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    • 29 minutes 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?
      There are certain areas on my body where the insulin is more effective than others.
    • 29 minutes 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.
    • 37 minutes 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?
      There are certain areas on my body where the insulin is more effective than others.
    • 39 minutes 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.
    • 51 minutes 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.
    • 52 minutes 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.
    • 52 minutes 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.
    • 52 minutes 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.
    • 52 minutes 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
    • 52 minutes 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.
    • 55 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      Do you realize what you have just said: "Obscurantism, gobbledegook, and pointillism used not as an art form but as a 'Gotcha!' of legal/financial determinism?"
    • 56 minutes 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.
    • 58 minutes 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.
    • 59 minutes 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 hour, 13 minutes 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.
    • 22 hours, 19 minutes 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
    • 23 hours, 16 minutes 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.
    • 23 hours, 23 minutes ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day ago
      Kathy Hanavan 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.
    • 1 day ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 1 hour ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 1 hour ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    • 1 day, 1 hour ago
      Laurie B 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.
    • 1 day, 1 hour ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      For Minimed, the dedicated reader is the pump.
    • 1 day, 1 hour ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I chose "dedicated reader". That reader is my pump, a Minimed 780G.
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    Did you have any diabetes-related achievements or milestones in 2023? Share what you’re proud of in the comments!

    Home > LC Polls > Did you have any diabetes-related achievements or milestones in 2023? Share what you’re proud of in the comments!
    Previous

    If you use time in range reports, what BG level is set as your low range? If you have different target range settings depending on time of day, please answer with the Low setting at noon in your time zone.

    Next

    If you wake up in the middle of the night to treat a low, do you brush your teeth before going back to bed?

    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.

    Related Stories

    " 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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    54 Comments

    1. Ahh Life

      Waking up alive every day.

      4
      2 years ago Log in to Reply
      1. Tina Roberts

        I don’t think you can wake up dead? Lol

        2 years ago Log in to Reply
    2. Stephen Woodward

      My goal was to help another T1D make life with T1D better and healthier, this year has been full of that.

      3
      2 years ago Log in to Reply
      1. Tina Roberts

        I need that!!

        2 years ago Log in to Reply
    3. Clare Fishman

      I’m sure this was supposed to be in 2023. My biggest D accomplishment this year was switching from DIY Loop app to run my Omnipod and Dexcom in a hybrid closed loop system to iAPS with a very different algorithm. It works incredibly and allows me so much more brain space.

      0
      2 years ago Log in to Reply
      1. Tina Roberts

        So you’re getting glucagon as well?

        2 years ago Log in to Reply
    4. NANCY NECIA

      Best time in range ever! Yay technology!

      1
      2 years ago Log in to Reply
    5. Shelly Smith

      Through my pump and Dexcom, I have achieved a lower-than-ever A1C, of which I am quite pleased!

      1
      2 years ago Log in to Reply
    6. Brian Vodehnal

      Being in the top 1% of my Endos patients. Sharing Afrezza with people who have never heard of it and hearing them having success with their diabetes management.

      2 years ago Log in to Reply
    7. Meerkat

      43 years with Type 1 and no complications. A1c under 6.3 all year.

      1
      2 years ago Log in to Reply
    8. Judith Marged

      I’ve continued to keep my A1C between 6.5 and 6.9 the entire year. I helped my great nephew transition from multiple injections to Afrezza so he can avoid the scarring that I had accumulated.

      1
      2 years ago Log in to Reply
    9. Katrina Mundinger

      Had my first-ever sub 7 A1C. 🙂 Dexcom for the win!

      2
      2 years ago Log in to Reply
    10. Richard Vaughn

      I received the Joslin medal for 75 years of Type 1.

      6
      2 years ago Log in to Reply
    11. KIMBERELY SMITH

      I wasn’t typ3 1 or 2

      2 years ago Log in to Reply
      1. Tina Roberts

        ??

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

      I made it to age 70, 46 years with T1D. Kept my A1c below 5.8 all year. Upgraded my Tandem Pump in preparation for the Dexcom G7 sensor (next year). Continued exercising, including 4.5 mile runs every other day. Went to the gym on days I didn’t run. Got all of my vaccines: Covid 19 (7th vaccine), Pneumonia 20, RSV, and influenza. Stayed independent: still mowing my lawn and taking care of my home. Had cataract surgery in one eye. Staying active and productive.

