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  • Activity
    • 8 hours, 47 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      "It's a forever learning curve" - so very true
    • 8 hours, 54 minutes ago
      KarenM6 likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      I hesitate to bring this up but I am quite sure this happens more than people realize. I use a tubed pump and small amounts of total daily insulin and have checked the tubing for YEARS for bubbles. YES, they are difficult to "notice" unless you have a good light behind the clear tubing because the insulin is also colorless. I detach and check the tubing in the morning and before bedtime if not before the evening meal...I'm talking about significant bubbles----8-10-or12 inches in length can appear and you would NOT notice them unless you were looking. I wonder how many people wonder why their blood sugar is occasionally high and it's being caused by a significant bubble...NO, not the champagne sized version that's often mentioned to "ignore." The pump company I deal with tried to get me to switch to injections instead but I am an EXPERT with the bubble situation. Also, comments over the years that I am probably not filling the reservoir correctly, etc....just plain silly. I am NOT new at this...LOL!!!
    • 9 hours, 19 minutes ago
      KarenM6 likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 13 hours, 56 minutes ago
      Janis Senungetuk likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 13 hours, 56 minutes ago
      Richard Wiener likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 14 hours, 16 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I began playing Pickleball last year in March. When the temperatures started to rise the extra effort my body was experiencing because of the heat got my body hormones out of balance and I began experiencing nausea, higher heart rates and feeling very uncomfortable. I soon realized that I cannot play when is too hot or I’ll end up with ketones. Any new activity when on. Insulin requires adjustments. It’s a forever learning curve. Adding to the heat, last year I was having some absorption problems by the overuse of my abdomen. I have now move the infusion sites to my upper front side and it’s working much better.
    • 14 hours, 16 minutes ago
      Kristine Warmecke likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 14 hours, 17 minutes ago
      Ahh Life likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I answered no, but I do experience nausea and/or vomiting, usually on a daily basis, but this is because I have gastroparesis. I have rarely been able to eat breakfast over the last 20+ years as I end up vomiting it all back up ... try explaining that to ward staff in hospital(s). ;-)
    • 14 hours, 36 minutes ago
      Becky Hertz likes your comment at
      In the past 12 months, have you experienced nausea and/or vomiting as a symptom of high blood glucose levels?
      I said yes to nausea, occurred with a bad pump site insertion and rising BG over the next 4 hours. I picked it up early w CGM notification and realizing that it was very unusual for me to have rising BG at that time of the day (morning) when on Control IQ pump. The severity was delayed because I had given a breakfast meal bolus via the prior site before the change, so BG was rising after 3 hours, and I knew something was not right. I think this is an important clue for pumpers- when I see people get in trouble w bad sites or insertion failures, the thought process usually is- I just put a new site in, it must be ok- or maybe it does not occur to people that the pump site could have failed--when it should be- did the insertion fail? ----If in doubt, pull it out!----- I pulled the site and could see the cannula was bent, so I know what happened and injected w a syringe, put a new site in, and was better in a 3-4 hours.
    • 1 day, 7 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      After 62 years I have skin issues everywhere. I am an avid at rotating every time I change my infusion set. When I was on multiple daily injections, up to 9 per day, I had massive skin hardening. Since on the pump it’s not nearly as bad that’s been 33 years. I take very little insulin my daily basal comes out to 9 units over 24 hours I eat two meals that I count carbs for and try to keep at a minimum of 30-40 per day. Everything is going well. Rotation is key
    • 1 day, 7 hours ago
      Wanacure likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      I use a pump and have had issues with insulin absorbtion. It seems I have a lot of them on the side I primarily use for infusion sets. I recently switched to the other side of my abdomen and dropped more than one point on my a1c.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      When I first started with my current Endo we would discuss the released and upcoming products and I would tell her about the 'off-market' applications and devices, we both learned from each other. But she was so good with helping me transition to the Dexcom and then the Tandem after Animas was pulled from the Market. She followed my Dex and even finer tuned my Basals and early this year I got an "unbeleivable" 5.4 A1c and we are both extremely happy!
