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    • 6 hours, 8 minutes ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      TCOYD one conference and Breakthrough T1D summits. I really enjoy in person events.
    • 6 hours, 18 minutes ago
      Phyllis Biederman likes your comment at
      Have you ever attended a diabetes-related conference?
      Many because I am a retired RN, CDE
    • 8 hours, 24 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      BAAAAAAD WORDS. Definitely the next step for sure.... After that more grumbling, cursing and eventually the decision whether or not taking the long acting THIS late is smart idea. If NOT, then a slightly heavier dose the next day of the short acting insulin seems real likely
    • 8 hours, 25 minutes ago
      ChrisW likes your comment at
      If you miss a long-acting insulin injection, what are your next steps? Please share more in the comments.
      OH boy, an impossible question to answer without a lot more specific details......ie name of insulin / miss an injection completely over 24 hrs or by shorter time frame / to list a few.
    • 13 hours, 3 minutes ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 13 hours, 4 minutes ago
      Lawrence S. likes your comment at
      Have you ever attended a diabetes-related conference?
      Literal poverty prevents attending such conferences. I must survive, therefore to do so the job(s) require all that I have which remains. I would likely enjoy such conference(s), ALWAYS go for the "small" tables FIRST, their survival depends on it...
    • 14 hours, 30 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      Yes, TCOYD and maybe an ADA conference. The second conference I went to in order to check out tech. Both were in the 90s.
    • 14 hours, 33 minutes ago
      Lenora Ventura likes your comment at
      Have you ever attended a diabetes-related conference?
      While living in San Diego, I got spoiled: TCOYD is based there and their annual flagship conference occurs there. I went every year. Among my favorite break away sessions we always the ones where we as patients got to share ideas on how Endo's could better respect us as patients. All of the vendors (pharma an device) were there - great oppo0rtunity to see hands-on the devices. An added benefit to being in San Diego, Dexcom and Tandem are based there - so having face-to-face interaction with their staff was awesome. And of course, great swag! Once I moved to Portland OR, I went to an ADA conference. AS a T1D person, I was very disappointed. I had gone with the hopes of meeting my Dexcom and Tandem rep. No device companies were there. The focus of the break away sessions were are oriented to T2D. Fortunately for me, there was was an Oregon Potters Guild show at the convention center at the same time. I bought some great artwork. Since I knew Steve Edelman (TCOYD founder), I got in touch to see what I needed to do to get a TCOYD conference in Portland. I needed to have an idea of the budget so I could also work on funding support. First thing, I wanted support (not $$) from the local ADA and JDRF. Contacted them, but they never returned my calls or emails. Very disappointed I couldn't pull it off.
    • 14 hours, 44 minutes ago
      Kathy Hanavan likes your comment at
      Have you ever attended a diabetes-related conference?
      Before retiring I would go to our local teaching hospital/ADA conferences. They were held yearly and were a great way getting my CE's.
    • 1 day, 1 hour ago
      kilupx likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Other: I was not diagnosed with T1D at a young age.
    • 1 day, 14 hours ago
      KarenM6 likes your comment at
      Before you chose an insulin pump, did you do a “saline trial” (a pump filled with saline instead of insulin)?
      The word "chose" is past tense. In the present tense, "no." In the past tense, the ancient of days 1996, the answer was "yes." They even hospitalized you for 2 days. I was and am very healthy and horrified the medical staff when I walked up and down 9 flights of stairs to get something. C'est la vie 🫠
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I felt my lows when I was younger. Now after 45+ years with type 1 I feel a bit of “blurry brain function” when below 50. Thankful for CGM alerts!
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      I was diagnosed at age 29. Is that considered "young"?
    • 1 day, 14 hours ago
      Lawrence S. likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 1 day, 14 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The "target" is set for 100 (the lowest option with Medtronic), my alarms are 70-130. With the algorithm it's interesting with a basal that rises and falls (and the "auto-bolus") according to levels and dosing, thus my alarms (down to 2% lows this way). But... There's another setting offering different target range, I have it set 70-90 for now. Only been a few weeks so interesting to see how it goes.
    • 1 day, 14 hours ago
      Trina Blake likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      On my Omnipod, both the high and the low are set at 110, the lowest it will allow. My preferred target rang is 70 to 120.
    • 1 day, 15 hours ago
      Janis Senungetuk likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Diagnosed in 1951 when I was 6 years old. I would feel terrible when glucose went low, but did not know what was wrong.
    • 1 day, 16 hours ago
      Kristi Warmecke likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Missing answer is “I felt them early in, but not it can be hard at times to physically see a low.”
    • 1 day, 17 hours ago
      Steven Gill likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      To me... (a1C has been as low as 5.2, now near 6.0 with a lot less lows). Discuss with your doc goals, read the DCCT trials (determined "multiple injections" were more beneficial than 1 or 2 shots a day (mixed). Than up to your own confidence with insulin: -how your body reacts (after dosed I notice in 30-35 minutes) it's different for everyone -confidence with understanding the glycemic scale for food (some reach the blood stream quicker, some slower) -your health-as I grow up may not hear a low alarm as quick, nor be able to react as well -and tools... I'm confident with my CGM, alarms, understanding my insulin pump A tighter or lower target can lower a1C, wasn't worth my lows. But an a1C a little closer to non-diabetic can offer a little more prevention against the damage from diabetes. We're doing this to get as old a we can and be as healthy as we can (not necessarily a brag about numbers)---read a definition of heath is to be as far from death as possible. I think that changes...
    • 1 day, 18 hours ago
      atr likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      110, which is as low as omnipod 5 allows. If I could change it, it would be 90-100.
    • 1 day, 19 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      In 1973 when I was diagnosed the hospital policy was to force a low so you knew what they felt like. Around 2000 I became severely hypo unaware.
    • 1 day, 19 hours ago
      Phyllis Biederman likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Initially, I felt lows long before they became problematic. This diminished gradually over time. Now, after 51 years, I feel nothing until BG drops to critical levels -50. Exception is when BG drops dramatically over a very short period of time.
    • 1 day, 19 hours ago
      Edward Geary likes your comment at
      If you were diagnosed with T1D at a young age, did you feel your “lows” right away? If you remember, please share more in the comments.
      Yes 74 years ago. Yes today intensely. I am one of the small percentage of folks who, instead of experiencing hypoglycemia unawareness, feels it with even more almost acute intensity today. I guess sometime the nerves go the other direction?!? 🐦‍🔥
    • 2 days, 11 hours ago
      kilupx likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      My alarm range is 70 - 180.
    • 2 days, 12 hours ago
      Anita Stokar likes your comment at
      If you’re on an insulin pump, what is your glucose target range?
      The whole "target" question is a mess. I think most of us here (T1D people who are proactive etc) define "target" as where we want to be after a meal or correction bolus has done it's job. Pump mfr's (and many Endo's) define "target" like they define an A1C goal: averaging 110 over time. Lots of "discussions" (notice the quotes) with my Endo about my targets (I don't accept the "standard goal" of 70-180, I prefer aiming for 70-140). So so answer today's question, my alert ranges are 70 and 120 for high (I correct if I have no IOB, but may have food on board). My target bg (post bolus) is 80-90.
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    Do you think it would be beneficial to have an automated insulin delivery device that also measured your stress hormone levels, and used that in addition to your CGM readings to dose your insulin?

