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    • 13 minutes ago
      Judith Halterman likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 16 minutes ago
      Derek West likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 15 hours, 26 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.
    • 17 hours, 24 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.
    • 21 hours, 59 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.
    • 21 hours, 59 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.
    • 23 hours, 48 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.
    • 23 hours, 54 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.
    • 1 day 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, 18 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, 21 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 2 days, 22 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.
    • 3 days 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.
    • 3 days 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.
    • 3 days 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.
    • 3 days 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, 15 hours 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.
    • 4 days, 9 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, 22 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, 23 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.
    • 5 days ago
      Lawrence S. likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
    • 5 days 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.
    • 5 days 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.
    • 5 days, 11 hours ago
      Amanda Barras likes your comment at
      Which T1D influencers do you enjoy following?
      Currently it’s the Diabetech, Justin Easter.
    • 5 days, 20 hours ago
      ChrisW likes your comment at
      Share some of your favorite T1D-related podcasts in the comments:
      I don't do T1 podcasts.
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    Do you prefer to have your endocrinologist appointments in-person or virtually?

    Home > LC Polls > Do you prefer to have your endocrinologist appointments in-person or virtually?
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    Do you ever feel pressure or anxiety to eat “low carb” in public around people who know you have diabetes? (Share in the comments experiences that you’ve had.)

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    If you (or your loved one) are on ADHD medication, do you feel like it has an affects your blood glucose numbers?

    Samantha Walsh

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

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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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    25 Comments

    1. PamK

      I chose “other” because I’ve only had in person appointments and have never tried a virtual appointment. So, I’m not sure if I would like them or not.

      5 years ago Log in to Reply
    2. Sue Herflicker

      I prefer virtual because my endo is in the city an hour and half from home and I hate the commute!! I see my GP regularly so there really isn’t any need to travel, virtual works well.

      5 years ago Log in to Reply
    3. Sahran Holiday

      She prefers in person which wasn’t a good option my first appointment. I will go with her preference though I like Virtual when possible.

      5 years ago Log in to Reply
    4. Rebecca Lambert

      I have not had any virtual appointments, but I would be happy to as long as in person appointments were available on request if I was having a problem that needed to be addressed in the office.

      5 years ago Log in to Reply
    5. Annie Wall

      Hybrid of both for me! I always like our August appointment in person because I will have had my annual blood work done before and I like to go over that in person. I also like in-person when I have some problems that I like to discuss at length. Since I’m gone for four months each winter, the virtual truly is perfect for me then and when it’s a routing four month check-in, virtual works just fine.

      5 years ago Log in to Reply
    6. marmcs@yahoo.com

      Prefer to have all of my vitals done and a general check over. I love my endocrinologist, only problem is she is sooooo busy. Wish her PA’s “bedside manner” was even half my endo’s. She’s good at her job but I think it’s a job, not a passion.

      5 years ago Log in to Reply
    7. Steve Gold

      It depends on which kind of appointment is we are talking about.
      if we’re taking a sample or something that involves me directly the I need to be there or at least somewhere where the test can be run and the data recorded otherwise, a virtual meeting will do.

      5 years ago Log in to Reply
    8. Jneticdiabetic

      I chose the hybrid. I’ve been seeing my Endo virtually only for the past year and a half. Fire v the most part that works fine for reviewing my A1C and pump/CGM downloads. Probably best to see in person at least once annually for vitals, feet and thyroid check.

      5 years ago Log in to Reply
    9. connie ker

      I am on Prolia for osteoporosis and my endo NP and RN bring it along every 6 months to my apts. in my hometown. It saves me driving over any hour away, so I only have had “in person” apts.

      5 years ago Log in to Reply
    10. Kristine Warmecke

      It doesn’t really matter to me, as long as I have an appointment. My endo is the best of all my doctor’s on the virtual appointments, sharing her screen to go my Dexcom and tSlim uploads.

