod and Dexcom 6. I plan on switching in January. The next step is to arrange a mail order pharmacy. Any recomendations? (Sorry for hijacking this thread.)

      1
      3 years ago Log in to Reply
      1. Sherolyn Newell

        I have Omnipod Dash and Dexcom 6. It’s not a closed loop, but I have been very happy with it.

        3 years ago Log in to Reply
    3. TomH

      I started using Loop-dev in April to connect my Dexcom G6 and Omnipod DASH pump, making them into an AID. It’s worked very, eliminated the need to carry PDM’s for either one, so I only have to carry my iPhone and it links and controls both devices. It will also work with the Dexcom G7 once it gets rolled out in the US.

      1
      3 years ago Log in to Reply
    4. Tb-well

      I switched from the Minimed 770 to the tandem T2. It was the best freaking swap I have ever made. I cannot tell you how horrible the Minimed system is. I pray that they do day get serious about their cgm and design their software to be better. This latest pump is a pos, but in general they have always made better pumps. Their cgm however has always been awful, and nothing has really changed on that front.

      3
      3 years ago Log in to Reply
      1. Katrina Mundinger

        Me too! The pump was always fine for me BUT the CGM has always been subpar no matter how much better they claimed it to be than the previous iteration.

        Within minutes of starting Dexcom I was IN LOVE. Then added Tandem (control iq) to have a pump that works with it.

        3
        3 years ago Log in to Reply
      2. Tom Caesar

        Same experience for me! Tandem so much better

        2
        3 years ago Log in to Reply
      3. PamK

        Same here! I love my Tandem and Dexcom; wouldn’t ever go back to Medtronic!

        1
        3 years ago Log in to Reply
    5. Lyn McQuaid

      I wasn’t sure what to answer as I was on the tslim pump with control IQ and got a new tslim pump, so I technically have the same pump, but went back to basal IQ, which I much prefer. I was so annoyed when Tandem wouldn’t let me go back to basal IQ after I “upgraded” to control IQ several years ago but, with a new pump, I could request basal IQ. I had two different people (one from Tandem and one from the medical supply company) call me, though, thinking my endo had made a mistake prescribing the basal IQ pump!

      1
      3 years ago Log in to Reply
      1. Trina Blake

        Like you, I prefer BIQ (I am very aggressive in my T1D mgt – like setting my own range etc). My old Tandem X2 was out of warranty and lost the ability to “receive messages” from my Dexcom G6. So I had to replce it. I made sure the Rx was written for BIQ, and I also made sure at Tandem’s end they knew and acknowledged I wanted BIQ.

        3 years ago Log in to Reply
      2. Lucia Maya

        I remember liking BIQ better too… but now can’t remember why. any specifics you can share? thanks!

        3 years ago Log in to Reply
      3. Lyn McQuaid

        Hi Lucia – BIQ only controls low blood sugars whereas CIQ controls “highs” as well. My issue was that I keep very tight control (my A1cs are in the low 5’s) and CIQ only allows blood sugar to get as low as 110 before it decreases basal rates. I prefer to keep my blood sugars lower than that so would only use it at night. But then my nighttime blood sugars were higher than I prefer, given the 110 target. Hope that helps!

        3 years ago Log in to Reply
    6. Missy Kirchem

      I got a new Tslim because my old one was out of warranty and had an issue with where the charging plug went in

      1
      3 years ago Log in to Reply
    7. Janice B

      I changed from Tandem X2 to OmniPod 5

      3 years ago Log in to Reply
    8. Eva

      Got a new blood glucose meter – much smaller and super accurate (i.e., spot on) with my endo’s machine
      : – )

      3 years ago Log in to Reply
    9. Bob Bowen

      Replaced CGM transmitter with same brand due to warranty expiration.

      1
      3 years ago Log in to Reply
    10. Csampogna

      Same pump and CGM. Upgraded to Control IQ.

      2
      3 years ago Log in to Reply
    11. Nichole Pleisch

      I changed my cgm from Libre to Dexcom and this week I’m asking about a pump so hopefully I’ll be adding that

      2
      3 years ago Log in to Reply
    12. Nicholas Argento

      Dexcom G6 w Tandem CIQ- works extremely well for me. I would not give up until something better comes along….looking forward to G7 + Tandem combo, ? summer 2023

      2
      3 years ago Log in to Reply
    13. lis be

      switched from libre2 to dexcom. reading have been more accurate for 9 of the 10 days!

