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    • 4 hours, 32 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 4 hours, 32 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 4 hours, 32 minutes ago
      KarenM6 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." ╰── ──╮
    • 4 hours, 32 minutes ago
      KarenM6 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.
    • 4 hours, 33 minutes ago
      KarenM6 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.
    • 4 hours, 33 minutes ago
      Lee Tincher 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.
    • 8 hours, 48 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
    • 15 hours, 6 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.
    • 15 hours, 58 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.
    • 19 hours 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.
    • 19 hours 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.
    • 19 hours, 8 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.
    • 19 hours, 10 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.
    • 19 hours, 22 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.
    • 19 hours, 22 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.
    • 19 hours, 23 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.
    • 19 hours, 23 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.
    • 19 hours, 23 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
    • 19 hours, 23 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.
    • 19 hours, 26 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?"
    • 19 hours, 27 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.
    • 19 hours, 28 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.
    • 19 hours, 29 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.
    • 19 hours, 44 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, 16 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
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    Does your T1D healthcare provider inform you when new devices and medications become available to you?

    Home > LC Polls > Does your T1D healthcare provider inform you when new devices and medications become available to you?
    Previous

    Do you use any type of creams or ointments after removing your pump, CGM or injection site needle to prevent infection? Share in the comments what works for you!

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    If you have ever changed or upgraded from one insulin pump to another, why did you change from your previous pump to your current pump? Select all that apply!

    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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    " 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. 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    34 Comments

    1. Lawrence S.

      I can’t remember my healthcare provider bringing up in conversations new medications or devices. However, I usually ask question about new devices and medications, which leads to a discussion.

      3
      4 years ago Log in to Reply
      1. Lawrence S.

        In hindsight, I remember when I wanted to switch to a different, and new on the market pump and CGM system, my healthcare provider refused to make a recommendation of one medical device over another. She didn’t think it was ethical to recommend one device over another. I thought that was very strange, and counter intuitive to what a medical professional should do to help a patient.

        4 years ago Log in to Reply
    2. Larry Martin

      I am connected to so many blogs and data that I usually know before it is brought up by them. They have patient quotas by huge conglomerates to satisfy you know because $$$

      3
      4 years ago Log in to Reply
    3. Mary Dexter

      No, I just hope to be able to keep my insulin and CGM.

      4 years ago Log in to Reply
    4. Robert Wilson

      Usually I know the newest stuff before she does but sometimes she gets info before I do. So we make a good team!

      1
      4 years ago Log in to Reply
    5. Mick Martin

      I would say sometimes!

      I live in the UK (United Kingdom of Great Britain and Northern Ireland) where our NHS (National Health Service) provides supplies for diabetes-related products. i.e. everything that you can get on prescription. They wouldn’t want to inform me of all new developments in case I wanted to change supplying companies for the latest and greatest pump technologies, for instance, as they wouldn’t give my existing ‘gear’ to another patient. They MAY also experience difficulty in arranging financing for said products.

      I’m generally informed about things that are unlikely to cost money, such as areas of research, etc.

      4 years ago Log in to Reply
    6. Keith LeMar

      I would say no because I usually know before he does. I’m sure he does tell other of his patients who may no know about a new device.

      4 years ago Log in to Reply
    7. Dennis Dacey

      Other. Over many decades this situation has evolved. In times past, my physicians and I were involved in innovative diabetes management devices and medication. Now in my later laidback years retired years, I continue to stay informed, and when visiting with my current medical team, at least two begin the session with “… what will you teach me today about diabetes”.

      3
      4 years ago Log in to Reply
    8. TomH

      I answered “no”, but to be fair, I stay on top of developments myself pretty much.

      5
      4 years ago Log in to Reply
    9. Marty

      They haven’t so far, but I’ve only been seeing this particular team for a couple of years. I am on the lookout for Tandem’s new pumps to become available, but I’ll probably hear about it at the same time they do.

      4 years ago Log in to Reply
    10. Kathleen Juzenas

      Focusing on “when new devices…become available” to me, I said yes, but it’s only every five years that we have a discussion of options that Medicare will cover.

      4
      4 years ago Log in to Reply
    11. Natalie Daley

      Sometimes when it is relevant to my care and needs.

      1
      4 years ago Log in to Reply
    12. Carol Meares

      I find out about new T1D treatments and medical devices online through podcasts mostly.

