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    • 20 hours, 36 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 20 hours, 39 minutes ago
      atr likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I had ketones thrn I am sick. If mid to large I wd call my endo or if also vomiting or dehydrated from diarrhea. I wd go to the ER
    • 21 hours, 53 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 21 hours, 53 minutes ago
      Marty likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      When I test positive, I increase my insulin dosage to a “sick day” level, which can be anywhere from 125% dosage to 400%. I usually start with small increases in dosage, and work my way up until my blood glucose levels even out. Also, increase my water intake. I would not call my Endo unless I was unable to get my blood glucose down over a lengthy period of time. That has never been the case.
    • 22 hours, 1 minute ago
      KSannie likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 22 hours, 3 minutes ago
      Patricia Dalrymple likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 22 hours, 16 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I increase my basal and insulin ratios if I eat until I show no longer test positive. I do only test if I have been high for a longer than usual time.
    • 22 hours, 17 minutes ago
      Lawrence S. likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 22 hours, 39 minutes ago
      Judith Halterman likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      I'd most likely call my endocrinologist and ask their advice.
    • 22 hours, 41 minutes ago
      Derek West likes your comment at
      Do you have a management plan if you test positive for ketones? Please share more in the comments.
      If I were not feeling too bad, I would change my site, increase my insulin, drink more water and monitor closely
    • 1 day, 13 hours ago
      KCR likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      None of the specialists I’ve seen have suggested, recommended or prescribed methods for doing this in the lovely 40 years I’ve been T1D. My 80th birthday is the summer. It will officially be half of my life.
    • 1 day, 20 hours ago
      Marty likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      I have a blood ketone monitor. It works just like a glucometer.
    • 1 day, 22 hours ago
      Kathy Hanavan likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 1 day, 22 hours ago
      Judith Halterman likes your comment at
      Do you know how to test for ketones? Please share more in the comments.
      Perhaps only the poets who love alliteration could love the phrase, “killer ketones.” The ungodly pain experienced is your body eating and devouring itself. 🥵 Ketones are relentless killers. Do not give the bad guys a chance.
    • 2 days, 16 hours ago
      Anthony Harder likes your comment at
      Do you have ketone testing strips?
      Hi, Marty. Does your specialist have a source for that claim? It makes little sense that ketones would rise faster than BG since the metabolic pathway is much slower. If there's a source, however, I'd look further into the claim. FWIW, I've been a Type 1 for over 50 years; I can't remember the last time I tested for ketones. I possess no ketone testing strips.
    • 3 days, 19 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 3 days, 21 hours ago
      atr likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      It covers both. I prefer to have the the nasal version as I think it would be easier for someone else to administer.
    • 3 days, 22 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I’ve been T1D for 60 years. As a child my mother didn’t like needles or injections so she just fed me when low. In college, explained use to dorm mates and classmates would’ve been a waste of time. Now married, my wife assumed the role of my mother and doesn’t like using needles on me either. I don’t have glucagon.
    • 3 days, 22 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      Yes, always have one or two nasal glucagon kits (Baqsimi) at home in easy to reach locations (ie at bedside and special container in living area) and always keep one with me when I go out ( along with glucose tabs or other simple carbs for treating LBS.). I apparently required injectable glucagon several times as a child and needed injectable glucagon only twice as an adult, both more than 15 years ago . More recently I needed my husband to give me Baqsimi after eating a difficult to dose for, high fat meal. The experience was terrifying so I don’t go anywhere without it now.
    • 3 days, 22 hours ago
      Lawrence S. likes your comment at
      Do you have a non-expired glucagon prescription?
      I actually have 2 non-expired prescriptions. One for Baqsimi and one for Gvoke. I have not filled either of them because they’re $500-600 each.
    • 3 days, 22 hours ago
      Lawrence S. likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      My Medicare Part D essentially doesn't cover glucagon when any form is nearly $500!
    • 4 days, 13 hours ago
      Amanda Barras likes your comment at
      Do you have a non-expired glucagon prescription?
      Same here. Been as low as 19 (struggling with a vacuum cleaner bag and refused to let it win) but was still able to swallow food. I did used the “red needle” as my husband refers to it once when I went low but was scheduled for surgery and couldn’t eat or drink anything. Only once in 26 years. Fortunate.
    • 5 days, 8 hours ago
      Karen Newe likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 20 hours ago
      Natalie Daley likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
    • 5 days, 21 hours ago
      atr likes your comment at
      Share some of your favorite T1D-related books in the comments:
      Marcus Aurelius Meditations for the benefits of stoicism. Dante’s Inferno for the nine levels of diabetic hell. Kristen Lavransdatter for the benefits of suffering. And best of all, Cervantes Don Quixote for the absurdity of tilting at so many worthless windmills of frenzied diabetic activity.
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    Have you ever had a diabetes alert dog? If not, would you ever consider it?