      2
      3 years ago Log in to Reply
      1. Donal Conway

        Changed CGM from Libre free style 1 which was not on the list of items sponsored by the Irish government to a newly paid for one Dexcom G7 after four years of me (us) lobbying to one of them on the long term illness list of items. It happened about October of this year. A milestone in the Irish health I have to say and a life changer in my 52 years of T1 Diabetes life.

        1
        3 years ago Log in to Reply
    14. Chris Albright

      Did not change pump mfg or model, but did change to a different infusion set model

      3 years ago Log in to Reply
    15. PamK

      I chose the responses that I did not change my pump or CGM, but I did get a new pump – – the old one was out of warranty, so I was able to get a new one of the same brand/model.

      3 years ago Log in to Reply
    16. anj1832

      I’ve been using the same cgm and pump (Medtronic 670) all year but I bought a new pump (tandem) in October. I haven’t started using the new system yet because insurance wouldn’t let me order supplies for it. My Medtronic pump’s warranty expired in April and my pump had a huge crack down the side. However, insurance said I still had supplies for the old pump so they wouldn’t fill a prescription for the new pump supplies. Even if my old pump quit working, they wouldn’t allow me to get supplies for the new pump until the supply period was over. It’s been a nightmare but thankfully my supplies (and pump) have lasted me this long. Of course I’ll need to switch over in the new year, right when my deductible starts over—of course!! 😡

      3 years ago Log in to Reply
      1. Jen Farley

        I agree with you! Insurance companies need to be a bit more understanding. I have had long conversations with my insurance company about my diabetic needs they could not understand.

        3 years ago Log in to Reply
    17. Lorri McLuckie

      Moved from Omnipod Dash to Omnipod 5 in July and love it! Had to be patient to learn the correct settings and for it to learn my patterns, but noticing that it’s working great now and I’m feeling really wonderful.

      1
      3 years ago Log in to Reply
    18. Sandra Norman

      Switched from Tandem CIQ to Omnipod 5, but am thinking of switching back, was getting better control with the Tandem, but the ease of filling with the POD and no tubing is hard to give up. If Tandem gets the G7 first, that would make me switch back immediately. Both are excellent pumps.

      3 years ago Log in to Reply
    19. Bill Williams

      As soon as the G7 is available, I’m switching from the Libre.

      3 years ago Log in to Reply
    20. mbulzomi@optonline.net

      I have another 3 years before I’m eligible to replace my pump. Remember, it’s five years when on Medicare Part “B”.

      1
      3 years ago Log in to Reply
    21. Kim Davis

      My Tandem x2 w IQ control ran out of warranty. So long before it ended started the process for a new pump. Now my new pump is working, I choose the same manufacturer & exact same pump but now I have a warranty!

      1
      3 years ago Log in to Reply
    22. Carolann Hunt

      Switched to an orange link from Riley link, no big deal

      3 years ago Log in to Reply
    23. Bonnie Lundblom

      Stayed on my Tslimx2 pump and Dexcom CGM6 all year. If the Medicare 5 year rule applies to both devices then it will be a few years until I can do any changes. I’m hoping that Dexcom will stop producing the CGM6 and only have the CGM7’s but I don’t think that will happen.

      3 years ago Log in to Reply
    24. Magnus Hiis

      Charged from FreeAPS to FreeAPS X (Oref1 algoritm)

      3 years ago Log in to Reply
    25. Michael Andrews

      I started using a Cequr Insulin patch in December. It’s like a manually operated pump but more similar in size to a Dexcom and the insertion is similar to a Dexcom or an Omnipod. It’s a 3-day wearable patch. I love it more than I thought I would. It’s not high-tech, but it is attached, making insulin delivery much easier. I have 5 small children and travel a lot for work, so pumps would be harder to deal with. It’s very convenient, and it makes life so much easier

      3 years ago Log in to Reply
    26. James Cheairs

      Started back on DYI Loop after a couple of year hiatus. The 3.0 release is quite good.

      3 years ago Log in to Reply
    27. Lori Smith

      In 2022, I was in the hospital 3 times, in which they took my pump away and had to wait till i got it back. Have it now and am Happy

      3 years ago Log in to Reply

    Did you add, remove, or change T1D devices in 2022? Select all that apply! Cancel reply

    You must be logged in to post a comment.




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