      1
      4 years ago Log in to Reply
    13. Kevin McCue

      My endo isn’t as forthcoming with new treatment options as I would like. I think it’s due to low priority in the diabetes community being 1 of the 10%. Feels like type 2 gets the majority of time. Probably just a general lack of time for any patient due to final pressure from insurance. There is no doubt that corporate influence controls all outcomes regardless of medical degrees

      1
      4 years ago Log in to Reply
    14. Janis Senungetuk

      When I first started seeing my current endo, 8 yrs ago, she went through my prescriptions and suggested several updates. Both CGM and pump options were discussed with the CDE before I asked my endo to prescribe them. Since the pump was a major financial burden after only two years of an Animas Vibe, she hasn’t mentioned new devices in the 2 yrs since then. Our last appointment included a discussion on possible ways to continue using my pump/CGM after changes in insurance coverage.

      4 years ago Log in to Reply
      1. Dave Akers

        Just what I’ve witnessed: when a Dr. Doesn’t understand or know about a new therapy… they typically steer patients away from it.

        4 years ago Log in to Reply
    15. Brad Cohen

      I usually tell him!

      1
      4 years ago Log in to Reply
    16. Bob Durstenfeld

      Available to me means my insurance will pay for it. My doctor has no idea what my insurance will cover.

      3
      4 years ago Log in to Reply
      1. AnitaS

        My endo said she would check with my insurance to see if they would cover Afrezza. Since they wouldn’t, my endo said she would look for other avenues for me to get the medication.

        4 years ago Log in to Reply
    17. Becky Hertz

      It’s complicated…I haven’t seen my “new” healthcare provider yet/again. I only saw her once before insurance made me switch to someone else and now that person had left do they are showing me to go back to my other one.

      4 years ago Log in to Reply
    18. KCR

      Sometimes! But I go to an internal medicine practice so my provider has a lot to keep up on. I was her first patient to ask about Afrezza (she had samples, yay!) and to request a Gvoke prescription.

      4 years ago Log in to Reply
    19. Jillmarie61

      Sadly, no. Most of the time it’s me that has to ask about anything new n the market that I’ve heard about. And then on top of it, mos of the time they pop-poo wanting to try it.

      2
      4 years ago Log in to Reply
    20. M C

      I was answering a different yes/no question and this one came up – So the answer for this one is not ‘yes’ as I checked off – but actually ‘no’. If something ‘new’ comes out, I generally have to ask about it!

      4 years ago Log in to Reply
    21. PamK

      As I’ve only seen this doctor one time, I don’t know if he will, but I hope that he would inform me!

      4 years ago Log in to Reply
      1. Dave Akers

        Just what I’ve witnessed: when a Dr. Doesn’t understand or know about a new therapy… they typically steer patients away from it.

        4 years ago Log in to Reply
    22. Amanda Barras

      No. I am always reading and hearing from other T1D on Facebook about new tech and medications. They I go ask for it from my doc. The only meds she has suggested are ones with horrible side effects that I stop taking after she prescribes them.

      4 years ago Log in to Reply
    23. vbaum1956

      I usually read it on this site and ask him about it at my regular follow-up appointments.

      4 years ago Log in to Reply
      1. Dave Akers

        Just what I’ve witnessed: when a Dr. Doesn’t understand or know about a new therapy… they typically steer patients away from it.

        1
        4 years ago Log in to Reply
    24. Melissa Childers

      I usually bring up new devices as it becomes time to upgrade my pump or when insurance starts giving problems with the meds or devices I am using. Some of the off label t3 meds, I won’t go near due to my dad passing from medullary thyroid cancer.

      4 years ago Log in to Reply
    25. Wanacure

      The best health care goes to the richest in our stratified America. I’m qualified for “adequate” care. Virginia Mason used to be tops in Seattle.

      4 years ago Log in to Reply
    26. Bonnie Lundblom

      I said “Other” since my answer like Mick above would be sometimes. I’ve found that most of the endocrinologists I’ve seen over the past 15 years when I asked questions about specific pumps or CGM’s would reach out to the local sales representative to call me to discuss their products and answer my questions.

      4 years ago Log in to Reply
    27. AnitaS

      Not really as my pump and cgm are still under warranty. However, when I asked about Afrezza and found out that my insurance won’t cover it, my endo said she would look into other ways that I may be able to get Afrezza at a reduced price.

      4 years ago Log in to Reply
    28. Molly Jones

      I assume so, but this is a very busy person!

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

      No, not really. I use TANDEM quality IQ and our discussions center on my use and changes I’ve made with the basal settings.

      4 years ago Log in to Reply

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