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    • 52 minutes 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
    • 53 minutes 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?
    • 53 minutes 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 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.
    • 54 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      For Minimed, the dedicated reader is the pump.
    • 54 minutes ago
      mojoseje likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I chose "dedicated reader". That reader is my pump, a Minimed 780G.
    • 54 minutes ago
      Marthaeg 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
    • 13 hours, 26 minutes ago
      KarenM6 likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Sorry. I'm not sold on AI. I don't trust the people making it. There are too many reasons it could go wrong and be disasterous (just read the above comments). I'm not opposed to computers helping with things such as Control IQ, but when the computer starts doing the thinking, I think we've crossed the line. An aside: I've listened to AI music, and I think it sounds impersonal. It lacks a humanness. I don't find it pleasant to listen to. I've heard horror stories about AI being used by the military, with the end result being nuclear holocaust. I am a hard NO to AI. I gave it a "5".
    • 13 hours, 27 minutes ago
      KarenM6 likes your comment at
      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.
    • 13 hours, 27 minutes ago
      KarenM6 likes your comment at
      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.
    • 19 hours, 22 minutes ago
      D-connect 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.
    • 19 hours, 23 minutes ago
      D-connect 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.
    • 19 hours, 25 minutes ago
      D-connect likes your comment at
      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." ╰── ──╮
    • 20 hours, 12 minutes ago
      Ahh Life 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.
    • 20 hours, 13 minutes ago
      Ahh Life likes your comment at
      How well do you understand the details of your health insurance coverage?
      Extremely. I have a certificate in Medical Billing & Coding.
    • 23 hours, 52 minutes ago
      Kathy Hanavan likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 23 hours, 54 minutes ago
      atr likes your comment at
      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." ╰── ──╮
    • 1 day ago
      TEH likes your comment at
      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."
    • 1 day ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      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!
    • 1 day ago
      TEH likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      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.
    • 1 day ago
      TEH likes your comment at
      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." ╰── ──╮
    • 1 day ago
      Lawrence S. likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      Having recently dealt with ongoing tech issues involving our heat and electrical-use notifications for more than six months — and it’s still not fully resolved — I’m not always a fan of too much technology. That said, I am interested in advances like the Twist Insulin Pump potentially detecting scar tissue or helping with infusion-site issues. But then reality kicks in: taking devices off for MRIs, replacing failed equipment, and navigating Medicare when it’s primary insurance can become a nightmare of paperwork and delays. And honestly, AI in some call centers has been pretty frustrating. Sometimes it feels like no one can answer a real-world question anymore. I think we should tread lightly and make sure technology actually makes life easier for people living with T1D — especially older adults who already manage enough complexity every day. Some days I think about a less stress free life and going back to a syringe and insulin. over 45 years of doing that, and now 25+ of devices, I'm tired of the challenges in getting replacements, and scar tissue, and mail order supplies and on and on.
    • 1 day ago
      Lawrence S. likes your comment at
      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." ╰── ──╮
    • 1 day, 20 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      With all technical advancements there are good things and bad things. The bad things (unforseen consequences) could be deadly like Hallucinations for the user, getting over doses of insulin. So, carefully thought out guard rails need to be developed and thoroughly tested. A good thing must be the accumulation of scenarios that KSannie mentioned. However it can not be completely autonomous. The current accuracy of Dex G7 and other sensors introduce error in to the calculations. This is similar to "self driving cars." The Robo taxi experiments have shown the unusual events that could become dangerous. Either audible situation commands or textual inputs like "goin to bed" or "driving" or "exercising" may be required at the beginning for a new user. As an example, after wearing my smart watch for a year now, it recognizes exercising without me having to tell it I'm exercising. This drives a more advanced and improved user interface. The other perceivable advantage might be accumulating changes over time, such as sicknesses, weight gain or loss, or changes in activity. Changes in food intake might be difficult to overcome. Something like "Under my Fork" app. Personally, I would like to see a reminder to bolis before eating! With all that said, we do we need all that? Probably not. Evolution of modified closed loop control may eliminate the need for AI control. The reality may be somewhere in-between the two.
    • 1 day, 20 hours ago
      kristina blake likes your comment at
      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.
    • 1 day, 20 hours ago
      kristina blake likes your comment at
      How comfortable are you, on a scale of 1–5, with artificial intelligence (AI) being integrated into your diabetes technology?
      I’m uncomfortable not knowing when and when it isn’t being used, but I’m not sure why really. A “singer” named Benny Rivers popped up in one of my feeds. I really liked the music, until I found out it was a total AI fabrication. Then I was uncomfortable. Why? I felt “taken”, like someone pulled a fast one on me, pulled the wool over my eyes. I liked the music less then. I didn’t like that I couldn’t find a tour date, things like that. But I was most uncomfortable not truly understanding why it made me uncomfortable. The music was still enjoyable.
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    Do you think your (or your child’s) performance in school was affected by T1D?

