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    • 3 hours, 43 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      Before the onslaught of Type 2 Diabetes, I, as a T1D, could get an appointment almost anytime I needed one. Now, I cannot get an appointment within 3 months, which is the time within I must see rhe doctor for Medicare benefits. My doctor cancelled 2 (half ) of my sppointments last year. Caused ma a lot of problems. I live in Florida, a place where modern medicine does not seem to have reached yet.
    • 3 hours, 43 minutes ago
      Greg Felton likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      I routinely see my Endo every three months. At the end of my appointment I schedule the next quarterly meeting date. But if I ever have to reschedule it, then it takes anywhere from two to four weeks to find a time that works for us.
    • 5 hours, 40 minutes ago
      Mike S likes your comment at
      If you were to request the next available appointment with your T1D healthcare provider, when do you estimate the next available appointment would be?
      It all depends on the urgency of my needs. I’ve gotten in the next day before, but those days may be gone! It also depends on who I see. But these days, even the PA is often booked. Of course, cancellations happen, so that can be a factor as well.
    • 5 hours, 56 minutes ago
      Jeff Marvel likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 17 hours, 6 minutes ago
      Gerald Oefelein likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 20 hours, 54 minutes ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of the 3-4 hours is way ting on a phone
    • 20 hours, 57 minutes ago
      Wanacure likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 21 hours, 39 minutes ago
      Wanacure likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 21 hours, 39 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Switching to Medicare has created (seemingly) endless hours and day making this transition with all things diabetes related. We’re still in the midst of making this ‘delightful’ change. This week we learned that Medicare covers Either CGM stuff OR glucose test strips. Thank goodness that God is sovereign over all these details. He helps me walk through these challenges without despair.
    • 21 hours, 42 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The last 3 months have been filled with frustrating phone calls now that I switched back to traditional Medicare from a Medicare Advantage plan. I have been fighting to get strips authorized in addition to CGM- they did not authorize them because I had no proof that I had a meter!! Crazy making! I had to write an appeal letter in order to get them, but finally got it worked out. I also had some pump replacement issues, trouble getting insulin, etc.
    • 21 hours, 46 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 21 hours, 47 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Much too much time! Part of it, I know, is my own fault, for not keeping anxiety at bay when I have to sort out which plan will work best, annually. But it is something I dread, every single year. When I call to get some help understanding, the people are almost always very nice, but I have had times when the information was incorrect or not explained clearly. I usually commiserate with the person on the phone for having such an annoying system, and agreement seems to rule the day. But I never chose to make sorting out insurance management a career!
    • 21 hours, 49 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I selected 6 hours. So far, I have spent 6 weeks trying to get a new pump. I decided to look for a new pump in mid-December as my 770G warranty expired on January 3. I wanted to go hoseless with the Omnipod and the Dexcom 6. I contacted Dexcom and they sent me to the medical distribution company ASPN, and they could do the Omnipod but only with pharmacy part D with the Dexcom 6 sensor on DME My part D pharmacy plan had Omnipod as tier 6. $155.56 co pay and $150/month. The omnypod is not available as DME. I called INSULET the mfgr of omnipod. They told me they only supply via pharmacy plan to get more T2d's to sign up. Verses 100% DME coverage, part D coverage that was a non-starter. I contacted another supply company CCSmed. They could do both Dexcom 6 and tslim x2. Ineeded a Endo visit to get the notes and Rx. I had my Endo visit on Jan 20. Still waiting for CVSmed. Been waiting for 5 weeks now. Just called CCSmed and they got the endo notes and Rx but Medicare wanted to know who paid for my 770G 4 years ago. Fortunately, that was private/company. My new pump should now ship tomorrow. Finally.
    • 21 hours, 49 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      The beginning of the year is always a bit iffy when you're on Medicare. Even though I've already paid my annual deductible, my pharmacy can't see that, so I must wait until it shows up on my Medicare account before I order new insulin. I always try to have plenty of insulin on hand at the end of December so it's not an issue. The organization I get my pump equipment from has a lot they must do because of Medicare, as well, and that can get time consuming. All-in-all, I'm lucky to have the time, energy and patience to deal with it, and I know up front these time-consuming moments are to be expected. If I wasn't retired, it'd be more of an issue.
    • 21 hours, 50 minutes ago
      August Rossano likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 22 hours, 25 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I’m a reasonably satisfied MDI user with Lantus and Fiasp. I’ve looked into getting a pump but honestly, until I find one that does everything I want, I’ll probably hold off. My wish list for a pump: 1) no tubes 2) works well with Fiasp 3) controls that allow me to stay at my target of 70-90 mg/dl all night long.
    • 22 hours, 36 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      MDI for the past 60 years and do not see any alternative that I would prefer. The needles for my pens are so thin and sharp that they are painless (a far cry from the lancets I once used). chiefly, I am glad not to have to deal with setting up a pump and. Although I love my libre, I am not good candidate for having devices affixed to me. If my insulin delivery got interrupted they way i have interrupted my cgm service, I would have been in trouble. Furthermore, I have a track record of having both mechanicall and electronic things malfunction. (Seriously, I sometimes act as a beta-tester for technology folks. Maybe I push to many buttons?)
    • 22 hours, 48 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      I've had Tandem x2 and Dexcom since September. Previously on Medtronic for around 15 years. Grew to HATE the sensors and switched before the warranty on my last Medtronic was up. So far, I absolutely LOVE the Tandem and the Dexcom. I'm disappointed, however, in the amount of waste and plastic that this pair creates. Of course there will always be plastic waste from any pumps/sensors, but the amount of non-reusable stuff for insertions is ghastly.
    • 22 hours, 49 minutes ago
      Wanacure likes your comment at
      On a scale of 1-5, how satisfied are you with your current insulin delivery method (pump, pens, syringes, inhaler, etc.)? 5 = the most satisfied, 1 = the least satisfied
      Have your doctor prescribe the syringes with .5 unit increments instead of the 1 unit syringes. Not quite a .1 unit which you are hoping for, but .5 is better than 1 unit increments.
    • 1 day ago
      Ahh Life likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 1 hour ago
      ConnieT1D62 likes your comment at
      In your own words, how would you describe the feeling of a severe low?
      Nothing short of terrifying. I often go into seizures, having no idea where I am, who anybody, or even if I’m alive or dead. I’ll feel like I’m falling or hurtling toward something. At home I feel like my house is tilting. Im leaving a lot out but these are some of the scariest things.
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      Most of Europe has the right idea! Is it a good health system for you overall? The US may be too large to implement a national system, but that doesn't hold states back (as long as there is federal money to help).
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I answered "No time," but I live in France, where we have a single provider. I receive a prescription from my doctor and go to the pharmacy monthly to have it filled. (Pump peripherals are provided by a separate supplier.) "Appeals" do not exist here since the doctor will only prescribe medicines that are reimbursed. And no, I have never needed a treatment that wasn't covered.
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      I said 8+ and the reason, as for so many others, can be summed up in a phrase: transitioning to Medicare.
    • 1 day, 2 hours ago
      Modee likes your comment at
      Over the past 3 months, how much time would you estimate you have spent working through T1D prescription-related issues with pharmacies, insurance companies, durable medical equipment distributors, T1D device companies, health care providers, etc.?
      PUMP USERS: Just in case nobody has told you, if you use a pump, Insulin is considered durable medical equipment, which can save a lot of money, even with the new price cap
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    For this question, we’re re-asking a recent question. Even if you answered before, please answer again. If you use both an insulin pump and CGM, do you currently use any of the following automated insulin delivery (also known as “predictive low glucose suspend” or “hybrid closed loop”) algorithms?

