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    • 3 hours, 44 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.
    • 4 hours, 37 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.
    • 7 hours, 38 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 7 hours, 38 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 7 hours, 47 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.
    • 7 hours, 48 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.
    • 8 hours, 1 minute 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.
    • 8 hours, 1 minute 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.
    • 8 hours, 1 minute 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.
    • 8 hours, 1 minute 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.
    • 8 hours, 1 minute 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
    • 8 hours, 2 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.
    • 8 hours, 4 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?"
    • 8 hours, 5 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.
    • 8 hours, 7 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.
    • 8 hours, 8 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.
    • 8 hours, 22 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, 5 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
    • 1 day, 6 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      One nice thing about a watch for readings is that, while it is normally redundant, you can be separated from your phone. For example, when you are in water.
    • 1 day, 6 hours ago
      Marty likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 7 hours ago
      Kathy Hanavan likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I selected “other” because my preference (smart watch, mobile phone, or pump screen) depends on circumstances. Watch for a quick and discrete view; pump if I’m preparing for a profile or activity adjustment or bolus, mobile phone if just a food bolus.
    • 1 day, 7 hours ago
      John Barbuto likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 8 hours ago
      Gerald Oefelein likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I use both as you can’t do everything you want in one or the other
    • 1 day, 8 hours ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I’m curious about the reasoning behind using a dedicated reader. Could someone please enlighten me?
    • 1 day, 8 hours ago
      Laurie B likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I 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.
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    For caregivers of children with T1D, do you have any special accommodations available from your child’s school? For adults with T1D, did you have special accommodations when you were in school?

    Home > LC Polls > For caregivers of children with T1D, do you have any special accommodations available from your child’s school? For adults with T1D, did you have special accommodations when you were in school?
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    Samantha Walsh

    Samantha Walsh has lived with type 1 diabetes for over five years since 2017. After her T1D diagnosis, she was eager to give back to the diabetes community. She is the Community and Partner Manager for T1D Exchange and helps to manage the Online Community and recruit for the T1D Exchange Registry. Prior to T1D Exchange, Samantha fundraised at Joslin Diabetes Center. She graduated from the University of Massachusetts with a Bachelors degree in sociology and early childhood education.

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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. 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. 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    39 Comments

    1. ConnieT1D62

      I was allowed to carry sugar cubes wrapped aluminum foil in my little pocketbook and keep a bottle of Karo syrup in the art supply closet during grade school in the 1960s. In high school 1968 to 1971 I carried hard candies in my purse. The HS gym teachers kept orange juice and graham crackers in their office that I and two other kids with T1D could access if we needed to during or after gym class. That was the extent of special accommodations.

      4
      2 years ago Log in to Reply
    2. adburton79

      Allowed to carry and have access to cellphone so nurse and family can follow Dexcom readings/alerts. Allowed to have snacks/drink readily available for hyper/hypoglycemia. If severe hypo/hyperglycemia during testing time, allowed for extra or different testing times.

      1
      2 years ago Log in to Reply
    3. Nevin Bowman

      I had T1 long before fingersticks or CGMs became household items, but my school allowed me to snack whenever I needed which my mother had packed for me.

      1
      2 years ago Log in to Reply
    4. Richard Vaughn

      I was diagnosed in 1945, when I was 6. My teachers had not heard of diabetes back then. My college teachers also had little or no knowledge of the disease.

      3
      2 years ago Log in to Reply
    5. Lawrence S.

      I was in graduate school when I had diabetes. It was many years ago, but I remember eating snacks and drinking juice during classes. So, I’m sure I advised all of my professors ahead of time.

      2
      2 years ago Log in to Reply
    6. anj1832

      I was able to go to the bathroom whenever I needed and had permission to go to the office in middle school to change my infusion sets if needed

      2
      2 years ago Log in to Reply
    7. Jennifer Bounds

      I was in elementary school. My care team me to have a morning snack in class.

      1
      2 years ago Log in to Reply
    8. Patrick Burner

      In Elementary school the teachers would keep crackers on hand if I couldn’t make it to lunch. Also, the school clinic had juice just for me to go whenever I needed one.