    Home > LC Polls > Do you think your (or your child’s) performance in school was affected by T1D?
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    If you have T1D, have any of your family members listed below also had T1D? Select all that apply.

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    Before you were diagnosed with T1D, do you remember noticing hair loss as a symptom?

    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. Rafaela

      Yes, during college. That was when I stopped getting the early warnings of low blood sugars. My doctor thought at the time I needed Dilantin for the seizures that were accompanying the extended lows. I ended up withdrawing one quarter, returning home and made all Cs. This was during the 1980s and the information available now was not out there.

      1
      5 years ago Log in to Reply
    2. Patricia Dalrymple

      No, I am LADA but it sure impacted my work before I was diagnosed.

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

      Any parent who thinks that T1D does not affect their child schooling is missing something. Although many kids say no, after 51 good T1D years, it does. However, it may not negatively impact things, overcoming the challenges is overcome by the knowledge and awareness of the T1D in the school environment. This comes from years as a teacher and student.

      2
      5 years ago Log in to Reply
    4. Bob Durstenfeld

      I think that it made me more mature and more curious.

      3
      5 years ago Log in to Reply
    5. Steve Rumble

      I was diagnosed with T1D in my early 20s and it did not affect my performance in college.

      5 years ago Log in to Reply
    6. connie ker

      T1D affects every aspect of your life no matter where, when, or why. It is an unrelenting 24/7/365 job with no time off, no vacations, and no paid leave. Yes, it affects physical, mental, and emotional health.

      1
      5 years ago Log in to Reply
    7. casey shane

      I was diagnosed at 24. All my schooling had been finished 2 years earlier. I’m really not sure where or how it would have changed schooling for me other then it would have had an impact somewheres same answer if the question was about summer camp, I did not have to manage camp and t1 at the same time. Great question

      1
      5 years ago Log in to Reply
    8. ConnieT1D62

      Not sure. I was diagnosed in the 3rd grade at age 8 in December 1962. Up to that point I had always been a bright, curious, industrious and creative student. In the quarter prior to being dx’d my report card indicated “Lack of application” and I remember my mother freaking out and blaming it on my father and their recent divorce.

      During the three week inpatient hospital stay learning to live with diabetes, I missed out on learning foundational math concepts and applications beyond addition and subtraction. As a result, as a child, adolescent, and teen I struggled with advanced math concepts and interpreting equation symbols of multiplication, division, fractions, and algebra. As I matured I seemed to have chronic difficulties staying focused – was called a “day dreamer”, and did extremely well in most subjects, but lousy in math. It wasn’t that I didn’t like it, I just couldn’t fully engage with it. I struggled with it in college undergrad and graduate school years as well.

      It wasn’t until I was in my mid-forties that I was diagnosed with ADD, inattentive type. So did it and does it have anything to do with TID? Don’t know – maybe yes, maybe no. If anything living with TID has made me more curious, determined and resourceful.

