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    • 11 hours, 12 minutes 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
    • 12 hours, 9 minutes 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.
    • 12 hours, 17 minutes 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
    • 13 hours, 16 minutes 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.
    • 13 hours, 20 minutes 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
    • 14 hours, 22 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
    • 14 hours, 23 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?
    • 14 hours, 23 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.
    • 14 hours, 25 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.
    • 14 hours, 25 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.
    • 14 hours, 25 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
    • 1 day, 2 hours 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".
    • 1 day, 2 hours 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.
    • 1 day, 2 hours 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.
    • 1 day, 8 hours 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.
    • 1 day, 8 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 9 hours 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.
    • 1 day, 13 hours 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.
    • 1 day, 13 hours 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, 13 hours 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, 13 hours 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, 13 hours 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.
    • 2 days, 9 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.
    • 2 days, 9 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.
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    During which types of exercise do you feel most confident in your ability to maintain comfortable blood glucose levels?

    Home > LC Polls > During which types of exercise do you feel most confident in your ability to maintain comfortable blood glucose levels?
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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.

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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. 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    32 Comments

    1. rick phillips

      Outdoor bicycling

      1
      5 years ago Log in to Reply
    2. Sherolyn Newell

      If I don’t have IOB, I do pretty well with any of the types of exercise/activity I do. If I do have IOB, activity seems to make it go into overdrive, so I have to be careful about lows.

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

      I say confident in a few things but ONLY if I have food with me. One time many years ago when a newbie, on vacation in Caribbean, I got on a bus tour and had no food and panicked a little. I felt myself going low. When the bus stopped, they had juice cups waiting for us! That was God intervening because we took many excursions on that trip and nowhere else did that happen.

      1
      5 years ago Log in to Reply
    4. John McHenery

      Outdoor cycling, canoeing.

      5 years ago Log in to Reply
    5. Anthony Harder

      The type of exercise that is most difficult to maintain proper glucose levels is swimming.

      1
      5 years ago Log in to Reply
      1. Amy Jo

        I find that working out first thing in the morning helps prevent lows – no extra IOB, and the exercise usually counteracts any early morning spikes in my BG. Sometimes after strength training I do have to give a little bolus to prevent post-exercise hypers.

        5 years ago Log in to Reply
    6. Amy Nance

      For me it’s less about the type of activity, it’s about the pre-planning and reduction of basal and/or bolus in advance of the exercise activity. Unless I’m weight lifting – the anaaerobic activity will balance out my going low – or require some insulin.

      3
      5 years ago Log in to Reply
      1. Jana Wardian

        I agree with the Pre planning needed for any exercise. I need to plan at least an hour ahead. I hate that I cannot spontaneously exercise.

        4
        5 years ago Log in to Reply
    7. Kathy Hanavan

      It takes different approaches for each type of exercise and the ability to reduce IOB ahead of time as well as make adjustments during and after exercise. Being flexible and prepared makes all types of exercise manageable, but it is one of the most difficult things to do with t1d.

      3
      5 years ago Log in to Reply
    8. connie ker

      I have an adult tricycle which is perfect for outdoor exercise. However, moderately paced walking is good for the bones. I always carry my Jitterbug flip phone, reader for the Abbot Freestyle Libre, and candy just in case.

      5 years ago Log in to Reply
    9. Don P

      an avid all year outdoor cyclist, yes, with snow / ice / rain , avg 10,000 per year. Now, take into account winds & elevation alterations it takes effort to maintain great trend lines, here is where a CGM pays huge dividends

      2
      5 years ago Log in to Reply
    10. Rebecca Lambert

      Bicycling and hiking

      5 years ago Log in to Reply
    11. Natalie Daley

      After a substantial breakfast of fruit, cottage cheese, two freezer waffles, and coffee, I can run around the pool and lift weights easily for an hour. A handful of nuts if I get hungry, and I can add a 2-3 mile walk in the late afternoon. I don’t ever eat lunch. I have lost 25 lbs and kept it off , while maintaining balanced blood sugars and an A1c under 7.

