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    • 2 hours, 39 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 2 hours, 39 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 2 hours, 39 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 2 hours, 39 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 2 hours, 39 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 2 hours, 40 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 6 hours, 55 minutes ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 13 hours, 13 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.
    • 14 hours, 5 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.
    • 17 hours, 6 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.
    • 17 hours, 7 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.
    • 17 hours, 15 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.
    • 17 hours, 17 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.
    • 17 hours, 29 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.
    • 17 hours, 29 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.
    • 17 hours, 29 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.
    • 17 hours, 30 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.
    • 17 hours, 30 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
    • 17 hours, 30 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.
    • 17 hours, 32 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?"
    • 17 hours, 34 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.
    • 17 hours, 35 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.
    • 17 hours, 36 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.
    • 17 hours, 51 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, 14 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
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    Have the health insurance benefits offered by an employer ever caused you to accept a job or stay at a job that you otherwise would have preferred to leave?

    Home > LC Polls > Have the health insurance benefits offered by an employer ever caused you to accept a job or stay at a job that you otherwise would have preferred to leave?
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    If you have ever been pregnant while living with T1D, how much did your insulin needs change throughout your pregnancy?

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    How satisfied are you with the overall customer service provided by T1D supply manufacturing companies?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. 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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    29 Comments

    1. karolinamalecki7@gmail.com

      I answered “other”. I was diagnosed 1 year ago and haven’t had to change jobs or consider. I did take a promotion within the same company.

      1
      4 years ago Log in to Reply
    2. Sue Herflicker

      I was hired at 19. At that time I wasn’t concerned about health insurance or pension. In fact I was mad they were taking money from me. Retiring after 36 years with my school district, I am thankful for both. Raising 2 T1D’s almost all my meds and medical devises were covered 100 percent and now being retired and newly diagnosed myself I am well covered with my health benefits and my pension.

      1
      4 years ago Log in to Reply
    3. Meghan Larson

      As technology has progressed with diabetes management, I am now more aware of an employer’s benefit options. I am in the process of now reconsidering where work due to lack of coverage for pump supplies.

      3
      4 years ago Log in to Reply
    4. Barbara Bubar

      Being self-employed we paid a fortune for health insurance for many, many years—nice to finally reach Medicare age!

      1
      4 years ago Log in to Reply
    5. StPetie

      I’m an Other. I was diagnosed shortly before retirement so benefits weren’t as important as they would have been otherwise.

      1
      4 years ago Log in to Reply
    6. Joan McGinnis

      Insurance was through my husbands job as I was part time employed most of my life

      1
      4 years ago Log in to Reply
    7. Lori Lehnen

      We get health insurance through my husband’s work place. I’ve given some thought about what I’ll do when he retires in a few years and we lose his excellent coverage at a reasonable cost. As a self-employed individual, I’ve considered that I might need to get a job that offers health insurance benefits.

      1
      4 years ago Log in to Reply
    8. Sherolyn Newell

      It would be a consideration. We have pretty good health insurance and my company pays 100% of my premiums. Another company would have to make a pretty good offer to overcome that.

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

      The free market system overwhelmingly favors those with insurance. Paying for supplies is a key factor in staying, leaving, or accepting a job.

      4
      4 years ago Log in to Reply
    10. danielle stimac

      I am currently seeking new employment in hopes of better healthcare benefits. While leaving a job I enjoy.

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

      I would have answered “Yes”, but answered “Somewhat” because I chose my career for health insurance and salary. Having already been a diabetic, health insurance was absolutely necessary. In regard to choice of employment, we lived in a rural area, without industry, except tourism. I chose to work in correctional services because it was one of the only good paying jobs with health insurance. I had no desire to work in that “industry”, but did so for 30 years to provide for my family and the health insurance.

      1
      4 years ago Log in to Reply
    12. Mary Dexter

      My husband stayed past retirement age so that I would be insured

      1
      4 years ago Log in to Reply
    13. RegMunro

      Early in my career I was declined for a loan that led to a teaching post because I was diabetic. They wouldn’t cover my costs

      1
      4 years ago Log in to Reply
    14. Dale Norman

      If I didn’t have access to my spouse’s benefits I would choose to leave the job I have

      1
      4 years ago Log in to Reply
    15. Don P

      throughout my entire career never had health insurance

      4 years ago Log in to Reply
    16. Bill Williams

      I stayed married for way longer than I should have because her employer provided great healthcare coverage.

      2
      4 years ago Log in to Reply
    17. GiGi

      I have always been covered by my husband’s insurance policy.