    Home > LC Polls > Have you ever had a diabetes alert dog? If not, would you ever consider it?
    Previous

    On a scale of 1-5, how well do you understand the details of your health insurance plan? (1 = the least, 5 = the most)

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    If you wear a CGM, how much time do you estimate you spend looking at your CGM graphs and reports per day, on average?

    Sarah Howard

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

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Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. 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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. 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    42 Comments

    1. Sjoymex

      If I were more active, did not have a cgm and/or had hypoglycemia unawareness then yes. But currently with my cgm and my pretty normal lifestyle I don’t think I have the need.

      1
      5 years ago Log in to Reply
      1. AnitaS

        Same here. My trust my CGM to alert me in the instances of low blood sugar.

        1
        5 years ago Log in to Reply
    2. Bob Durstenfeld

      My CGM with ALARMs requires less attention than a dog. Though it may cost the same in the long run?

      3
      5 years ago Log in to Reply
    3. Greg Felton

      I have a dog, and I have a CGM. I would never leave my CGM at home or allow it to sleep or take time off, like I allow my dog to do. Seeing trends to ward off severe highs and lows is more valuable to me than a dog that can alert me when my BG is way out of range.

      2
      5 years ago Log in to Reply
    4. Dawn Flaherty

      Yes, I trained my dog, Chloe (using Super Sniffer® Medical Alert Dog training protocol). Chloe is trained for hypoglycemic alerts.

      3
      5 years ago Log in to Reply
    5. Mig Vascos

      I think a Dexcom G6 is much more accurate and easier to maintain, unless you like the companionship that a dog could provide

      3
      5 years ago Log in to Reply
    6. Greg Felton

      Never

      1
      5 years ago Log in to Reply
    7. Trish Seidle

      I would love to have a well trained service dog! I totally understand why people don’t, but I love dogs so much! I have my name on a list with Guardian Angels Medical Service Dogs. It’s unlikely that I’ll be able to get one by the time my name comes up (@6 more years) but they would not only help me with detecting upcoming lows but also be a reason for me to go outside every day, help with my depression and accompany me everywhere. For me, a dog nudging me and pawing me would be alot harder to ignore than a mechanical alarm.

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

      I am a senior with LADA T1D, and would not consider a diabetes alert dog for the simple reason of dogs are a lot of responsibility and care. You still have to carry in bags of food, take the dog to the vet, walk the dog daily and when your feet hit the floor in the morning you have to get the dog outside. I would rather not have that responsibility and spend the time taking care of myself.

      2
      5 years ago Log in to Reply
      1. Rick Martin

        I consider my dog my exercise routine. That frame of mind changes everything. However, he does not alert me though I’ve tried to train him to no avail.

        5 years ago Log in to Reply
    9. Sherolyn Newell

      I put I would consider it, but that’s only if I get another dog at some point. I currently have two 11-year-old Irish wolfhounds, and I am not sure I want the responsibility again after these two. I love them, but dogs are a lot of work.

      2
      5 years ago Log in to Reply
    10. George Lovelace

      Love Dogs but I’d rather train my Dexcom to Bark

      7
      5 years ago Log in to Reply
    11. Lawrence Stearns

      I said that I would not consider it. But, I’ve had several dogs throughout my life, and loved them all. But my Tandem/Dexcom Control IQ seems to do the job for me. Also, I am getting older, and would not like to leave a dog without his family if I should die first. I do not have a dog now, but it sure is tempting, I do love dogs.

      4
      5 years ago Log in to Reply
    12. Mary Ann Sayers

      I would have loved to have had an alert dog 40 years ago when I one! Rest home living doesn’t allow for one.