      2
      2 years ago Log in to Reply
    9. skoogirl

      Phone and pump controller allowed always
      Bag allowed (other kids aren’t allowed to carry bags during the day)
      snacks allowed always in-place (does not have to go to nurse)
      bathroom and water allowed always
      parents always allowed to chaperone field trips (though I’d like it if they had a trained person)
      allowed to delay testing when high or low (though he hasn’t done this even when high or low)

      2
      2 years ago Log in to Reply
    10. Randy Reed

      In the 1970’s I was actually teaching my class about T1 when I was diagnosed. Helped several of my classmates who were scared

      4
      2 years ago Log in to Reply
    11. eherban1

      In junior year of high school, way back in 1986-87, my schedule was solid classes from 1st through 5th period 8am until 12:50pm- no breaks for snacks and our campus was spread out over three buildings over a 10 acre parcel. (The whole campus was 76 acres, but the buildings were on the 10)Needless to say, without a BGM let alone a CGM, and animal NPH insulin on board, hypoglycemia was a real issue by Physics class during 5th period. I spent most of those classes imagining the food I’d eat to feel better. Needless to say, my grades in Physics were abysmal- a B 1st quarter and a D 2nd. This is with a backdrop of straight As in every other class including Calculus AB. Well, my parents go to parent-teacher conferences and discuss what’s going on- both my parents and teacher were at a loss. Then when my mother started beating on me for “failing” Physics, I told her, “well, it’s kind of difficult to concentrate when you’re literally shaking and sweating the whole class craving food.” Once she realized I needed food, she called my teacher and had another conversation about what was going on. After that, I was the only person in the school who was able to eat during class. sufficed to say, I got an A on the midterm and straight As the rest of the year – still ended with a B average because of it.

      2
      2 years ago Log in to Reply
    12. Lyn McQuaid

      I was diagnosed at age 20 and still had two more years of college and then five years of grad school but never had any accommodations. I don’t think it even occurred to me that I could ask for them but, then again, college/grad school days are a lot freer than being in K-12. I’ve now been a college professor for 23 years and can only remember one student telling me she was T1D and might need to eat during class and one other student missing an exam because of high blood sugar. Otherwise, it’s not something I hear much about from college students.

      2
      2 years ago Log in to Reply
    13. terrih57@msn.com

      I was diagnosed in 1977 going into my second year of college. It was all still very new and back then there was not as much attention paid to special needs for diabetics. I was careful about eating at the same times each day and tried to keep up with testing (urine only 😬) but none of my professors were even aware. I dropped out after second year so things might have been different as I went through things. I started working and rarely talked about it with co workers. Just didn’t see the need at that time. Later I realized how important it is those around you need to know! I have no problem sharing with others now.
      46 years and still here!!

      4
      2 years ago Log in to Reply
    14. Megan S

      The only accommodation I received was the ability to leave class a few mins early to go to the nurse’s office to check blood sugar before lunch.

      2 years ago Log in to Reply
    15. Melissael

      My son has a 504 plan to protect his rights in school. One of the most important accommodations is 1:1 testing for standardized testing (AP exams, SAT etc) so that the clock stops if he goes high/low.

      1
      2 years ago Log in to Reply
    16. Bruce Schnitzler

      As a seven year old child in elementary school in 1952, my great aunt was the school cook and watched out for me.

      2
      2 years ago Log in to Reply
    17. mlettinga

      It was 60-70’s. I checked yes but there were no official accommodations but most teachers put me in front row to keep an eye on me.( which was a double blessings as I was adhd undiagnosed and most of my behavior was blamed on diabetes) I did keep candy food in my desk or bag I could eat during class.

      2 years ago Log in to Reply
    18. Amanda Barras

      They didn’t have 504s when I was in school. But I was allowed to eat a snack or go to nurse as needed for bs checks.

      1
      2 years ago Log in to Reply
    19. James Cheairs

      This question is missing an important answer choice which is “I have adult onset T1D.” or “I was diagnosed with T1D as an adult”.

      2 years ago Log in to Reply
    20. Bob Bowen

      I got to use the teachers lounge bathroom to do my urine glucose tests.

      1
      2 years ago Log in to Reply
    21. Anthony Harder

      When I was in elementary school, my teachers had sugar cubes or hard candies in their desks. As I advanced to junior high school, that became my responsibility.

      1
      2 years ago Log in to Reply
    22. Anthony Harder

      I was in elementary school in the 1960’s..

      2 years ago Log in to Reply
    23. Bob Durstenfeld

      I went through school with no accommodation. This was the 1960’s with one shot a day of NPH and REGULAR. And minimal accurate feedback. My 5 year old Granddaughter with T1D is in kindergarten and uses a pump and CGM. Her parents trained both her teacher and site heath worker to respond to alarms. We also use DEXCOM FOLLOW.

      3
      2 years ago Log in to Reply
    24. Janis Senungetuk

      In 1955, 3rd grade, there was very little knowledge and absolutely no accommodations. The school nurse offered no assistance with lows. The district would not accept the liability. The box of graham crackers my mom had given my 3rd grade teacher was kept unopened in the locked supply closet. By 8th grade I was sidelined to the bench during gym because the PE/Health teacher was “too distracted” to help me deal with any lows. The entire time I was in public school, class of ’64, I was on my own.