      4 years ago Log in to Reply
    18. Molly Jones

      I chose other, as my husband mentions this often. I am on disability due to epilepsy and have a few other medical conditions along with T1D but the health care coverage through his workplace are his “golden hand cuffs”.
      I have been looking around for a few years to try and find the best insurance plans to go along with medicare, but need help to find similar ones to what we currently have.

      1
      4 years ago Log in to Reply
    19. jo

      Yes I am retired now, but I went into law enforcement because my Dad told me to take the job this way I would always have health insurance and a pension. His reasoning was that if I got married and my husband was rotten,( I won’t use my Dads words) I wouldn’t have to stay married and still be able to support myself. The best advice I have ever gotten.

      4 years ago Log in to Reply
    20. Kathy Morison

      I have never had a job that offered affordable health insurance for me. I’ve always had to depend on my husband’s work insurance to provide my insulin and diabetic supplies. Now that my husband has retired and me already being on disability with Medicare, the supplemental medicare insurance combination is making things much more affordable for me.

      4 years ago Log in to Reply
    21. Mick Martin

      N/A (Not Applicable) as I’ve never had a job that had health insurance benefits. (I live in the UK [United Kingdom of Great Britain and Northern Ireland] where our health benefits are provided for by our NHS (National Health Service), which is funded via direct taxation of all working people. You CAN, of course, take out supplementary health insurance, payable by oneself, if you prefer ‘preferential treatment’ and/or quicker appointments, etc.)

      1
      4 years ago Log in to Reply
    22. Mark Schweim

      I said yes because “Definitely” wasn’t an available option.
      I have both left employers to work somewhere else because the new job offered better insurance benefits and while unemployed I have also turned down job offers exclusively because the offering employer said that there were no insurance benefits with the job.

      Had I been allowed to continue working at the Walmart DC, I probably would have left them in favor of my current job because Walmart’s insurance was claimed to be some of the best available but it was high deductible coverage with a copay for literally everything as opposed to the insurance I have through my current employer were the only thing I need to get through my DME coverage is the Insulin Pump cartridges, and literally everything else is covered under my current Pharmacy Benefits and my pump infusion sets and a couple short term prescription medications I’ve been on over the past year is all I have to pay anything for other than the insurance premiums deducted from my paychecks.

      Walmart’s employee insurance was more expensive, had a copay for everything, and was high deductible with a $2500 annual Deductible. My current employer’s insurance only has a $20 – $25 per office visit Doctor’s copay, a $70 copay for my pump infusion sets, and only has a $750 annual deductible! And my current insurance is less expensive than the insurance I had through Walmart was also.

      4 years ago Log in to Reply
    23. mbulzomi@optonline.net

      I’ve been retired for the last 11 years. My last job was with the Federal Aviation Administration, a Federal Government job. Would never think about leaving!

      4 years ago Log in to Reply
    24. Ahh Life

      I love the answers folks give to this question.

      So, in the good ol’ days (which really weren’t), my dad suggested to me: Get some health insurance. Insulin was about a buck a bottle and insurance was about $10 a quarter. Anybody seen prices like that lately?

      Prior to the American with Disabilities Act of 1990, employers could and did discriminate like crazy against type one diabetics.

      Nowadays, the insurance companies, the pharmaceutical companies, the hedge fund managers, the credit default swap managers, the large drug store chains, and the middle men called pharmacy benefit managers (PBM’s) own the health care casino, and we customers only pull the lever. Over, and over, and over again.

      1
      4 years ago Log in to Reply
    25. Becky Hertz

      Having health insurance benefits offered was important.

      4 years ago Log in to Reply
    26. PamK

      I wish I hadn’t stayed. I ended up with Ulcerative Colitis as a result of all the stress the job caused.

      4 years ago Log in to Reply
    27. kilupx

      I didn’t check NO but OTHER. I had just retired when I got my LADA diagnosis at age 66. I was already on Medicare and a supplemental insurance plan.

      4 years ago Log in to Reply
    28. Wanacure

      Many of the jobs had no insurance. I had to take whatever job I could get. At times my income was so low, I qualified for special state run plans providing just basic coverage. My last job with federal gov had pretty good coverage. Now I get benefits of Medicare. I advocate and lobby for Medicare For All, universal single payer, socialized medicine…whatever you want to call it.

      4 years ago Log in to Reply
    29. KSannie

      My husband never went into business for himself so that we would keep his insurance while I was not working.

      4 years ago Log in to Reply

    Have the health insurance benefits offered by an employer ever caused you to accept a job or stay at a job that you otherwise would have preferred to leave? Cancel reply

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