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      Yes. But then I self-selected when choosing an endocrinology clinic that pursues cutting-edge advances 40 years ago. Cutting-edge is a phrase that is also often called bleeding-edge because it is often experimental, hit or miss on results, and very expensive. I am convinced the “bleeding” refers to $$$.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      Does your T1D healthcare provider suggest new medications or devices that they think would be beneficial to your T1D management during your appointments?
      not anymore, and I am happy about it! Most of the time they were recommending things that had been recently pitched to them by a pharmaceutical salesperson or a durable medical supplier. The doctors would give patients the "free samples" and it was often not the best fit, then after the "free" supply ran out, the prices were exorbitant. Maybe it still happens, but I haven't seen it for a while.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The need for better CGM accuracy is a big consideration for me. Also my control is pretty good right now (a1c in the low 6 range). Although I am tempted by the sleep and exercise modes which would be very helpful since I’m getting back in to exercise. So…I keep sitting on the fence…
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I don’t want to change from the Omnipod Dash to Omnipod 5 because the minimum target blood glucose is level is higher than where I like to keep it. My A1C is currently 5.0.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      For the last 5 years, the highest HbA1C I've had was 5.3. For the last 3 years the high, low, & average have been 5.2, 4.7, & 4.9. I'm not willing to go to an AID that sets a target of 6 to 7.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      I do MDI. For the last 7 years my A1C has averaged around 4.8. I have no reason to believe that a closed loop automated system could do that well.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      There are many reasons, as well as "something else." My arthritic fingers do not serve me well with a cell phone. I have trouble putting the needle covers back on to my insulin pen needles. If I had to take care of all the fine muscle issues associated with setting a pump up, I would probably require assistance. I am also not drawn to the issues I hear about tissue damage at the infusion sites, or knowing whether everything is seated properly and the insulin is actually flowing. Finally, I just have some kind of negative karma with electronics. I have worked as a lab biochemist. Somehow, I find the weaknesses of every machine in the lab. (the ideal industrial beta-tester) Having said that, what I hear about the numbers achieved with the tandem CIQ gives me pause to consider.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Like others, the "closed loop" runs me too high - even the target bg is too high for me. I use the TandemX2 with BIQ integrated wqith my Dexcom G6. I also appreciate - and use - the temp basal function often. I would lose that with CIQ. L:ike Nilla Eckstrom (I think?) I like to be between 80-90, with maybe up to 120 after I eat.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      The constant refilling and site changes...doesn't seem worth it.
    • 1 day, 8 hours ago
      Wanacure likes your comment at
      If you have never used an insulin pump with automated insulin delivery (also known as a hybrid closed-loop pump), what are some of the reasons you’re reluctant, or obstacles you’ve encountered? Please select all that apply.
      Luddites just may be the most comfortable people on earth. 🙃 
    • 1 day, 9 hours ago
      Antsy likes your comment at
      For pump users: In the past 3 months, have you had issues with insulin delivery due to a bent cannula or occlusion?
      Holy cow! 8 to 10” bubbles? There is definitely something wrong if that is happening to you. I occasionally get 1/4” inch 10” is excessive. Have you gone in and shown your pump instructor how you’re doing it so that they can help you figure out the problem?
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      Aside from the first year after your diagnosis, have you seen a registered dietitian for help managing nutrition and T1D?
      When I was put on insulin, the first dietitian I payed to see said I could eat whatever I wanted as long as I followed the set number of macros (carbs, protein, fats). The stupid diet had my blood sugars all over the map. She didn't care/listen when I told her milk, bread/pasta made me feel really sick. She said because I was on insulin I need to eat a high carb, low protein and low fat diet. What bad advice! Thankfully, I came to my senses and starting reading the experiences of other T1D's who were following the The Bernstein diet.
    • 1 day, 9 hours ago
      Wanacure likes your comment at
      Aside from the first year after your diagnosis, have you seen a registered dietitian for help managing nutrition and T1D?
      Saw one, recently out of school, when I was first diagnosed ten years ago. She insisted I needed 150 grams of carbs per day minimum and handed me a sheet with meal plans. She explained that I needed those carbs to keep my brain functioning properly. GEEZ. I can only hope she's learned a thing or two since then.
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    Do you currently use an insulin pump?

