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    • 8 hours, 25 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.
    • 8 hours, 28 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
    • 9 hours, 42 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
    • 9 hours, 43 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.
    • 9 hours, 50 minutes 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.
    • 9 hours, 52 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.
    • 10 hours, 6 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.
    • 10 hours, 6 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
    • 10 hours, 28 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.
    • 10 hours, 31 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, 1 hour 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, 8 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, 10 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, 10 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, 4 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, 7 hours ago
      Marty likes your comment at
      Does your insurance cover injectable glucagon, nasal glucagon, or both?
      Covers it with co pay
    • 3 days, 9 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, 10 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, 10 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, 10 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, 10 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, 1 hour 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.
    • 4 days, 20 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, 8 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, 9 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 (or your loved one with T1D) been diagnosed with peripheral neuropathy in your feet?

    Home > LC Polls > Have you (or your loved one with T1D) been diagnosed with peripheral neuropathy in your feet?
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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.

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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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    22 Comments

    1. sweetcharlie

      The Doctor said just a touch of it.. Age=91… T1D about 70 ..

      10
      3 years ago Log in to Reply
    2. Lawrence S.

      No, not diagnosed. But, if I don’t keep up my daily exercise, I feel it.

      3 years ago Log in to Reply
    3. Trisha Oldenkamp

      It’s mild and has been pretty stable for several years. My endo said only a small percentage of well controlled Type 1s get it and I’m one of them. A neurologist said to take alpha lipoid acid supplements to help.

      1
      3 years ago Log in to Reply
    4. Gary Rind

      had terrible pain in my feet. endo prescribed gabapentin which did nothing except make me dopey. found out about alpha lipoic acid, started taking that and the pain was gone within a week. it’s been 20 years and it still works great, no pain at all!

      1
      3 years ago Log in to Reply
    5. Kelly Wilhelm

      I have very very mild neuropathy in my feet (1 on scale of 1-10) that was “accidentally” found while working on another issue. No issues with it, so far.

      3 years ago Log in to Reply
    6. Henry Renn

      I notice on most questions posed by T1D Exchange that there isn’t any delineation for length of time respondents have had Type 1.

      2
      3 years ago Log in to Reply
      1. sweetcharlie

        Thats why I usually give the years T1D and Age now..

        3 years ago Log in to Reply
    7. Marty

      My doctor didn’t use that term, but did notice some loss of sensitivity to vibration. Luckily it’s not a problem, so far at least.

      1
      3 years ago Log in to Reply
    8. Ahh Life

      Perhaps a soupçon of it. The podiatrist noted a slower nerve response in one leg versus the other. But no pain, no tingling, no impairment, and consequently, no intervention after 72 years around the diabetic track. 🙆‍♂️

      3
      3 years ago Log in to Reply
    9. Mary Halverson

      Not in my feet and not yet diagnosed, but my calves have constant surface nerve twitching. “Fasciculation” is the term I’ve found for it. I’ll see a neurologist soon & hopefully find an answer.

      3 years ago Log in to Reply
    10. pru barry

      It’s been a blessing in disguise. Walking has always been one of my favorite ways to spend time, hours and hours of it. Until recently, neuropathy has never made it hard. I’m working on year 69 since diagnosis and taking insulin, and think maybe some of my beginning to stumble is just old age. So now I walk with a bit of a vengeance, and tons of determination. I think there’s a huge component of brain-muscle memory involved. Losing keys is one thing. Losing the ability to walk is another!

      2
      3 years ago Log in to Reply
    11. Bob Durstenfeld

      I have autonomic neuropathy that affects my stomach and bladder as well as some neuropathy in my inner thighs and periformis syndrome that affects my left foot.

      3 years ago Log in to Reply
    12. Trina Blake

      I answered “other”. At first – using the little filament tester – I was Dx’d with neurapathy in my feet. I suggested they check beyond the balls of my feet. Then ticklish as ever. I then stood up, explained that I was a retired professional ballet dancer, demonstrated barefoot pirouettes (some contemporary pieces are done barefoot) that explained the very strong and tough calluses. Fortunately I was able to avoid the standard “you’ve got to manage your T1D better” by my prompt “lecture” and demonstration of classical ballet. Still doing well.

      3
      3 years ago Log in to Reply
    13. Steven Gill

      Have a brother diagnosed T1d 25 years ago, he “has some numbness.” Been maybe 15 years ago, but also a dry alcoholic, moderate to heavy smoker, but very active, I’m sure that helps.

      An adopted cousin (not related by blood but recently bonded) has neuropathy in feet, gastroparesis, and a multitude health concerns (weight, copd, heavy smoker…), and even now out of control glucose. A family friend (TYPE2) discussed her feet problems, and loss of muscles from neuropathy.

