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    • 57 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.
    • 57 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.
    • 1 hour, 5 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.
    • 1 hour, 7 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.
    • 1 hour, 19 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.
    • 1 hour, 20 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.
    • 1 hour, 20 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.
    • 1 hour, 20 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.
    • 1 hour, 20 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
    • 1 hour, 20 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.
    • 1 hour, 23 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?"
    • 1 hour, 24 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.
    • 1 hour, 26 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.
    • 1 hour, 27 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.
    • 1 hour, 41 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.
    • 22 hours, 47 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
    • 23 hours, 44 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.
    • 23 hours, 51 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
    • 1 day 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 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, 1 hour 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, 1 hour 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, 1 hour 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.
    • 1 day, 1 hour 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.
    • 1 day, 1 hour 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.
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    Happy Mother’s Day to all the moms living with T1D, moms of children with T1D, and T1D caregivers out there! If you have navigated pregnancy while living with T1D, were there any resources that were particularly helpful to you? Tell us about them in the comments!

    Home > LC Polls > Happy Mother’s Day to all the moms living with T1D, moms of children with T1D, and T1D caregivers out there! If you have navigated pregnancy while living with T1D, were there any resources that were particularly helpful to you? Tell us about them in the comments!
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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.

    Related Stories

    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

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    14 Comments

    1. HMW

      Think Like A Pancreas by Gary Scheiner has a section on the fluctuations in insulin sensitivity during pregnancy which was very helpful. Having a Dexcom cgm was the best tool I had. And having close communication with my endocrinologist and certified diabetes educator for support. My baby had to spend 5 days in NICU to get his BG elevated to normal range but that also gave me time to recover from my c-section.

      1
      5 years ago Log in to Reply
    2. Lorri McLuckie

      I had a fantastic endocrinologist who helped me navigate through my 2 pregnancies (1983 and 1986), using only MDI and blood sugar testing based on color change on the test strips which only gave a blood glucose range such as 80-120 (glucose meters were not yet covered by my insurance).

      2
      5 years ago Log in to Reply
    3. Sally Numrich

      No CGMS at the time but with a great medical team, we had two smooth pregnancies! Endo, high risk OB, CDE, RD. Monthly ultrasounds with weekly towards the end. Lots of testing. My blood testing meter was my best friend testing like 15 times a day,

      1
      5 years ago Log in to Reply
    4. Marla Peaslee

      My best resource was my medical team. Daily contact with my CDP. The next best resource was the book, What To Expect When Your Expecting..

      1
      5 years ago Log in to Reply
    5. Janis Senungetuk

      There wasn’t much to offer in 1970. I’d have blood test ordered by my GP and find out the results the next week. I saw the OB-GYN on a monthly basis for the first four months, show him my urine test logbook and have my blood pressure and weight checked.I didn’t know anyone else who was living with T1, much less anyone else who was pregnant and living with T1.We were living in San Francisco, yet I was totally issolated from any resources that might have helped. At five months I started experiencing high blood pressure issues and started seeing the OB every other week. My husband and I were both completing our undergrad studies, so it was a stressful time, in addition to the pregnancy. A month to the day after graduation our daughter was born, by c-section, six weeks early. I had preeclampsia, had been in the hospital over the weekend, the delivery was induced and she arrived early Monday morning. We were well enough to leave the hospital together four days later.

      3
      5 years ago Log in to Reply
    6. Germaine Sarda

      My endo told me that I shouldn’t have the child I was pregnant with since my control wasn’t good. I found a specialist in high risk pregnancies and delivered a healthy baby with no complications. The specialist never used threats or scare tactics but rather guided me through a healthy pregnancy. If your doctor uses scare tactics, pregnant or not, find another one.

      5 years ago Log in to Reply
    7. Chris Deutsch

      With my second pregnancy in Taos, NM, 40-ish years ago, I started using a blood sugar meter for the first time. I think it was an Accu-check, and it was revolutionary!!

      5 years ago Log in to Reply
    8. Sara Weaver

      CGM! I started using CGM 15 years ago when pregnant w my 2nd child. It was soooo helpful! For my 1st child, I didn’t have CGM and tested my BG 12x/d w finger sticks. Love CGM!

      5 years ago Log in to Reply
    9. Kimberly Green

      pregnancy with Type 1 Diabetes book.

      1
      5 years ago Log in to Reply
    10. Jneticdiabetic

      My care team, which included my endo, OBGYN, and at the end of each pregnancy, a perinatologist. Also my CGM, though they weren’t as accurate in 2007-2009 and lots of general pregnancy books. BG was generally more stable during pregnancy. I was lucky to have two uncomplicated pregnancies and managed to carry both to 38-39wks. They were BIG ( ~10lbs each).

      5 years ago Log in to Reply
    11. Amy Schwinghammer

      “Pregnancy with Type 1 Diabetes” by Ginger Vieira and Jennifer Smith. I’m currently re-reading through my second pregnancy and it is SOOOO helpful!

      5 years ago Log in to Reply
    12. Alejandra Marquez

      I have been part of diabetes Sisters since I found them they were and are my support group for everthing. Plus, I met Gary Gary Scheiner https://integrateddiabetes.com/ and got the pregnancy coach services with Jennifer Smith, She was the best of the best during my pregnancy and after. Also she has a book for T1D pregnancy with Ginger Viera that is 100% recommendable.

      5 years ago Log in to Reply
    13. Molly Jones

      Didn’t make it through

      5 years ago Log in to Reply
    14. Donna Clemons

      Being Type 1 Celiac Epilepsy get along pretty well. Hate Tubing. Omni Pod loved . Counting carbs is not me. Foods I eat are vegs. And meats. Not fun.

      5 years ago Log in to Reply

    Happy Mother’s Day to all the moms living with T1D, moms of children with T1D, and T1D caregivers out there! If you have navigated pregnancy while living with T1D, were there any resources that were particularly helpful to you? Tell us about them in the comments! Cancel reply

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