    Home > LC Polls > Do you currently use an insulin pump?
    Previous

    How often do you get bruises at injection sites or device sites?

    Next

    When purchasing condiments or dressings (i.e. ketchup, BBQ sauce, mustard, etc.) do you ever buy the products labeled “sugar-free”?

    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community 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. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    43 Comments

    1. Vivian Moon

      I Never buy anything “sugar free!”
      Translation: “loaded with chemicals!”

      1
      8 months ago Log in to Reply
    2. Vivian Moon

      Yes

      8 months ago Log in to Reply
      1. Vivian Moon

        NO—not sure how this showed up!
        See comment below!

        8 months ago Log in to Reply
    3. ellencherry

      Once in a while – pancake syrup is great. Most others are too sweet for me. I’d rather use a little regular ketchup.

      8 months ago Log in to Reply
    4. kilupx

      Funny you should ask. I have had T1D for 7 years and my order for a Tandem pump is in final review with insurance providers. It should be shipping next week. So the next time you ask this question my answer will be Yes not No.

      1
      8 months ago Log in to Reply
    5. Janice Bohn

      Switched from Tandem x2 with control IQ to OmniPod 5 in June.

      8 months ago Log in to Reply
    6. pru barry

      Much as I complain, I can’t imagine not having a pump. Wish my four-shots-a-day labradoodle could have one, too!

      2
      8 months ago Log in to Reply
    7. Lawrence S.

      Yes, since 1998. Used Medtronic pumps until approx 2016. Now using Tandem X2, plus Dexcom G2 Control IQ CGM.

      8 months ago Log in to Reply
      1. Mary Grocott

        Same here I used the Medtronic for several years. Now using the Tandem and I absolutely hate it!!

        8 months ago Log in to Reply
    8. Joan Benedetto

      Yes. My son started pumping at age 20 mos, two months post dx. He’s ten now.

      8 months ago Log in to Reply
    9. Trisha Oldenkamp

      Omnipod with Loop. Insurance won’t cover the intro kit for Omnipod 5 or I would switch to it.

      8 months ago Log in to Reply
    10. Jeff Balbirnie

      Far too expensive at the moment, not possible even if I wanted…..

      1
      8 months ago Log in to Reply
    11. Bonnie kenney

      I did for 25 years…my Insurance changed and I no longer could afford it. I kinda like not having to worry about the pump.

      2
      8 months ago Log in to Reply
    12. Mary Grocott

      tslim

      8 months ago Log in to Reply
    13. jpowarz86@gmail.com

      I am working on getting an Omnipod 5, but insurance is being difficult…Medicare…

      1
      8 months ago Log in to Reply
      1. Jane Cerullo

        Had an omnipod Medicare says part D. Copay with donut hole cost prohibitive. Happy on MDI. Had an Medtronic’s pump but hated it.

        8 months ago Log in to Reply
    14. eherban1

      I’m currently on a “pump vacation” after nearly 25 years of using one. I just extended my vacation b/c my a1c has not changed under MDI & I’m enjoying not being tethered.

      2
      8 months ago Log in to Reply
    15. Richard Vaughn

      I did not know about pumps until the late 1990s. That was more than 50 years after my diagnosis in 1945. I thought I had good control in the 1990s, and my doctor (a GP) agreed. I did notr start pumping until 2007. Then I discobvered what good control really was! I have a picture of a lady using an old pump in 1978.

      3
      8 months ago Log in to Reply
      1. eherban1

        I knew a lady who used a “pump” in 1983. At the time, she was one of my best friend’s aunts. My friend moved away and we drifted apart- no interweb back then.

        8 months ago Log in to Reply
    16. Linda Zottoli

      Have used a pump since 1998, insulin since 1955. Since I had been giving numerous correction boluses the last couple days to stay in range, before deciding I had to raise my basal rates for my current hopefully-temporary increased insulin need situation (simple activation on already programmed menu of basal rate profiles), I have been really appreciating avoiding extra injections. CIQ will help when the need for lowering comes, and I will able to do it with just the quick acting without having to deal with long-acting insulin.

      1
      8 months ago Log in to Reply
    17. Bob Durstenfeld

      Tandem x2 with Control IQ and Dexcom G6. They help me stay 80% time in range and an A1c of 5.9. Better than I could do manually.

      2
      8 months ago Log in to Reply
      1. Ahh Life

        Bob — Ditto for me for all things you said except the A1c. Mine is 6.4 and trying to achieve 7.0 because of instability issues (imbalance and falling over). ツ

        8 months ago Log in to Reply
    18. Thomas Cline

      No. Although I hear good things about pumps, it just doesn’t seem worth the nuisance (expense would be covered by insurance so it’s not a factor), AND being in California I always travel with extra insulin supplies in case of earthquake. If I’ve got to have the insulin kit with me at all times (and available for MDI), it is just easier not to also have to bother with a pump. Moreover, with a CGM (which is wonderful), I’d have to have two devices stuck to me all the time if I had a pump. So long as I can keep my A1c where it is supposed to be for someone my age (and the CGM certainly helps), the expense and nuisance of a pump just doesn’t seem worth it. If they ever manage to come out with a truly fast-acting insulin for pumps, I might reconsider, but even the fastest now is so far from the behavior of pancreas-produced-and-delivered insulin that a pump seems a very far cry from being non-diabetic. And of course they can clog.