      I know for a fact the other causes of neuropathy we can stress ourselves with: non diabetic mother had neuropathy in hands and feet-possibly attributed to weight, BP, smoking, and a poor diet. A friend possibly died resulting from lack of care for a foot ulcer (A week after 911 was called from bleeding) likewise neuropathy in his feet. He was a real heavy smoker, heavy drinker, non active with a poor diet: non diabetic.

      Diabetes alone can be as leading cause of neuropathy, add smoking, poorly controlled BP, bad diet, weight, and inactivity we can almost guarantee the result. I want diabetes to be my only hazard, and a minor one at that.

      1
      3 years ago Log in to Reply
    14. Jian

      I have had neuropathy for about 13 yrs, painful at first and took gabapentin for yrs. but no longe painful the last 3 yrs just numbness and tingling – I take aphalipoic acid 600 mg daily.

      3 years ago Log in to Reply
    15. ConnieT1D62

      Yes – despite years of “good control” and never having been a smoker or an excessive or careless user of alcohol I developed peripheral neuropathy in my feet and hands. At around 40 years into having lived with T1D in my body since early childhood I noticed subtle sensitivity changes in both my feet and hands, not painful just “different” and “weird”.

      Plus 30 + years of being a nurse and pumping a manual sphygmomanometer bulb to obtain blood pressures on several hundred patients thousands of countless times over the years didn’t help. As a result I have nerve, tendon, fascia, and muscle damage in my hands and fingers. The muscle weakness affects my hand strength and grip, and fine motor finger skills.

      I opted to decline surgery when it was recommended and chose occupational therapy, hand stretching and strengthening exercises, acupuncture and chiropractic adjustments instead. I still have good use of my hands. However, I as I age I experience increased muscle wasting at the base of the thumbs and overall numbness in my fingers. At age 69 I can no longer tie shoelaces or button small sized buttons. I keep the nerve flow energy in my hands activated and flowing by creative visualization, positive affirmations, and finger, hand, wrist and arm movement exercises and self-massage techniques.

      1
      3 years ago Log in to Reply
      1. Ahh Life

        Connie—I could have written the same thing, word for word, myself. While not particularly empathetic, the joint specialist (what a title) at least had some humor for me a week ago when he said. “Hey, after 75 trips around the sun, you gotta expect joints and things to go out.” At least I could laugh. Maybe the best and only therapeutic. 🙃

        1
        3 years ago Log in to Reply
    16. mbulzomi@optonline.net

      Ok, how do you answer a “NO”?

      3 years ago Log in to Reply
    17. ConnieT1D62

      I answered YES yesterday and wrote about my experience with peripheral neuropathy and joint damage in my hands. I also have peripheral nerve and joint damage in both feet affecting nerves, tendons, muscles, and bones resulting in clawed toes and structural changes in the shape of my feet.

      In earlier phases of life I was active in dance – ballet, jazz, modern, folk dancing, tap, flamenco – for many years from childhood into my 50s. Plus 30 years of being on my feet as a nurse lent itself to wear and tear on my feet.

      In 2004 I was diagnosed with early stage Charcot neuro-arthropathy changes in my feet after being mistakenly misdiagnosed with “sprain and strain injury” and “gout” by four different MDs. An astute orthopedic MD did further X-rays, bone scans, and MRI testing to determine that it was “early phase Charcot neuro-arthropathy” and covered for his fellow MDs who missed the proper diagnosis “because we rarely see and recognize this kind of damage in such early stages ” .

      My feet are now stable and I wear sensible shoes with custom orthotics for comfort and to accommodate the structural changes in my feet.

      3 years ago Log in to Reply
    18. Wanacure

      The filament test revealed partial neuropathy in my left foot some years ago. Then in right foot also. Doesn’t seem to interfere with my walking. But before that was diagnosed I had terrible lower leg pain. I tried over the counter insoles but nothing worked. Finally I bought custom orthotics from a retailer experienced in helping diabetics and “extra depth” shoes to accommodate them. What relief! Compression stockings also helped. Lesson: If you’re jogging or running 3 miles every other day on hard surface, don’t expect those running shoes to adequately cushion your feet after 6 months of use.

      3 years ago Log in to Reply
    19. AnitaS

      I haven’t but a T-1 cousin of mine did

      3 years ago Log in to Reply
    20. T1D4LongTime

      T1D 56 years. Diagnosed age 6. Age 11-13 I had severe neuropathy on the bottoms of my feet especially at night. Felt like branding irons. For some unknown reason, the neuropathy resolved and has never returned.

      3 years ago Log in to Reply

    Have you (or your loved one with T1D) been diagnosed with peripheral neuropathy in your feet? Cancel reply

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