      2
      2 years ago Log in to Reply
    25. Clearblueskynm

      I was diagnosed in April, 1982. Coma, blah, blah- I was in 6th grade and treated oddly when I went back to school- so starting in 7th grade (middle school) I forbade my mom from telling any school about my diabetes – I carried my snacks etc, and we didn’t bolus for meals then, it was a schedule of two shots, regular and NPH, beef and pork insulin. There were some scary almost pass out lows, but I made it through. As I graduated and went to college, I again didn’t let the school know, just dealt with it. I am very happy times have changed and 504 plans are now “a thing”. Would have loved special accommodations for tests and such, but weirdly, I always had good grades anyway ? However, I struggled and worked way too hard and the support would have been welcome. Times changing actually does mean for the BETTER !

      2 years ago Log in to Reply
    26. Bill Williams

      I was allowed to have a small refrigerator in my dorm room at prep school to store insulin.

      2 years ago Log in to Reply
    27. GiGi

      I was in 4th grade when diagnosed in 1972. It was pretty simple back then as there were no insulin pumps, CGMs, meters, or smartphones to contend with. I had my Regular insulin and syringe in the nurses office and I carried my sugar cubes for lows in my pocket and had some in my desk. I had permission for restroom and water as needed.

      2 years ago Log in to Reply
    28. Karen Mielish-Clausell

      My mom had the nurse to check on me and treat my sugars

      2 years ago Log in to Reply
    29. KarenM6

      I don’t think there was such a thing as an “accommodation” when I was in school.
      However, they did let me call my Mom one time when I told them I wasn’t feeling well and I didn’t think I’d taken my insulin in 2 or so days…
      I hadn’t taken my shots… some weird brain chemistry happening in junior high, I guess!
      That was back in the NPH/Regular one shot per day days… still not sure how I survived!

      2 years ago Log in to Reply
    30. Karen Tay

      Back in 1965 I had to go to the school nurse and eat graham crackers midmorning

      2 years ago Log in to Reply
    31. Rafaela

      I and another girl with Type 1 both had sugar cubes left with the teachers to administer if we told them we needed them. My low blood sugars were caught early and never got bad back then. We were also supposed to be allowed to go to the bathroom anytime we needed to in order not to have to hold it until the next break.

      2 years ago Log in to Reply
    32. Becky Lamont

      I was diagnosed in my senior year of high school when there had just begun to be disposable needles for the crystal syringes. My high school did not accommodate me at all. The area was backward and not even school-focused. The college in the same town was much better, especially after the Dean of Students at the college was diagnosed with hypoglycemia after thinking he was suffering a heart attack.

      2 years ago Log in to Reply
    33. Linda Pease

      I was allowed to eat when I needed to even if it was 15 minutes til school out and was allowed to check my sugar at anytime

      2 years ago Log in to Reply
    34. Carolann Hunt

      Cell phone food water bathroom breaks, parent on all field trips, testing etc.

      2 years ago Log in to Reply
    35. Anita Stokar

      I was diagnosed in 3rd grade. Although I didn’t really have special accommodations, if I needed to eat/drink something to raise my sugar level, then of course that was allowed.

      2 years ago Log in to Reply
    36. Jeff Balbirnie

      Accommodation(s) did not exist period. You lived with no knowledge of any numbers…. and you lived. We were FAR better off emotionally and psychologically lacking such “mandatory” vigilance.

      2 years ago Log in to Reply
    37. tmeagher

      504 plan through school

      2 years ago Log in to Reply
    38. T1D4LongTime

      I marked “Yes” but I wouldn’t consider how teachers helped me as “special accomodations” in my mid-1960s grade school. They brought me food when I had lows and in junior high, I was allowed to go to my locker outside of the normal access period per doctor’s orders for a snack. Overall, the school was very supportive, but no specific policies or formal accommodations were avaiable. PLUS no food or drink in class in those days, so I was allowed to keep a roll of life savers with me. Everything went fine most of the time. I didn’t need anything special during test taking even in high school. By then, I knew how to handle long periods without food.

      2 years ago Log in to Reply
    39. PamK

      When I was in school I was taking 1 shot of insulin/day. This meant that I had to eat breakfast, a mid-morning snack, lunch, an afternoon snack, dinner, and a bedtime snack. My schools did not want me eating in class, so I had to go out into the hallway to eat my mid-morning snacks.

      2 years ago Log in to Reply

    For caregivers of children with T1D, do you have any special accommodations available from your child’s school? For adults with T1D, did you have special accommodations when you were in school? Cancel reply

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