      5 years ago Log in to Reply
    9. Ken Raiche

      I guess like anything in life it comes down to the individual and how you cope with it. My life has been a really mixed bag and I can say for sure if diabetes had anything to do with it the outcome. I’ll I can say is I’m truly happy to be alive and kicking.

      5 years ago Log in to Reply
    10. Janis Senungetuk

      Yes, I was in the third grade when dx. in 1955. I know that life on a continuous roller-coaster of unpredictable highs and lows impacted my physical and mental health on a daily basis. From the time of my dx. until high school graduation in 1964 I was hospitalized at least a month every year with attempts to stabilize glucose levels. In college I delt with severe lows from NPH with urine testing as my only guide. My graduate school studies were hit the hardest when first macula edema and then diabetic retinopathy distorted my vision to the point where I could no longer produce my Master of Fine Arts thesis work. I had to reapply, get approval for an altered focus and add an additional year of studio studies to successfully produce a new thesis exhibition.

      5 years ago Log in to Reply
    11. M C

      Save for periodic doctor’s appointments, it really had no impact.

      5 years ago Log in to Reply
    12. Richard Vaughn

      My performance in school, 1945-1957, was very much affected by my T1D.

      5 years ago Log in to Reply
    13. Cheryl Seibert

      My schools years were in the 60s and 70s (all with T1D). I was valedictorian of my class and had straight As all through school so No, my performance was not affected. This was before the days of snacks, drinks and ‘disability’ exceptions in the schools.

      2
      5 years ago Log in to Reply
    14. Sydney Bush

      I was diagnosed in 1952, when I was 16 months old. Home BG testing was not available until I was in my early 30’s, so having hypoglycemic episodes during class time and especially during tests was inevitable in the 50’s through 70’s from grade school through college. I can remember sweating profusely in the middle of a college midterm, and popping several Livesavers, but doing rather poorly on that particular exam! No special compensations were made back then for those with T1D!

      5 years ago Log in to Reply
    15. Ahh Life

      No. In spite of what several have said (both teachers & learners). I know and knew no other life. So you simply do what is required from kindergarten on. I probably over-consumed candy bars, carbs, or whatever to maintain equanimity. But I simply do not recall any test affected by BG. Maybe it’s alzheimer’s? (╥︣﹏᷅╥)

      5 years ago Log in to Reply
    16. Jneticdiabetic

      I was diagnosed as a freshman in college. One of my early T1D symptoms was falling asleep in my biology lecture after lunch. I loved science, and couldn’t understand why. Tried eating candy to keep myself awake. High BGs made me sleepy. After diagnosis, keeping BGs stable during 3hr labs with NPH insulin on board and no food allowed were the biggest challenge. Overall, I did well in school before and after diagnosis, but I’m my blood sugar swings affected a test or lab report from time to time. As others have said, I think my T1D has made me tougher and a better problem solver.

      5 years ago Log in to Reply
    17. Wanacure

      It was the stress of trying to get straight A’s in classes like Algebra and Latin that contributed to getting Type 1 at age 15. I had an older first cousin who’d been diagnosed before me, so my mother immediately took me to a doctor just days after I was getting up to pee at night. And that strange breath odor that coincided with the urine smell: ketones. Up to age 12 I guzzled candy and pop, so my pancreas was probably worn out. I was also probably exposed to radiation from Hanford before and at age 3, because my Dad was stationed at that port during WWII. When I was 3 after (another?) radioactive plume of smoke was released, we moved to Seattle. Actually I did very well in school after my mother got me into high school Honors classes (college prep for high IQ test scorers). After being diagnosed, I took more control of my life, gained confidence, took up training with a barbell and dumbbells at home, made some very close friends. But college was another story interrupted with emotional problems that interfered with my Type 1. With help from a specialized diabetes clinic and later a shrink, I finally “grow up” enough to get jobs, finish my bachelors degree and go to graduate school, etc. Yes, I remember Clinitest tablets and urine tests and Tes Tape and boiling a syringe and taking one daily beef/pork NPH dose.

      5 years ago Log in to Reply

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