      1
      8 months ago Log in to Reply
      1. sweet charlie

        My feelings exactly!!! 70 years on syrings, and doing fine!!

        8 months ago Log in to Reply
    19. Jane Cerullo

      In January changed to MDI via InPen. Also have IPort so one injection site changed every 3 days. Working well for me. Just came back from two weeks in Italy. No problems. Use Frio paks for travel. So happy not to be tethered to a pump.

      1
      8 months ago Log in to Reply
      1. KarenM6

        Thank you for commenting! Your set up sounds very interesting to me. I will have to research the IPort! 🙂

        8 months ago Log in to Reply
    20. Sherrie Johnson

      33 years for me one of the first Medtronic users very futuristic then. This changed my life from upwards of 9 injections a day to a more normal existence.

      8 months ago Log in to Reply
    21. Leslee Wientjes

      My daughter wears omnipod. I am a CDCES and familiar with several insulin pumps.

      8 months ago Log in to Reply
    22. Randell Cole

      I started using a pump before they were available in USA, I believe it was made in Britain also used, filled a special glass syringe, fitted with screw drive plunger and you turned a dial on exterior of pump 1/2 turn for .5 units a full turn for 1 unit. next was Auto Syrenge, I believe the next was made by Lilly, not much bigger than my current Tandem X2. the first pumps, you had to dilute insulin with saline to the strength you needed. I may have missed one, not sure right now.
      The Tandem is so far advanced from those pumps of old and getting even more so.
      Pumps have certainly come a long way from those old days as have the different insulins available

      8 months ago Log in to Reply
    23. Randell Cole

      Already answered at top

      8 months ago Log in to Reply
    24. Marty

      I was diagnosed in 1992, started with a Minimed 506 pump and Velosulin in 1993. It was quite a battle getting insurance to cover it. The insurance agent told me if I couldn’t give myself injections because both my hands were amputated, they would send a nurse to my house every day to give me my injections because that would be cheaper. Before I got my pump, I was a slave to NPH, which had me crashing during my commute almost every day. I’m sure today’s insulins make injections much easier, but I still love being able to modulate basal rates with my Tandem t:slim.

      2
      8 months ago Log in to Reply
      1. Marty

        BG crashing, not car, that is 🙂

        2
        8 months ago Log in to Reply
    25. Lee Johnson

      Neither my wife and I, T1d for over 45 yrs each, never the desire to use a pump.

      8 months ago Log in to Reply
    26. LizB

      Diagnosed April 1985. Started my first pump in May 2005 and it changed my life and probably saved my life. I had a number of severe lows prior to getting the pump. Living alone, the ones that happened as I slept were terrifying. After getting that first pump, even though CGMs weren’t around yet, I finally felt secure going to bed each night. When Medtronic introduced their CGM that used the pump as the receiver I got it and that was even better. I have not been off a pump for over 17 years now, not ever for a day.

      8 months ago Log in to Reply
    27. Louise Robinson

      Dx’d in 1976 and resisted using a pump until 2011….so sorry I waited so long! It’s been a game-changer and I NEVER want to return to MDI! Started with Medtronic and switched to Tandem T:slim X2 with Control IQ in October 2020. Last A1c was the lowest EVER at 5.8. Life is GOOD!

      1
      8 months ago Log in to Reply
    28. TEH

      Been pumping since 2001. I’m on my 5th Minimed pump and cant wait for the 780G

      8 months ago Log in to Reply
      1. Randell Cole

        Yes, many years ago , when they first came out.

        8 months ago Log in to Reply
    29. mbulzomi@optonline.net

      Once in a while, depending on where /what I’ll be using it.

      8 months ago Log in to Reply
    30. Randell Cole

      Been using pumps since they first came out, they have gotten better and better over the years. I am now using a Tandem X2, soon to change from Basal IQ to Control IQ

      8 months ago Log in to Reply
    31. Iggy1066

      not currently but i have ordered one and it is on the way

      8 months ago Log in to Reply
    32. lis be

      oops, i said “other”, but I was answering the wrong question. Yes, I use the medtronic 630

      8 months ago Log in to Reply
    33. Bea Anderson

      Yes. 16 yrs with Medtronic. Medicare only covered Dexcom for me. Just switched to omnipod 5 with Dexcom.

      8 months ago Log in to Reply
    34. Brent Boyd

      No. 50 years on MDI. I do use a Libre for CGM.

      8 months ago Log in to Reply

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