    Home > LC Polls > Do you think it would be beneficial to have an automated insulin delivery device that also measured your stress hormone levels, and used that in addition to your CGM readings to dose your insulin?
    Previous

    If you have transitioned to Medicare from private insurance, did you at first have to go any amount of time without a pump or CGM because you did not meet all of Medicare’s coverage requirements?

    Next

    Do you usually suggest to your doctor what T1D devices/medications you want to use, or does your doctor tend to suggest to you which T1D devices/medications you should use?

    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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    23 Comments

    1. ConnieT1D62

      Other. I am unsure what I think about an automated stress management feature as part of an insulin delivery device … Stress reactions and the release of stress hormones are highly individualized and unpredictable. Dealing with high and low levels of stress in everyday life is part of being human – do we need an insulin pump/cgm to monitor, measure and regulate the release of counter-regulatory stress hormones in us? Personally I think such a device feature could/would be unreliable and dangerous. People are better served learning & applying effective self-help stress management techniques to center, calm, and pace themselves in times of physical, emotional or psychological stress reactions.

      1
      4 years ago Log in to Reply
    2. Ahh Life

      ❥❥❥ Stress hormones I am not as familiar with as growth hormones. The sheer quantity of growth hormones that fluctuate by the minute would be tremendously helpful. Mine seem to elevate at 0530 in the morning and around 1300 or 1400 in the afternoon. Go figure? ❥❥❥

      4 years ago Log in to Reply
    3. Gary Taylor

      I am a pastor. I use Medtronic’s hybrid system. On Sunday mornings as I begin worship services my adrenaline kicks in and drives my blood sugars up even if I haven’t eaten anything. I often bolus phantom carbs to keep BG in range because the hybrid system cannot keep up. Something that accounts for the adrenaline would be very useful.

      5
      4 years ago Log in to Reply
    4. Anthony Harder

      I know stress affects my blood glucose, but it is very inconsistent. Sometimes raises, sometimes lowers, sometimes little effect on blood glucose. I sense this system is much more complex than a stress hormone level input and a blood glucose output. That said, we have to start someplace when figuring out complex systems. The initial model may be quite remedial, but it can be a knowledge building block.

      2
      4 years ago Log in to Reply
      1. Catherine Van Hove

        Anthony said exactly what I was thinking. At first I was going to say no I would not want to have a system controlling that decision but we do need to take a look at that if we are going to get better closed loop control. Well said Anthony.

        4 years ago Log in to Reply
    5. connie ker

      I have no idea because not only stress affects blood sugar #s. Lack of sleep, diet, exercise, all hormones, age, everything affects blood sugars for a T1D. It is hard to figure total coverage and automated insulin is still in the beginnings of clinical trials.