      5 years ago Log in to Reply
    11. kristina blake

      I prefer virtual. It’s just me an the Endo. The nurses and med asst’s at the practice I have to use are rather snarky and there is some travel hassle to get there. I am really disciplined about having labs doen -usually a week or so before the appt so the data is there for any discussion (and I also havve received the results). I basically see the Endo for Rx renewal anyway.

      5 years ago Log in to Reply
    12. Janis Senungetuk

      I prefer in-person because the clinic uses a specific platform for virtual appointments that I find difficult to use.

      1
      5 years ago Log in to Reply
    13. TomH

      I think it depends on much interaction is likely. My Endo seems to like to see me every 3 months, probably because it’s my first year as T1. However, if appts continue to be “you’re doing fine” vice actual discussion of a topic, then telemedicine would be OK. I also think telemedicine should be at reduced cost; if I’m not getting weighed/height, preliminary discussion with a nurse and not using the office, why should I or my insurance be paying for a lot of office space and staff?

      1
      5 years ago Log in to Reply
    14. Anthony Harder

      I have done both in-person and remote. I prefer in-person, but that is only my personal preference. My doctor was excellent via electronic interface as well.

      5 years ago Log in to Reply
    15. Carol Meares

      Although I prefer in person sometimes I need a virtual, which I was doing before the pandemic even because I happened to be not at home in my hometown. It was always planned ahead of time.

      5 years ago Log in to Reply
      1. Carol Meares

        Oddly enough, the clinic my endo operates out of presently does not accept virtual visits which I will have to ask about when I go on Wed. because I will need a virtual visit in January.

        5 years ago Log in to Reply
    16. M C

      Call me a skeptic, but I don’t feel the communication, the give and take, is anywhere near the level one receives when meeting in person. So my choice remains with ‘in-person’.

      1
      5 years ago Log in to Reply
    17. Eve Rabbiner

      We dId OK virtually, but I still prefer in person. He prints out my dexcom charts which we discuss. The office is an easy 15 minute drive so that is not an issue for me. Thank goodness.

      5 years ago Log in to Reply
    18. dave hedeen

      prefer both. commute is 90 minutes round trip and $5 tolls plus $6 to park

      5 years ago Log in to Reply
    19. ConnieT1D62

      I prefer in person with the list of specialist providers I see – endocrinologist, podiatrist, cardiologist, ophthalmologist, chiropractor, dentist. I generally only see the primary care provider in person once or twice a year: for an obligatory yearly physical visit, and every 6 months for a Prolia shot. Everything else she and her staff handle virtually or by phone contact. I get my annual flu vaccine at CVS, and the COVID vaccines are given at the local hospital.

      5 years ago Log in to Reply
    20. Patricia Dalrymple

      I said in person but it all depends on what is happening in the world. These days, nothing is predictable.

      5 years ago Log in to Reply
    21. Sasha Wooldridge

      I started seeing a new endo virtually because I couldn’t find any worth seeing on my side of the state. I imagine I’d like to go there at some point for an in person appointment, but she’s already helped me a lot with only virtual visits. I have local specialists for the things I can’t do virtually, like checking my eyes, but virtual for my endo has worked out so much better for me.

      Plus, no drive time, no waiting in the waiting room, no waiting in the exam room, no paperwork afterward. I just sit down at my computer, have my session, and get up and leave. Love it!

      5 years ago Log in to Reply
    22. Mary Ann Sayers

      ALWAYS IN PERSON!!! Many unplanned discussions take place as a result of personal visits.

      5 years ago Log in to Reply
    23. Molly Jones

      I chose in person as I have yet to do a virtual appointment with for Endocrinology. I think it works better in person than some other visits I have done virtually.
      If teleportation was part of virtual, of course I would choose hybrid.

      5 years ago Log in to Reply
    24. Cheryl Seibert

      I prefer in-person visits as neuropathy tests on my toes and check on heartbeat,etc. is done during my appointment. I would be happy to virtual appointments though.

      5 years ago Log in to Reply

    Do you prefer to have your endocrinologist appointments in-person or virtually? Cancel reply

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