    Home > LC Polls > For this question, we're re-asking a recent question. Even if you answered before, please answer again. If you use both an insulin pump and CGM, do you currently use any of the following automated insulin delivery (also known as “predictive low glucose suspend” or “hybrid closed loop”) algorithms?
    Previous

    If you use a CGM and share a bed with another person, do your CGM alerts disrupt your partner’s sleep?

    Next

    How important is the time-in-range measurement to you when assessing your T1D management?

    Sarah Howard

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    24 Comments

    1. LizB

      I have the Medtronic 770g & Guardian 3 sensors but I prefer manual mode. I have been thinking of turning on the suspend on low feature but that has caused me to go really high in the past.

      1
      11 months ago Log in to Reply
      1. Larry Martin

        I use it and you are right if it suspends around a meal, you have to catch it fast and resume or you will go too high. That is my main grip with suspend. Auto mode does not work for me at all because I go way high after a meal. I am so waiting for the software update to correct for highs.

        2
        11 months ago Log in to Reply
      2. Robert Brooks

        You might look into Lyumjev insulin in the pump. I find it is more rapidly acting and reduces post-prandial high glucose peak and duration as compared to Humolog.

        1
        11 months ago Log in to Reply
    2. KCR

      The Dexcom G6 is still not accurate enough for me to consider using a hybrid loop system.

      11 months ago Log in to Reply
      1. mbulzomi@optonline.net

        I gauss you always test for every reading but remember the G6 sensor measures your interstitial glucose level, which is the glucose found in the fluid between the cells. Fingerstick measures the glucose in your blood. Glucose moves from your blood vessels and capillaries first and then goes into your interstitial fluid. This explains why there can sometimes be a lag between fingerstick results and sensor results. I have been on a CGM for a long time and always within Dexcom stated percentage limits. AND it’s not a Closed loop system. it’s a Hybrid Closed loop. system, a real closed loop system raises and lowers your glucose numbers.

        1
        11 months ago Log in to Reply
    3. Bob Durstenfeld

      I love Control IQ.