      3
      4 years ago Log in to Reply
    6. Philip Bunsick

      Lots of good comments. I said NA. To be honest at this point it is nothing but a hypothesis. I would have to see a lot of good data and animal and then human studies to be able to comment appropriately. For now I think it is challenging enough to manage my blood sugars on a day to day, hour to hour basis. But, if it can be proven that an algorithm and system can monitor stress hormone levels and it is proved it has an impact and I can improve dosing – of course I would go for it.

      3
      4 years ago Log in to Reply
    7. Sherolyn Newell

      First of all, thanks for adding the thumbs up and replies. I think I agree with pretty much everyone. But here’s a question. If stress starts making your glucose go up (or down), wouldn’t the closed loop system already be making adustments based on that? Isn’t there a possibility of too much insulin by adding for rising glucose and rising stress?

      1
      4 years ago Log in to Reply
    8. BARRY HUNSINGER

      I am not sure what benefit this would provide.

      4 years ago Log in to Reply
    9. Magnus Hiis

      I use FreeAPS from Loop, and i notice every now and then that I rise so much of cortisol and adrenaline that is hard to keep in range or even a little out of range.

      4 years ago Log in to Reply
    10. Carole Ludwig

      yes. It would be very helpful as I find that when I am stressful situations my blood glucose numbers go much higher and is hard to bring down. I can follow the graph on my Tandem pump and can correlate when the stress occurs.

      4 years ago Log in to Reply
    11. Janis Senungetuk

      Yes, I think it would be helpful. All efforts to personalize generic AID algorithms will increase the value of using a closed-loop system.

      1
      4 years ago Log in to Reply
    12. Sally Numrich

      It might. Problem for me over the years, sometimes stress drives my blood sugars up & wow some wicked lows due to stress. This was before CGMS. Now with a CGM it might not be an issue. The reality to blood sugar management, the human body is very complex. Everything ties together, if one thing is out of sync, it will cause other things to be out of sync.

      4 years ago Log in to Reply
    13. Michelle Litzau

      This would be a game-changer in the way the pump and CGM were when introduced. Many T1Ds have Schmidt’s Syndrome, a combo of T1D + Hashimoto’s + Addison’s (Primary Adrenal Insufficiency), requiring us to not only estimate and dose insulin 24/7, but also replacement steroids for our inability to make cortisol. Unlike T1D, there’s currently no testing option for making educating stress dosing, treatment is similar to how we dosed insulin prior to the invention of quick-acting modern types available today; standard dosing at standard times of day as a baseline treatment, and up-dosing for stress based on situation and interpretation of symptoms. If we had the ability to measure stress hormones on board, it would change the quality of life for many – especially those of us who rely on guesswork to dose steroids, which significantly impact bloodsugar levels in both directions.

      4 years ago Log in to Reply
    14. Donald Cragun

      Sometimes stress raises my blood sugar and sometimes it lowers my blood sugar. I would hope that tracking the changes in blood sugar would trigger the correct response by an AID no matter what caused the change (without needing to add another sensor to the equation).

      1
      4 years ago Log in to Reply
    15. Amy Nance

      Only if it measured estrogen-testosterone. Women have a much harder time than men due to the fact of fluctuating hormones every. Single. Month. A man definitely wrote this question.

      4 years ago Log in to Reply
    16. KarenM6

      Just on Monday i said to a nurse preparing me for surgery, “I don’t know how to bolus for stress.”… so, yes to the hundredth power, that would be helpful!!

      4 years ago Log in to Reply
    17. Retired and glad

      I don’t currently have an AID, just my insulin pump and a CGM. Therefore I don’t know much about the theory of closed loop systems. However, it seems, as others have stated, that the system should be monitoring for highs and lows, and compensating, regardless of what are causing them. Is that too simple of a theory?

      4 years ago Log in to Reply
    18. Randi Niemer

      I really don’t know. My gut says no, but maybe it would be good for some people.

      4 years ago Log in to Reply
    19. Britni Steingard

      I don’t know. I don’t really understand how stress affects my blood sugar. I’ve noticed my blood sugar level going low in high stakes situations in the past, but the literature says stress leads to a rise in blood glucose.

      4 years ago Log in to Reply
    20. Mary Ann Sayers

      YES of course! (I laughed at Amy Nance’s comment that the question had to be written by a man)! When I
      had my periods, my bgs were on a constant rollercoaster.
      Today, 66 years of T1D has taught me the effects of hormones and of STRESS. When I eliminate the amount of food, possible illness, or lack of exercise as the cause of elevated bg, the ONLY element I think I can’t is STRESS!!! I would love to see a device that could do that!!!

      4 years ago Log in to Reply
    21. Nicholas Argento

      The effects of stress are far too variable and unpredictable to be able to effectively change insulin pump programing, in my view.

      4 years ago Log in to Reply
    22. Sahran Holiday

      Need to see the what hormones are measured and how. Am aware that severe hypoglycemia increases adrenalin and subsequently might require higher insulin doses. Have not seen the research.

      4 years ago Log in to Reply

    Do you think it would be beneficial to have an automated insulin delivery device that also measured your stress hormone levels, and used that in addition to your CGM readings to dose your insulin? Cancel reply

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