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      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
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      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.
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      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.
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      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
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      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
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      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?
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      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.
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      For Minimed, the dedicated reader is the pump.
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      I chose "dedicated reader". That reader is my pump, a Minimed 780G.
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      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
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      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I believe that AI may very well become a great tool - but at this time it still makes too many errors for me to be confident in it.
    • 19 hours, 12 minutes ago
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      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Here's my concern. I've used AI when meeting new clients to take notes of my meetings while I'm talking with the client. Ostensibly, this frees me up from having to jot down notes while talking - allowing me to give my full attention to the conversation. (Very good benefit of AI) Then, when reviewing the notes, AI literally fabricated scenarios that weren't discussed (AI Hallucinations are a very bad side effect). Not knowing when AI will fabricate a fact pattern gives me great concern that AI will fabricate a glucose reading and then act on that hallucination. AI has great potential, but it's not ready yet.
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      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
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      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Roughly half my lows are caused by my auto correct system now. I expect AI hallucinations to make it worse. I have enough hallucinations when I'm low and need non-hallucinatory help. We all need more info on this subject to make better decisions. As my favorite 80's AI robot (Johnny 5) said, "Need input."
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      I'm not comfortable for many reasons: 1) AI hasn't proven respects boundaries, quite the opposite, too many reports of AI tend to view its responsibilities and decisions as NOT mine; 2) the companies behind AI systems do likewise in not respecting my data as mine and jumble it in with their own; 3) AI systems haven't proven themselves as reliable parties regarding data and actions. There are many more; AI systems have a long way to go before I entrust one with dosing strategies while I'm awake, let alone while I'm asleep!
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      I’ve done a large 2 week focus group through Syracuse University on AI. I’ve also been watching shows on European news about AI and medical issues. AI still has too many glitches when it comes to medical issues.
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    Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)?

    Home > LC Polls > Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)?
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    If you have a school-aged child with T1D, do you make any changes to their T1D care routine when they go on summer break? Share how you adjust to a summer schedule in the comments!

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    If you have attended a wedding while wearing T1D devices, do you try to place your pump and/or sensor sites somewhere not visible?

    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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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. 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    40 Comments

    1. Jana Wardian

      I always take 10 grams of “ghost carbs” when I wake up to help even out the feet on the floor syndrome as I call it.

      5 years ago Log in to Reply
      1. Jeannie Hickey

        So agree, most women call it “feet on the floor” I’ve heard med call it “after shower” rise!

        5 years ago Log in to Reply
      2. Annie Wall

        My “dawn phenomenon” is like yours. My blood sugar seems to rise from a fairly normal place as soon as I get up so I have to bolus something, maybe 1-2 units.

        5 years ago Log in to Reply
      3. Stephen Woodward

        This is feet on the floor not DP, which only happens in your sleep cycle.

        5 years ago Log in to Reply
    2. Jose Almodovar

      Prior to Control-IQ it was a daily ritual. Now I’m wake up about 90-110.

      1
      5 years ago Log in to Reply
    3. Retired and glad

      I raise my basal a couple of o
      Points starting at 3 am each day to counteract it.

      5 years ago Log in to Reply
    4. Sahran Holiday

      Yes. Endocrinologist thought it was rebound til I figured out was my NPH running out. Put me on ultralente helped. Now 16 years on Omnipod just program higher basal starting 3:00 am

      1
      5 years ago Log in to Reply
    5. Jeannie Hickey

      Always, starts about 4a. THEN a rise again soon after I get up – 5a, or 6, or 7. Within 45 min I’ve gone up 50-60 points. Loop covers it well, but the other 2 pumps require 15g “fake”carb bolus.

      1
      5 years ago Log in to Reply
    6. Gerald Oefelein

      I do but my pump increases basal to compensate.

      5 years ago Log in to Reply
    7. Tray Geiger

      I actually experience the complete opposite–a huge drop starting around 4-5 AM. My basal is the lowest of the day during those hours, by far. I don’t understand it!

      5 years ago Log in to Reply
    8. connie ker

      Lots of mornings, I take humalog and just wait for the numbers to come down before eating anything but do drink some coffee while I wait. This is realtively new but since I watch on a cgm, I can see the numbers whenever, wherever. If I take more Lantus, it may increase the chances of lows during the night, but might increase by a unit to see if that doesn’t help the pre dawn syndrome.

      5 years ago Log in to Reply
    9. Laura Siner

      Yes but TSlim sleep mode adjusts for it

      1
      5 years ago Log in to Reply
    10. Beth Franz

      No – strangely enough. I usually bottom out around 1 – 2am and very very slowly rise. I do have feet on the floor bump of 20 points the second I get out of bed.

      5 years ago Log in to Reply
    11. Shannon Barnaby

      Yes always but because of that I have my basal set higher for that time of day.

      2
      5 years ago Log in to Reply
    12. Eve Rabbiner

      I thought I did when I was on Medtronic’s automated system. Now I am living unlinked and can control my basal myself and I’m steady all morning.

      5 years ago Log in to Reply
    13. Tod Herman

      Yes, I find it occurring almost every day. So much so that I am surprised that this question says it’s “abnormal!”

      5 years ago Log in to Reply
      1. Robert Brooks

        I would agree. Circadian hormonal variation that affects blood glucose levels in normal. For clarification, if you mitigate the dawn rise by increasing basal insulin delivery, you still have the dawn phenomenon.