      5 years ago Log in to Reply
      1. Melissa Rios

        I thought service dog are allowed everywhere

        5 years ago Log in to Reply
    13. Natalie Daley

      My dog is an AKC certified therapy dog. I trained him. He’s keenly aware of me and watches me carefully. When my blood sugar drops, he smells my breath and if I’m lying down or sitting he will want to be right next to me. No playing with chew toys, etc, just right with me. He knows when something is wrong.

      2
      5 years ago Log in to Reply
    14. Kristine Warmecke

      I just received my Service Dog in April. She is dual purpose Service Dog, being my DAD and mobility/stability dog for walking.
      What I was surprised to find was she alert’s me 15 to 20 minutes before my G6 does. So I’ve not gone into 30’s since April. She caught Kennel Cough while at the groomer a few weeks ago, even though she’s vaccinated it doesn’t cover this new strain of it, so she is confined to home until Wed. or all symptoms are gone. Honestly I don’t know how I did it before her.

      2
      5 years ago Log in to Reply
    15. Beckett Nelson

      I put that I would not consider one. I think they are great, but a dog (even a working one) shouldn’t really be underfoot in an ICU (where I work). Probably not even allowed 🤷🏻‍♂️

      2
      5 years ago Log in to Reply
    16. Thomas Brady

      I had a DAD for eight years who passed three years ago. I am now using the Tandem/Dexcom G6 system. I HATE this system as it renders multiple alarms to warn me of lows. When I take carbs in response to the lows it takes some time for carbs to be reflected in my interstitial fluids, even though my actual blood sugar is back in my target range. During that period, my CGM keeps blasting away with alarms which are NONSENSE and cannot be defeated. It is especially irritating when I am sleeping. My DAD alerted and kept on until I gave him the command that I was OK. He kept on watching me but did not alert after being “released”. I also do not see why I have to get TWO alarms when I am dropping – one to tell me the pump is predicting a low and then a few minutes later one that tells me I am low, even when I have address the predicted low.I am fed up being z”over nagged” with the excess alarming and am ready to to dump the system. I am fed-up with being a slave to the CGM/pump which was supposed to let me lead a more “normal” life.

      3
      5 years ago Log in to Reply
      1. Marsha Miller

        I understand this 100%. It is so frustrating.

        5 years ago Log in to Reply
      2. Rick Martin

        I went off the Tandem/CGM combo just recently for those very reasons. I’m now on CGM & Afrezza – much better in so many ways!!!

        5 years ago Log in to Reply
      3. ConnieT1D62

        I would get fed up being a slave to the care taking responsibilities and duties of having a dog.

        5 years ago Log in to Reply
    17. Patricia Dalrymple

      Not a dog person but I never say never. I have no children and if my husband goes first, he is older, I’ve often wondered how I will continue to do all that is required. I think it is absolutely wonderful that dogs can be trained and their love for their humans is lovely to see. So…a definite maybe.

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

      I just read that again: if I can’t take care of myself and live into my 90s as much of my family does, how can I take care of a dog if I’m too infirm to take care of me??!!

      2
      5 years ago Log in to Reply
      1. ConnieT1D62

        Excellent point of consideration!!!

        5 years ago Log in to Reply
    19. Amanda Barras

      I longed for one until I finally got on a CGM and now I don’t feel the need for one.

      2
      5 years ago Log in to Reply
    20. Carol Meares

      If I were in a position where I had to live alone I would consider an alert dog. I have low unawareness. I wear a Dexcom. I would still wear Dex. A dog would be helpful in catching the lows perhaps better and with more moral support than the Dex alarms. As I get older, if I am so lucky, I think management is going to get more tricky.

      5 years ago Log in to Reply
    21. Sahran Holiday

      Dexcom G6 beeps. If I’m going to do something I add the reading on my Omnipod meter and then sometimes adjust my temp basal if low or do correction bolus if high.

      5 years ago Log in to Reply
    22. Rick Martin

      I had a dog that taught herself to alert me. She taught herself because I would always get something to eat and drink when I was low – and give her a treat! She even, when I wouldn’t respond, went and alerted my wife who happened to be in the shower at the time.
      I have low awareness and recently my CGM was reading 90; however, I was aggressive toward my wife when she tried to convince me my blood sugar was low. It ended up being a really bad set of things that happened. When my wife was finally able to get me to do a finger stick to test my reading was 45 instead of 90. I suspect the dog would have alerted me even though the CGM didn’t.

      1
      5 years ago Log in to Reply
    23. Kevin McCue

      I would consider training my current or a new dog on my own but don’t think I would get a previously trained dog just for this purpose.