      3
      5 years ago Log in to Reply
    12. Maureen Helinski

      I set my Tandem pump to exercise when I go to the gym and only stay about an hour. I check that BG is high first and do always carry glucose tablets. If I work in the yard collecting sticks or pulling weeds it is worse. I do go low and have to stop. Long ago I discovered that just putting my hands on a lawn mower causes a low BG.

      1
      5 years ago Log in to Reply
    13. cynthia jaworski

      None. Absolutely none. Not scared, but just not confident.

      5 years ago Log in to Reply
    14. Lenora Ventura

      All forms cause me to crash. The effects last for days.

      5 years ago Log in to Reply
    15. Anneyun

      I eat a snack when I exercise, which keeps me level. I hate adding more carbs to my diet, but I know the exercise benefits me in so many ways. My heart, deep breathing, metabolism, flexibility and energy level are all affected.

      1
      5 years ago Log in to Reply
    16. Ernie Richmann

      I enjoy many types of activities/exercise. I think I am more afraid of the consequences of high blood sugar tan I am of going low. I carbs with with at all times and wear a cgm. Besides I like being active- hiking, biking, walking, wood working, yard work and more. I enjoyed running for many years until I broke my neck in 5 places- 300+ races and 40,000+ miles. I am recovered from my accident but have some nerve damage in one leg.

      5 years ago Log in to Reply
    17. Becky Hertz

      Flat water kayaking. But, like anything else to do with T1D it’s really all a crap shoot.

      5 years ago Log in to Reply
    18. Janis Senungetuk

      “Most confident” is a definite exaggeration. Aside from walking up and down two flights of stairs multiple times on a daily basis from our second floor apartment, my primary exercise/activity is walking/bending/kneeling on photoshoots in neighborhood/Madison parks, Olbrich Botanical Gardens and weekly farmers’ markets. Even though I’m not walking fast during the two to three hour shoot, all of the positioning I’m doing to capture the images I’m after does lower my glucose level. My camera bag and pockets are always filled with fast acting carbs, just in case.

      5 years ago Log in to Reply
    19. Carol Meares

      Any exercise I can get lows but if I have no extra insulin on board I am more likely not to go low or be able to treat with small amounts of carb.

      5 years ago Log in to Reply
    20. Steven Jerdee

      I’ve been golfing for over 40 years. I 7sed to get lows a lot. I just bring a Coke with me. It’s better since I’m using a CGM.

      5 years ago Log in to Reply
    21. ConnieT1D62

      Creative movement stretch and dance. I can pace myself without getting overworked.

      5 years ago Log in to Reply
    22. Ruth Chapman

      Skiing

      5 years ago Log in to Reply
    23. Leona Hanson

      I clean the house the one we live in gets so dusty that have to clean everyday or your house looks really bad

      5 years ago Log in to Reply
    24. Donna Condi

      My answer is none of these exercises if I want to maintain a normal blood sugar level. With my Tandem pump I can sit and do very little all day and keep a pretty straight line. But if I eat I must get up and walk it off or if I exercise and then eat the roller coaster begins.

      5 years ago Log in to Reply
    25. John Henninger

      Almost any physical activity helps me and gets me off my butt.

      1
      5 years ago Log in to Reply
    26. Sahran Holiday

      Any exercise or activity I know must have snacks handy, check glucose before I start, during water breaks. So automatic for me.

      5 years ago Log in to Reply
    27. Mary Boudousquie

      I play Pickleball for 1-2 hours and try not to have any IOB.

      5 years ago Log in to Reply
    28. OLSENPC

      any bit of exercise makes me drop like a rock but could be hours later and sometimes for 2 days after

      5 years ago Log in to Reply
    29. James Cheairs

      Long distance outdoor cycling – 50 miles or more

      5 years ago Log in to Reply
    30. andrykenn

      I have found that all these activities will lower my blood sugar if I do not Temp Target my pump 30 minutes before activity.

      5 years ago Log in to Reply

    During which types of exercise do you feel most confident in your ability to maintain comfortable blood glucose levels? Cancel reply

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