      0
      2 years ago Log in to Reply
      1. Becky Hertz

        Woke up every day, A1c’s in 6’s and 5’s, TIR 80% or higher(I do get in to the 90’s) 99% of the time, continued doing Ride.JDRF.org, helped other T1’s in my circle with supplies and questions. Not bad for 49 1/2 years in.

        1
        2 years ago Log in to Reply
    13. Gary Taylor

      I hope you mean 2023 because I can’t remember 2021. 😉 In 2023 I upgraded my Medtronic 770 pump to 780 and switched to their newest sensor, which is much improved. My TIR, which has always been good, improved significantly.

      1
      2 years ago Log in to Reply
    14. Ernie Richmann

      Nothing earth shattering. I continue to learn by reading, talking to others, participating in webinars. Captained aJDRF walk team and raised a significant amount of money for diabetes research. Volunteered at Camp Ho Mita Koda, a camp for diabetic children. Took care of myself with some frustration at times. Now training for a 100K walk on June 1. So dar I am the oldest person who has entered-will be 75 on race day.

      3
      2 years ago Log in to Reply
    15. Steve Rumble

      I started using a CGM, Dexcom G6, in 2021!

      2 years ago Log in to Reply
    16. Gary Rind

      my A1C was in the 5’s all year.

      2
      2 years ago Log in to Reply
    17. Patricia Kilwein

      ?

      2 years ago Log in to Reply
      1. Patricia Kilwein

        2021?

        2 years ago Log in to Reply
    18. Susan Wood

      Survived 61 years with T1D this year. I have out lived doctors who told my parents “don’t expect her to live beyond her teens”, have delivered two beautiful and talented children into this world and have 5 grandchildren to see grow up, and made it through a life long teaching career and am in retirement. So I guess I have been blessed fully by a loving Lord and Savior with getting this far. I am hopeful for more years ahead too!

      5
      2 years ago Log in to Reply
      1. Bruce Schnitzler

        May God continue to bless you!

        2 years ago Log in to Reply
    19. rick phillips

      I was do happy to have collaborated on two published articles. The first was about how rheumatologists can treat patients better. While not diabetes-related, it is essential for any doctor. The second was about holistic treatments for arthritis. While considering these treatments we examined the potential impact on diabetes.

      1
      2 years ago Log in to Reply
    20. Bret Itskowitch

      I started using my Dexcom in 2021. Now that 2023 is ending; me, my A1C, and my fingertips are very happy.

      0
      2 years ago Log in to Reply
    21. Lee Johnson

      Not proud of dealing with Dexcom and my problems with the first 12 hours after inserting a new sensor. Even their “great” G7 leaves alot on the table in the first 12 hrs. “No Fingersticks”, what!
      Just make guesses when the receiver shows 43 but a fingers tick says 122.
      And the company stock has problems with a horrible EPS , which should be 3 times higher!!

      2 years ago Log in to Reply
      1. Ahh Life

        Hate to say this but, . . .Sigh! . . . Everyone’s earnings per share should be 3 times higher.

        2 years ago Log in to Reply
      2. Tina Roberts

        I used Medtronic from 2007 until 3 months ago. I changed to Omnipod 5 with Dexcom cgm. I feel so free and non stressed with no finger sticks, no tubing and a great auto insulin system! The pod even primes itself. Best move I’ve ever made.

        2 years ago Log in to Reply
    22. Kristi Warmecke

      Don’t you mean 2023?

      2 years ago Log in to Reply
    23. Jeff Perzan

      Managed to achieve 5.9 A1c last endo visit. Will be transitioning from G3 to G4 with the 780G in 4 days for the start of 2024.

      1
      2 years ago Log in to Reply
    24. Dawn Konig

      Survived and thrived

      2
      2 years ago Log in to Reply
    25. Cyndee Brazill

      I celebrated my 50 year anniversary of having diabetes in April of 2023. I feel very lucky that I don’t have any major complications and that technology has made some great advances. Now if we only could find a cure.