        5 years ago Log in to Reply
    14. kristina blake

      I used to, while on MDI. First thing we tried was splitting my Lantus dose. That helped somewhat, but once I got my pirst pump (pre-CGN days) and saw that I could vary the basal setting by time of day, it basically doesn’t happen all that often. My CGM data shows me when I should start the very early morning increase in basal since insulin can take some time to do its job. I do rise due to my first cup of coffee (black – no additives) so I bolus for 6 grams and that handles it.

      5 years ago Log in to Reply
    15. Patricia Dalrymple

      No, unless you want to count being carb-bad the night before.

      5 years ago Log in to Reply
    16. Carol Meares

      I have adjusted my basal to reflect and adjust for dawn phenomena and I have to be careful about my morning foods as my insulin needs are higher in the morning for food eaten.

      5 years ago Log in to Reply
    17. Becky Hertz

      I probably have, but now no since I’m on a pump. However my early morning basal (3-5 am) is not significantly different than those around it.

      5 years ago Log in to Reply
    18. Christina Trudo

      I did for a great many years, but haven’t for the last 15 or 20. (I’m 70)

      5 years ago Log in to Reply
    19. Lisa Moir

      Since being on a pump/CGM, I don’t experience dawn phenomenon any more, but I need to be careful with morning exercise because of the increased insulin I get from 3-5 AM. I drop pretty quickly if I don’t eat a snack.

      5 years ago Log in to Reply
    20. George Lovelace

      The Dexcom G6 and Tandem w/CIQ have finally eliminated that problem

      1
      5 years ago Log in to Reply
    21. Janis Senungetuk

      Yes. Since starting Control-IQ that hasn’t been an issue.

      1
      5 years ago Log in to Reply
    22. George O Hamilton

      My BG almost always rises. So I have the basal rate on my pump to increase beginning at 5:30 AM. The effect is that my morning BG usually stays stable until whatever time I choose to eat breakfast and take the mealtime bolus.

      5 years ago Log in to Reply
    23. ConnieT1D62

      I used to but not anymore with Tandem Control IQ. Without Dexcom G6 and CIQ, most likely I would still be experiencing dawn phenomenon.

      1
      5 years ago Log in to Reply
    24. Ahh Life

      Feet on the floor,

      Watch the BG soar!

      The control IQ keeps me flatline from about 2200 hours to 0530 hours. Then the fun begins. I have been advised NOT to cover it with basal but to use corrective doses. Between the growth hormone factors and the gastroparesis random number generator factors, I am having an exciting every-day-is-new-on-the-roller-coaster experience. Ain’t life fun? 🙈 ⚠

      5 years ago Log in to Reply
      1. Stephen Woodward

        This is not DP, which only occurs during sleep. You are describing feet on the floor and are doing what I do if this happens.

        5 years ago Log in to Reply
    25. Kathleen Amper

      I use to have a pretty severe one but then menopause hit and now it’s not so bad.

      5 years ago Log in to Reply
    26. Donna Condi

      I have my basal set higher to cover it so since being on Tandem it is not an issue. If I don’t do much or eat breakfast I can straight line up to 12:00 noon before it starts to come down.

      5 years ago Log in to Reply
    27. Grey Gray

      MM automode compensates.

      1
      5 years ago Log in to Reply
    28. Stephen Woodward

      This is a very poorly written question as can be seen by the comments. DP happens only while sleeping and that should have been in the question to eliminate the “feet on the floor” syndrome which only happens after you wake.

      1
      5 years ago Log in to Reply
    29. Stephen Woodward

      Dawn Phenomenon

      https://www.diabetesdaily.com/learn-about-diabetes/understanding-blood-sugars/is-my-blood-sugar-normal/high-blood-sugar-hyperglycemia/fixing-high-morning-blood-sugars-dawn-phenomenon/

      https://beyondtype1.org/dawn-phenomenon/

      5 years ago Log in to Reply
    30. Daniel Smith

      Yes, dawn phenomenon is pretty constant and I have it programmed into basal. As others are mentioning foot on the floor can be a real pain to deal with.

      5 years ago Log in to Reply
    31. Molly Jones

      After reading comments, it looks like mine is not dawn phenomenon. It is always when I awake.

      5 years ago Log in to Reply
    32. Cheryl Seibert

      Since starting on a CGM in 2012, I’ve had a very quick, severe morning rise 5am-6am timeframe (I’m a morning person, so no surprise). I also have a natural rise at 11am and 10pm for some reason. I’m currently 90-93% in range so my endo is happy with the short-term(30-60 min) rise in the morning. I plummet soon after… prebolusing, basal corrections, carb ratio adjustments make no difference. The only thing that eliminates it is a hot shower immediately after eating or getting up and moving around, as opposed to sitting and reading the paper 🙁

      5 years ago Log in to Reply
    33. n6jax@scinternet.net

      I am the reverse !! I wake up because of a LOW BG… I have a snackThen I go back to bed for a few hours more.

      5 years ago Log in to Reply
    34. Jamie W

      It’s really hard to tell, because there are so many things that could make my blood sugar rise at any time.

      5 years ago Log in to Reply
    35. T1D5/1971

      That’s what the higher early morning basal rate is programmed for. Correct basal rate means no hyperglycemia.

      5 years ago Log in to Reply

    Do you experience dawn phenomenon (an abnormal early-morning rise in blood glucose)? Cancel reply

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