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    • 2 hours, 13 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 8 hours, 31 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 9 hours, 23 minutes ago
      Kathy Hanavan 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.
    • 12 hours, 25 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.
    • 12 hours, 25 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.
    • 12 hours, 33 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.
    • 12 hours, 35 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.
    • 12 hours, 48 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.
    • 12 hours, 48 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.
    • 12 hours, 48 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.
    • 12 hours, 48 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.
    • 12 hours, 48 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
    • 12 hours, 48 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.
    • 12 hours, 51 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?"
    • 12 hours, 52 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.
    • 12 hours, 54 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.
    • 12 hours, 55 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.
    • 13 hours, 9 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.
    • 1 day, 10 hours 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
    • 1 day, 11 hours 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.
    • 1 day, 11 hours 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, 12 hours 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, 12 hours 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, 13 hours 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, 13 hours 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?
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    Do you think it would be beneficial if at-home DNA tests (23andMe, Ancestry DNA, etc.) were able to assess a person’s risk of developing T1D?

    Home > LC Polls > Do you think it would be beneficial if at-home DNA tests (23andMe, Ancestry DNA, etc.) were able to assess a person’s risk of developing T1D?
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    If you wear any devices, how many times in the past month have you accidentally ripped out a sensor or pump site?

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    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.

    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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    17 Comments

    1. Don P

      went through this & found it rather interesting, taking history into account & how diabetes was labelled many years ago, there is definitely a shortfall of information with death certificates.

      5 years ago Log in to Reply
    2. john36m

      These DNA tests all have me concerned about the privacy of your data. If that concern went away, I’d answer yes.

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

      Assuming you want that information and those genetic markers have been defined accurately – certainly that would be helpful. I’m going through this process now but decided against 23andme, ancestrydna, etc companies due to the fact their popular tests are not full genome/exome and you don’t necessarily own your data or control it. I went with another company after researching extensively how I accessed/controlled the data and paid bit more for the full data set to upload it where I see fit for the reports I want and will be available in the future as more genetic research is always coming out.

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

        What company did you use?

        5 years ago Log in to Reply
    4. Lawrence Stearns

      I’m not sure. What does a person do with the information? Is there any means of prevention? I think the information would be useful if there were some way of correcting the genetic factor, or preventing the risk factor. Otherwise, it’s information to add unnecessary stress. Then, there’s the issue about security of private information.

      1
      5 years ago Log in to Reply
    5. Kristine Warmecke

      I think it will cause more harm than good. Look at what has happen with trying to get Life Insurance & they find out through one of these test that you have a slight increase risk of cancer. Your rate is increased or you are denied.

      2
      5 years ago Log in to Reply
    6. rick phillips

      I simply do not know. I fear people might use it in place of diagnosis. However, I understand that if used properly it could be boom to trialnet and early detection

      5 years ago Log in to Reply
    7. Trina Blake

      I do have the privacy concerns (but I didn’t have kids, and just an older brother who decided against the anti-bodies test when I was Dx’d). But I also would want to know if my children had the possibility. I would start them early on helping me manage so it wasn’t as scary and there are things being researched that apply within the first year or so of Dx.

      5 years ago Log in to Reply
    8. Sue Herflicker

      I just said other, because It really doesn’t matter to me. Truth be told I really don’t want to know. Why worry about something especially if it never happens.

      5 years ago Log in to Reply
    9. Patricia Dalrymple

      I selected other. I think you would have to opt to know, not automatic and who knows how accurate these companies are with their processes and procedures. But one day soon, people are going to know exactly what diseases they will and won’t get, and yes, that’s going to be very stressful. I know 2 young girls whose father died of stomachs cancer. They were told they were definitely going to it and one found out breast cancer too. They started cutting out their body parts: breast, stomach bypass, etc. I’m not sure there are any winners there.

      5 years ago Log in to Reply
    10. connie ker

      I have no clue what I am saying Yes or No to, but another factor that isn’t presented is the cost. If it is pricey and not covered by insurance, most would opt out of doing such a test. My 2 sons were in the DCCT testing back in the early 90s to predict their propensity for T1D, but to do all this , it was a lot of travel and cost, not to mention the trauma for our 2 little boys. We even had a flat tired trying to get to the hospital which was 3 hours away. The boys missed school and their T1D Dad missed work. I wouldn’t do it again because it did not stave off the onset for 1 of our sons. The other is still OK.

      5 years ago Log in to Reply
    11. KarenM6

      I think the value is in knowing there is something to keep an eye on.
      I did 23andMe. They are VERY clear that anything that is revealed is NOT to be used as a diagnosis and that any concerns or symptoms need to be taken to a doctor.
      As a for instance in how it helped me, I tested as having a genetic marker for celiac disease. If I have stomach issues, I will know to ask my doctor if they think testing me for celiac is a good idea since I have a genetic marker for it.
      While testing for diabetes isn’t as “needle in a needlestack” testing for something as vague as stomach pain, I think some people would benefit.
      And, also, I can always ignore what is found! No one is pressuring me to react to what they find.

      As for the privacy issues… well, I can’t relieve that fear… but, they have systems in place… and, I have decided to trust those systems. Don’t know if that’s a “more fool me” moment or not…

      Those are my thoughts!

      2
      5 years ago Log in to Reply
      1. Henry Renn

        KarenM6 is correct. Results cannot be used as diagnosis. Speak to a doctor about concerns.

        5 years ago Log in to Reply
    12. Leona Hanson

      I believe that some of these companies maybe accurate or not. so what do you believe.but if doctors did it through your insurance it would more believable.

      5 years ago Log in to Reply
    13. Amy Nance

      I think being notified with the dna results that there is a genetic marker for T1d, might be helpful. However, verbiage should be added that just because the genetic markers are there that without an autoimmune event that triggers yours body into destroying beta cells, no T1 will be induced. For instance, when diagnosing rheumatoid arthritis, just the RH factor is blood is not enough for a dx, it requires symptoms to appear alongside, as well as those that do not have increased RH factor, but still have the active signs and symptoms of disease. If they did notify those that donated dna sample of risk of t1d, I would suggest a specialized zoom or video call with a specialist to explain that genetic markers only establish risk, not diagnosis and to be aware of the signs and symptoms of actual disease, so treatment could be established when the symptoms appear, and no worry to be taken until then. As far as I know, many CDEs have this knowledge, but I would hate an uneducated doctor to scare someone to death over a genetic marker !

      1
      5 years ago Log in to Reply
    14. Cheryl Seibert

      For identity security reasons, as long as the DNA test kit did not leave my home and the results were available without sending the kit somewhere, I would be encouraged to use it to identify potential chronic disease risks. This is especially true for those who do not or cannot determine family medical history.

      5 years ago Log in to Reply
    15. Molly Jones

      Hopefully the research on T!D reversal for most types comes through. If this happens it would be very beneficial to patients if not treated and government in general. I have no idea what an insurance company would feel: do I want more or less possibly fatal diseases. More are being discovered but you need to take…

      5 years ago Log in to Reply

    Do you think it would be beneficial if at-home DNA tests (23andMe, Ancestry DNA, etc.) were able to assess a person’s risk of developing T1D? Cancel reply

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