      1
      11 months ago Log in to Reply
    4. Carolann Hunt

      Loop is the most customizable

      11 months ago Log in to Reply
    5. Joan Fray

      The Control IQ is just a life saver. It’s programmable, makes for way fewer alarms, lets me live life pretty normally. I have hypo unawareness and now rarely go low, never at night. Zzzzzzz!

      4
      11 months ago Log in to Reply
      1. Germaine Sarda

        Same. 48 years T1D and now I never worry about nighttime lows. It’s wonderful waking up at a normal level every day. It’s also great during the day, but the ability to rest easy at night has changed my life for the better.

        3
        11 months ago Log in to Reply
    6. Lynn Smith

      I don’t have an algorithm currently. I am waiting for Omnipod 5 to come out. I am on the list for Insulet to call when it is out.

      3
      11 months ago Log in to Reply
      1. Pamela Newman

        I am waiting for the Omnipod 5 and am on the list too. I’m so ready to see how the algorithms will help me steady my blood sugars.

        11 months ago Log in to Reply
      2. Sherolyn Newell

        Me too.

        11 months ago Log in to Reply
    7. mbulzomi@optonline.net

      However, I give Tandems Control IQ a “B” grade. It is very slow during the day for corrections. Relatively good when Sleep/Exercise modes are in used. I’m not sure but I was told the Tandem pump does not correct for Stacking.

      11 months ago Log in to Reply
      1. AnitaS

        It is supposed to correct for stacking. So if you have insulin on board, it should give you less insulin if you decide to give another correction (it may tell you that no correction is even necessary), or it may reduce the amount of insulin it gives you if you decide to bolus for more carbs.

        11 months ago Log in to Reply
    8. Jane Cerullo

      Switched to MDI. Pump fatigue. Happy so far

      11 months ago Log in to Reply
    9. Sondra Mangan

      Anxiously awaiting the public release of Omnipod 5. Ask this question again after it has been out for six months.

      2
      11 months ago Log in to Reply
    10. Ahh Life

      Hypoglycemia is about as welcome as a skunk in the heating duct. Its precarity is palpable. I didn’t want diabetes, but it wanted me.

      So . . . I married technology (don’t tell my wife). The objective was dominance over one’s own limitations, rather than over a morally inferior antagonist. So those of you who communicate about diabetes well (hint, hint – CDE’s, MD’s, etal), please so note. ( ͡☉⁄ ⁄ ͜⁄ ͜ʖ̫⁄ ⁄ ͡☉)

      11 months ago Log in to Reply
    11. rick phillips

      The MedT 770 has been very good for me.

      11 months ago Log in to Reply
    12. Janis Senungetuk

      Tandem’s Control-IQ has greatly improved my QoL (quality of life). 66+ yrs w T1

      3
      11 months ago Log in to Reply
    13. Bonnie kenney

      I use to use the Medtronic auto mode….didn’t like it at all….way too inaccurate.

      11 months ago Log in to Reply
    14. Louise Robinson

      Type 1 since 1976. I upgraded my old Medtronic Minimed Paradigm pump w/Libre 14 CGM to the Tandem T:slim X2 with Control IQ and the Dexcom G6 in October 2020. I am over-the-moon with Control IQ. For the first time, I am waking up with “normal” glucose levels. I’m in my 70’s and would encourage anyone to try this. My control has always been tight because, when I was on my Medtronic pump, I would frequently manually engage temp basals to better stabilize my BG’s. Now Control IQ does that for me! I have also been able to create a special exercise profile which better manages my levels when I’m engaged in high-moderate aerobic activity.

      2
      11 months ago Log in to Reply
    15. Martina Schockemoehle

      AndroidAPS is great – it is extremely well customizable! I wouldn’t like to miss it or change to the approved systems, as the developers of this algorithm are diabetics, know what they need and talk about, and are always one step quicker than official systems.

      1
      11 months ago Log in to Reply
    16. Patricia Maddix

      I just switched from Medtronic paradigm pump to tandem T slim X2 with control IQ on February 7. It is particularly great and preventing hypoglycemia. I have noticed that the fast acting glucose items that generally keep on hand are almost entirely unused and I am not nibbling all the time to keep my blood sugar from dropping. It is really fascinating to watch and see all the many adjustments that control IQ makes without me even noticing. Sleep is now excellent for the first time in many many years.

      5
      11 months ago Log in to Reply
    17. Mick Martin

      Although I selected “Medtronic SmartGuard Auto Mode” I sometimes need to ‘step out’ of Auto Mode as it does not allow Dual Wave Bolusing (Due to gastroparesis, the ‘sudden’ influx of insulin makes my blood glucose levels ‘crash’ causing hypoglycaemic [hypoglycemic] reactions … sometimes severe ones where I lose consciousness).

      11 months ago Log in to Reply

    For this question, we're re-asking a recent question. Even if you answered before, please answer again. If you use both an insulin pump and CGM, do you currently use any of the following automated insulin delivery (also known as “predictive low glucose suspend” or “hybrid closed loop”) algorithms? Cancel reply

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