      5 years ago Log in to Reply
    24. ConnieT1D62

      For me? Not a chance. Therapy dogs do have a beneficial purpose and are a blessings for some people who really need them. On the other hand, I have met a few individuals who milk the “admiring attention” they get from others by having a DAD and devote the entirety of their physical, mental, and emotional energy to their relationship with the dog to exclusion of having quality interactions and relationships with other humans. Not a healthy scenario for the human or the dog, IMHO.

      1
      5 years ago Log in to Reply
    25. Molly Jones

      I don’t imagine having a dog because of the daily outdoor responsibilities. I know research has been done and dogs can detect both hypoglycemia and seizures. If I were to live on my own in my elder years and could have an alert dog that could possibly relieve itself like a cat, maybe.
      I hope hypoglycemic issues will continue to be better controlled by technology.

      5 years ago Log in to Reply
    26. Dan Patrick

      It was 1989. The choice of a new pump with Apidra insulin. Oh, the family added a miniature schnauzer puppy. Due to a new home, Maggie Mae ended up sleeping with me. During the early sleep hours I would fold into a hypo state. Maggie to the rescue. She would lick me until I got out of bed. She performed this sleeping assignment for 10 years as my puppy CGM. A job well done.

      5 years ago Log in to Reply
    27. Pam Hamilton

      I have had dogs all my life and wouldn’t know what to do without them. I have the G6 and that has helped immensely. We have a dog now that is less than a year old, and she has alerted me on several occasions when my glucose was dropping faster than the CGM could keep up with, before the double arrows down. She has not been formally trained but we are working towards that.

      1
      5 years ago Log in to Reply
    28. LizB

      I would not consider it even though I am single, live alone and am hypo unaware. I do have a CGM and for me, that’s enough. If I’m going to be gone for an entire day my choices would be leave the dog home alone or take it with me. As a service dog I assume it would be allowed to go anywhere with me.

      But, I am very allergic to dogs and asthma. Being in an enclosed space with one, such as a bus or a car, is not good for me. I don’t drive and I would not want to force other people who may also have allergies (and/or asthma) to be around my dog.

      Also, I’m lazy. When it’s 99 degrees our or pouring rain or it’s ezing and sleeting outside I don’t want to have to get dressed to take a dog out to do its business!

      1
      5 years ago Log in to Reply
    29. TomH

      If I get to the point where the GCM (perhaps a pump in future) doesn’t alert me well enough, I’d consider a dog. I love dogs, but they require a lot of extra care and attention that devices do not. Of course, they also provide significant companionship as well, so there’s a trade-off to be made.

      5 years ago Log in to Reply
    30. Becky Hertz

      I am on my second hypoglycemic alert dog from Dogs4Diabetics/NICST. Dogs can pick up drops and lows faster and in real time than a cgm and the accuracy for D4D dogs is >90%. For me, redundancy is key. D4D is also has national accreditation for their service dogs and we have to rectify every year.

      5 years ago Log in to Reply
    31. Jodi Greenfield

      I did all the paperwork and paid the registration fees, then tracked my glucose for months. My application was rejected because my glucose levels were not stable enough.
      I thought the dog would help me with that!

      5 years ago Log in to Reply
    32. Cheryl Seibert

      No, but I would consider it. My pet 50+ years ago acted like an alert dog to help my mother treat my lows when I was a child. I currently would NOT consider it as my condition is stabled and I have my husband for assistance. However, I WOULD consider an alert dog should I have to live alone.

      5 years ago Log in to Reply
    33. Nicholas Argento

      I would rather use my CGM.

      1
      5 years ago Log in to Reply
    34. Sue Herflicker

      I would love to have a diabetic alert dog. I tried to get one for my son when he was little because he slept right through all his lows, (there were no CGM’s then) but it was very expensive and you had to travel to CA and I am on the East Coast. I am recently diagnosed and wear a CGM. We (my 2 boys and myself) all have CGM’s now, but I would love to have a dog I could take every where with me!! Not only would it be a diabetic alert dog, but it would be my emotional support dog too!! Maybe some day!!

      5 years ago Log in to Reply
    35. PamK

      I’m not a “dog person” so I don’t think I would ever get one.

      5 years ago Log in to Reply

    Have you ever had a diabetes alert dog? If not, would you ever consider it? Cancel reply

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