      1
      2 years ago Log in to Reply
    26. Tanya Levchuk

      I’ve been able to keep my A1C below 7 and have also had my time in range above 70%

      2 years ago Log in to Reply
    27. Chris Albright

      Two quarters that my A1C was 5.9 and a 6.1. Contribute this to cgm and Tslim Control I/Q.

      2
      2 years ago Log in to Reply
    28. Janis Senungetuk

      I’m still here and functioning after 68 years living with T1D! My Endo and Diabetes Educator invited me to be interviewed by HMO marketing to kick off November as Diabetes Month. I was asked to tell my diabetes story. After a good mug of coffee I talked for two hours about a lifetime as a science fair experiment with many adventures along the way. I emphasized the need to acknowledge and listen to the patient’s voice and how grateful I was for the medical staff who did. My much abbreviated story was posted on Facebook with several photos. I don’t know how many people paid attention to it but I appreciated the recognition of being nominated by my doctor and educator.

      4
      2 years ago Log in to Reply
    29. Russell Buckbee

      I, with 1500 others, completed the Diabetes Control and Complications Trial, a multiyear study that proved definitively that control of blood sugar reduces complications. We were awarded the Banting And Best Award for outstanding diabetes research.

      3
      2 years ago Log in to Reply
    30. kim bullock

      I finally got my A1C in the 7% range. After almost 30 years. I don’t have any diabetes complications. Which is a miracle

      2
      2 years ago Log in to Reply
    31. Carrolyn Barloco

      I really find Time in Range useful in day to day control. I’ve managed 70% most of the time!😃

      2 years ago Log in to Reply
    32. Bob Durstenfeld

      I had my first encounter with the paramedics after 67 years with T1D.
      I had a night time low that my wife could not rouse me from.

      1
      2 years ago Log in to Reply
    33. Robert Wilson

      May last A1C has me at 2 years at 5.9 or less. The cgm has helped me get through this. On the downside, I no longer qualify for most clinical trials since my A1C is less than 7. Oh well.

      1
      2 years ago Log in to Reply
    34. Karen DeVeaux

      Started using a CGM and lowered my A1C.

      1
      2 years ago Log in to Reply
    35. Tina Roberts

      Yes! I went from 10.8 A1c to a 6.7!!!!!!!!!

      1
      2 years ago Log in to Reply
    36. Donna Condi

      February 12, 2023 was my 25th diaversary. I sent off for my 25th award medal from Lily and 25th year medal from CWD.

      2 years ago Log in to Reply
    37. Randy Molen

      I had my lowest reported A1C of 6.2 thanks to the software upgrade of the MiniMed 789G!

      2 years ago Log in to Reply
    38. Sherrie Johnson

      62 years for me, went from MiniMed to tandem pump so nice to have the CGM and the pump working together

      2 years ago Log in to Reply
    39. ConnieT1D62

      62 years of living with T1D in my body. A1Cs for past 12 months have been at 6.7 – 6.8 with Tandem X2 CIQ. Can’t complain about that.

      2 years ago Log in to Reply
    40. Cubs Fan

      50 year diaversary as of Christmas Eve.

      2 years ago Log in to Reply
    41. PamK

      Reaching 59 years with T1D with no complications!

      2 years ago Log in to Reply
    42. Kristen Clifford

      I upgraded to the Medtronic 780g system.

      2 years ago Log in to Reply
    43. Eva

      Well, my diabetes achievement in 2023 was to continue playing tennis, not get injured and improve my time in range (60-100). I did my last A1C was 5.8 which was an improvement from 6.0

      2 years ago Log in to Reply
    44. Jennifer Farley

      As a type 1 diabetic I have found weight loss a huge challenge. I have lost a total of 65 pounds. Understanding my problem was a large part of the problem. I was over compensating for my lows and causing a yo-yo effect. I needed the right doctor with the right treatment advice to get me there. So, this is a multiple effect, better control of my A1C numbers, better weight, and less fear leaving of leaving my home.

      2 years ago Log in to Reply
    45. T1D4LongTime

      I’ve returned my A1C to 6.4 from 6.7 earlier this year.

      2 years ago Log in to Reply

    Did you have any diabetes-related achievements or milestones in 2023? Share what you’re proud of in the comments! Cancel reply

    You must be logged in to post a comment.




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